Category Archives: Random

THE ISSUES WITH PVCs-rumours inclusive.


It was decided a long time ago ( 4 years) that PVCs will be used for this election. Funds were released for its production and distribution.
How come the production came this late? How has the distribution gone?
A lot still in dumps at INEC offices across the nation.

What was the legal means of distribution agreed upon? Was this followed? Rumours and evidences of distributions in religious houses, private homes and beer palours abound.

How many were produced and how many as at today have been collected? Were we supposed to allow those who have not collected be disenfranchised?
Most people don’t know where to collect theirs, whose job is it to make this information available and widely spread?

Over 9 million southerners who registered in their places of abode in the North have ‘migrated’ to the south. And they can’t vote therefrom. Was this envisaged? If not, why? What evidence to the contrary did we have that made us ignore the probability of this grand ‘migration’?
If it was envisaged, what was done to ensure they can vote from wherever they are?

Are these PVCs clone proof? If not, why? Why waste all the money, attention and emotions of the state for something you know will be cloned? If they are clone proof, what made them clone proof and why haven’t we been told about it?

Under aged voters have been reported, pictured to have ownership of said PVCs. Whose job is it to dispel these stories as rumours and why hasn’t it been done? What modalities was put in place to circumvent this happening?

Why should people undergo untold hardships to collect PVCs in order to perform their civic duties? Civic duties are almost always voluntary, so states do their best to clear cog wheels out of the way for citizens to fulfill this duties, why are the issues surrounding PVCs and voting appear to be man made and deliberate?

Other issues that may fall under ‘logistics’ and ‘miscellaneous’ are urgently in need of addressing. Staff training, coordination of observers, security for equipments, documents and staff are all prime for addressing and I don’t think those take any less of important space than the PVCs and they are also yet to be addressed.

When we go into this election in March without addressing these issues, we will all meet at the other side of our ‘argument parks’ and court houses, for an obvious self inflicted injury.


As usual, at this point I’m looking for whose door steps to dump the blames for the above observations.

Aha! I found INEC’s doors wide open for all these.

Has JEGA discharged his duties equitably this time? Was Jega and INEC ready for the election on 14th?

Jega has been known to be wonderful in this job. We were all witnesses to this in 2011. What happened this time? What were his challenges? If he had some, why has he been silent about them?

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A STREET VIEW OF INTERNALLY GENERATED REVENUE (IGR).


We have had many of our public officers especially the Governors discuss their internally generated revenue. It usually blows my mind when states posts IGR in billions, because this is bar the monthly windfall from the Federal account. Add derivation fund, Ecology fund and may be Education fund to that and you will begin to see what I am about tonight. And don’t forget the foreign loans that every new State Governor and President insists we need.

Taxes may be as old as man. The idea I’m sure was to leverage on a pool of fund by the people, for providing social amenities for them. That presupposes a stringent accountability on anybody ‘unfortunate’ enough to be in charge of such funds. Every member of the society old enough to contribute into such fund therefore, is a stakeholder, and exercises a right, albeit in varying degrees, to the fund. He has a say as to how it is ran so to speak.

When I was a kid, ‘tax’ and ‘water rate’ was a thing that was dreaded by the able bodied. The collectors were deliberately recruited for their prowess in running. This is because the mostly illiterate masses would always run on sighting them. And thus a melee of some sort will be elicited when the encounter ensues. Onitsha was notorious at the time for their tax collectors. I can’t say much about other cities then. It didn’t matter if you had paid your in your state of resident. And God help you if you forgot your ‘tax’ papers or you show any form of resistance or even go as far as inflicting bodily harm to the ‘collectors’.
Water rate I assumed (and still assume) was for those who use pipe borne water. But it mattered less to these ‘government’ tax collectors that you were coming from a village where many do not even understand the scientific concept of pipe borne water. How can water sprout out of someone’s house? It must be magic. But they were made to pay for what they didn’t use then (and probably still don’t use).

In comes the modern day. Various taxes exist in Nigeria now. ‘premises’ is for those who sell beer and soft drinks etc in any small stall. It matters not that your entire ware is less than the tax amount itself. If you don’t like it go to the village. And become what exactly?

‘Land’ tax for almost anything, depending on the city you are. Selling a few tubers of yam on the floor of a Market in your country of origin could earn you this one.

‘Market masters’ review. I just can’t explain this one but it exists.

‘National union’. Ask any commercial driver. You will have an ear full.

‘Advertising’ for those who carry stickers or their company logo on the body of their cars. It doesn’t matter that you have a subsisting licence from your state of residence. Lokoja is said to be notorious in this one.

‘Car Radio’. Believe me, this one exists. I also find it difficult to explain this one to you, but if you so desire an explanation, Lokoja may be a good spot to get one.

‘VAT’ came in under IBB with a bit of an uproar. It has found stay. Many supermarkets use this for their upkeep. Some had argued about its sharing formula, especially when VAT money from the sales of beer is shared to Sharia compliant states.

Every Government employee is taxed. The breakdown of this tax is hardly provided to you as it is deducted from source. Some private organizations use this to rip off their employees, with the claim of remittance to FIRS (another fat agency that has demanded my attention).

I have carefully skimmed off the tax concerns of multi nationals and some capitalist organizations that in my opinion are not being taxed enough. Even if the extent of their being taxed may reflect on the price of their services, which eventually reverts to us paying to the Government indirectly. Organizations like Shell,MTN,DSTV are not being taxed enough. I’m not an economist but it would be nice to know if there is a law that empowers Government to tax these corporations and at the same time allows it to regulate/negotiate the price of their services.

Now to what inspired this write up. ‘Task forces’!
Lagos will have to be the trail blazer on this one, but Abuja is fast catching up if it hasn’t already.
Their is a task force on ‘Ashewos’, hawkers (of any hue), car washing boys, illegal stalls in markets, the defunct ‘park and pay’, drinking in joints in the mornings, and all manner of genuine human endeavor.
The only one I have failed to see a task force on in Abuja is hawkers of petrol products during scarcities. How that happens still beats me.

While these ‘Task forces’ provides some form of employment for the boys, it also rips off the society in so many ways. Besides the loss of the convenience these people provide, there is what appears to be a deliberate attempt to push them back to unemployment. One that they initiated for themselves- self employment. This has a lot of well known attendant effects on the larger society.

But ultimate effect which reveals questions, is how this funds generated from all these inconveniences, these outright rape of the masses (whom you hold the seat and the associated funds in escrow for in the first place) is spent? Who orders for these task forces? Are all of them covered by law? Are these laws really Germaine? Are they humane? Are those funds remitted to the FGN? Or if the case of states, are they used for providing the much needed amenities?

