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Teaching Hospitals Risk Losing Key Medical Staff as Experts Sound Alarm Over Mass Exodus

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By Gloria Ikibah
Chief Medical Directors (CMDs) of teaching hospitals in Nigeria have expressed concerns over the increasing loss of doctors, nurses, and other skilled health workers, despite government investments in health infrastructure.
They ascribed the alarming trend, to poor remuneration and inadequate pay packages, adding that it threatens to leave the nation’s tertiary hospitals understaffed.
The CMD Lagos University Teaching Hospital (LUTH), Professor Wasiu Adeyemo, and his counterpart from the University College Hospital (UCH), Ibadan, Professor Jesse Abiodun, raised these concerns during the 2025 budget defence session before the House of Representatives Committee on Health Institutions.
Professor Adeyemo highlighted the urgency of the matter, stating, “The rate at which medical workers are leaving the country is alarming. We need to act fast to address this situation.”
This warning underscores the broader implications of brain drain in the health sector, with CMDs urging immediate action to improve working conditions and retain skilled personnel in the country.
He said, “People resign, retire not even retirement, resignation almost every day. Yes. In the next one or two years, we are going to have all our hospitals empty. We need to do something about remuneration of all the health care workers.
“Otherwise, government is putting a lot of money in infrastructure, and we are going to have empty hospitals. The major reason why people leave is for economic reasons. Consultants are earning less than $1,000”.
Giving details of the Hospital’s 2024 budget performance, the CMD informed that, they had a total budget of N19.2 billion out of which personnel has N13.57 billio and a total overhead of N33.2 million.
He added, “In terms of performance and utilization total Overhead was hundred percent as of December for the total Personnel, 91 percent performance but for the capital project 45 percent. So outstanding is 55 percent. November and December are released today we would cover maybe about 85 percent”.
The Chief Medical Director (CMD) of Lagos University Teaching Hospital (LUTH), Prof. Wasiu Adeyemo, while responding to observations by members of the Committee regarding personnel performance, explained that the hospital recorded a 95 percent performance rate.
He attributed this to the payment of benefits and other activities arising from the high number of resignations and retirements within the year.
He stated, “The 95 percent personnel performance we achieved is largely due to payments made for benefits and other related activities triggered by the resignations and retirements we experienced this year.”
“For the proposal for 2025, a total budget of 32.7 billion, out of which a total overhead which is better than that of last year. Personnel is 20.3. I think it’s 13 last year”.
The Chief Medical Director (CMD), University College Hospital (UCH), Ibadan, Prof. Jesse Abiodun, expressed concern over the delayed release of budgeted funds to the hospital, stating that this has significantly hampered its operations.
Providing details of UCH’s 2024 budget, Prof. Abiodun disclosed that the hospital was allocated a capital appropriation of ₦5,593,110,394. However, he revealed that only 38 percent of the funds had been released, leaving a balance of 62 percent yet to be disbursed.
He said, “We have the 72% left. Yes, we actually were among the last people to be batched for payment, and the payment started coming in actually in this December. We were able to even utilize this 38 percent because we had already done the cash plan before the release.
“For 2025, that is on page one. So for the capital, we are proposing N4, 387, 763,661 for capital. This is a bit less than what we had in 2024. And that’s because of this envelope system, what we’re given, we have to work with it.
“The overhead, we have N690,006,464 only. There’s a bit of increase over that of 2024 because of the outrageous bills we are getting from Ibadan Electricity Distribution Company”.
Earlier in his remarks, the Committee Chairman, Rep. Patrick Umoh charged the CMDs of University Teaching Hospitals and Federal Medical Centers (FMCs) to be thorough in their presentations in order to provide a clear picture of their situations.
He said, “The reality is that you must extract the proposal made by Mr. President as it affects your medical center. It should be part of your budget, your presentation. The report of the 2024 budget performance and 2025 budget proposal is given provisional approval for now”.
Rep. Umoh lamented the precarious situation facing tertiary health institutions in the country.
The Chairman ruled that, while committee can not attend to all the health institutions, it will collect all their correspondences and submissions from the outstanding teaching hospitals to work on for further deliberations.
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TUC proposes N2.5m threshold for personal income tax waiver

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The Trade Union Congress of Nigeria has called for an increase in the tax exemption threshold from N800,000 to N2.5m per annum to ease economic challenges faced by low-income earners.

