Industrial Action Threatens Operations, Care Of Patients At Federal Neuro-Psychiatric Hospital

 

As a dispute between resident doctors and the management of the Federal Neuro-Psychiatric Hospital, Yaba (FNPHY), Lagos, enters its fourth week, what is the fate of the institution’s patients? 

Following the resolution reached at a congress which held on August 19, the Association of Resident Doctors at the FNPHY decided to continue the indefinite strike which began July 31.

According to the resident doctors, the sole reason for the strike is the shortage of resident doctors in the hospital.

They say that the shortage of resident doctors has led to a massive workload that has caused many doctors to leave the institution.

The plight of the resident doctors

Dr Azeez Enifeni, the President of Resident Doctors at the FNPHY ARD told Channels Television that the shortage of manpower has taken its toll on the doctors as well as the patients and their relatives.

The ARD President enunciated that resident doctors are doctors who have bagged the basic medical degree and are now working on a post-graduate degree, adding that these doctors are usually trained by hospitals where they attend to patients and seat for certain professional exams in the course of their stay which is often between five to six years.

Dr Enifeni stressed that the resident doctors do the bulk of the work, attending to patients on every clinic day.

He said, “In any teaching hospital, there is an average of one consultant to four resident doctors. In Yaba, we have about 22 to 23 consultants and the residents are 33; so we are having one consultant to maybe one and a quarter resident doctors which is grossly inadequate.

“Number two is, for the past four years, over forty doctors have left the system and only fifteen have been replaced, more units have been set up, more wards have been set up so over time the workload has increased but those who are the engine room of the clinical services which is the resident doctors have dwindled in numbers.

“Also the fact that on an average, in a week, because we have two arms of the hospital, we see over a thousand patients in the clinic spread among days. One of the reasons being that our clients don’t necessarily have mortalities like other specialities where people may die off, so we tend to kind of rollover, hence over a thousand a week in both arms of the hospital, that is plus emergencies which we see every day. We have the Oshodi Child and Adolescents and we also have an emergency hospital in Yaba, so the workload keeps increasing”.

Dr Enifeni went on to say that the resident doctors would have to bear the weight of work and the pressure of academics at the same time, a situation which he says many have not been able to balance appropriately.

“So you find a couple of doctors failing their professional exams and having to stay longer before they get certified,” he said.

Dr Azeez Enifeni, President of Resident Doctors at the Federal Neuro-Psychiatric Hospital, Yaba.

Fate of the patients hang in the balance

The ARD President went further to speak about how the shortage of resident doctors and the ongoing strike is affecting the health of the patients.

He said, “Looking at the patients, our hospital is the foremost hospital in the Southwest, so we have a lot of people being referred to us; it’s a hospital of about 525 to 535 beds; we have the major facilities so you have different referrals even from sister hospitals.

“So you have patients coming in at about 5:30 am to 6:00 am, a lot of people leave their homes at about 4:30 am to get to the clinic very early and then they do not leave the hospital till about 5:30 pm because the major people who are doing the work, who are to see the patients in the clinic, are too few. You have a situation where one doctor sees about 60 patients in a day at the clinic, which is supposed to run from 9 am to 2 pm; but we run clinic till about 5 pm.

“A lot of them do not even eat before they come, not to talk of the rigours of sitting and waiting for the doctors. It is so bad that you have a lot of patients shouting on other patients, asking them not to complain to the doctors, not to do the primary thing which they have come to do, which is to complain. They shout because if a patient complains, then we will have a lengthy discussion. You need at least thirty minutes to say you have had a good clinic session and these resident doctors are to see sixty people.”

Dr Enifeni stressed that the failure to employ more resident doctors has become a major challenge for service delivery in the hospital, adding that the ARD has been meeting with the institution’s management and governing board urging them to employ more doctors, a plea which he says have not been listened to, one which he believes have not been given top priority.

“Since 2014, there has been no major employment of resident doctors in the institution. Over 40 doctors have left only about 15 has been employed to replace those who left. We had about 67 resident doctors in the hospital in 2014, now we have only 33 doctors on the ground. This is something that has been going on for a while. This is not acceptable as it is putting a strain on service delivery in the hospital.”

