The delay by the federal government in appointing Chief Medical Directors, CMDs, to run some tertiary health institutions across the country is generating mixed reactions among health professionals and stakeholders in the sector.
Currently, out of the 52 tertiary health centres across the country, about 20 have no CMDs. These institutions have been run by interim heads for between six months to two years, against the provision of the Acts that established them.
The establishment Acts do not envisage that any of them would be run by interim head beyond six months at a time. Health centres caught in this breach of law include psychiatric hospitals, Federal Medical Centres and Teaching Hospitals across the country.
Some of the affected ones are Federal Medical Centres in Ido Ekiti, Abeokuta, Asaba, Lagos, Owerri, Owo; Federal Teaching Hospitals in Abuja, Kano and Maiduguri; and Pschychiatric hospitals in Sokoto, Maiduguri, Calabar, Lagos; Birni-kudu, Uselu, among others.
In a telephone interview with Premium Times, the spokesperson for Federal Medical Centre, Abeokuta, Segun Orisajo, confirmed that the head of the institution has been holding the office in acting capacity since June 20, 2016. But he said this has not in any noticeable way affected the activities and smooth running of the institution.
“The acting head has been part of the institution for 25 years and he is currently one of the chief consultants in Obstetrics and Gynaecology and knows the terrain of the institution. So there is no cause for alarm as the people in the institution are willing to work with him and the activities in the institution have been going on smoothly.
“The prerogative of appointing a Chief Medical Officer is that of the Federal Ministry of Health and I am sure they are already doing something about it because I know they have interviewed prospective candidates for the position and we are expecting a positive outcome very soon. As for the centre (FMC, Abeokuta), there is no loophole in the system based on administration”, he said.
Speaking in a similar vein, the Chairman of the Osun State chapter of the Nigerian Medical Association, NMA, Tokunbo Olajumoke, said although it is true that some health institutions in the country have had no substantive heads for a while now, the situation does not call for alarm as it does not have any effect on governance and decision making in such institutions, especially when such institutions have boards to regularize their activities.
“I know that the Federal Medical Centre in Ido Ekiti for example is being headed by the former Chairman Medical Advisory Committee (CMAC) and is the highest officer after the CMD. He has been an acting head for a while now and I don’t see how this should affect the smooth running of the affairs of the hospital.
“The hospital has a board which oversees its activities even with the presence of a CMD and the CMAC is usually part of the board. And this is not strange because even when the institution has a CMD, its activities are still governed by a board and the Federal Ministry of Health which still oversees the activities.
“To my best of knowledge, all federal health establishments should have such boards which mean there is likely to be continuity as the CMAC already knows what is happening within the system”, he said.
A medical consultant at FMC Ido –Ekiti, Sam Ukperi, however, disagrees with the position of the two earlier respondents.
He said there is a need for the establishment to have a substantive CMD as this will make the person accountable to the institution and staff as well.
“There are lots of decisions that need to be taken but because the person is in acting capacity, his authority to do so can be challenged”, he contended.
“I don’t know why the government is not following due process of appointing the CMD. After they have done a selection and conducted interviews for candidates, so why are they delaying the appointment?
“The person in Asaba has been acting for two years now. There are some actions that a substantive head should take that the acting cannot because they do not have the power and jurisdiction to do so.
“It is not that the delay in appointing a substantive head is affecting the health institution because the problem that he will face is what the acting head too will face; but the government’s inaction just seems that the government is not ready to invest in health institutions because they are not giving priority to health in this country.”
A petition received by Premium Times from some aggrieved medical professionals had stated that the Federal Ministry of Health, after stages of examinations and interview process, had made recommendations to the presidency for the positions to be filled in almost all the institutions that do not have substantive heads as far back as six months ago. The petitioners said it seems to them that the federal government is not ready to do anything about it.
The group urged the government to stop playing politics with the fragile healthcare delivery system in the country, saying this is predisposing professionals in the sector to unnecessary and undue politicking, as prior to this administration such appointments were treated with urgency.
Sources at the ministry told revealed the ministry had sent its lists of successful candidates to the president for confirmation, but was yet to receive confirmation on such nominees and could not act without such.
The health ministry, however, says the procedure for the appointment is ongoing.
The Director of Media and Public Relations of the Federal Ministry of Health, Boade Akinola, said the ministry was aware that there are health institutions without substantive heads and that it was working towards filling the vacancies.
