Teaching qualifications

Changes to university hospital bill will ensure inclusive healthcare management – ADTN

The Association of Dental Technologists of Nigeria (ADTN) has commended the National Assembly for recent efforts to improve Nigeria’s global health profile through the Teaching Hospitals Amendment Bill (Replenishment of Councils, etc.) Cap U15 LFN 2004.

The bill which was sponsored by Hon. Bamidele Salam representing Ede North/Ede South/Egbedore/Ejigbo Federal Constituency of Osun State has passed its second reading and is expected to go through a public hearing on July 27, 2021.

ADTN Chairman Raji Aderemi said that the amendment of the bill will ensure inclusive management of health care in the country as the bill seeks to change the nomenclature of the head of tertiary health facilities from director chief medical officer (CMD) to chief executive officer (CEO) and redefining the qualifications of the head of tertiary hospitals.

He added that it will also provide a definite mandate for the head of tertiary hospitals, include health science students in the training programs of hospitals, include the hospital established after the promulgation of the legal framework in the timetable and for other related matters and will restructure the composition of the boards of federal government tertiary hospitals.

According to him, “They must improve the delivery of health care to all Nigerians is rooted in the quality of leadership and management personnel in our health facilities. The recent WHO rating places Nigeria at 187th position out of a total of 191 countries. This is reflected in the lack of trust in the health sector by the elites and the political class who constantly engage in medical tourism.

“The problem in the health sector is the predominance of medical practitioners in the direction, management and administration of tertiary health establishments since the promulgation of decree 10 in 1985, which became the Cap U15 LFN law, 2004.

“The best days of health services in Nigeria were when teaching hospitals and the Ministry of Health were run by health administrators, politicians and lawyers who were not doctors. These were the glorious days of the 60s and 70s when the UCH was under the rulership of the house governor and even the royal family of Saudi Arabia sought health care in Nigeria.

“Executive 10 vests leadership of teaching hospitals and the entire health care industry at all levels of federal, state, and local government in a physician without the managerial skills to operate it.”

Raji Aderemi said that currently the composition of the board is skewed in favor of doctors where eight of the fourteen board members are doctors with only one member representing the Joint Health Sector Union (JOHESU) for all other professionals.

According to him, in the structural organization of the Federal Ministry of Health, out of eight directors, five are doctors while only one, the director of drug and food services is the other health professional, which further underlined the hegemony of doctors.

ADTN Secretary Stephen Eyarefe said the amendment to the law will help address inequities and inter-professional rivalries in the health sector.

According to him, “Instead of focusing on health services and the well-being of patients, the management is pursuing a policy of hegemony to ensure increased salary relativity for doctors to the detriment of other health personnel, hence the incessant crises, strikes and unhealthy rivalries”. .

“Contrary to MDCAN’s assertion that the bill will destroy hospitals due to the perpetual and insatiable quest of other medical professionals to take control of tertiary health hospitals through the back door.” It is rather unfortunate that their desperation to hold on to power has not made them see the need to address the problems of infrastructure decay and rot in the health sector due to bad leadership that is going nowhere. matched with global best practices.

The Cap U15 LFN Amendment Bill of 2004 on University Teaching Hospitals (rebuilding of the board of directors, etc.) will open up the administrative space to allow other health professionals with the required administrative skills contribute to the growth and development of the health sector.

All professional groups in the health sector deserve the career potential to become decision makers and problem solvers in order to improve the quality of services and reduce interprofessional rivalries. This should include health professionals such as medical laboratory scientists, pharmacists, physical therapists, dental technologists, radiographers, dieticians, medical physicists, dental therapists, etc.

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