NARD Issues Federal Govt 21-Day Ultimatum Over Unpaid Allowances

Nigerian Association of Resident Doctors

NARD Issues Federal Govt 21-Day Ultimatum Over Unpaid Allowances

The Nigerian Association of Resident Doctors (NARD) has issued a 21-day ultimatum to the federal government, warning that industrial harmony in the health sector cannot be guaranteed if longstanding welfare and payment issues affecting doctors remain unresolved. The warning was contained in a communiqué released after the association’s Ordinary General Meeting (OGM) and Scientific Conference, which was held in Kano from May 31 to June 5, 2026. The conference was themed “Caring for the Caregivers: Mental Health and Emotional Resilience in Residency Training” and brought together resident doctors, medical experts, government officials, and other stakeholders to discuss challenges facing healthcare workers in Nigeria. The communiqué was signed by NARD President, Dr. Mohammad Suleiman, Secretary-General, Dr. Shuaibu Ibrahim, and Publicity and Social Secretary, Dr. Abdulmajid Yahya Ibrahim. NARD said the federal government had repeatedly failed to fulfil commitments made to doctors despite several engagements and assurances. At the press briefing concluding the OGM, the association declared an industrial dispute with the government over 14 unresolved demands affecting the health sector. “The association hereby declares an industrial dispute with the federal government of Nigeria on the outlined matters above and cannot guarantee industrial harmony after the 21-day window period given to address all the demands,” the communiqué stated.

Among its key demands, NARD called for the immediate release and payment of the 2026 Medical Residency Training Fund (MRTF) to all eligible resident doctors nationwide within the next 21 days. The MRTF is a statutory intervention fund specifically meant to support the training of resident doctors across accredited health institutions nationwide. Despite repeated assurances from the government, the fund remains unpaid, leaving many resident doctors struggling to finance their training. According to the association, the continued withholding of the MRTF has severely impacted the quality of medical residency training across the country, forcing many doctors to bear the financial burden of their specialization training personally. NARD has consistently maintained that the fund is not a privilege but a statutory entitlement that the government is obligated to disburse annually.

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The association raised concerns over unpaid salaries, promotion arrears and discrepancies in professional allowances reflected in members’ May 2026 salaries across federal and state health institutions. NARD is demanding payment of outstanding arrears arising from the 25/35 percent upward review of the Consolidated Medical Salary Structure (CONMESS) , as well as 19 months of unpaid professional allowance arrears owed to doctors across the country. The doctors further called for the immediate correction of discrepancies in professional allowances reflected in their May 2026 salary cycle and the settlement of all related arrears. Many members, the association noted, have continued to receive incorrect or incomplete salary payments despite multiple complaints and engagements with relevant government agencies. House officers’ welfare was another major issue highlighted. NARD cited persistent salary delays, unpaid arrears, internship placement challenges and onboarding difficulties that continue to affect young doctors just beginning their medical careers. The association noted that excluding house officers from the civil service scheme means they cannot benefit from wage awards or reviews, and called for a clear system ensuring every adjustment on salary or allowance is immediately reflected. NARD President Dr. Mohammad Suleiman has previously stated that “whenever the Federal Government makes adjustments to wage awards, minimum wage, or even during the review of hazard allowance, these adjustments do not automatically translate to house officers,” leaving this vulnerable group of doctors perpetually disadvantaged.

The association further accused Motunrayo Omidiran, Executive Chairman of the Federal Character Commission (FCC) , of delaying the issuance of compliance letters to federal health institutions. According to NARD, the delays have worsened manpower shortages and contributed to the growing brain drain in the health sector, as many qualified doctors and other healthcare workers are unable to be recruited into vacant positions. “The OGM demands the immediate issuance of a letter of compliance by the Chairperson of the FCC within the next 21 days to facilitate employment of healthcare workers and avert further worsening of the brain drain crisis,” NARD President Suleiman said during the press briefing. The association warned that the recruitment bottleneck created by the FCC’s delays has forced many young Nigerian doctors to seek employment opportunities abroad, further depleting an already overstretched workforce. With thousands of doctors leaving Nigeria annually for the United Kingdom, Saudi Arabia, Canada, and other destinations, NARD argues that addressing recruitment delays is a critical component of reversing the brain drain crisis.

