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"NARD's Call for Recognition: The Demand for Quarterly Accoutrement Allowance in Nigerian Healthcare"

The Nigerian Association of Resident Doctors, (NARD) has demanded the payment of its N25,000 quarterly allowance for medical and dental doctors in hospitals, medical centres, and clinics in the federal public service.

The Nigerian Association of Resident Doctors has demanded the payment of its N25,000 quarterly accoutrement allowance for medical and dental doctors in hospitals, medical centres, and clinics in the federal public service.

NARD made this known in its communiqué issued on Sunday at the end of its January National Executive Council meeting and health summit held in Abuja from January 30 to February 3, 2024, with the theme, “Attaining Universal Health Coverage and Optimal Medical Training in the Face of a Challenging Economy: Could Technology Be the Answer?”

The role of resident doctors in the Nigerian healthcare system is pivotal, as these professionals play a crucial role in providing medical and dental care in various public service institutions. However, the nature of their work, often characterized by long hours and challenging conditions, has led to a growing recognition of the need for enhanced financial support.

Recognizing the financial implications of the proposed allowance, it is essential to consider its potential impact on the overall quality of healthcare services. Adequately compensated healthcare professionals are more likely to perform optimally, leading to improved patient care, reduced burnout, and enhanced job satisfaction. Therefore, NARD’s demand is not just a matter of financial entitlement but a strategic investment in the efficiency and effectiveness of the healthcare system.

As the call for the quarterly accoutrement allowance gains attention, it is imperative for stakeholders, including government bodies and healthcare administrators, to engage in constructive dialogue with NARD. Collaborative negotiations can foster a balanced resolution that takes into account the financial realities of the healthcare system while ensuring fair compensation for the resident doctors who form the backbone of healthcare delivery.

In 2023, the Federal Government approved the payment of N25,000 of peculiar allowance for medical and dental doctors in hospitals, medical centres, and clinics in the federal public service.

The government made this known in a letter titled, “Accoutrement allowance for medical and dental doctors in hospitals, medical centres, and clinics in federal MDAs,” dated July 26, 2023.

The letter was signed by the Chairman and Chief Executive Officer of the commission, Ekpo Nta.

The letter partly read, “The Federal Government has approved the payment of an Accoutrement allowance of twenty-five naira (N25,000.00) per quarter to Medical and Dental Doctors in hospitals, medical centres, and clinics in the Federal Public Service. The allowance is to be paid from the overhead budget.

“The approval takes effect from June 1, 2023. All enquiries relating to this circular should be directed to the Commission.”

Meanwhile, NARD, in its communiqué signed by its President, Dr. Dele Abdullahi; Secretary-General, Dr. Anaduaka Christopher; and Public & Social Secretary, Dr. John Egbe, noted that Chief Medical Directors and Medical Directors of tertiary health institutions are yet to commence payment of the approved accoutrement allowance.

“The NEC observed with dismay the non-compliance of the Federal Government and Ministry of Finance concerning the upward review of CONMESS and other allowances.

“The NEC observed with surprise the non-compliance of CMDs and MDs of tertiary health institutions to commence payment of the approved accoutrement allowance.

“The NEC observed with dissatisfaction the prolonged non-payment of skipping arrears due to her members. The NEC observed rather regrettably, the delayed payment of salary and promotion arrears of some of her members, a situation she seriously frowns at,” the communique read in part.

Commending the Minister of the Federal Capital Territory for initiating the payment of revised CONMESS, accoutrement allowance, and promotion arrears to our employed members, the NEC highlights the predicament of our members in Abia State University Teaching Hospital. They are still remunerated based on the outdated 2009 CONMESS salary structure, grappling with a backlog of 21 months’ salary arrears, and facing the absence of house officers and postgraduate college accreditation.

The NEC strongly condemns the escalating assaults on our members within hospital premises. The doctors urgently urge the government to swiftly implement proposed solutions for the chronic manpower shortage and seek clarification on the recent Federal Executive Council declaration regarding the waiver for recruitment from the Head of Service.

Furthermore, the doctors call on the government and the Ministry of Finance to expedite the implementation of the upward revision of the Consolidated Medical Salary Structure.

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