He urged the management to see the demands of the ARD as urgent and act in the same capacity as to speed up recruitment processes.

The ARD President while regretting that things had to degenerate to the level of an industrial action, said that the doctors will continue with the strike till there are clear indications that the hospital management is heading their call.

We have not gotten approval, says management

Mrs Philomena Omoike, spokesperson for the Federal Neuro-Psychiatric Hospital, Yaba, Lagos.

Reacting to all the issues raised by the resident doctors, Mrs Philomena Omoike, a spokesperson of the hospital said there are processes and procedures when it comes to recruiting of doctors for the institution.

Mrs Omoike in an interview with Channels Television, said the management and board of the hospital are have been giving the demands by the doctors serious consideration but are yet to get the approval of the government with regards to the request for more doctors.

She said just before the strike commenced on the 31st of July, the management met with the resident doctors as to avert the industrial action.

According to her, the ARD made about four demands including, “he employment of 10 locum doctors, and 20 resident doctors.

She stressed that the management cannot do all these alone because they have supervisors and authorities to work with.

Mrs Omoike further stated that when the strike commenced, “the management called for a meeting and appealed to them to call off the strike that they will look into their issue and even before now, the management had written the authorities for employment of resident doctors and immediately on the 5th of August the management employed five locum doctors that started work on that same day. After that management have been pleading, even the NLC have pleaded with them to resume duty and assured them that they should give the hospital time that their demands especially the shortage of doctors will be looked into”.

She said the management has written the authorities and are waiting for further directives, adding that the process takes stages.

The hospital spokesperson also partially blamed the shortage on doctors leaving before finishing their programme. She stressed that some of the doctors exit without giving the hospital an ample period to employ, adding that the process of exiting is easier than the process of employing.

Mrs Omoike said fifteen doctors were recruited last year and the management has applied for fifteen this year to fill the gap for the resident doctors who will be exiting this year.

She said the hospital feels that the strike should have been called off after the first week. She, however, appealed that the resident doctors stop the strike and resume their duties.

Regarding the plight of the patients, Mrs Omoike said, “the consultants have been working, the locum doctors have been working and we also have the corpers (corps members) and clinics have been running as usual. The patients have not complained, at least not to us, because we run clinics so they have specific days they come and we have a number of patients per day, so the consultants have been coping”.

Governor’s South-West Badminton Championship Lights Up Lagos

Governor's South-West Badminton Championship Lights Up LagosThe inaugural edition of the Governor’s South-West Badminton Championship, which kicked off on December 7, 2016, continues Thursday, at the indoor hall of the Rowe Park sport centre, Yaba, Lagos state.

The four day badminton championship which is expected to be contested by a massive eighty eight (88) players from a number of categories, is being attended by free spirited fans and badminton lovers alike set to revel in the frenzy.

It would also include the country’s top 16 ranked players and two officials each from every participating state.

Completing the cast of participating players are: four male and female players from each of the south-western states for the senior category and two players (male and female) from the U15 level, as the competition also moves to improve grass-root badminton.

The competition’s sponsors, the Lagos state government, would also provide feeding and accommodation for all the invited players including the twelve coaches and twenty five technical officials on ground for the three-day badminton fiesta.

The prize money for the maiden edition of the championship would also follow similar ground breaking trend, as it takes a bold move to foster gender equality.

The singles event for both male and female categories would have winners cash away an incredible 150,000 Naira each, for the 1st position, while the 2nd and 3rd positions would be rewarded with 100,000 and 75,000 Naira respectively.

Also, the doubles category without doubt would be as well contested as the singles category with the 1st position, going with 150,000.00, 2nd with 100,000.00 and 3rd, 25,000 x 4.

The junior U15 classification will have plenty to cheer for when the four day championship ends as they would be heading home with badminton rackets, racket bags and plenty of the games materials to aid their progress and development.

With the Lagos State Badminton association grooming a young team of passionate badminton players, the 1st governor’s south-west championship provides yet the best test of their mettle on the court.

