By Joan Nwagwu
A coalition of West African Health Sector Unions has expressed concern over the worsening workforce crisis in the region, calling for urgent and coordinated action by governments.The union made the call at the 25th plenary session of the West African Health Sector Unions Network (WAHSUN) on Friday in Abuja.
The theme of the event was “Strengthening Public Healthcare Delivery Systems in West Africa: Trade Union Strategies for Workforce Protection, Equity and Universal Health”.
Speaking at the opening, its Chairman, Dr Kabiru Ado-Minjibir, said the region was grappling with severe shortage of health workers amid rising disease burden.According to him, the region is facing a critical shortage of health workers, which is already affecting service delivery across countries.
“We cannot sustain our health systems when a large number of trained professionals continue to leave in search of better conditions.“Unless urgent steps are taken to bridge workforce gaps, the situation will worsen and compromise healthcare access for millions,” he said.Ado-Minjibir noted that Africa accounts for about 10 per cent of the global population but carries nearly 25 per cent of the global disease burden, with only about four per cent of the world’s health workforce.Ado-Minjibir, who is also the President of Medical and Health Workers’ Union of Nigeria (MHWUN), identified mass migration of health professionals, poor remuneration, among others and limited career opportunities as key drivers of the crisis.
The chairperson added that insecurity, especially in the Sahel region, had further worsened the situation, exposing health workers to attacks and increasing risks in service delivery.He also decried the poor welfare of community health workers, saying that many workers remained unpaid and without formal recognition despite their critical role in primary healthcare delivery.
According to him, over 80 per cent of community health workers in Africa do not receive formal salaries.Ado-Minjibir also decried low budgetary allocation to the health sector in many African countries, noting that most countries had failed to meet the 15 per cent target under the Abuja Declaration.He called on governments to prioritise investment in the health sector, enforce labour agreements, and ensure adequate protection and motivation of health workers.
He called for stronger regional collaboration and partnership with stakeholders to address the challenges and improve health outcomes across West Africa.According to him, the unions will continue to engage governments and advocate policies that promote fair wages, safe working conditions and sustainable health systems.
Also speaking, Mr Baba Aye, Global Head of Health and Social Services at Public Services International (PSI), said regional health union networks remained critical to strengthening collaboration and advocacy among health workers.Aye said the West African Health Sector Unions Network was conceived in 2004 and formally inaugurated in 2007, describing it as the first of its kind within PSI’s regional structures.
He noted that the initiative had since inspired the establishment of similar health union networks in East and Southern Africa, as well as in the Americas.According to him, PSI represents about 30 million workers globally, with nearly half of that number in the health sector, underscoring the importance of healthcare to human life and development.
Aye said despite its importance, public health systems across the world, particularly in Africa, continued to face challenges of underfunding, privatisation pressures and workforce shortages.