I see all these as the LIES we continue to tell ourselves. Those lies that if they don’t stop, we will still continue to revolve around this spot we still find ourselves 54 years post independence.

THE LIES MUST HAVE TO STOP!!!

#IWatchTheNation.

MAY BE GOD HAS A PLAN FOR #MyCountry AFTER ALL.


Well…may be it is time to believe that God has a plan for this country.

Why he spared us of natural disasters like tornadoes, land slides, tsunamis, mud slides, earthquakes, as someone has alluded may be just because he knows we can’t handle these. But he has left us with man made disasters which we (true to character) have failed over and over again to manage.

I will give you examples.

We were within our own dear internal linguistic and cultural boarders doing well or so we thought,until slave traders and explorers came calling. While some fought them, others traded with them. Sold ‘enemies’ and ‘never-do-wells’ to them for mirrors, shining coins (that we can’t use in any market), cloth fabrics (that we didn’t know how to sow), beautiful boxes. Slave trade ended not from our own efforts we must note, but from the benevolence of the same traders.

Then we got colonized (not by our choice). The masters got every commercial benefit known to them as at then, grouped us into countries for easy governance. They had no choice but to leave some traces of ‘civilization’, since they also benefited from such.
We got our independence. Yeah! That one we fought for.

Our politics thereafter got immediately ethnic, with various happenings and utterances that got many of our sections maligned and bearing grudges. That is our making. Nobody taught us that. May be that’s how we are actually wired. To always think in the “self” or ” me” mode not “us” mode.
With that background, a group of poorly selected but adventurous young officers carries out a poorly executed and murderous coup, leaving open a litany of interpretations and misinterpretations that spread from the military to the general society, throw into that mix some uninformed decisions, actions and inactions of the then crop of leaders and you have a dynamite that led to a needless Civil war with its prizes that we are all well aware of.

Then the Military took us through all the roads,paths and routes they took us through. The edges and precipices we went through. The tensions and near war situations we went through countless of times. Not to mention the down spiraling of our various national sectors like education, economy, health, agriculture and even the Military. We are not counting the human rights abuses and lives lost. All these while the average man was and is still being made to believe it is in his best interest.

And we re-cycled back to democracy. First with ex-soldiers all over the political space. With a lot of knee jerk decisions we had to cope with. Our politics remained like it was in the immediate post independence era- ethnic and religious. We never learnt or acquired anything new in the interlude when the Military held sway. Well, some have argued that this same politics of today is still being propelled by the Military albeit in Civies.

We’ve had repeated plane crashes and I’ve not seen any adjustment in plans to prevent further crashes besides sacking the ministers of the day. Neither have I seen adjustments in emergency responses besides establishing an agency, NEMA, that is poorly funded, poorly organized and whose personnel is poorly recruited and trained. I have not seen a superlative response to any disaster by this nation and her agencies for as long as I have lived.

We’ve had numerous flood disasters but I have not seen any response besides ear-marking some ‘unlegislated’ funds for ‘shearing’. Funds that won’t get to the desired victims. Jamborees of fund raising for flood victims, who remain as afflicted as they were until the next flood.
I’ve not seen any effort towards combating ecological ‘land mines’ which give way to these floods despite all the funds ear marked as ‘ecological funds’ yearly. One of the Govs of plateau I think, even told us how he used his own to fund PDP campaign under OBJ.
And so we wait for the next flood…

It used to be our universities. ‘Falling standard of education’ we all kept crying but I see nothing being done. And I see we have money appropriated yearly for education. I see we have leaders whose duty is to think and act on our behalf. ‘Our graduates are unemployable’, ‘our graduates can’t construct simple sentences’, ‘not like when we were in the universities’ they kept spewing. I’m reminded that they went to school free too.
Now it is our secondary schools. The base of our educational sector. JAMB, WAEC,SSCE results have been on a free fall for a long time now. Unity schools were our pride. How are they today?
I don’t see any active effort to remedy this. I don’t get to see any active protocol by our ministers (one after another) to #BringBackOurSchools. Who did this to us?
Teachers of all cadres go on industrial actions and are ignored for months while politics of survival is being played across the length and breadth of the country, especially in Abuja. And we are all meant to believe it is in our own long term interest.

BOKO haram came. Are we all satisfied the way it has been combated? Right from when there was a chance to nip it in the bud till now that it consumes everyday, young girls, boys, innocent people minding their daily business or worshipping their God and our young military boys?
I’ll will leave this alone for today as I’ve commented a lot on this self made cancer (and another that is brewing which we as usual have ignored. I’m talking about Zak Zakky and his sons that were murdered by our military for a procession).

I have a dilemma of which among my last two points to talk about first. Election of 2015 or our health sector and Ebola, because in my view they portend equal danger. Allow me to make a choice not based on priority here.

Our health sector has been in the news since almost every coup planner started using it as an excuse to intervene. “Our hospitals have now become mere consulting clinics” is the one I quickly remember. Yet I didn’t see any attempt by anybody to reposition this sector in terms of personnel training, equipments and consumables, better remunerations and farther reach of the hospitals. Health workers have literally worked with bare hands in this nation for ages, because they get blackmailed with the nature of their Job being for the good of the society, while some small percentage of the same society smile to the banks and fly first classes to vacations abroad. So many industrial actions have I recorded since independence from this sector, all addressing the same issues.
It was Mohammed Ali who said that a man who views the world at fifty the same way he viewed it at twenty, has wasted thirty years of his life. Could this be our situation? Could it be that we have wasted all fifty something years of our independent years?

Ebola! That virulent and unforgiving virus is here now. It has been in Africa since 1976. So not a new comer to us. It was first seen in Zaire Congo then Sudan, then Cote de ‘voire in 2004. Recently, last December, it appeared in Guinea. All this year since March/April, we’ve read in the news(which I assume our health ministry and other leaders read too) how it has been ravaging Liberia,Sierra Lone our next door neighbors. What did your country do in preparation for its eventual epidemic here? I will tell you. NOTHING!!!!
What did your country and her leaders do to tighten boarder security and screening, especially for travelers from that west African axis, to protect us the citizens (whom they swore to protect and whom they always do everything in their interest)? I will tell you. ZILCH!!!