Perhaps for a few, it is Lagos versus the myriad of top-notch players which the country has to offer, while for others, it might be just another invaluable moment to enjoy the beautiful game of badminton at its best.

Yaba College Of Technology Female Hostel Gutted By Fire

yabafireThe Bakassi block, a two-storey building of the female hostel at the Yaba College of Technology in Lagos, has been gutted by fire.

The fire which the Lagos state fire service suspects started as a result of a spark from an electric panel, started at about 5:20 am on Wednesday morning and was on till about 7:00 am.

While rescue efforts have been on-going by men of the National Emergency Management Agency (NEMA), Lagos state Emergency Management Agency (LASEMA) and state fire service, no one has so far been reported hurt.

However, a report by a NEMA official revealed that four ladies who went into a state of shock and were rushed to the Federal Medical Centre, Yaba, have been stabilised.

20 rooms were reported to have been damaged extensively while five rooms were partially affected at the topmost floor.

Special Court Martial Demotes Major General To Brigadier General

Patrick Falola Major General demoted to Brigadier GeneralA Special Court Martial of the Nigerian Army has demoted the Director, 68 Reference Hospital, Yaba, in Lagos State, Major General Patrick Falola, to the rank of Brigadier General.

The demotion follows the conviction of the Major General who was accused of unlawfully admitting students for clinical training without due clearance from the army headquarters.

Major General Falola is said to have admitted international students from Espan Formation University, Cotonou in Benin Republic between July and September, 2016.

Special-court-martial-military
President of the Special Court Martial, Air Vice Marshal James Gbum, said the accused was found guilty of first count

Delivering judgment in the case against Major General Falola, who is also a Commander of the Armed Forces Hospital in Kano, President of the Special Court Martial, Air Vice Marshal James Gbum, sentenced the accused officer to a reduction in rank from Major General to Brigadier General on count one of the charge.

He was, however, discharged and acquitted of the second count of fraudulent misapplication of the hospital’s property.

Lawyer to Major General Falola, Wing Commander Enokela Onyilo-Uloko [Rtd], however, criticised the conviction, saying it was a premeditated attempt to taint the unblemished record of his client whom he described as a distinguished medical officer with outstanding records.

Enokela-Onyilo-Uloko-2
Enokela Onyilo-Uloko says the judgment of the Special Court Martial has no legal backing

“On hearing of this kind of conviction, we know that it is based on nothing. There is no law, no instruction put on the ground by the armed forces that the senior officer needs to take permission from the higher authority before allowing such training.

“No such law or instruction was tendered in evidence, but they are saying that he should use his initiative.

“When there is no law criminalising an act, when that act is done, it does not amount to criminal offence,” the lawyer said.

He further vowed to appeal the judgment of the Special Court Martial.

However, the judgement of the Army Court Martial is subject to confirmation by the Nigerian Army Council.

 

Army Bars Coverage Of Two Major Generals’ Trial

Court Martial, Army major generals Nigerian journalists have been barred from covering the proceedings of the trial of two major generals being court-martialled in Abuja, the nation’s capital.

The trial of a former Chief of Army Transportation and Innovation Centre, Major General Ibrahim Sani and a former commander of 68 Nigerian Army Reference Hospital, Yaba, Major General Patrick Falola had continued on Monday without any media house covering it.

Offences

The Nigerian Army on May 5 inaugurated a court martial to try the two top military officers for violation of service discipline.

The panel include Air Vice Marshal James Gbum who is President of the Court, while Air Vice Marshal Iya Abdullahi and Rear Admiral Peter Agba are members of the panel.

Surgeon Rear Admiral Edwin Enechukwu is a waiting member and Colonel Sa’ad Musa is Judge Advocate.

Although, the offences were not read in court, according to sources the accused are said to be facing charges that border on conduct unbecoming of military officers punishable under the Armed Forces Act.

The spokesman of Mogadishu Cantonment Abuja, Colonel Ali Yusuf, said reporters were not allowed to cover the trial to avoid jeopardising the army’s operations.

