1 Department of Sociology, University of Jos, Jos, Nigeria.
Int J Health Serv. 2017 Oct;47(4):778-794. doi: 10.1177/0020731416675981. Epub 2016 Oct 28.
The health care system in Nigeria remains topical because of concerns over unremitting health outcomes, such as maternal and infant mortalities and frequent epidemic outbreaks, and more recently because of regular strikes by health workers. The strikes arise mostly from disputes between medical doctors and other health workers over a range of issues, including salary levels and emoluments, leadership of teaching hospitals, and appointment of the Minister of Health. Other health workers, who allege that doctors are favored in the system, have formed Joint Health Sector Unions to confront the doctors. Both groups have frequently engaged in strikes such that, within the past decade, there has always been a strike or the threat of a strike, a situation that causes disruption of health care services. Two presidential commissions have been instituted, to no avail. With the allegations of favoritism, only government even-handedness in more carefully delineating the areas of inclusion and exclusion in accordance with available legislations may stem the rising tide. Until solutions agreeable to both parties are found, the health system and the Nigerian people will continue to suffer frustrations of avoidable disruption of services.
尼日利亚的医疗保健系统仍然是一个热门话题，因为人们对不断恶化的健康状况感到担忧，例如母婴死亡率和频繁的疫情爆发，最近更是因为医疗工作者经常罢工。这些罢工主要是由于医生和其他卫生工作者之间在一系列问题上存在争议，包括工资水平和薪酬、教学医院的领导权以及卫生部长的任命。其他卫生工作者声称，在这个系统中医生受到优待，他们已经组成了联合卫生部门工会来对抗医生。这两个团体经常进行罢工，以至于在过去的十年中，总是有罢工或罢工的威胁，这种情况导致了医疗服务的中断。为此已经成立了两个总统委员会，但都没有效果。由于存在偏袒的指控，只有政府在更仔细地划定包括和排除的范围方面保持公正，根据现有立法，才能遏制这一愈演愈烈的趋势。在找到双方都能接受的解决方案之前，医疗系统和尼日利亚人民将继续遭受服务中断的挫折。
