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Health workers’ strike grounds hospitals

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The ongoing strike by the Joint Health Sector Unions has entered the third month, crippling activities in government-owned hospitals across Nigeria, leaving patients stranded and forcing many to seek essential services outside public health facilities.

Now in its third month, the industrial action has grounded critical services, particularly in hospital pharmacies, laboratories, and other support departments, significantly disrupting healthcare delivery.

While the industrial action has severely disrupted federal health institutions, health workers in state-owned hospitals in Ekiti and Benue states have largely remained on duty, mitigating the impact on patients.

At the same time, resident doctors, nurses, and midwives in some state facilities, such as the Benue State University Teaching Hospital, Makurdi, have embarked on separate industrial actions, citing unpaid salaries, pension issues, and dilapidated infrastructure.

At the Federal Teaching Hospital, Ido Ekiti, medical doctors and nurses were seen at their posts; however, other health workers stayed away.

The Chairman of the Nigeria Union of Allied Health Professionals, Ekiti State Council, and the immediate past FETHI JOHESU Chairman, Ayodeji Ogunrinu, stated that the over two and a half months’ strike by the health workers was unfortunate.

Ogunrinu said, “It has deprived many, not just members of the communities, but also members of staff who ordinarily would have received medical services to save their lives. That is why I said it is very unfortunate.”

The JOHESU leader emphasised that the services of all workers in any health facility were important, adding that, “Even the cleaner, even a health assistant, they are all very important. I’m in Physiotherapy, so I know the roles they play.”

He lamented that FETHI now looked like a ghost town, without water, electricity, drugs, laboratories and other essential services, adding that it would be difficult for any person or medical officer to admit a patient.

Ogunrinu advised the Federal Government to implement the content of the 2018 circular from the Federal Ministry of Labour, which concerns the adjustment of the Consolidated Health Salary Scale for JOHESU members, the basis of the ongoing strike that began in late 2025.

Speaking on the strike, the JOHESU Acting Chairman at Ekiti State University Teaching Hospital, Ado Ekiti, Adewale Adeosun, said members at the facility were not on strike as a mark of honour for the Ekiti State Governor, Biodun Oyebanji.

Adeosun, addressing the impact of the JOHESU strike at federal health facilities on the state-owned tertiary health institution, said, “If you come to EKSUTH now, it is just like a market. Patients’ turnout has increased. All the other patients who were meant to go to the federal hospitals are now coming to EKSUTH.”

The EKSUTH JOHESU chairman said the Oyebanji administration in the state had done a lot for EKSUTH, and it would be unfair to join the strike.

The JOHESU State Chairman, Oluwafemi Ajoloko, expressed hope that the Federal Government would accede to members’ request for an upward adjustment of CONHESS within the next one or two weeks.

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Ajoloko, who said that while health workers in federal institutions were on strike, those at state-owned hospitals and primary health centres had remained at work, noted that the industrial action had increased the workload of personnel at the state-owned facilities.

At the Obafemi Awolowo University Teaching Hospital, Ile-Ife, The PUNCH observed obvious scaling down in activities, as some doctors, who preferred to remain anonymous as they were not authorised to comment on the matter, said no serious service was rendered since the commencement of the strike.

The doctors also revealed that the strike was having negative effects on the training of medical personnel, saying the patients slated for surgeries since early November 2025 had not been attended to.

Speaking on the effects of the industrial action on the hospital, the JOHESU chairman of the OAUTHC chapter, Abdullateef Adeyeni, said the facility had so far lost up to N1.5bn in internally generated revenue.

Adeyeni, speaking with one of our correspondents, also accused the Coordinating Minister of Health and Social Welfare, Prof Ai Pate, of being nonchalant regarding the demands of the union.

Apart from the loss of revenue, the labour leader said activities across the facility had been paralysed.

“Our Chief Medical Director was saying the hospital has lost a lot. He said the hospital has been losing a minimum of N500m per month. So, as a result of this strike, OAUTH has lost up to N1.5bn in three months.