And so Mr Sawyer, the bio-terrorist (my other conspiratorial mind, the one I usually tell you guys I’m tired of its workings, tells me he may be CIA self) comes in with love from Liberia, infecting any moving object including flies. What has your Govt done since then? I will tell you. Nothing! Nothing that can help contain the spread. Anyone who have seen the PPE (protective personnel equipment) worn by any care giver should please tell me). They even discharge Ebola patients and they know one keeps secreting Ebola up to 6 weeks after infection. Have we all seen quarantine sections for Ebola?
I don’t see any active plan or organization to contain and prevent the spread of Ebola anywhere.
But I see money (that sweet and aromatic curse of Nigeria yet again) being earmarked. I see a minister who blame shifts to cover his ineptitude and his lack of foresight to prepare for this danger that was knocking since last year. I see a minister who failed to dialogue and convince his mostly younger colleagues to return to work (because he had reneged and failed on an earlier promise and thus had lost their trust) trying to hold on to any straw he finds, by sacking a group of people he knows are the backbone of any health sector. I see him desperate because he may have to cut short his political ambitions because of his misplaced priority.

In the end 2015 becomes the leveler. Every action is directed towards that date. What you don’t get from the Govt now you may have to forego until after 2015. That’s the way we roll here. This piece is not for politics thus I won’t dwell on 2015.

But like I have said, may be it is time to believe that God has a plan for this country. The direction of the plan is what I fail to decipher. And thus I urge you to see who it is that you see- Alfas,GOs,pastors, Babalawos, diviners, sorcerers, Amadioha priests, Okija priests, Ogwugwummiri priests etc to help you decipher, because these are perilous times and the sky is not clear anymore.

Goodnight Nigeria! Good morning my people.

#EgberiFa!

#IWatchTheNation.

RAPE OF THE BLACK GOLD – NMA Strike and the Crisis in Nigeria’s Health Sector By Agwaza Maxwell Dagba


INTRODUCTION
After trying hard to avoid putting pen to paper to express the bottled up emotions inside me, a news item on a national TV station has finally pushed me over the edge to try to explain to whosoever cares to listen, the reasons why the NMA is on strike, and why there should be public agitation in favour of it. In the said news item, members of the public are yet to understand the reason for the strike. For the avoidance of doubt, I am a medical doctor and I write from a possibly biased point of view. As you go through this article, you may discover areas where I agree or disagree with the issues raised by my mother association. But while I do that, I will try to be as reasonable and dispassionate as possible.
I do not believe that strikes should be the handle by which the Nigerian government turns, such that it is impossible to press home the demand of a labour union or group in this country without grabbing it. The feverish efforts used to approach an industrial action towards its end can be applied at the moment when there is a NOTICE of action. If this were the habit of those in government, perhaps the current NMA action and many others strikes by other bodies of workers before it would have been averted. My aversion to the use of strikes is even more amplified when it involves the truncation of flow of an essential service – be it power, health, transportation, security or other. The oath which I and my noble colleagues took reads in part, “I will practice my profession with conscience and dignity; the health of my patient will be my first consideration”. In all fairness, I want to say that inspite of the dearth of modern day equipment, dilapidated infrastructure and terrible working conditions, we are still struggling to live true to our promise.
Most doctors I know today work extra hours unpaid, donate to help patients obtain medications or pay bills, or go out of their way to perform “non-doctor” work just to make the patients well. The following two examples are true at least in the Jos University Teaching Hospital. Doctors run around the wards to pick up instruments and case notes (files) of patients, when many times the nurse is idle in the ward. Carrying files and getting all instuments required by a doctor on ward rounds should be a nurse’s responsibility, or at least she should direct her orderlies and substaff on what to do. In addition, she should make contributions, report relevant events which occured in the doctor’s absence, and take her own notes during the ward round. That is what our teachers tell us used to happen in the past. But alas, that is not the case. She sizes up the doctor first, to see his rank. If he or she is a house officer (the lowest cadre), he may just as well proceed without her. Afterall, she has a daughter at home that is older than this “small boy”. African megalomania at its worst. If the doctor is a Consultant(topmost grade), she may then gauge whether this doctor is the “friendly type” or the “difficult type”. Because for the difficult people, the rules have to be obeyed or else there will be trouble. This category of doctors is thus spared the pain of others. My second example, though recently corrected by a circular from management, is that doctors sometimes become porters, carrying blood samples and results to and from the laboratories. In the course of seeking for results in the laboratory, a doctor was recently slapped in the face by a laboratory staff, leading to the management response. While that malady lasted, excuses for the staff who were employed for that purpose ranged from “too few hands” to “engaged with something else” to “its not our job”! for want of space, I will leave other examples alone.
I hope this leaves no one in doubt that we do our jobs (and sometimes the jobs of others – just to make the system work)

Now to the issues.

