Amidst the rising cases of coronavirus across the country, more than 30 healthcare workers attached to two of the Lagos State isolation centres have been disengaged.
The affected workers who were part of the first set of volunteers at the infectious disease hospital (IDH), Yaba, and those drafted to the Onikan isolation centre, include medical doctors, nurses and pharmacists.
While the details of those disengaged health workers at the IDH are still sketchy as of the time of filing this report, those from the Onikan isolation centre include eight doctors, 12 nurses and two pharmacists.
However, PREMIUM TIMES gathered that three of the disengaged officials, comprising two nurses and a pharmacist, have tested positive for coronavirus. They are currently on admission at the isolation centre located at Agidingbi area of Lagos, where infected healthcare workers are being managed.
Many frontline health workers across the various isolation centres in the state have not received their remuneration in the last two months, sources said.
Investigations revealed that the affected officials were simply asked to exit the centre on June 30, after three months of engagement.
At the Onikan isolation centre, the affected workers were told to vacate the centre by their team lead, identified simply as Dr Adeshola, reportedly without any official communication from the government.
A state official, in a reaction on Monday, promised to look into the concerns raised by the disengaged staff.
Investigations by PREMIUM TIMES revealed that the healthcare workers were axed without any assurance they would undergo self quarantine before reuniting with their families
According to an official of one of the isolation centres, who asked not to be named, the team lead at Onikan centre was initially reluctant to break the news to the affected officials because he found the process inappropriate.
One of the health workers told our reporter on the phone that: “By June ending, we were told we would be leaving on June 30. Dr Adeshola could not show us any official document apart from a text message he claimed to have received from the COVID-19 task force team in the state.
“On June 30 when we were supposed to pull out, alongside other colleagues in the system, we held a meeting with our team lead and complained bitterly about how we were being disengaged. There and then we insisted on being tested and the need for us to observe the mandatory 14-day quarantine.”
The results of their coronavirus tests revealed that three of them were found to be positive, this newspaper learnt.
“The infected colleagues cried when the results came. Mind you, they did not cry because they got infected, they cried because after three months of taking big risks, all that the state could do was to throw them out like a discarded item. So while the three positive cases were moved to the isolation centre in Agidigbi, the others were asked to vacate our hotel in Ikeja and should report back to their places of their primary assignments without two-month pay,” another frontline worker, who is yet to be disengaged, said.
Meanwhile, when asked by the reporter for his comment on the development, the team lead said as a civil servant he was not authorised to speak to the media.
“You know I am an employee of the government, I cannot talk to you. Thank you,” Mr Adeshola said.
‘Used and dumped’
The affected workers have condemned what they termed “disappointing manner” of their disengagement, saying they were simply used and dumped by the government.
According to one of them who is a medical doctor working at one of the state’s general hospitals, “everything about the coronavirus management and frontline workers’ welfare in Lagos State has been shrouded in secrecy”.
According to the source, till the time of his disengagement, no one was sure of the exact amount to be paid and when to be paid.
The doctor said; “For instance, the doctors who started the COVID-19 work at the IDH in Yaba as the pioneer responders received N675,000 each while the nurses received N480,000 each. But for us as the first set of volunteers who were drafted to open Onikan centre in April, our first pay came after six weeks and doctors received N574,000 while nurses received N380,000.
“The payment for April was made in May, and since then we have received no penny apart from accommodation and feeding. What we learnt was that the initial payment was simply to encourage other volunteers and the gimmick worked. Many of our colleagues who were initially reluctant to volunteer soon began to lobby to be posted to isolation centres when they heard of the money involved, and the fact that none of us reported dead.”
Another frontline worker, who was part of the public presentation of ‘dummy insurance certificate presentations’ to healthcare workers by the government at a press briefing, said “none of them could claim to have signed any document or knows anything about the insurance.”
“The whole thing is just fluke. How could you register me for insurance and I would not have the details? In fact, those who were publicly presented with certificates for photo showoff were asked to return the certificates and since then we have not heard anything. Everything is just to hoodwink the public. But it is unfortunate,” the healthcare worker told our reporter.
PREMIUM TIMES recently reported how Nigerian health workers lamented their poor welfare conditions.
Medical Guild, NANNM kick
The chairman of the Medical Guild in Lagos, a body of medical doctors in the employ of Lagos State Government, Oluwajimi Sodipo, who confirmed the development to PREMIUM TIMES, said his group has proposed an acceptable terms of agreement to the government.
He also said the guild will follow up its implementation to the letter. He said the precedence set by the federal government by allegedly failing to observe her own part of the agreement would not be accepted in Lagos State.
He said; “Well, as a medical guild, our position is that there should be an agreement with those working at the isolation centres and the government, such that people can have ideas of what their expectations are in terms of remuneration, support systems, and even their terms of engagement and possible disengagements. We cannot be in a position where people can be engaged and disengaged at will, because it will affect their morale.”
Also speaking on the alleged opaque nature of the insurance scheme, Mr Sodipo said it would be good if the state could explain details of the insurance packages, alleging conflicting reports on the matter.
“Some say it involves what is called morbidity and mortality insurance. But others have said that it is only when deaths are recorded among them that they can be covered. But again it is not very clear except they have documents explaining these details. These are important so that those who want to volunteer would do so with full disclosure while those not willing to do will not be forced to do so. This is because for everyone who volunteers they have other things that they are doing. It is a call to service but it is still a choice,” he added.
In a similar development, the leadership of the state’s chapter of the National Association of Nigerian Nurses and Midwives (NANNM) has said it would not tolerate the abuse of its members.
In a telephone interview with our reporter, the chairman of the union, Blessing Israel, said unavailability of the personal protective equipment (PPE) at various hospitals and some isolation centres in the state, have forced the healthcare workers to reuse items such as masks.
“We are being taken for granted and we will not take it. As of June 20, a total of 480 nurses were already exposed and 90 confirmed positive with one death and 16 discharged. In all these, we are still being subjected to avoidable hardships. That is unacceptable, and if these things are not resolved soon, we will not hesitate to withdraw our members from isolation centres,” she said.
We’ll pay this week –Govt.
Meanwhile, the state government has acknowledged the challenges and pledged that all owed allowances will be paid before the week runs out. It also commented on the workers who had been ‘withdrawn’ (sacked).
Speaking on the phone with our reporter, the state’s commissioner for information, Gbenga Omotosho, said the delay in the payment was not unconnected with the “observations raised by the healthcare workers’ associations on the terms of agreement”.
Mr Omotosho, who reiterated the commitment of the Governor Babajide Sanwo Olu-led administration to the welfare of the healthcare workers, said the state is doing its best to protect its residents.
He said: “The governor who is the incident commander in the state has always shown his support for both health and education, and that is reflected in the state’s budget even before the COVID-19 hit us. And on the frontline workers, the governor has shown leadership by mobilising support for our heroes on the frontline. I think you know that his wife is a medical personnel, so how would he not demonstrate his love for them.
“In my own capacity, I have also been visiting these centres and the healthcare workers have been appreciating us. They are in a good mood. But in the case of those who were withdrawn (sacked) I think you know that even in war, to reinvigorate forces, new men are posted while others are withdrawn to relate with their families.”
The commissioner promised to look into the concerns raised by the disengaged staff.
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