“The most annoying part of it is that patients are suffering. The Federal Government has turned a deaf ear,” he said.

In Ondo State, The PUNCH observed that public hospitals experienced low patronage due to the ongoing strike.

A visit to the University of Medical Sciences Teaching Hospital, Akure, the state capital, revealed that the facility, which used to be a beehive of patients and their relatives, had significantly fewer patients following the strike.

Only doctors and consultants were seen working, while the offices of JOHESU staff, as well as the laboratory, pharmacy, and registry, were locked.

It was also gathered that many patients had switched to private hospitals for treatment after failing to receive satisfactory services at the government facility.

A patient, Mrs Remilekun Ayebo, said she had been patronising a private hospital for treatment and only visited the government hospital to consult her doctor.

Meanwhile, Dr Olufunmilayo Dada of the National Association of Resident Doctors at the Federal Medical Centre, Owo, said the strike had not significantly affected the services being rendered by the doctors at the hospital.

“The strike is indeed ongoing, but we are not being affected in our services. We are doing what we are supposed to do,” Dada stated.

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The chairman of the state chapter of the Nigerian Medical Association, Dr Olumuyiwa Alonge, confirmed that the industrial action by health workers affected the smooth operation of doctors’ services.

“Every health worker has a role at every stage of medical work. For instance, now, the laboratory workers are not working, which means one has to take blood samples elsewhere for examination. The same applies to pharmacists. Everybody’s role is important in the hospital.

“Though we are working, it is not as smooth as it used to be when everyone was at work,” Alonge added.

A visit to the University of Benin Teaching Hospital on Saturday showed that services were nearly paralysed.

The hospital was observed operating at minimum capacity, with pharmacies and laboratories closed.

A staff member, who requested anonymity, said, “Nothing is working.”

An officer of the Medical and Health Workers Union of Nigeria, UBTH chapel, Abdulazeez, expressed displeasure over the slow pace of government response.

He said the strike aimed to highlight the plight of JOHESU members, not to punish patients.

“As of today, we have not seen any sign that the strike will end. The President set up a committee headed by Governor Hope Uzodimma of Imo State to look into the matter. They were supposed to meet with the Nigeria Labour Congress and report back to the President.

“Last week, the President was in Turkey, and there has been no meeting between the NLC and the government. The NLC and the TUC got involved in December. Both bodies are also part of the negotiations.

“There were also different committees set up at different levels, but the one set up by the Federal Government supersedes everyone. Unfortunately, no meeting has taken place recently.

“The strike has affected hospital operations and patients, but it is not our intention to make them suffer. We have been addressing this issue for 12 years,” he said.

At Lagos State University Teaching Hospital, Ikeja, a visit on Friday showed the fee-paying pharmacy was shut, and the laboratory section was largely non-operational, with many patients seen purchasing drugs from private pharmacies due to the disruption.

A hospital staff member, speaking on condition of anonymity, explained that services had been drastically reduced since the strike began.

“Before the strike, the pharmacy operated 24 hours daily, including weekends. But now, they only open in the morning and close by 4 pm, and they don’t come at all on weekends,” the staff member said.

A relative of a patient lamented that the strike prevented him from donating blood for his cousin.

“I wanted to donate blood for my cousin who was admitted here, but when I got to the laboratory, there were no staff members to bleed me or screen the blood. I had no choice but to go outside to buy blood,” he said.

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Similar disruptions were observed at Alimosho General Hospital, where the pharmacy rendered only skeletal services.

The chairman of the Lagos University Teaching Hospital Association of Resident Doctors, Dr Gbolahan Adenuga, said much of the workload was now handled by local staff and interns in the absence of JOHESU members.

“Due to the strike, the workload is now being handled by local staff and interns.

“Of course, there are glitches and delays because of the strike. What 10 people were supposed to do, two people are now doing,” Adenuga added.

However, the JOHESU Benue State chapter chairman, Benjamin Ioryem, said the union was not on strike in the state.