WHO SHOULD HEAD A HOSPITAL?
Who should head a hospital? Of course, this kind of absurd question would not arise in a private hospital. As we know it, the law in Nigeria requires registration with the Medical and Dental Council of Nigeria (MDCN) and up-to-date payment of Annual Practicing fees for an individual to set up a private hospital. I carefully choose the word “hospital” because Nigeria has an endless number of appelations for both health facilities and slaughter houses. And the nigerian public is so misled that there is now no distinction between hospital, pharmacy, clinic, dispensary, nursing home, patent medicine seller, and a community health officer’s spare bedroom. All manner of attrocities are committed – there are consulting rooms in pharmacies, theatres in nursing homes, abortion facilities in dispensaries, and operating rooms on people’s dining tables. The mess is so mad that everybody who has ever witnessed the administration of an intravenous drug or watched an appendectomy is now fully “medically qualified”. So the criminals who do these things, due to the ineptitude of law enforcement, now see themselves as equal to all others who have licences to practice professionally. And a handsome majority of perpetrators of these acts are the other health professionals and allied health professions.
The problem as I have stated, cannot arise in proper Private hospitals. It is in the public institutions, where salaries do not depend on how much work is done, but on how much the institution receives from the “national cake”. Not on how much training we have received, but on how many years we have been sleeping at the office. Not on our individual skills and interests, but on how many pieces of possibly fraudulent paper are found in our credential file. For if these attributes were to be sought by our employer, we would never have arguments for how much we should receive. Or who should be in charge. Regrettably, however, our employer is an object that neither has a head or a brain. It cannot reason and thus cannot make any reasonable judgment. Our employer is the black gold that runs beneath the land and waters of the Niger Delta and other parts of southern Nigeria. Our employer is crude oil – our birthright and ticket to laziness, our excuse for brazen corruption, and our foundation for mediocrity and lack of desire for development. And to tell the truth, I secretly pray sometimes that the oil would just dry up, if only to induce sanity into our country. For if this employer were reasonable, it would ask why there should be a difference between the private hospital (which performs its duties and makes a profit) and a government institution which is just a black hole into which money is sunk, neither getting profit nor benefitting the masses for which it was built.
The law setting up teaching hospitals specifies that to become the CMD, a person has to have a basic medical degree (here meaning Bachelor of Medicine, Bachelor of Surgery) and have become a consultant, owning a fellowship of one of the Postgraduate medical Colleges, as well as a few other requirements. This is one of the cardinal disputes of today.
Let me introduce the Joint Health Sector Unions (JOHESU), an amalgam of Labour Unions formed a few years ago and basically including all other staff except Medical Doctors. Even to a blind and deaf person, this is an association of strange bedfellows. Pharmacists, Nurses and laboratory Scientists alone would have made some sense. But add Administrative staff, accountants, medical records staff and it starts to get confusing. When you finally integrate cleaners, porters and other junior staff into the mix, it tells what the only object of such a hydra-headed conspiracy could be – the extermination of the disciples of Hippocrates.
JOHESU seeks for appointment of CMDs to be “made open to all competent and qualified health professionals”. The arguments for them are that this is done in some parts of the world, that their members also have medical knowledge, and that it would promote equity and fairness. On face value, these seem to be reasonable and genuine demands. And central to our response has been one issue – training. Apart from medical doctors, other health professionals attend university courses based on the semester system in Nigeria (let us leave out those who have sub-degree programmes for now – they know themselves). Apart from the Pharmacists, who do 10 semesters, most other professionals spend 8 semesters. Two of these semesters however are spent doing basic science, which is essentially same across board. So in effect, pharmacists spend eight semesters and other six, preparing for working life. Now doctors also do the same basic science, with higher credit unit loads than most others. After the first year, however, the difference in training time is incredible. The semester system for the doctor is over. The remaining five years of training are basically without holidays. When there are breaks, they last between 2 and 3 weeks, usually after exams – and in the University of Jos, for example, there are just three major examinations beside continuous assessments, which are regular. So on the generous side, a medical student has perhaps nine to twelve weeks of official breaks out of five years. That is an incredible four-and-a-half years of training. Compare that with six semesters of four months each, totalling 24 months or 2 years. Or for the Pharmacist, eight semesters of four months, which would be two years and eight months. The amount of knowledge difference is surely massive.
Asides that, the doctor is schooled in EVERY aspect of HUMAN medicine – and in appreciable depth. What the other professionals are schooled in, as far as it pertains directly to human medicine, we also learn. So what then is the doctor’s advantage as a chief executive? A doctor has a wider scope of training and is equipped to understand the entire workings of a hospital as it relates to patient care. Thus if a lab scientist, pharmacist, nurse or other health professional for example, speaks to a doctor CEO about the needs of his department or problems they are having, the doctor would fully comprehend. If a pharmacist were giving the same information to a lab scientist, however, the situation would be different. This wide scope of training and central role also has a bearing on decision making for the best possible allocation of resources and manpower, enabling the hospital to run smoothly for the good of the patients. That is why a career engineer would most likely be the head of a construction firm and not a welder or bricklayer, even if they all had PhDs. A lawyer would be the head in the courtroom, whether the clerk has a thorough knowledge of court procedure, court rulings and how to decide cases or not. Its simple logic.
Where people start to argue about whether doctors are trained in management, my answer is that other health professionals are generally no different in that respect. Seeking for “fairness” and “equity” and trying to avoid things being “skewed” has absolutely no bearing in an industry whose objective is to preserve human life. This is not sports or entertainment or tourism, where ignorance and mistakes can be condoned. Any managerial mistake in a hospital can lead to loss of life, which is irreplaceable. And for the records, recent studies in the UK have shown that doctors head very few hospitals in that country, but most of the top 100 performing hospitals are among those headed by doctors. That kind of evidence based argument in a sane society can have no reply. The document regulating the tertiary hospitals in Nigeria has said the doctor should be the head. Since the status quo has not been deemed a failure by the government, it should remain. It is pertinent to add here that the clamour for the interpretation of the phrase “medically qualified” by JOHESU is part of the ploy to co-opt their members into the league of persons entitled to apply for CMD in the tertiary institutions in the country. To be mild, this loophole seeking is simply childish. For if medically qualified were to be a general term for any diploma (certificate) related to medicine, the makers of the law would not have added a postgraduate fellowship, which is peculiar to doctors, to the list of requirements.

APPOINTMENT OF DIRECTORS AND THE POST OF DEPUTY CHAIRMAN, MEDICAL ADVISORY COMMITTEE (DCMAC)
Like I mentioned earlier, we live in a ludicrous society. There is little respect for order, and people appear to be more at home with anarchy than sanity. Let’s go back to the structure of a teaching hospital. There are three directors in a teaching hospital – Director of Administration (DA), Head of Clinical Services (HOCS, also known as Chairman, Medical Advisory Committe – CMAC), and the Chief Medical Director, who is the Chief Executive. The DA handles purely administrative matters, while the CMAC handles issues related to patient care. The CMD, of course, is their superior and serves as the CEO. This ensures that patient care is not sacrificed on the altar of administrative issues and vice versa. There are assistant directors in areas such as nursing, finance, works, and so on. This creates a visible chain if command within the hospital. The yearning of JOHESU is that their members be promoted to Director Cadre within the hospital setting. Knowing the Nigeria we live in, no director will be answerable to another within the same ministry or agency. A director, as far as I know, is only answerable to a permanent secretary. Now unless the titles of the CMD, DA and CMAC are changed, what will become of the hospitals when we have, say, 100 other “Directors” walking the corridors of the teaching hospital? And if you make all the CMDs in Nigeria permanent secretaries today, what will become of the Ministry of Health? For surely, such permanent secretaries will only report to the Minister! And how many ministers can we have at once?
This whole debacle is directly related to the quest for salary increase, if u ask me. How many other government institutions have a hundred Directors within them as will be the case if this request is granted? Now the irony of it is that if this policy is approved, many doctors would also proceed to become directors. But our question is this – what benefit does it add to the system? None! And what does it take away? First, increased wage bills for the government. Secondly, increased anarchy in a system that is already bastardised by unprofessionalism. Thirdly, many “directors” will abscond from their duty posts since they would now be too big to sit in a clinic, laboratory, pharmacy or hospital ward. And who would bear the brunt of it all? Our dear old black oil. Raped, plundered and wasted, but still faithful. Nothing can be more senseless. If people wish to pursue an increasein pay, they are free to do so. But for Pete’s sake, let there be order in the hospital!
On the appointment of DCMACs, JOHESU would simply not hear of it. Their argument is that it is unlawful; possibly because it is not written out in the document that created teaching/tertiary hospitals in the country. But they forget to add that there are circulars from the government that support the creation of the office. Also, the law gives the boards of the teaching hospitals powers to take measures that ensure the smooth running of the hospitals, and these appointments are made by the boards! The job of the CMAC is indeed a tasking one and like every other Director in the civil service, he/she should have deputies to help with functions. I think that is simple enough.