“They will be briefed about the outcome of the cases later,” he added.

Over 8,000 Disaster Victims Recorded In South-west Nigeria – Nema

nemaNational Emergency Management Agency (NEMA) said it recorded over 8,000 disaster victims majorly from fire and windstorm disasters in Lagos, Ogun and Oyo State, in the first two months of the 2015.

Giving a breakdown of the victims figure, the agency  said 8,046 persons were affected in seven major different incidents with Lagos State having 1,064 victims.

Iwaya community recorded 652 persons, while Berlin fire had 412 traders.

The NEMA said  it had provided relief materials to the victims of these disasters, through Lagos State Emergency Management Agency (LASEMA).

In Ogun State, Igbo Aje Market, Ilaro had 306 traders affected by a market fire outbreak that occurred on January 27.

About 6,676 persons were affected in four different incidents of wind and rainstorm disasters that occurred in 6 communities of Ilaro in Afijio Local Government Area (LGA); Lagbondoke and Agunpopo communities of Atiba LGA, Irewole and Isokan communities in Oyo West LGA and Oko town in Surulere LGA in Oyo state.

All these incidents occurred between February 9 and 10, 2015.

The assessment of damage extent showed that two persons were injured in Irewole Community of Oyo West LGA.

About 1,251 shops were affected in all these three states.

Meanwhile, NEMA said it had delivered relief materials to victims of fire disaster at Iwaya Community in Yaba area of Lagos State, through Lagos State Government.

The relief materials includes: 300 bags of cement, 400 bundles of roofing sheets, 500 pieces of wax prints as women wears, 200 pieces of Guinea Brocade as men wears, 100 pieces of Children wears, 100 bags of garri, 40 cartons of three-in-one tea, 60 packets of zinc nails, 60 bags of three inches nails, 150 bags of rice, 500 pieces of blankets, 500 pieces of mosquitoes treated nets and other assorted consumables were handed over to LASEMA, for distribution to the Iwaya community victims in conjunction with the respective Local Government and community authorities.

Also, NEMA released 400 bags of cements, 300 bundles of roofing sheets, 100 bags of rice, 100 bags of garri, 250 pieces of Mosquitoes treated nets, 500 ceiling boards, 100 bags of three inches nails, 20 bags of sugar and 75 cartons of Indomie to LASEMA to be distributed to the victims of Fire disaster at Berlin market, Marina, Lagos.

NEMA is imploring Nigerians to embark on tree planting, as a measure to guard against wind/rainstorm as well as prevent soil erosion while creating serene environment for all.

Former Lagos Commissioner Kasali Faces Conspiracy, Murder Charges

NFFA former Commissioner for Special Duties in Lagos State, Dr. Tola Kasali, has appeared before an Ebute Magistrate Court on charges of conspiracy, murder and illegal possession of firearms.

Detectives from the Department of Criminal Investigation, of the Nigeria Police, Lagos Command, Panti, Yaba, charged Dr. Kasali to court on Tuesday.

Dr. Kasali, 62, who is also vying for the State governorship ticket to contest in the 2015 election under the platform of All Progressive Congress, was charged alongside Folami Musiliu, 65, a Special Adviser to the Lagos State Government, and Tobun Abiodun Lukman, 35, a Chief Security Officer to one of the political bigwigs in the state.

The three men were alleged to have conspired among themselves and with some others now at large, to kill one Musiliu Ogboye Lamidi, on November 9, at Akodo area of Ibeju-Lekki in Lagos.

They were also alleged to have been in possession of a pump action Avar Magnum gun with number 6381, without appropriate authority.

Though the charges were read to the accused persons, their pleas were not taken and the police said the charges were punishable under sections 231, 211, 409 and section 27 (b)(1) of the firearm Act. Cap 28 laws of the federation of Nigeria, 2011.

The police prosecutors, Mr G. O. Osuji, Nosa N., and Inspector George Nwosu, had informed the court that there was an application for the remand of the accused persons pending when an advice from the Directorate of Public Prosecution (DPP) would be received.