Speaking to our correspondent over the weekend, Ioryem said while there were nine challenges in the state, eight were internal, and the remaining one, concerning the state government, was already receiving attention.

“In Benue State, we are not on strike because some of our challenges are with hospital management. Out of the nine issues, eight are internal, such as salary shortfalls, claims, and promotions, which management has resolved to address.

“The only serious issue with the government is 18 months of salary arrears for medical doctors and nurses, which is before the governor. We have reached an agreement with management and government, so in Benue, we are not on strike.”

However, health care in the state has been partially grounded due to ongoing strikes by nurses, midwives, and resident doctors at the State University Teaching Hospital, Makurdi.

The state chairman of the National Association of Nurses and Midwives, Mr Tahav Kershio, said members had been on strike for close to 10 weeks over issues such as removal from the contributory pension scheme, manpower shortages, delayed promotions, dilapidated structures, denial of leave grants, and salary arrears.

Similarly, the Association of Resident Doctors at the State University Teaching Hospital, Makurdi, had been on strike since November 1, 2025, due to unpaid salary arrears, pension deductions without remittance, and poor infrastructure, according to the chairman, Dr Pededoo Kawen.

When contacted, the Commissioner for Health, Dr Paul Ogwuche, said the government was already attending to some of the issues raised by the unions.

“As I speak now, I can tell you authoritatively that the affected unions will suspend the strike at any moment.

“We have been engaging them, and the major issue, which is the 18 months of increments owed by the government, has been addressed.

“We are about to sign an agreement so that they can return to work and provide maximum health care delivery,” he said.

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Labour to engage FG on minimum wage review

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The Nigeria Labour Congress and the Trade Union Congress said they will restart negotiations with the Federal Government over a new national minimum wage, warning that workers can no longer cope with rising living costs as inflation continues to erode real incomes.

The unions are pushing for what they described as a “genuine living wage” to replace the current framework, which they said no longer reflects Nigeria’s economic realities, particularly sharp increases in food, transport, housing, and healthcare costs.

The position was contained in a joint address delivered at the 114th International Labour Conference in Geneva on Monday, where the unions also rejected any proposal to tax the minimum wage or impose additional fiscal burdens on low-income earners.

Nigeria’s current minimum wage of N70,000 was signed into law on 18 July 2024, in an agreement between organised labour and the federal government. President Bola Tinubu formally announced the wage on 19 July 2024, and it took effect on 29 July 2024.

The agreement originally set a three-year review cycle, shifting from the previous five-year arrangement. However, in January 2025, the Federal Government adjusted the framework, announcing that the minimum wage would now be reviewed every two years, effectively setting 2026 as the next review point.

In light of this, labour leaders said they intend to formally open discussions with the federal government ahead of the July 2026 wage renegotiation deadline, in a bid to prevent the delays that have often hindered previous minimum wage reviews.

“The current Act expires early next year, and we have announced that renegotiation will commence by July 2026 to avoid the painful delays of the past. As soon as we leave here, we shall write again to the government demanding the commencement of the process for renegotiating the national minimum wage,” the unions said.

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The labour leaders said workers are already under severe pressure from inflation, currency depreciation, and rising costs across essential services, arguing that official economic indicators do not reflect the daily realities of most households.

They warned that taxing the minimum wage would worsen poverty and deepen economic hardship at a time when many citizens are struggling to meet basic needs.

“We demand nothing less than a genuine living wage that reflects today’s harsh economic realities. We also demand immediate relief measures by governments at all levels until a new minimum wage is signed into law. We reject outright any attempt to tax the minimum wage or impose further burdens on the poor,” the unions said in their communiqué.

The unions stressed that the upcoming negotiations must go beyond nominal wage adjustments and instead focus on protecting real incomes, which they said have been steadily eroded by inflation.

They also urged federal and state governments to introduce short-term relief measures pending the conclusion of negotiations, warning that delays could heighten industrial tensions across the country.