SKIPPING OF GRADE LEVEL 12
The Ministry of Health has issued a circular stating that contrary to what was hitherto obtained, where all other staff of the Ministry skipped a grade level at some point in their careers except doctors, we should also be included. Though the Ministry is still in court over the legality or otherwise of skipping, it is only fair that all members of the family enjoy what our father, the Federal Government, has brought home from his hunting adventures. Abi the oil money don finish? Na on top our head una wan talk say the money no go reach again? Lai lai!. I don’t believe this should be a matter of contention. What is good for the geese is also good for the gander.

THE TITLE OF CONSULTANT AND THE QUEST FOR SPECIALIST ALLOWANCE AND TEACHING ALLOWANCE
Every person and profession has the right to determine how the career progression goes. To that extent, I do not have any grouse whatsoever with people attaining Consultant status in their field. But as the saying goes, things are not always what they seem. This point will require a little of history. Before the nineties, the health system in Nigeria was a lot more organised. There were clearly defined roles for each group of health personnell, and the salary scales truly represented relativity, which is the difference in take-home pay that should exist due to differences in training, skills and input to patient care. Gradually, the unions agitated for more and more increases, more allowances, and so on. But there was a problem lurking. For while the other unions (now grouped as JOHESU) fought and battled the Military governments for pay rise after pay rise, the doctors “kept their cool” and “were more concerned with the good of the patients”. Of course in Nigeria, the loudest person gets heard first. So gradually, the gap between the salary of the doctor and the other professionals closed up. At a point, there was barely any difference. In 2008, after many years of struggle, the government approved a new salary scale for doctors which, though flawed, was meant to correct the relativity between professions. As part of that document, there was an allowance for medical and dental consultants tagged “specialist allowance”. That is the source of the problem. In a quest to get more allowances, the term “Consultant” has suddenly crept into the vocabulary of the other professions, notably Nursing and Pharmacy, of which I will make examples. They perhaps have heard that there are “Nurse Consultants” and Consultant Pharmacists” in other climes. The question is, WHAT ARE THE ROLES OF THESE CONSULTANTS IN THOSE COUNTRIES, AND WHAT ARE THE QUALIFICATIONS REQUIRED TO ATTAIN SUCH STATUS?
According to the UK’s National Health Service website, a Nurse consultant “is a specialist in a particular field of healthcare… and spends at least half of her time working directly with patients, and in addition develops personal practice, is involved in research, and contributes to the education, training and development of other nurses”. To become a nurse consultant, a basic nursing degree is required, as well as a master’s degree in nursing, health services or administration, or public health, with working experience. Some even add that one requires a PhD or at least should be working towards getting one. There are other nurse consultants who may not work with patients but give advice to law firms on medical cases (e.g. malpractice cases) they have in court. The latter type of nurse consultant surely does not fit into our teaching hospitals, but the former may.
Most definitions of a Consultant Pharmacist describe him/her as one involved in the care of the elderly or people in nursing homes, where he reviews their medications. Infact, the history of Consultant Pharmacy actually began in homes for the elderly. Other sources describe the job as having to do with “advanced roles in patient care, research and education”. Even in these countries where the title is mentioned, it appears to be a new and evolving role rather than an established position that has relevance to patient care. Requirements include a Pharm D degree, interest and experience. Some articles I came across also require a Master’s degree in pharmacy. In the absence of proper guidelines and laid down procedure for such appointments, as well as regulatory or accrediting agencies, my view is that caution be exercised in adopting this relatively new terminologies into a developing country’s health system.
The issue of Consultant status is where I may differ slightly from the NMA’s position. Let anybody become a consultant of whatever profession he wants to, as long as there are stipulated procedures for doing so. The caveat is that as far as patient care is concerned, the Medical/Dental Consultant acting directly or through his lieutenant, is the only person to give directives about the patient’s care. To cut it short, being a consultant in any other field of healthcare should not give a person the right to change, obstruct or delay the implementation of a doctor’s management plan. The roles of such specialists should be merely advisory.
On the part of the Government, they can go on and appoint as many consultants as they want –, Nurse Consultant, Consultant Pharmacist, Consultant Physiotherapist, Consultant Optometrist, Consultant Radiographer, Consultant Cleaner, Consultant Porter, Consultant Gateman, Consultant Accountant and Consultant Administrator. Kai, even start having Consultant visitors. Afterall, the Niger delta oil is a whore, and her patrons are endless. Just one more defilement won’t do much harm. Then the next, and the next.
Let me conclude this section with a comment on the issue of teaching and specialist allowances. With the difference in knowledge between a house officer and nurse, the house officer surely does teach them a few things… if the person involved is humble enough. The point is that these guys also teach medical students, nurses and other personnell. Finally, everyone in the Health sector now wants to receive a specialist allowance and teaching allowance. Infact, some optometrists on the CONHESS salary structure now receive specialist allowances from the CONMESS salary structure. Only in Nigeria can such brazen effrontery be seen. One person, being paid on two contrasting salary scales. Well I will leave that to the public to judge, but if without additional training a lab scientist, pharmacist, optometrist or nurse wants to be called a specialist and receive allowances, the gander are also ready. The spree has only begun.

