Excellence & Friends Management Care Centre (EFMC), P. O. Box 200, PSIN Dutse, Abuja, Nigeria.
APIN Public Health Initiatives, Ltd., Abuja, Nigeria.
Hum Resour Health. 2018 Oct 17;16(1):54. doi: 10.1186/s12960-018-0322-8.
The Nigerian health system has been plagued with numerous healthcare worker strikes (industrial action) at all levels. The purpose of this study is to document physicians' views on healthcare worker-initiated strike action in Nigeria and represent a follow-on to a previous study where poor leadership and management were cited as the most common cause of strike action by healthcare workers.
A cross-sectional, descriptive study was executed between April and June 2017. We used a self-administered pre-tested structured questionnaire with open-ended questions to allow for better expression of participants' views. Participants were drawn mainly from the recently concluded West African College of Physicians (WACP)/Royal College of Physicians (RCP) Millennium Development Goal 6 Partnership for African Clinical Training (M-PACT) course. They represented the six geopolitical zones of Nigeria. Data were analysed using SPSS v 23. Simple frequencies were performed, and relevant tables/charts were developed.
A total of 58 physicians (out of 131 participants reached) responded to the study, giving a response rate of 44.3%. 62.1% were males, 67.9% were between the ages of 30 and 39 years, and over 60% of respondents graduated prior to 2010. Poor staff welfare was cited by 16.7% as the commonest cause of strikes in the healthcare system. Other causes cited were salary issues (13.9%), leadership and management (13.9%), poor hospital infrastructure (11.1%), poor guidelines and services (11.1% each) and inter-professional disputes (5.6%). The negative consequences of strikes, the groups who benefit from them and solutions to the strikes were enumerated, including training physicians in leadership skills by 98.2% of respondents.
Poor staff welfare, salary and leadership/management and governmental inability to implement agreements were the common causes of healthcare worker strikes in this study. These strikes resulted in disruption to service delivery and training programmes, increased morbidity and mortality of patients and loss of confidence in the hospitals and the healthcare professions. The participants recommended that the Federal Government respects agreements made with the management of healthcare institutions, implements the National Health Act and ensures that only leaders and managers who are formally trained are appointed to healthcare management positions.
尼日利亚的医疗体系一直深受各级医护人员罢工（工业行动）的困扰。本研究旨在记录医生对尼日利亚医护人员发起的罢工行动的看法，并作为之前一项研究的后续，该研究指出，领导不力和管理不善是医护人员发起罢工的最常见原因。
这是一项在 2017 年 4 月至 6 月期间进行的横断面描述性研究。我们使用了一份自我管理的预测试结构化问卷，其中包含开放式问题，以便更好地表达参与者的观点。参与者主要来自最近结束的西非医师学院（WACP）/皇家医师学院（RCP）千年发展目标 6 合作伙伴为非洲临床培训（M-PACT）课程。他们代表尼日利亚的六个地缘政治区。使用 SPSS v 23 进行数据分析。进行了简单的频率分析，并制作了相关的表格/图表。
共有 58 名医生（在 131 名参与者中）对研究做出了回应，回应率为 44.3%。62.1%为男性，67.9%年龄在 30 至 39 岁之间，超过 60%的受访者于 2010 年前毕业。16.7%的人认为员工福利差是医疗保健系统中罢工的最常见原因。其他提到的原因包括工资问题（13.9%）、领导不力和管理不善（13.9%）、医院基础设施差（11.1%）、指南和服务差（11.1%）以及专业间纠纷（5.6%）。列举了罢工的负面影响、从中受益的群体以及解决罢工的办法，包括通过 98.2%的受访者对医生进行领导力培训。
在这项研究中，员工福利差、工资和领导/管理不善以及政府无力执行协议是医护人员罢工的常见原因。这些罢工导致服务提供和培训计划中断，增加了患者的发病率和死亡率，并使医院和医疗保健行业失去了信心。参与者建议联邦政府尊重与医疗机构管理层达成的协议，实施《国家卫生法》，并确保只有经过正式培训的领导人和管理人员才能被任命到医疗保健管理职位。