Beyond wage concerns, the labour movement used the Geneva platform to highlight broader economic and social challenges, including insecurity, unemployment, and rising poverty levels.

They said insecurity in several parts of the country has made commuting increasingly dangerous for workers, with killings, abductions, and displacement affecting productivity and livelihoods.

According to the unions, nearly 2,000 people were killed in the first quarter of the year, while millions have been displaced, with entire communities and economic activities disrupted by violence.

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They warned that worsening insecurity could force workers to remain at home as a survival response, escalating tensions beyond traditional labour action if not urgently addressed.

The labour leaders also said about 65 per cent of Nigerians, estimated at roughly 150 million people, are currently living in multidimensional poverty, driven by inflation, job losses, and declining purchasing power.

They argued that while macroeconomic reforms are aimed at stabilisation, they have yet to translate into improved living standards for ordinary citizens.

As the 2027 general elections approach, the unions said they are developing a charter of demands to shape their engagement with political actors and inform their support for candidates, noting that  only political actors who commit to improved security, functional public services, wage reforms, and protection of labour rights would receive their backing.

The labour movement also raised concerns over alleged interference in union affairs in some states, accusing certain governments of undermining democratically elected labour leadership structures.

They emphasised that organised labour would resist any attempt to weaken union independence or impose external control on labour organisations.

As the current wage regime approaches its 2026 review window, the unions said their priority remains securing a wage structure that reflects economic realities and protects workers from further erosion of income.

They maintained that the outcome of the upcoming negotiations would determine whether Nigerian workers receive what they termed a “living wage” or continue to endure worsening economic hardship.

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Ribadu, Akpabio advocate tech-driven border control over Insecurity

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The National Security Adviser, Nuhu Ribadu, and President of the Senate, Godswill Akpabio, on Tuesday called for the deployment of modern technology and stronger regional cooperation to strengthen Nigeria’s border security architecture and address growing security threats across the country.

FILE: Akpabio

They made the call at the opening of the 15th National Security Seminar organised by the Alumni Association of the National Defence College in Abuja.

Represented by the Director of Policy and Strategy at the Office of the National Security Adviser, Yazid Gbemudu, the NSA said Nigeria’s territorial integrity and national stability were closely tied to the effectiveness of its border security framework.

He noted that while Nigeria’s extensive land and maritime borders facilitated trade, regional integration and socio-economic development, they also exposed the country to threats including terrorism, arms trafficking, smuggling, human trafficking, irregular migration and other forms of transnational organised crime.

According to him, weak border governance creates vulnerabilities that can be exploited by criminal and terrorist networks, thereby undermining national security and development efforts.

“A major pillar of Nigeria’s contemporary border security framework is the National Border Management Strategy, which promotes an integrated border management approach.

“The strategy seeks to enhance intelligence collaboration, strengthen border infrastructure, improve surveillance capabilities and modernise border management processes,” he said.

Ribadu said the deployment of Border Management Information Systems and other technological solutions at key entry and exit points had improved data collection, traveller screening and migration monitoring.

“These initiatives demonstrate Nigeria’s commitment to aligning its border management practices with international standards,” he added.

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The NSA stressed the need for the full implementation of an integrated border management system to improve coordination among security, intelligence and law enforcement agencies.

“Effective intelligence sharing, joint operations and harmonised border procedures are essential for addressing contemporary security threats,” he said.

He also advocated increased investment in technology-driven border security solutions.

“Expanding surveillance systems across land, maritime and coastal borders will significantly improve monitoring capabilities and reduce illegal cross-border activities.

“Modern challenges require modern solutions, including biometric identification systems, advanced border monitoring technologies and data-driven security frameworks,” Ribadu stated.

The NSA further emphasised the importance of regional and bilateral cooperation, noting that many of the security challenges confronting Nigeria’s borders were transnational in nature and required coordinated responses among neighbouring countries.

He also called for greater investment in border communities through sustainable development, improved infrastructure and economic opportunities to reduce their vulnerability to criminal exploitation.