RELATIVITY IN THE HEALTH SECTOR
Now many that are outside the health sector may be confused about this. But to put it simply, the healthcare system revolves around a TEAM. In every team all players are important and perhaps indispensible, but there is always a captain or a leader. Usually the coach will choose a captain either based on current form, or based on age, or based on experience, or based on number of years spent in the team. In medical circles this leadership role, albeit traditional, was foisted on the doctor because of qualities including being central to patient care, perfect understanding of both normal and abnormal body function, understanding of the development of diseease and different options for curing or relieving it, and a general scope of the different areas of human medicine. As is seen in every normal salary structure, the more the training, the higher the pay. That is why a secondary school leaver and a university graduate are not put on the same grade level when they are employed. Even among graduates, those of engineering, law and pharmacy are paid higher than others. Doctors (medical and veterinary) are paid still higher. This is the concept of relativity, put simply.
However in the Nigerian health sector, this rule has been and is being continually thrown to the winds. Some nurses without university degrees earn higher than pharmacists and doctors. From being started out on step 4 of the grade level as used to be the case, House officers are now started on step 2. Reasons? None! Like stated earlier, this is the result of the failure of doctors to use strikes to press home their demands, choosing negotiations instead. The only time when we got heard was during the strikes that introduced the Consolodated Medical Salary Scale (CONMESS) in 2008/2009. And in that document, there were fundamental flaws. For as you moved higher up the scale, your salary seemed to be stagnant. The creators of that document cleverly made the calculations such that a promotion added almost nothing to your total emoluments. This led to a call by the NMA for a new salary structure that makes the effect of promotion better, and government is “still looking into it”. Realising its “mistake”, government issued a circular on the 3rd of January 2014, correcting the anomalies in CONMESS. Take note that this was not NMA’s demand, but even the implementation of the government’s own response to the problem has taken six months. Not a single kobo has been released to that effect. But since we are a breed that has a genetic aberration which has foisted limitless patience on us, JOHESU will have the public believe that we are unreasonable.
One funny tweet I read this morning from @bilquees_01 under the #nmastrike read, “a duke mutum a hana shi kuka”. It is in hausa and means “to beat up someone and prevent him from crying”. This perfectly describes NMA’s situation in Nigeria. We are squeezed in on every side, pressured, ambushed and bashed, but the rule is “Thou shalt not complain”. Each time there is an industrial action, you see sudden movement from the house of representatives, senate, presidency, and the so called “well meaning nigerians”. As soon as we retreat to work to observe the situation, all agreements become unbearable burdens for the government. JOHESU rushes off to introduce another variable to unbalance the equation. But thou, o physician, shalt not talk. For it is you alone that has moral obligation to the sick of the world. Arrant rubbish!

HAZARD ALLOWANCE, RURAL POSTING AND OTHER ALLOWANCES
Let me start with the hazard allowance. I will simply ask a question here to any member of the public. Is five thousand naira (about 28 USD or 18 GBP) enough compensation for any of the following risks to your life (and by extension, the life of your immediate family) every single day? People coughing into your face; blood splashing onto your clothes, skin, eyes and mouth; handling human faeces, urine, flesh and other fluids; working with razors, knives and needles around patients with highly infective conditions (HIV, Hepatitis B, Hepatitis C, Lassa Fever, Tuberculosis and others)?
If anyone would say yes to the question, or argue that they are more exposed to these dangers than the Doctor or Nurse, let them come out. I will stop at that.
When an official of the Federal Ministry of Health (FMOH) travels from Abuja to Portharcourt and spends the night, he gets paid for the inconvenience. But a doctor POSTED to a rural setting away from family and civilisation needs to go on strike to get a circular saying that he should be paid his due. For if that is not done, he may get his money, or a quarter of it. Or nothing.
There is God o!

CONCLUSION
The current crisis in the Nigerian Health sector is essentially borne out of Government’s non-affirmativeness in handling issues related to clear definition of roles, lack of a global salary structure that takes into account training, skills and competencies, and the toleration of disrespect for laws and circulars of government. This is further worsened by its lack of implementation of agreements and slow response to threats of industrial action across the country.
Doctors, as part of the solutions to this quagmire, have advocated for the signing into law of the National Health Bill as passed by the Senate of the Federal Republic of Nigeria. This will resolve SOME of the problems.
Secondly, a global structure for salaries and wages in the health sector, based on the points stated in paragraph 1 of this conclusion, is key to putting a stop to the impending collapse of the health sector. That action should be based on practices in advanced nations of the world who we aspire to be like. Copying some things related to relativity from the UK’s NHS would be a good start. After that, any further pay rise for staff in the health sector should be done en masse to maintain the relativity across board. This alone will bring lasting peace.
A permanent resolution of these crises thus still lies at the feet of Mr President and his advisers and committees.
I will bow out with a comment on the oath we took, which I quoted earlier. That oath, called the Hippocratic oath and disputably assumed to have originated from Hippocrates, never envisioned that a time would come when a physician (here referring also to a surgeon) would be an employee of the state or work in conditions so terrible that he/she would consider withdrawing services to enforce his rights and those of his patients. Hippocrates never thought that the family atmosphere that existed in all the homes he visited to see patients would condense into vampiric institutions where lieutenents would challenge his leadership and seek to take his place at the head of the team. If he had, he would perhaps have added an escape clause.
For there is no longer any dignity in this practice; and our patients suffer everyday on account of all this back and forth over the same issues. Definitely, some of these problems I have dicussed are at the very heart of the matter, and others are thrown into the fray as a response to the frustration that engulfs us in the moment. But for our conscience to remain and our patients to enjoy the benefits of the doctor’s indepth knowledge and training, the atmosphere has to be right. That is what NMA is standing for today.
Having gone through some of the hard facts in this article, and perhaps having been inspired by my emotive tone, I hope that more members of the public will come to agree that the current strike, apart from seeking to correct some anomalies in the health sector, will ultimately lead to greater good for the primary object of existence of the medical profession – the patient.

Agwaza Maxwell Dagba writes from Jos, Nigeria

THERE IS ALWAYS A BIGGER PICTURE.


My restless mind is running riot on me again and I have little choice but to unburden it unto you guys. My advanced apologies.

Imagine watching a painter in action. A plain canvass, few brushes and a retinue of color pots.
He goes stoke…stroke…stroke, then changes brushes and colors. For what? You never can tell immediately.
Then three minutes and you have a picture that looks like where a kid that is very bad in mathematics, was trying to improve on his craft.

And he continues…stroke…stroke, changes brush, dips in another color pot. Boring to a novice like me. May be even monotonous.
But 15 minutes later, you have an expanse of vegetation with trees dotting the space. An hour later, there is a pretty damsel in a background of vegetation, green and serene with trees bearing fruits. The picture has come alive, from those boring strokes and monotonous hand movements.

You see, there is always a bigger picture. It is always in the making.

Who remembers few years ago when the USA wanted a military base in Nigeria? It was OBJ’s tenure. There was a lot of rancor, from the Executive and NASS, not to ignore the ‘shildren of anger’ like us. It was a total rejection and the idea was dropped.
Few years after, there was a ‘prophesy of doom’. We will all disintegrate by 2015. I own up. I took that very seriously. And I still do. What could have informed that prophesy? I asked myself. Haven’t we always been like this and more? Are these guys going to sponsor rancor amongst us and step aside and say “aha! Told you guys”?

