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MDCAN Issues 21-Day Ultimatum to FG, Backs NMA Over Salary Dispute

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The Medical and Dental Consultants Association of Nigeria (MDCAN) has called on the Federal Government to urgently address the demands of the Nigerian Medical Association (NMA) within 21 days to prevent a looming industrial crisis in the nation’s healthcare sector.

In a statement issued to journalists in Jos, the Plateau State capital, MDCAN declared its full support for the NMA’s position, following the rejection of a circular from the National Salaries, Incomes and Wages Commission (NSIWC), referenced SWC/S/04/S.218/III/646 and dated June 27, 2025. The circular reviewed allowances for medical and dental officers in the federal public service.

NMA President, Prof. Bala Audu, had earlier denounced the circular during a press briefing, describing it as a breach of existing collective bargaining agreements and a threat to industrial harmony in the health sector. The NMA issued a 21-day ultimatum for the withdrawal of the circular, warning of potential disruptions to healthcare delivery nationwide.

The MDCAN, in its statement jointly signed by its President, Prof. Mohammad Aminu, and Secretary, Prof. Daiyabu Alhaji, urged the Federal Government to correct all consequential adjustments in line with the terms of collective bargaining agreements reached in 2001, 2009, and 2014.

“We further call for the correction of the relativity agreed between CONMESS and CONHESS and demand compliance with relativity in all professional allowances, especially call duty allowances, in accordance with the 2001 CBA,” the statement read.
“Additionally, all accrued backlogs must be paid.”

The association also pressed for the immediate settlement of all outstanding arrears, including the 25/35% CONMESS backlog, clinical duty, and accoutrement allowances owed to medical and dental practitioners. They also demanded the payment and review of the 2025 Medical Residency Training Fund (MRTF) to reflect current economic conditions.

Other key demands include:

  • Release of the circular on Clinical Duty and other allowances for honorary consultants, as agreed in January 2024.
  • Implementation of the scarce skills allowance for medical consultants.
  • Approval of specialist and excess workload allowances for all doctors.
  • Full compliance with the 2021 CBA on hazard allowance and a revised CONMESS for house officers.
  • Adoption of relativity in all professional allowances, particularly call duty allowances.

MDCAN further emphasized the need for universal application of CONMESS across all federal and state Ministries, Departments, Agencies (MDAs), and universities to tackle internal brain drain. It also called for the reversal of the appointment of other healthcare professionals as consultants, citing concerns over patient safety and clinical standards.

The association urged the government to:

  • Provide comprehensive health insurance for all medical and dental practitioners.
  • Constitute governing boards for federal hospitals in line with the enabling Acts governing Federal Tertiary Institutions.
  • Issue a circular on the implementation of the revised retirement age for medical and dental professionals.
  • Roll out enhanced welfare and social support packages for healthcare workers, including robust health and well-being initiatives.

MDCAN warned that failure to meet these demands within the stipulated time frame could lead to serious consequences for healthcare delivery nationwide.

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Nigeria launches food procurement guidelines to tackle unhealthy diets, improve nutrition

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The federal government has launched the National Guidelines for Public Procurement of Food and Related Services.

The framework introduces nutrition standards for food purchased with public funds as part of efforts to reduce unhealthy diets and curb the growing burden of non-communicable diseases in Nigeria.

The guidelines, unveiled on Monday in Abuja at an event themed “Public Procurement of Food: Promoting a Culture of National Wellness Through the Food Value Chain,” are expected to influence food served in public institutions, including schools, hospitals, correctional centres and military establishments, by setting evidence-based standards on nutrition, food safety and quality.

Delivering his keynote address at the launch, the Minister of State for Health and Social Welfare, Iziaq Salako, said the initiative marks a shift from viewing public procurement as a routine administrative process to using it as a strategic tool to improve public health and national development.

“When the government demands healthier, safer and more nutritious food, it creates incentives for the entire food system to innovate, improve quality and align with higher public health standards,” he said.

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Why it matters

Mr Salako said the government remains the country’s largest institutional purchaser of food, meaning procurement decisions have the potential to influence food production, consumer behaviour and nutrition standards across the food value chain.

According to him, the guidelines establish limits on sodium, sugar and unhealthy fats in foods procured by public institutions while encouraging balanced and nutritious diets.

He said the document complements existing national policies, including the National Guideline for Sodium Reduction, the Trans Fat Regulation and the 2023 National Policy on Food Safety and Quality.

Rising burden of unhealthy diets

Mr Salako noted that unhealthy diets contribute to about 7.2 million deaths globally every year, driven largely by excessive consumption of salt, sugar and unhealthy fats as well as inadequate intake of fruits, vegetables and whole grains.

He revealed that the average Nigerian adult consumes between 3.9 grammes and 4.9 grammes of sodium daily, almost double the World Health Organisation’s (WHO) recommended limit of 2 grammes.