“Strengthening Nigeria’s border security architecture is fundamental to ensuring national stability, protecting territorial integrity and promoting socio-economic development,” he said.

Ribadu, however, acknowledged challenges such as porous borders, inadequate infrastructure, limited technological capabilities and gaps in inter-agency coordination, saying they required urgent attention.

“Border security is a shared responsibility that requires the collective efforts of security agencies, government institutions, border communities and international partners,” he added.

Speaking at the event, Akpabio, who was represented by the Chairman of the Senate Committee on Defence, Ahmad Lawan, said Nigeria’s extensive land and maritime boundaries posed significant security challenges.

“As a country with extensive land and maritime boundaries, Nigeria faces significant challenges relating to border control, illegal migration, arms trafficking, smuggling and the infiltration of criminal and extremist elements.

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“It is, therefore, imperative that Nigeria prioritises the strengthening of its border security architecture through improved surveillance, enhanced infrastructure, better inter-agency coordination, technological innovation and stronger regional cooperation,” he said.

Akpabio noted that many of the security threats confronting Nigeria had transnational dimensions, making coordinated responses essential.

He stressed that peace and security remained prerequisites for meaningful national development.

“There can be no meaningful development without peace and security. Porous and poorly managed borders can become vulnerabilities that undermine national security efforts and national stability,” he said.

The Senate President also advocated a whole-of-government and whole-of-society approach to addressing insecurity.

According to him, government institutions, security agencies, civil society organisations, the private sector, traditional institutions, the media and academia all have critical roles to play in safeguarding the country.

Earlier, the Acting President of AANDEC, Commodore Amatare Kpou (retd.), described the seminar as a key platform for promoting informed discourse on national security challenges and opportunities.

Kpou said the theme of the seminar, “Strengthening Nigeria’s Border Security Architecture for National Stability,” was timely, given the growing threats of irregular migration, smuggling, trafficking and other cross-border crimes.

He expressed confidence that the deliberations would generate useful recommendations for policymakers and contribute to efforts aimed at building a safer and more secure Nigeria.

Nigeria shares over 4,000 kilometres of land borders with neighbouring countries and an extensive coastline, making border security a critical component of national security.

Authorities have repeatedly identified porous borders as channels for terrorism, arms smuggling, human trafficking and other transnational crimes.

The Federal Government has in recent years intensified efforts to strengthen border management through technology, intelligence sharing and regional cooperation.

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FG releases barely 5% of N54.93tn three-year roads budget

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The Federal Government has released about N2.68tn for the construction, rehabilitation and maintenance of roads and bridges across the country between 2023 and April 2026, findings by The PUNCH from the Open Treasury Portal have shown.

The analysis, however, revealed a significant disparity between approved budgets and actual releases, with the government making provisions totalling N54.93tn for road-related projects within the period under review.

The figures highlight both the growing emphasis on infrastructure development and the persistent financing constraints that continue to affect capital project execution in the country.

The development also comes amid the ongoing Renewed Hope Media Tour organised by the Presidential Communications Team, designed to showcase projects being implemented under President Bola Tinubu’s Renewed Hope Agenda.

Data obtained from the Open Treasury Portal on Tuesday showed that road projects attracted a combined budgetary allocation of N2.53tn in 2023, out of which N631.51bn was released, representing an implementation rate of 24.95 per cent.

The Treasury data, however, did not specify the road projects to which the funds were released and did not indicate whether the government’s four legacy highway projects formed part of the expenditure.

A year-by-year breakdown showed that road construction projects received N280.14bn from a budget of N1.09tn during the year, while rehabilitation and repair works attracted N345.93bn from an allocation of N1.42tn. Road and bridge maintenance projects also received N5.44bn out of a total provision of N14.68bn.

In 2024, the Federal Government increased its budgetary commitment to the sector, making provisions amounting to N9.39tn for road-related projects. However, actual releases stood at N784.60bn, representing 8.36 per cent of the approved amount.