Well, few years later, BH really started “kicking new flavor in the air”, then came pressures on our ‘amiable’ GEJ to ask for help. He did and we are here now. I will leave their success and achievement so far alone.

What is going to be of us here-from? Let every mind work on that. Would the subtle fingers of our helpers continue to goad, direct and ‘guide’ us from now? Remember SAP? Remember IMF?

There is no place where there is always a bigger picture, ‘story behind the story’ if you like, like in international politics. There is no place where interests lead to execution of extreme measures like in international politics. It will be naive for us to assume this is a brotherly or humanitarian assistance.
This #Chibok debacle should not elicit more milk of humanity than the Buni Yadi experience. Or the Suleja Christmas Day bombing or Nyanya 1 & 2 explosions. Or all the over 6000 souls killed so far in this madness.

I’m not a rabble rouser, I just happen to have a mind that I currently need to disown or better still have a mind transplant.

And oh! I know we failed. I also know we set the stage for this. I also know that GEJ is clueless. What else is new?

#StayTrue to #MyCountry

#IWatchTheNation.

#EgberiFa o!

THE DILEMA OF JUSTICE.


Just saw a post which alleged that a community in one of the terror flash zones is celebrating the killings of insurgents by the Military. One wouldn’t know the authenticity of that story, especially with the below par scores of our doyens of the fifth estate in recent times.
But it struck me that a people can actually celebrate the killing of others. The additional factor of the killings being in large numbers may not even matter.

It occurred to me that to insist that BH members, when caught, should be made to face justice through our legal systems (no matter how inadequate) will definitely sound insensitive in some quarters.

It confuses me though. Wouldn’t acting otherwise reduce us to the level of these same people we have called urchins and lower animals (deservedly so too)?

#DemocracyIsAnAss. It comes with its inconveniences. We can’t practice democracy and still tend towards a support for jungle justice. It negates one of the core values of this system, which is fair hearing. (At this point, it is safe to assume that a hail of stones would be tumbling in my direction).
But hurt us as it may, if we call a crime a crime, the only way for complete restitution is undisguised justice. The type that is plain and clear to both the accused and the state, that it has been carried within all possibilities of human capacity. Any other way is an antithesis to democracy.

Was it not Justice Chuckwdifo Oputa (JSC), as he then was, one of our finest jurists, now of blessed memory who said, to the effect that justice for murder is a three way lane. That the deceased’s blood cries for justice, the family of the deceased deserves justice and the society who bears the traumatizing brunt of the incidence deserves justice too. But the accused still deserve justice. Deserves to be heard in a fair environment.

Jungle justice, as our emotions may prod us to embark on, would net in not a few innocent citizens and hear me, Oh Nigeria, you have wasted enough innocent blood for one life time. This may be our litmus.

The world is watching. I am too. #IWatchTheNation.

#MusingsOfAConfusedLover.

#EgberiFa o!

THERE IS ALWAYS A BIGGER PICTURE


My restless mind is running riot on me again and I have little choice but to unburden it unto you guys. My advanced apologies.

Imagine watching a painter in action. A plain canvass, few brushes and a retinue of color pots.
He goes stoke…stroke…stroke, then changes brushes and colors. For what? You never can tell immediately.
Then three minutes and you have a picture that looks like where a kid that is very bad in mathematics, was trying to improve on his craft.

And he continues…stroke…stroke, changes brush, dips in another color pot. Boring to a novice like me. May be even monotonous.
But 15 minutes later, you have an expanse of vegetation with trees dotting the space. An hour later, there is a pretty damsel in a background of vegetation, green and serene with trees bearing fruits. The picture has come alive, from those boring strokes and monotonous hand movements.

You see, there is always a bigger picture. It is always in the making.

Who remembers few years ago when the USA wanted a military base in Nigeria? It was OBJ’s tenure. There was a lot of rancor, from the Executive and NASS, not to ignore the ‘shildren of anger’ like us. It was a total rejection and the idea was dropped.
Few years after, there was a ‘prophesy of doom’. We will all disintegrate by 2015. I own up. I took that very seriously. And I still do. What could have informed that prophesy? I asked myself. Haven’t we always been like this and more? Are these guys going to sponsor rancor amongst us and step aside and say “aha! Told you guys”?

Well, few years later, BH really started “kicking new flavor in the air”, then came pressures on our ‘amiable’ GEJ to ask for help. He did and we are here now. I will leave their success and achievement so far alone.

What is going to be of us here-from? Let every mind work on that. Would the subtle fingers of our helpers continue to goad, direct and ‘guide’ us from now? Remember SAP? Remember IMF?

There is no place where there is always a bigger picture, ‘story behind the story’ if you like, like in international politics. There is no place where interests lead to execution of extreme measures like in international politics. It will be naive for us to assume this is a brotherly or humanitarian assistance.
This #Chibok debacle should not elicit more milk of humanity than the Buni Yadi experience. Or the Suleja Christmas Day bombing or Nyanya 1 & 2 explosions. Or all the over 6000 souls killed so far in this madness.

I’m not a rabble rouser, I just happen to have a mind that I currently need to disown or better still have a mind transplant.

And oh! I know we failed. I also know we set the stage for this. I also know that GEJ is clueless. What else is new?

#StayTrue to #MyCountry

#IWatchTheNation.

#EgberiFa o!

#StayTrue to #MyCountry.

THE KNIFE THAT WILL CUT THROUGH BOKO HARAM.


“This could be the first trumpet; might as well be the last.
Many more will have to suffer; many more will have to die.
Don’t ask me why.
There’s a natural mystic flowing through the air. I don’t tell no lies. If you listen carefully now, you will hear…
Many more will have to face reality now…” – Robert Nester Marley.

“…there will be wars and rumors of war…” – Jesus Christ in The Bible.

“…politicians are hypocrites, they don’t care about you and me…” – Tupac Shakur.

“C’mmon let’s face it; ghetto education is basic. And the youths dem use gun replace it. And they don’t stand a chance at all.
Dem suit no fit me; to win election dem trick we. And we don’t stand a chance at all…” Damian Marley (Welcome to JamRock).

The above quotes may not relate to BOKO haram on a superficial or cursory assessment, until one applies the virtue of retro-analysis.
It may be easy for some amongst us to relate our present predicaments to end times, only that I hardly believe in end times. A journey through history will tell you for instance, that there have always been wars and its rumors. From medieval times till date, there have always been wars, fought on excuses of man. The naturalists would even argue that war is nature’s form of population control.

