Here is the budget breakdown for LUTH and UCH. The FG practically funds the hospital 100%. LUTH has a personnel cost of N8bn while UCH has N13bn. These personnel costs are 20 - 40 times the capital expenditure. This is a yearly recurrent cost sunk into salaries.
The FG also make provisions for other items, clears debts incurred by patients who are unable to pay for services, equip these hospitals and maintain the equipment.

12 years after leaving the teaching hospital, the prices haven't changed,fees have remained stagnant for 20 years
While salaries have gone up multiple times, cost of drugs, cost of equipment, cost of consumables have gone up in multiple folds.

Why should the FG incur personnel cost? 50 year old institutions that cannot pay their personnel costs..
The FG just concluded the construction of modular theatres at Igbobi Hospital. The same FG will be called to maintain the theatres in 3 months time. The same FG will pay salaries of workers, the same FG will pay outstanding debts by Nigerians who use the facility.
The 2020 budget breakdown is available online. Nigerians don't want any form of price increment, no taxes, no insurance. Doctors and health workers want higher pay and global working conditions despite gulping 40 times capital the expenditure as salaries…

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More from @fimiletoks

6 Apr
Let's be serious for once in this country. How many hospitals did GEJ your boss build? Point at one health facility built by GEJ. Obasanjo revamped our teaching hospitals with VAMED engineering, GEJ couldn't maintain them, allowed equipment rot away in containers..
Some equipment didn't leave the ports.
Even if we want to abuse this present administration this is the second time teaching hospitals will be undergoing revamp.

- 3 state of art Diagnostics and cancer centres in LUTH, Aminu Kano and Umuahia

- NCDC PCR laboratories
- PCR laboratories in several states for virology samples
- CBN intervention fund for healthcare
- CBN healthcare research grants
- Basic Healthcare provision fund disbursed to states to revamp PHCs each state got $1.5m.
- capital projects ongoing in major teaching hospitals
Read 4 tweets
3 Apr
During my internship days in UITH, we used to refer patients to Olaolu Hospital in Ilorin for CT scan. I found it surprising that Olaolu Hospital, a small clinic could maintain a CT scan while UITH couldn't. Let's forget the difference in the cost of the service..
Olaolu pays its workers, buys diesel, pay taxes and maintains its facility so they have to price higher and the difference wasn't too significant. UITH doesn't pay salaries, salaries are paid by FG, diesel is bought from recurrent expenditure, the facility is maintained by FG.
Major expenses are borne by the FG so the cost of services rendered should be lower, since they don't suffer a huge opex yet they couldn't ensure their CT scan was functional.
It's govt property, nobody cares if the machine makes money or not. Nobody cares if the patients suffer
Read 4 tweets
3 Apr
After the conclusion of your internship as a doctor, there is a likelihood that your name will remain on the payroll for years. Your salary will be paid to accounts operated by cartels. Internship quotas are exceeded by most hospitals but they can't submit names.
As requested by MDCN, 23 hospitals can't provide accurate data of House officers on their payroll yet they claim that their quota was exceeded.
We have doctors struggling to get internship positions after graduation all over the country. How many doctors do we produce yearly?
Why is it so hard to get internship positions for Approximately 3,000 new doctors yearly. House officers are overworked, covering 72hrs shifts. A learning process has been turned to a casual labour scheme with padded payroll system.
Read 5 tweets
26 Mar
Please stop distorting history. Oil prices didn't tank in 1983, oil sold at $29 per barrel in 1979, went as high as $34 in 1981 and dipped back to $29 in 1983. Pre 1979 oil was sold between $10 - $12 per barrel. For Shagari in 1979, it was bazaar because Oil was double the price
Price decrease in Oil was $3 from the previous year. Increase was from $12 in 1978 to $29 per barrel in 1979 when Shagari became president. It was a windfall..the price remained steady till 1983. Failure to pay salaries / bankruptcy was due to mismanagement and corruption.
Shagari was ousted by a coup on the 31st of December 1983.

Oil price "tanked" in 1986 from an average of $29 back to $12 ( 50% decrease in price ) and IBB brought Structural Adjustment Program.

Oil price tanked in 1998 to from $20 per barrel in 1996 to $12
Read 5 tweets
16 Mar
You guys are becoming so irresponsible. What is CBN's business with a service provided by Telco's and Banks? Is CBN in charge of MTN, Airtel and Glo services? Telcos provide the service and they have agreed to charge a flat rate or N7.00 instead of the N4.00 per session / 20secs
What do you gain by constantly mis-informing the public? USSD is a service provided by telcos to banks just like mobile calls and Internet services.

What exactly is your mission?
The flat rate is a reduction compared to the N4.00 per session / 20secs previously charge especially for services that require multiple sessions. The service is not free from the Telcos.
In South Africa, USSD services cost R.20 per 20 secs which is approximately N6.
Read 4 tweets
16 Mar
Twice I have engaged the NBS on this criteria of classifying unemployed, underemployed and employed. Jobs are gradually shifting from hourly intensive, hard labour promoting classification to skill and enterprise based models. I don't need 29 hours weekly to earn a living.
In a largely unstructured economy, every Nigerian you come across and interview will tell you that they are "looking for a job". There is a bias, some will think the govt wants to help them get something better. A lot will outrightly claim they have nothing to do presently.
The plumber that came to fix some drains in house billed me 10k in less than 2hrs. Such a guy will claim that he has no work because he doesn't work in a structured environment.
Social media marketers, online marketers, make up artistes, decorators, dancers, weekend bar tenders
Read 4 tweets

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