By Yusuf Danjuma Yunusa

The Federal Government has mandated the immediate implementation of the “No Work, No Pay” policy against striking members of the Joint Health Sector Unions and Assembly of Health Care Professionals (JOHESU).

The directive was issued via a circular from the Federal Ministry of Health and Social Welfare (FMoHSW) on Saturday.

Addressed to Chief Medical Directors and Medical Directors of all federal health institutions, the circular was signed by Dr. Disu Adejoke, Director of Hospital Services, on behalf of the Coordinating Minister of Health and Social Welfare. The order is a direct response to the ongoing JOHESU industrial action, which began on November 14, 2025.

Effective January 2026, the policy will apply to all participating JOHESU members and any other staff who join the strike. Hospital managements have been instructed to ensure strict compliance with the policy.

While enforcing the sanction, the Ministry directed health institutions to maintain critical services—including accident and emergency care, labour wards, and intensive care units—using all lawful means. This may include hiring temporary locum staff. The circular explicitly states that staff willing to work must be allowed to do so “without hindrance or intimidation.”

Hospital authorities are also tasked with ensuring security within their facilities and providing regular updates to the Ministry on the strike’s impact on healthcare delivery. The government reaffirmed its commitment to preserving essential health services nationwide despite the industrial action.

Expert Warns of Systemic Risks

In a related interview with the News Agency of Nigeria (NAN), Abuja-based public health expert Dr. Gabriel Adakole described the government’s move as a legally justified measure to end the strike. However, he highlighted serious implications for Nigeria’s already strained health system.

“JOHESU members—including nurses, pharmacists, laboratory scientists, and allied health professionals—are essential to hospital operations. Their absence critically weakens service delivery, even where emergency units remain open,” Adakole stated.

He cautioned that relying on emergency-only care and locum staff cannot replace full multidisciplinary services, which raises risks to patient safety and treatment outcomes. The policy, he added, could exacerbate financial hardship for health workers, further demoralize the workforce, and accelerate the ongoing exodus of medical professionals from Nigeria.

“Ultimately, patients bear the greatest cost through delayed treatments and reduced access to care,” Adakole emphasized.

While acknowledging that the “No Work, No Pay” policy may compel a quicker resolution, he stressed that lasting stability in the health sector requires meaningful dialogue, trust-building, and sustained investment in both health workers and infrastructure.

By Yusuf Danjuma Yunusa

The Association of Legislative Drafting and Advocacy Practitioners (ALDRAP), a legal-focused civil society organisation, has formally commenced the process to recall 26 members of the Rivers State House of Assembly. This action follows the lawmakers’ signing of an impeachment notice against Governor Siminalayi Fubara on Thursday.

In a letter to the Chairman of the Independent National Electoral Commission (INEC), ALDRAP’s Secretary, Tonye Jaja, requested certified true copies of the voter registers for all state constituencies in Rivers. The association claims that many of its members are constituents of these lawmakers and are legally entitled to initiate a recall.

“Notice of commencement of recall of Rt. Hon. Martin Amaewhule, Speaker of the Rivers State House of Assembly and 25 other legislators of the House of Assembly who signed the impeachment notice dated 8th January 2026 and request for certified true copies (CTCs) of the voter register of all the state constituencies of the Rivers State House of Assembly,” the letter reads.

The letter explicitly cites a Supreme Court judgment from February 2025, which directed the State Assembly to collaborate peacefully with the Governor and resolve conflicts through amicable means. ALDRAP contends that by initiating impeachment proceedings, the legislators have resorted to “belligerent methods” in violation of this ruling.

“Contrary to the judgment of February 2025 of the Supreme Court of Nigeria that enjoined the members of the Rivers State House of Assembly to work in peaceful harmony with the Governor of Rivers State by exploring and exhausting amicable methods to resolve conflicts, the members of the Rivers State House of Assembly have once again initiated belligerent methods.”

Notably, the association highlighted that both the Governor and the lawmakers in question are members of the All Progressives Congress (APC), suggesting internal party dispute resolution mechanisms should have been exhausted first.

“In light of the foregoing, as a public interest organisation of lawyers, the majority of whom are constituents of all state constituencies of the Rivers State House of Assembly, we hereby demand the aforementioned certified true copies (CTC) and put your Commission on notice,” the statement reads.

The impeachment notice, signed by legislators loyal to the former Governor and current Minister of the Federal Capital Territory, Nyesom Wike, accuses Governor Fubara and his deputy, Ngozi Odu, of gross misconduct and unauthorized spending.

This development marks a significant escalation in the ongoing political conflict between Governor Fubara and his predecessor, Nyesom Wike, which has intensified in recent weeks. The move by ALDRAP introduces a new, legalistic dimension to the crisis, potentially subjecting the pro-Wike lawmakers to a direct challenge from their constituents.

The association of Resident Doctors, Aminu Kano Teaching Hospital (ARD AKTH), has formally announced its decision to join the nationwide strike declared by the National Association of Resident Doctors (NARD). According to Dr. Bello Aminu Bello, President of ARD AKTH, the strike, known as the Total and Indefinite Consolidated Strike (TICS 2.0), will commence at midnight on Monday, January 12, 2026.

Dr. Bello explained that the decision was reached after “extensive deliberations and in strict alignment with the directive of NARD.” He emphasized that the strike was not taken lightly but was necessitated by “prolonged engagement, repeated assurances, and persistent failure by relevant authorities to address critical welfare, training, and remuneration concerns affecting resident doctors and the healthcare system.”

In outlining the doctors’ demands, Dr. Bello stressed that they remain “clear, legitimate, and long overdue.” Among the key issues highlighted were the immediate reinstatement of the FTH Lokoja Five, payment of all outstanding promotion and salary arrears, and the full implementation of the approved professional allowance table with arrears captured in the 2026 Federal Budget.

The ARD AKTH president further noted that the association is calling for “official clarification by the Federal Ministry of Health and Social Welfare to Chief Executives on skipping and entry-level placement issues.” He added that the re-introduction and full implementation of the Specialist Allowance is also a priority for resident doctors.

Dr. Bello also drew attention to the plight of House Officers, stating that “the resolution of salary delays and arrears, with issuance of a clear pay advisory, is urgently needed.” He explained that the association is equally demanding the re-categorization of membership certificates and issuance of certificates post Part I examinations by the National Postgraduate Medical College of Nigeria (NPMCN).

On working conditions, Dr. Bello revealed that ARD AKTH is insisting on “the immediate commencement of locum practice and work-hours regulation committees.” He added that the resumption and timely conclusion of the Collective Bargaining Agreement (CBA) process is critical to restoring confidence in the system.

Highlighting the implications of the unresolved issues, Dr. Bello warned that “the continued neglect of these matters poses serious risks to healthcare delivery, workforce morale, and patient safety.” He stressed that resident doctors cannot continue to function optimally in an environment of uncertainty and unfulfilled commitments.

Despite the strike declaration, Dr. Bello assured that ARD AKTH remains open to dialogue. “We are open to genuine, concrete, and time-bound negotiations, but until meaningful progress is achieved, we stand in full solidarity with NARD and resident doctors nationwide,” he stated.

The announcement shows a major disruption in healthcare services in Kano and across Nigeria, as resident doctors form the backbone of medical care in teaching hospitals. The government is now under mounting pressure to respond to the doctors’ demands before the strike begins.