Excuses of wars have been so flimsy that, Alexandra waged some simply at the behest of Cleopatra. And a piece of land not worth the size of a duplex in our context can result in an all out war in Palestine. Hitler had his Ideology of the supremacy of his race, but a lot of those who died on his side may never have known why they fought or died. And the Jews are yet to understand that ideology.
That’s the lasting effect of wars.

Most young Nigerians still do not know why the Civil war was fought. And in the darkest recess of the minds of the principal actors of that war, they may not have understood why too. But they had to fight. And it was called patriotism. Wonder whence that patriotism is at this time.

There is a war going on in #MyCountry NOW. To deny it would be acting the Ostrich. How did we get here and how do we get out?
If we understand the basic thread that got us all here, we probably would see how we can get out. An oversimplification, but a simple reversal of our path may be all we need.

…and so we pick the knife that will cut through BH.
1. That would be a knife that would stand for justice and equity. One that would ask questions of the leaders of the North East on how they have spent their allocations since independence. That would ask how sponsoring cronies for Hajj translates to development. (This cuts across all the states).
2. A a knife that would cut through the mystery of Almajiri. That retrogressive enslavement that is being pushed on the pedestal of culture and religion. A knife that asks questions on how this culture of “rich and poor’ is being perpetuated despite all civilized arguments against it.
3. That knife must insist on why rich people don’t get to be victims of Sharia Laws but poor people. It must find out why giving arms to beggars would lead you to heaven but you abhor seeing your own become a beggar. As if you inherently don’t want others to go to heaven through a branch of yours.
4. That knife must ask why Yaradua saw it fit to give money to those who have attacked the state and train them in vocations, while the rest of us applauded. And why it seems odd now to give BOKO Haram money, when we had initiated it a long time ago.
5. The knife should find out why those regions are still educationally disadvantaged when they are supposed to be greater in number. And why Chibok had only one secondary school since independence with a population put at about 220,000. And while Senators and Rep members have been coming from there all these years.
6. This knife would find out why Sambisa forest, geographically classed under the Sahel, a sparsely forested area (which Govt after Govt have been spending our common wealth on, on account of deforestation) suddenly became impenetrable both by land and from air.
7. It will seek to know the guiding principle behind the proposition of “Federal Character”, “Educationally disadvantaged states” and “Quota system”. It will find out the disparity between population, number of LGs and Federal allocations.

Above all, that knife should be steadied on how to curtail further recruitment of ‘willing’ adherents of BH. Probably by reversing the above points. By Govt being true to those they govern. By being just and fair and eschewing impunity.

By going hard on the enemies of the state at this moment and those who are want to make inflammatory statements, no matter the divide or party allegiance.

Let’s not forget that the traumatic attenuation and internalization of these experiences breeds embedded hatred for certain sections of our society. This would be a vicious cycle-in-waiting.

THE LIES MUST HAVE TO STOP HERE!

#EgberiFa o

#StayTrue to #MyCountry
#StaySafe in #MyCountry

#IwatchTheNation.

GEJ MAY BE HIS OWN OPPOSITION AFTER ALL.


The ‘opposition’ has succeeded in setting up a stipple chase for GEJ. They have always set the agenda, while he and his media goons respond.

Over to #Chibok today.

If he has stayed this long, why visit now? It certainly won’t make him less insensitive. The damage is done already. And there is a list of such non-visits to afflicted zones and this is what has qualified him into the insensitive hall of infamy (in our assessment or rather in the opposition’s assessment).

Even if he believed the #Chibok debacle a hoax, couldn’t he have humoured ‘them’ and make an early visit? Why wait until there is an outcry by the opposition or our helpers?

I think his advisers are his real opposition. But someone just countered,asking “must you take all advice from your adviser?”
I don’t have a ready retort for her, so I swerved smoothly into the mute mode.

Then it follows that GEJ may be his own opposition after all.

I certainly wish my president good luck and patience!

BOKO HARAM: ANOTHER POST-MORTEM.


it’s been five years since the advent of the insurgent group named BOKO HARAM, following hotly on the heels of the declaration of sharia in some Northern states.
Five years of anguish, blood shed, grief and anger. Anger directed at every one. Even God was not spared. Anger at him for allowing his people to go through this holocaust in the midst of so much supplications, tithes and vigils.

The survival of insurgent groups depend on
1. Discontent amongst the populace. This was rife in #MyCountry following the lukewarm attitude of the President towards everything governance. It was also rife because some of us thought we have a birthright on leadership. It was first of all rife because the state Governments and the elites of those regions had a different approach to leadership.
2. Flows from above. The co-operation of the locals. This happens when the insurgents provides what the government of the day can’t provide for them, like basic comfort. Or when they, especially the youths are left unengaged due to unemployment. They become ready recruits.
3. Friendly co-operations from neighboring countries. It has been alleged that there may be support (even if covert) from Cameroun,Chad and Niger. The free boarder pass of these insurgents furthers this point.
4. Support from local elites. This remains to be proved in our case but rumors are rife. A sitting senator is being tried on this account. Another had a cousin arrested in his house on the same account. So many statements alluding to inadvertent support or outright refusal to condemn the activities of this group comes to mind.
4. Failure of leadership. This needs no expatiation.

Out of these four factors, BOKO HARAM has not kept faith with numbers two and three. The constant killings, harassment and kidnapping of locals have or sure will bring them to a logger head with the locals, which in turn will bring their days to little numbers. The civilian JTF had some impact on them. To counter this, they will use forced conscription. This too usually causes more bad blood for them. A viscous cycle the ensues.

The recent bombing of a police station in Cameroun signifies another derailment from their ideals. The country will respond by tightening their boarders, which would deal them a dirty blow. Their stay in Chad or Niger (as currently rumored) will come to end if they harass the locals too. This is inevitable as they will need resources.

Factors one and four is not within their scope of influence and number one can only subsist because number four exists.

This is why I’d like to think that BOKO HARAM’s days were numbered before we even invited the ‘experts’.

By and large, intelligence is not something I’d like to attribute to this group of cowardly urchins.

The buck returns to the table of the C-in-C and he has asked for help and help is here. We thus await results.

I’ve been told to ignore my fears of the collateral damage I expect. I have reluctantly agreed.

This will be my last post-Mortem on BH and my last comment on the advent of the Americans ( I sincerely hope but not under any oath).

#StayTrue to #MyCountry.
#StaySafe in #MyCountry.
#EgberiFa o.
#IwatchTheNation.