A Senior State Counsel, Mr Femi Adamson, who announced his appearance as a prosecutor in the matter, also informed the court of the state government’s wish to take over the prosecution of the case from the police.

After a brief argument, the police conceded to the State Counsel’s request and stepped aside.

Just A Mere Rumour

Counsel to the accused persons, Mr. Taiwo Ajala, however, urged the court to grant the accused persons bail on self-recognition because of their social status.

He told the court that the first accused, (Folami Musiliu), is a Special Adviser to the Lagos state government, and the second accused, (Tola Kasali), was a former Commissioner for Rural Development, and later for Special Duties, while the third accused (Tobun A. Lukman), is a Chief Security Officer to a political bigwig in the state.

He said the charges against them was just a mere rumour and that the accused persons were presumed to be innocent until otherwise proven by the law court.

Mr Ajala further stated that remanding the accused persons would draw back the service they rendered to the state.

Following this submission, the chief magistrate in his ruling said: “The court sees the accused persons as those who will uphold the law and order of the land, hence, the court has confidence in their ability to show up in court when they are needed.

“So, they are hereby granted bail on self-recognition”.

The Chief Magistrate, however, ordered the prosecution to duplicate the case file and forward it to DPP for advice, while the matter was adjourned till December 11.

Ebola Virus: NMA, Lagos Govt. To Provide Secured Place For Infected Patients

Ebola virusThe Senior Registrar, Department of Family Medicine, LASUTH, Dr. Sodipo Oluwajimi, says that the Nigerian Medical Association is trying to liaise with the Lagos State Government to provide a secured place that would be used to treat people infected with the Ebola Virus to prevent its spread.

He reiterated the need for persons infected with the Ebola virus to be kept in an isolated area to be able to reduce the risk of spreading.

Speaking as a guest on Channels Television’s breakfast programme, Sunrise Daily, Dr. Oluwajimi noted that the doctors’ strike has not yet been called off, but there is a centre in Yaba which is equipped and is taking care of people infected with Ebola virus.

He mentioned that the doctors treating these affected patients have previously worked on patients infected with other similar infections, which has made them have some form of infection control mechanism.

Dr. Oluwajimi advised that when a patient is critically ill or has an infection, there should be a high level of infection control to prevent the spread of the disease.

He revealed that there had been no case of the Ebola virus at the Lagos State University Teaching Hospital (LASUTH) but mentioned that all cases of infections are being referred to Infectious Disease Hospital which he says has been managing people with high level of infections.

Dr. Oluwajimi also explained that people do not become symptomatic unless there is a contact and there is the primary contact, secondary contact and tertiary contact. He further explained that primary contact is directly with someone that has the infection/virus, while the secondary and tertiary contacts depend on the number of contacts leading to the primary carrier of the virus.

He disclosed that the Government was monitoring people that came in contact with the late Liberian-American, Patrick Sawyer, to prevent more spread.

Fashola Employs 265 Graduates Of College Of Health Technology

Gov-FasholaThe Lagos State Governor, Mr Babatunde Fashola, has offered automatic employment to 265 graduates of the College of Health Technology , Lagos, while attending the second convocation of the college.

Speaking at the Harvey Road, Yaba Campus of the school on Thursday, before a gathering of very appreciative students, the Governor said that the State government would ensure the completion of the process by going to the State House of Assembly to fund the employment with a supplementary bill.

He explained that the institution had been producing graduates in an area where the Lagos economy had compelling needs – the Primary Health Care and Primary Health Care Development.

According to the Governor, the automatic employment of the graduates from the College of Health Technology represents the beginning of a journey and urged them to always bear in mind that medical workers are like god on earth to those who are sick or have been sick at one time or the other, hence must always make the choice to save lives rather than go on strike.

He maintained that medical workers from the highest to the lowest must always ask themselves about whether they could truly go on strike in view of their calling which was one that requires compassion and empathy.

According to him, the responsibility to save lives does not start and end with security men, bullets or bullet proof vests but through a robust healthcare system that lies in keeping the citizenry healthy and ensuring that the life expectancy margin is widened.

