Unpaid arrears: Resident doctors threaten total nationwide strike

Unpaid arrears: Resident doctors threaten total nationwide strike

The Nigerian Association of Resident Doctors (NARD) has threatened to begin a nationwide indefinite strike from August 10, 2026, if the Federal Government fails to substantially address outstanding demands concerning salary arrears, welfare and working conditions.

The association issued the fresh strike notice after its National Executive Council (NEC) meeting held in Gombe State from July 26 to July 31, where members reviewed previous agreements with the Federal Government and assessed the state of healthcare delivery across the country.

Speaking after the meeting, NARD President, Dr. Mohammad Usman Suleiman, said the association was dissatisfied with what it described as the slow pace of implementation of agreements reached with the government despite months of negotiations and repeated engagements.

Suleiman said NARD had extended its previous strike ultimatum on four occasions to give the Federal Government more time to resolve the outstanding issues. However, he said several commitments had yet to be fulfilled.

The association warned that resident doctors across Nigeria would commence a total and indefinite industrial action if the government failed to substantially address the demands before the August 10 deadline.

Among the key demands is the immediate payment of outstanding arrears linked to the 25–35 per cent CONMESS salary adjustment, as well as 19 months of unpaid professional allowance arrears, promotion arrears and outstanding salaries owed to doctors in several federal health institutions.

NARD identified several facilities where some doctors are affected by unresolved salary and welfare concerns. The institutions include the University of Health Sciences Teaching Hospital, Okuki; Federal Medical Centre, Owo; Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife; University of Uyo Teaching Hospital; Federal University Teaching Hospital, Owerri; Alex Ekwueme Federal University Teaching Hospital, Abakaliki; and Federal Medical Centre, Makurdi.

The association also raised concerns over the safety of doctors and other healthcare workers, citing reports of assault, harassment, intimidation and attacks on medical personnel while performing their duties.

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NARD warned that continued attacks on healthcare workers could worsen the shortage of medical personnel and further affect healthcare services, particularly in public hospitals already facing staffing and infrastructure challenges.

The association called on the Federal Government to establish a National Healthcare Workers Assault Prevention and Response Protocol and urged the National Assembly to pass legislation that would criminalise attacks on healthcare personnel and strengthen protections for health workers.

On the 2026 Medical Residency Training Fund, NARD acknowledged the Federal Government’s release of the fund but insisted that resident doctors who were excluded from the initial disbursement should be identified and paid without further delay.

The association said delays in accessing the training fund could affect the professional development of resident doctors and create additional financial pressure during their medical training.

NARD also expressed concern over the welfare of house officers, citing prolonged salary delays, unpaid entitlements and challenges relating to internship placement, documentation and onboarding.

According to the association, some newly employed doctors begin work and continue for several weeks or months before receiving their first salaries, a situation it said creates financial hardship and affects morale.

The doctors further demanded the immediate conclusion and implementation of the Medical and Health Workers Collective Bargaining Agreement.

They also called for urgent measures to address excessive workload, prolonged call-duty hours and shortages of healthcare workers in public hospitals.

NARD urged the Federal Ministry of Health and Social Welfare to intervene in the lingering industrial dispute involving resident doctors at the Lagos University Teaching Hospital (LUTH) and ensure that outstanding welfare concerns are resolved.

The association also called on the Federal Government and state governments to increase investment in the health sector through improved funding, rehabilitation and expansion of healthcare facilities, modern medical equipment, reliable electricity supply and the recruitment and retention of healthcare professionals.

According to NARD, stronger investment in healthcare infrastructure and human resources is necessary to improve access to quality medical services and support the implementation of universal health coverage across Nigeria.

The association also appealed to the Federal Capital Territory Administration, the Kaduna State Government and the management of affected federal tertiary health institutions to resolve outstanding salary, welfare and training issues involving resident doctors.

NARD linked many of the challenges facing Nigeria’s healthcare system to the increasing migration of doctors abroad in search of better pay, improved working conditions and stronger career opportunities.

The association said more than 16,000 Nigerian doctors had left the country within the last three to four years, warning that the continued loss of medical professionals could place additional pressure on the country’s healthcare system.

According to NARD, the number of doctors leaving Nigeria is now believed to be higher than the number graduating annually from the country’s medical schools.

The association warned that the continued migration of doctors, combined with inadequate recruitment, delayed payments and unresolved welfare concerns, could further increase workloads for healthcare workers who remain in the country.

NARD said it remained open to dialogue but stressed that the Federal Government must take concrete steps before August 10 to prevent a disruption of healthcare services in public hospitals nationwide.

If the strike proceeds, it could affect medical services in federal and state hospitals where resident doctors play major roles in patient care, emergency services, clinical training and the day-to-day operations of healthcare facilities.

Unpaid arrears: Resident doctors threaten total nationwide strike