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Road construction projects accounted for N383.74bn of the spending from an allocation of N5.05tn, while rehabilitation projects received N384.49bn from a budget of N4.32tn. The government also released N16.37bn for the maintenance of roads and bridges out of a total provision of N18.18bn.

The trend continued in 2025, with the government budgeting N7.22tn for road construction and rehabilitation projects. Treasury records showed that N670.68bn had been released during the period, translating to an implementation rate of 9.29 per cent.

Of the amount released, road construction projects received N269.75bn from an allocation of N3.42tn, while rehabilitation and repair projects attracted N400.94bn from a budget of N3.80tn.

The 2026 figures indicate a sharp rise in budgetary provisions. As of April 2026, the government had earmarked N35.79tn for road construction, rehabilitation and maintenance projects, the highest within the four-year period.

However, only N597.08bn had been released, representing 1.67 per cent of the approved budget. Specifically, road construction projects had a budgetary provision of N23.61tn, with releases amounting to N293.06bn.

Similarly, rehabilitation and repair projects received N300.80bn from a total allocation of N12.03tn. Road and bridge maintenance projects had an allocation of N144.64bn, but only N3.22bn had been released as of the end of April. Treasury records show that N26.54bn was released in April alone, leaving an outstanding budget balance of N23.32tn yet to be funded.

The data indicate that although substantial sums have been earmarked for road projects over the years, actual cash releases remain significantly lower than approved allocations, reflecting the financing constraints that often affect capital project implementation.

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Further analysis showed that road construction consistently attracted the largest allocations. Budgetary provisions rose from N1.09tn in 2023 to N23.61tn in 2026, reflecting the Federal Government’s increasing focus on large-scale highway projects.

Road rehabilitation spending remained substantial throughout the period. Allocations increased from N1.42tn in 2023 to N12.03tn in 2026, suggesting a parallel effort to repair existing infrastructure.

Maintenance received the smallest allocations but recorded the highest execution rate. In 2024, road and bridge maintenance achieved a 90.05 per cent implementation rate, compared to less than 10 per cent for construction and rehabilitation.

Overall, the Federal Government budgeted N54.93tn for road-related projects between 2023 and April 2026 but released N2.68tn during the same period.

The data also showed that while budgetary provisions expanded significantly over the years, the percentage of funds released declined. In 2023, about 25 per cent of the approved budget was released. This fell to 8.36 per cent in 2024 and 9.29 per cent in 2025.

As of April 2026, only 1.67 per cent of the total budgetary provision had been released. The development comes amid the Federal Government’s renewed focus on infrastructure as a catalyst for economic growth.

Several major road projects are currently underway across the country, including the Lagos-Calabar Coastal Highway, the Abuja-Kaduna-Zaria-Kano Road, the Sokoto-Badagry Super Highway and other strategic federal highways aimed at improving connectivity across Nigeria’s six geopolitical zones and stimulating economic activities.

The Minister of Works, David Umahi, recently disclosed that the Federal Ministry of Works would prioritise the completion of major highways and the execution of four presidential legacy projects in its 2026 capital plan.

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According to the minister, the ministry inherited over 2,000 ongoing projects in 2023, many of which have been rolled over into subsequent budgets due to funding constraints.

Umahi also told lawmakers during the defence of the ministry’s 2026 budget proposal that the Federal Government owed contractors about N2.2tn for certified works executed between 2024 and 2025, underscoring the financing challenges facing the road sector despite rising budgetary allocations.

He added that only a fraction of expected capital releases had been made, forcing the ministry to re-scope and prioritise projects.

The Open Treasury Portal, which tracks government revenues and expenditures, provides a snapshot of how much of the approved budgets for capital projects has translated into actual spending.

Although the latest figures point to an unprecedented expansion in planned spending on road infrastructure, the challenge, analysts say, will be ensuring that budgetary commitments are backed by timely releases to deliver the intended benefits to Nigerians.

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