Mr Salako added that increasing consumption of sugar-sweetened beverages has contributed to rising rates of obesity and diabetes, prompting the introduction of the sugar-sweetened beverage tax, while industrial trans fats have also been restricted under Nigeria’s Trans Fatty Acid Regulation.

“These measures are designed to control dietary patterns that fuel the growing burden of non-communicable diseases, placing enormous pressure on health systems, national economies and household incomes,” he said.

Child malnutrition remains a concern

Mr Salako also highlighted the country’s persistent nutrition challenges, noting that malnutrition remains a direct or underlying cause of nearly half of the deaths among children under five years.

He said the Nigeria Mini Demographic and Health Survey found that about four in every 10 Nigerian children under five are stunted, while nearly two million children suffer severe acute malnutrition annually.

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“These are not merely health statistics. They represent profound human capital challenges with significant implications for educational attainment, labour productivity, household prosperity, national competitiveness and sustainable economic growth.”

Implementation key

Mr Salako stressed that the success of the guidelines would depend on effective implementation rather than their launch.

He urged procurement and accounting officers across government institutions to ensure compliance, noting that procurement decisions influence health outcomes, productivity and public confidence in government.

He added that the Federal Ministry of Health and Social Welfare would continue to promote disease prevention through healthier public policies as part of efforts to achieve universal health coverage.


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FG expands cancer funding, local drug production

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The federal government has said it is expanding funding, local drug production and research to improve cancer prevention, diagnosis and treatment while easing patients’ financial burden.

The Director-General of the National Institute for Cancer Research and Treatment (NICRAT), Usman Aliyu, said this on Saturday in Abuja at the Best of American Society of Clinical Oncology (ASCO) Africa 2026 conference.

The conference, organised in collaboration with the African Organisation for Research and Training in Cancer (AORTIC), has the theme: “From Global Discovery to Local Delivery: Driving Africa to the Cutting Edge of Cancer Care.”

Mr Aliyu said the government had introduced measures to make cancer care more affordable, although treatment remained beyond the reach of many Nigerians.

He said the Catastrophic Health Fund under the National Health Insurance Authority subsidised cancer prevention, diagnosis, chemotherapy and radiotherapy for eligible patients.

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He added that NICRAT operated the National Cancer Health Fund to support indigent cancer patients unable to afford treatment.

“These are initiatives by the government to support Nigerians suffering from this dreadful disease,” he said.

Mr Aliyu said the Presidential Initiative for Unlocking the Healthcare Value Chain would promote local production of cancer medicines and improve access to affordable treatment.

He said experts at the conference would review landmark studies presented at the ASCO Annual Meeting and adapt proven innovations to African health systems.

“We are trying to domesticate expensive treatments by producing much-needed medicines locally and translating global research into action in our clinics,” he said.

Financial protection

Lolade Adewale, Special Adviser on Research and Innovation to the Minister of State for Health, said government was expanding financial protection for cancer patients through targeted insurance schemes.

Ms Adewale said the Cancer Health Fund and the Social Determinants of Health Fund would improve access to treatment for eligible patients.

“Within the next year, you will hear more about it,” she said, referring to efforts to strengthen cancer insurance coverage.

She said Nigeria had commenced three immunotherapy clinical studies for the first time, giving patients access to advanced medicines previously unavailable in the country.

According to her, medicines such as Nivolumab and Keytruda are now available through clinical trials at no cost to participating Nigerians, reducing the need to seek treatment abroad.

Also speaking, Immediate Past President of AORTIC, Miriam Mutebi, said Africa accounted for only about eight per cent of global cancer research.

She said the continent’s research output remained inadequate, especially for cervical and prostate cancers, in spite of their high disease burden.

READ ALSO: Private sector indispensable to strengthening cancer care in Nigeria – NICRAT DG

Ms Mutebi urged African governments to fulfil their commitment to dedicate one per cent of Gross Domestic Product to research and development.

She said stronger domestic investment would generate evidence to improve diagnosis, treatment completion, patient experience and health systems.

The Chief Medical Officer of ASCO, Julie Gralow, said many breakthrough cancer therapies had not been adequately tested among African populations.

Ms Gralow said the conference would help determine how global evidence could be adapted to African settings while addressing affordability and access.

She said the ASCO-AORTIC partnership focused on workforce development, clinical research and training the next generation of African cancer researchers.

According to her, the organisations will open the second round of the Sub-Saharan Africa Clinical Research Scholars Programme in October.

AORTIC Vice-President for North America, Abiola Ibraheem, said the initiative was designed to bridge the gap between cancer care available in high-income countries and Africa.

She urged African countries to work collectively to improve access to innovative cancer therapies through a continental approach.

Ms Ibraheem said participation had grown significantly since the inaugural conference in Ethiopia, attracting more countries, sponsors and stakeholders committed to advancing cancer care across Africa.

The News Agency of Nigeria (NAN) reports that the conference brought together oncologists, researchers, policymakers and development partners from across Africa and beyond.

Participants reviewed major scientific advances presented at the ASCO Annual Meeting and explored how they could be applied within African health systems.

(NAN)


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