The union stressed that this measure would increase disposable income, stimulate economic activity, and provide much-needed relief to workers and their families.

The president of the union, Festus Osifo, made the call in a statement on Tuesday.

He said, “We still have two items that we strongly believe should be reviewed in the tax bills that will immensely benefit Nigerians.

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“The threshold for tax exemptions should be increased from the current N800,000 per annum, as proposed in the bill, to N2,500,000 per annum. This will provide relief to struggling Nigerians within that income bracket, easing the excruciating economic challenges they face by increasing their disposable income.”

On the proposed transfer of royalty collection to the Nigeria Revenue Service, the TUC president warned of potential revenue losses and inefficiencies due to the lack of technical expertise in oil and gas operations within the NRS

He said, “The proposed bill assigning royalty collection to the Nigeria Revenue Service appears beneficial on the surface but would most likely result in significant revenue losses for the government. Royalty determination and reconciliation require specialised technical expertise in oil and gas operations, which NUPRC possesses but NRS lacks, potentially leading to inaccurate assessments and enforcement issues.

“Additionally, this shift would create regulatory burdens, increase compliance costs for industry players, and reduce investor confidence due to overlapping functions and inefficiencies between NUPRC and NRS.”

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Osifo reiterated that allowing the VAT rate to remain at 7.5 percent was the best for the country.

“Allowing the Value Added Tax rate to remain at 7.5% is in the best interest of the nation, as increasing it would place an additional financial burden on Nigerians, many of whom are already struggling with economic challenges.

“At a time when inflation, unemployment, and the cost of living are rising, imposing higher taxes would further strain households and businesses, potentially slowing economic growth and reducing consumer purchasing power,” Osifo said.

Osifo noted that the union welcomed the inclusion of a derivation component in VAT distribution among the three tiers of government, describing it as a step toward reducing dependence on oil revenues and encouraging sub-national productivity.

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He said, “On a general perspective, we welcome the inclusion of a derivation component in the Value Added Tax distribution amongst the three tiers of government. When passed into law and properly implemented, it will encourage productivity at the sub-national level, thereby moving us gradually from a total rent-seeking economy to a derivation-based system that will stimulate economic activities.”

The TUC president said the continued existence of the Tertiary Education Trust Fund and the National Agency for Science and Engineering Infrastructure would bring about progress to the nation’s education as well as engender economic development in the country.

He said, “It is also good to note that both TETFUND and NASENI will remain a going concern, as these institutions have greatly impacted the country through their respective mandates. Both have respectively been instrumental in improving our tertiary education and the adoption of homegrown technologies to enhance national productivity and self-reliance. Their continued existence is vital for sustaining progress in education, technology, and economic development across the country.”

However, the union president urged the Federal Government to adopt equitable tax policies that prioritise the welfare of citizens.

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He said, “ While we deeply appreciate the Federal Government’s efforts to listen and adjust to our advocacy, we still advocate that the above concerns be considered and adopted in the Tax Reform Bill, they will be highly beneficial to the Government and Nigerian populace.

“The Trade Union Congress of Nigeria has a shared responsibility to promote policies that improve the lives of Nigerians amongst whom are workers. We believe that proactive measures, when implemented, are for the maximum good of the citizens and are evidence of great and sincere leadership. As the conversations around the Tax Reform Bill continue, it is our expectation that the focus would be equitable economic growth and improved living conditions for all Nigerians.”

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C’River Assembly proposes 50 appointees for LG chairmen

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The Cross River State House of Assembly has commenced the process of amending the Local Government Law 2007.

The proposed amendment seeks to increase political appointments across the local government areas.