“There is a procedure for the appointment of heads of agencies in the government and the process is on-going and would be announced very soon,” she said.
The Osun State NMA Chairman, Mr. Olajumoke, however clarified that interim appointments can be renewed after six months.
“I see no reason why there should be issues unless the people doing so are doing it for political reasons. I have worked in an institution which had an acting head for a year and things went smoothly.
“Though I am not supporting the Federal Government for not appointing CMDs for the institutions, because it is not good for the system not to have an actual head so as to ensure efficiency and accountability. But every institution has its way of politicking and it is the political undertone in this institutions that is meant to be looked into and this could be one of such”.
Healthcare centres are not the only institutions in the health sector that are affected by the government’s inaction in filling leadership vacancies. The board of the Medical Dental Council of Nigeria, MDCN, which is meant to be the regulatory body of the professionals, has not been constituted since the president pronounced all boards of parastatals dissolved.
The non-appointment of the MDCN board has been blamed for the proliferation of fake doctors across Nigeria.
About Article Author
Latest Nigeria News
- Alleged babymama: How I Begged Davido To Use Condom But He Refused
- How to clear your irritating stretch mark in just two weeks – Testimony of a celebrity [SPONSORED]
- GRASS CUTTING SCAM | We Could Not Trace 20 Companies Awarded Contracts – Senate
- Saraki, Magu And Buhari’s Phantom War On Corruption
- AMCON TAKE OVER OF ARIK: COURT SET TO DECLARE THE TAKEOVER OF ARIK AIR LIMITED VOID
- Why I Wanted To Jump Into Lagos Lagoon – Rescued Woman Speaks
- Benue Community Under Attack Again, 3 Dead, Many Displaced
- Dream Kardashian pouts in typical Kardashian fashion (WATCH)
- Naira Appreciates Further, Now At 390 Per Dollar
- Jay Jay Okocha Shows His Skills In Kenya, As Kenyans Watch In Admiration (WATCH)
- Singer Sia looks really young as she's spotted at LAX without her signature wig (WATCH)
- Committing Suicide, Walking On Bridges Now An Offence In Lagos - Police
- President Buhari to Visit Sambisa Forest on Monday
- 10 Nollywood Actresses Who Are Scandal Free (WATCH)
- Ile-Ife Crisis: IG Idris Explains Arrest of Yoruba Suspects Only
- Nigerian Army: Court Martial passes verdict demoting Capt. Aroye
- Politics: GOP DISASTER: 'TRUMPCARE' VOTE PULLED DESPITE ULTIMATUM
- Fashola: Minister says FG will reimburse states for Federal roads repair
- Politics: TRUMP: 'The best thing we can do is let Obamacare explode'
- 2018 World Cup Qualifier: Dempsey hat-trick, Pulisic shines as USA thrash Honduras
- Donald Trump: Republican rift threatens US president's agenda
- Arik Air: Court fixes date for ruling of AMCON’s takeover
- Dino Melaye: 'Sahara Reporters Publisher Will Go To Jail, I Promise'
- Ile Ife crisis: OPC gives FG, police 48-hour ultimatum to arrest Hausa suspects
- Osun debt profile: You lack knowledge of governance – Aregbesola replies critics
- Dr. Orji Allwell: Family Chase Journalists Over Reports On Suicide
- Mary?s Statue Cries ?Blood? In Church
- Late Delta lawmaker, Udoh Is Laid To Rest In Warri
- XENOPHOBIA | Nigeria calls on South Africa to curb fresh attacks
- NIGERIA-MOROCCO DEAL | 11 Fertiliser blending plants come on stream – NNPC
- Face The Crisis In Your State, Ortom Replies Wike
- ILE-IFE CRISIS | Afenifere raises legal team to defend 21 Indigenes
- Biafran agitators cannot be silenced by force – Peter Obi
- Ebonyi women protest rape of 70-year-old woman by Fulani Herdsman
- List Of Beneficiaries Of Diezani’s $115m admitted By Court
- EDO | Lawyer drags Police to court over attempted assassination plot by APC thugs
- Presidency Warns Nigerians To Stop Attacking President Buhari
- Senator Dino Melaye Shares Screenshots Of His MSc Project
- Prophet Cried Out After Sleeping With A Female Cult Member : ?I?m Being Raped By A Snake Every Night?
- Etisalat: More Worries For Telco - A Company Is Demanding N2B For Alleged Copyright Infringement