The doctors also expressed grave concern over the rising cases of assault, harassment, intimidation and attacks on doctors while carrying out their duties. NARD President Suleiman described the trend as “barbaric, unacceptable and a dangerous threat” to the survival of the health system. “The OGM observed with grave concern the disturbing rise in cases of assault, harassment, intimidation and violent attacks against doctors across the country while discharging their professional duties,” Suleiman said. As part of its demands, the association urged the federal government and security agencies to develop and implement a National Healthcare Workers’ Assault Prevention and Response Protocol within the 21-day period. It also called for the immediate investigation, arrest, and prosecution of perpetrators of attacks on health workers. The association noted that many attacks on doctors and other healthcare workers go unreported or unpunished, creating a culture of impunity that emboldens violent individuals. NARD warned that if the trend continues unchecked, more healthcare workers will abandon the profession or seek safer working environments outside the country.

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The communiqué highlighted unresolved welfare issues in several major institutions, including the Lagos University Teaching Hospital (LUTH) and the Obafemi Awolowo University Teaching Hospitals Complex (OAUTHC) in Ile-Ife. NARD accused the management of OAUTHC of persistent intimidation of resident doctors, while alleging that LUTH had continued to withhold the provision of call meals for doctors despite repeated demands. The association also demanded full implementation of outstanding provisions in the Medical and Health Workers’ Collective Bargaining Agreement (CBA) and urged government action on excessive workload, prolonged call-duty hours, casualisation of doctors, and abusive locum appointments. Other welfare concerns were listed in various centres, including the Federal Capital Territory Administration (FCTA) hospitals and Barau Dikko Teaching Hospital in Kaduna, where doctors reportedly face severe staffing shortages and poor working conditions.

The association reiterated its demand for the full implementation of outstanding provisions in the Medical and Health Workers’ Collective Bargaining Agreement (CBA) . The CBA, which was signed between the federal government and health sector unions, contains several provisions aimed at improving the welfare and working conditions of healthcare workers. However, NARD noted that many of these provisions remain unimplemented years after they were agreed upon. Specific issues highlighted include excessive workload caused by severe manpower shortages, prolonged call-duty hours that violate safe working hour guidelines, the casualisation of doctors through irregular appointment practices, and abusive locum appointments that exploit young doctors. The association warned that these conditions are not only unfair to doctors but also dangerous for patients, as overworked and stressed physicians are more likely to make medical errors.

The association commended the governors of Kano and Osun states, Abba Kabir Yusuf and Ademola Adeleke, for their efforts to improve doctors’ welfare and strengthen healthcare delivery in their states. According to NARD, both governors have demonstrated commitment to addressing the concerns of resident doctors in their respective states, contrasting their actions with what it perceives as the federal government’s sluggish response to the crisis. NARD specifically praised the Kano State government for hosting the association’s OGM and Scientific Conference and for its ongoing investments in healthcare infrastructure and workforce welfare. The association called on other state governors to emulate the examples set by Kano and Osun.

NARD has stated that its National Officers Committee will engage relevant stakeholders within the 21-day window period. After this period, the association’s National Executive Council (NEC) will review progress and take further decisions, which could include a nationwide industrial action. The doctors’ body said it expects concrete action from the government before the deadline expires, warning that failure to address the issues could trigger industrial unrest across the country’s health sector. A nationwide strike by resident doctors would effectively shut down tertiary healthcare services in federal and many state hospitals, as resident doctors constitute the backbone of clinical services in these institutions. The latest ultimatum adds to a long history of disputes between the country’s resident doctors and the federal government over remuneration, welfare, and training funding. Over the years, NARD has repeatedly threatened or embarked on industrial actions over unpaid allowances, salary arrears, and delays in the release of the MRTF. Many of the issues highlighted in the latest communiqué have remained recurring points of contention between the association and the government.