The Governor, who also responded to calls for autonomy for the school by a representative of the Students Union Government, said that the State Government was not interested in the day to day running of the school but would rather intervene only if there was a need to do so.

On calls for the expansion of the structures on the campus, the Governor explained that the present administration had already added two new blocks to the school which is made up of the classroom blocks, laboratories and Information Technology Center.

According to Fashola, the State Government is reluctant to pulling down some of the structures on the campus because they represent part of the history of Lagos and knocking them down would rob the next generation of such historically significant assets.

Speaking earlier, the Special Adviser to the Governor on Public Health, Dr (Mrs) Yewande Adeshina, urged the new graduates to always be polite and courteous at all time to their patients or those they are meant to provide care.

She stressed that they needed to empathize and be ready to care for their patients even before they decide to treat such people and that they should regard every person needing medical care as their immediate family or loved ones.

The Chairman of the Governing Council of the institution, Dr Abiola Tilley- Gyado, commended the Governor for his continued support for the institution, noting that the institution has produced quality graduates who can hold their own in their different fields of specialisation.

The graduating students were admitted into the Higher National Diploma, National Diploma and Certificate in various fields of health technology and environmental sciences.

The event was attended by many dignitaries and a large gathering of parents, family members of the graduating students and academic staff of the institution.

Truck Breaks Through Maryland Bridge, Lands On Ikorodu Road

The two passengers of a truck escaped death in the early hours of Thursday, after their vehicle broke the side of the Maryland overhead bridge and fell unto the BRT lane along Ikorodu road.

No casualty was recorded in the accident which occurred between 2:30 and 3am.

Officials of the Lagos State Traffic Management Authority, LASTMA and state emergency management agencies arrived at the scene to clear what was left of the truck which broke into pieces upon impact.

The accident caused some traffic for commuters travelling towards Yaba, as the debris from the accident forced them into a single lane.

Eye witnesses said that the truck was speeding and lost control as it tried to negotiate the bend in front of Oando filling station.

They also said that the driver of the truck was trying to avoid being stopped by the Police when it swerved off the road.

Managment sacks hotel workers for negligence over Cynthia’s death

The management of Cosmilla Hotel in Lagos, where the late Miss Cynthia Udoka Osokogu was murdered by some men she met on Facebook, has sacked all the staff of the hotel that were on duty, the day of the murder.

The hotel, which is located at Lake View Estate, Amuwo Odofin in Lagos State, is said to have a tradition of ‘proper screening’ of its guests at the point of checking-in, by demanding valid identification of prospective guests.

The front-desk officer was said to have breached the established procedure, paving way for difficulty in identifying the body of the deceased as her attackers had taken away all items that could assist in identifying her.

The hotel rules demand that guests must present their ID cards or passport before given a room in the hotel.

The fake identities of the suspects had made it difficult for the police at Area ‘F’ Command to quickly solve the murder riddle.

Although only two of the suspects were paraded before journalists at the Lagos State Police Command, two others, Orji Osita and Maduako Chukwunonso, who were the pharmacists that sold the drug, used to sedate the late Cynthia, were on Monday, arraigned before the Yaba Magistrates’ Court with the main suspects.

The case is adjourned to the 3rd of October.

The Delta State-born victim who met her untimely death is set to be buried September 7.

Danfo driver sued for raping food vendor

Felix Adedayo a 43 year old bus driver on Monday, appeared before the Magistrate court in Yaba Lagos, for raping a 17 year old food vendor.

Mr Felix pleaded not guilty before Magistrate Patrick Adekomaya and was granted bail in the sum of N100,000.

The prosecutor, Godwin Anyanwu, said Adedayo who stays at Adisatu Close in Orile, raped the 17-year-old on July 30 at the Oyingbo Motor Park.

The prosecutor also told the court that the defendant pretended to buy Agidi being sold by the teenager when the incident occurred, thereby committing an offence that contravened Section 258 of the Criminal Code Laws of Lagos State.

The Magistrate has adjourned the case for further hearing.