Sponsored by the lawmaker representing Abi State Constituency, Davies Etta,on Tuesday in Calabar, the bill proposed to raise the number of appointees in each LGA to 50, including 16 Special Adviser positions and the creation of a new cadre of officials known as Ward Relation Officers.

The bill proposes that “The Chairman of Council may appoint such number of Special Advisers to assist him in the discharge of his duties, provided that appointments, when added to other statutory appointments, shall not exceed a total number of 50.”

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According to the provisions of the amended law, Ward Relation Officers will hold ranks equivalent to Special Advisers and will report directly to the LG chairman of the respective local government areas.

The lawmaker explained that initiative aims to enhance grassroots engagement and governance at the ward level.

The bill also seeks to elevate the office of the Head of Local Government Administration to the status of a Permanent Secretary in the state public service.

It proposed that“The office of the HOLGA shall be equivalent to the Office of a Permanent Secretary of the State Public Service and shall enjoy all rights and privileges of the Permanent Secretary, including pensions.”

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Additionally, the amendment stipulated that appointments to the position of HOLGA must not be made from outside the local government service of the state.

The bill, which has already passed its first and second readings in the House, has been referred to the Joint Committee on Local Government Affairs, Judiciary, and Public Accounts for further deliberations and stakeholders’ inputs.

Speaking on the bill, the Speaker of the Cross River State House of Assembly, Elvert Ayambem, said it aimed to strengthen local government administration by fostering inclusivity and empowering grassroots leaders to contribute more effectively to governance.

“This amendment is about bridging the gap between local governments and the people by making governance more accessible and impactful,” he stated.

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Meanwhile, the Assembly, on Tuesday, urged the Ministry of Environment and relevant animal control agencies to address the issue of unrestrained domestic animals within the Calabar metropolis.

The House emphasised the need for owners to take responsibility for restraining their animals to prevent them from roaming the streets.

This resolution followed a motion presented by Ovat Agbor, representing Obubra 1 State Constituency.

Agbor called for the sanitisation of the city, lamenting that stray animals such as goats, sheep, and cattle pose a nuisance by littering streets, destroying gardens, and defacing greenery intended to beautify the state.

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Agbor also highlighted the dangers posed by stray animals, citing a recent incident where a stray dog attacked a schoolboy, inflicting severe injuries.

He stressed that it is the owners’ responsibility to care for and confine their animals.

Hillary Bisong, representing Boki 2 State Constituency, supported the motion, and described the trend as detrimental to the state’s tourism potential.

Other lawmakers echoed similar concerns and urged swift action to control the situation.

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In his remarks, the Speaker described the motion as timely and reaffirmed the House’s commitment to maintaining Calabar’s status as Nigeria’s cleanest city.

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Court denies El-Rufai’s ex-Chief of Staff Saidu bail

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A Federal high court in Kaduna State has rejected a bail request from Bashir Saidu, who served as chief of staff and Finance Commissioner under former Governor Nasir El-Rufai.

Police arrested Saidu on January 2nd, 2025, moving him to the Kaduna correctional centre. He faces 10 charges of money laundering, embezzlement, and stealing public funds from the Kaduna State Government.

According to Channels TV report, when Saidu appeared before Justice Isa Aliyu on Tuesday, he denied all charges. The prosecution claims Saidu sold $45 million of state funds at N410 per dollar instead of the market rate of N498, causing the government to lose N3.9 billion. They say this happened in 2022 while he managed Kaduna’s finances under El-Rufai. Prosecutors argue Saidu laundered this N3.9 billion difference, breaking Section 18 of the Money Laundering Act 2022.

Saidu’s lawyer, M I Abubakar, pressed for bail, noting his client had spent 21 days in custody. But prosecutor Professor Nasiru Aliyu fought back, saying the law gives prosecutors seven days to answer bail requests.

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Justice Aliyu agreed with the prosecution, granting them time to respond. The court will hear the bail application on January 23rd, 2025.

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