Maldives Health Care Workers Win Paid Overtime

Maldives Health Care Workers Win Paid Overtime

Health care workers working in the public sector throughout the Maldives will now receive overtime pay in full for all public holidays, resulting from a robust campaign spurred by the Maldives Health Professionals Union (MHPU). 

A health care worker holds a sign stating: “Wage theft is a crime–Pay overtime wages.” Credit: MHPU

The new amendment, approved at the end of March, covers all 9,000 government health care workers and removes a 10 percent cap on salary for public holidays. Paid overtime includes all public holidays, such as Fridays, which are part of the official weekend in the Maldives Solidarity Center, an MHPU partner, has provided advocacy and organizing support. 

“This recent change, achieved through the relentless efforts of many dedicated individuals, marks a significant step toward ensuring health care workers receive the compensation they rightfully deserve for their tireless commitment,” says Ramsha, a public health program officer.

Staffing shortages have meant nurses and many health care employees regularly work between 40 and 60 hours of overtime each month—all with no pay. Under the new amendment, workers will be compensated if they are assigned extra hours of work during public holidays. 

The health care workers often work extra hours beyond their regular schedule, sacrificing their personal and family life. The recent amendment protects wages—- especially during public holidays—and provides additional income protections in the struggling economy. 

“They were compelled to work because of shortages,” says Fathimath Zamnia, MHPU general secretary. “Many are kept on call 24/7 and some work 12 hours, with no adequate rest between the next shift.” Hours standing to care for patients resulted in young workers using pain-relief patches, undergoing spinal surgeries and often suffering from chronic illness, adversely affecting families.

“Health care workers are highly service-oriented and often make significant sacrifices,” Zimna says. 

Health care workers say that while the amendment does not address all issues related to overtime, “we want to ensure that all workers are safeguarded against unpaid forced labor, as it directly impacts both patient care and life beyond work of the individual.” 

Solidarity Center Builds New Strategies

Solidarity Center has played a vital role in providing training and technical assistance to partner unions, including MHPU in the Maldives. The successful overtime campaign reflects the new strategies Zimna and the union gained in both the Solidarity Center’s Global Labor Leadership Institute and Global Organizing Institute. Their new focus facilitated unions to build a grassroots structured organizing campaigns focused on strategies that educate and mobilize workers to build collective power. 

“We want to ensure that all workers are safeguarded against unpaid forced labor”–Fathimath Zimna. Credit: Solidarity Center / Mollie Relihan

The public campaign included media coverage in newspapers, involving agitating workers through social media to highlight their struggles. As more workers became involved on Facebook and X (Twitter), two common platforms, more workers reached out using the union hashtag, with their friends and relatives joining. 

The healthcare workforce continues to face multiple issues in their working environments, “We are dedicated to strengthening workers’ collective power and continuously striving to achieve better working conditions and improved quality of care,” Zimna says. 

Bolstering Worker Wins

Bolstering fundamental democratic principles such as decent wages and safe working conditions, the Maldives Trade Union Congress (MTUC) and MPHU began a years-long struggle for passage of the Industrial Relations Act in 2024, which, with its emphasis on the protection of worker rights, unions say paves the way for economic and social progress. 

“The Solidarity Center was a huge partner in the campaign in passing two very crucial [pieces of] legislation,” says Zimna. “The legal proceedings of the campaign were handled by the Public Interest Law Centre, which also was supported by the Solidarity Center. By providing technical and strategic support, Solidarity Center also assisted in conducting training sessions and running educational programs for workers.”

As the union builds the campaign around critical issues facing workers, the Industrial Relations Act provides provisions that “create an enabling environment to form unions, organize workers and achieve collective agreements across all sectors in the Maldives,” Zimna says.In addition, unions succeeded in passage of a Occupational Safety and Health bill that underscores stringent obligations for employers, emphasizing workplace safety standards, compensation frameworks and penalties for non-compliance. 

“I feel this is a great win for the union workers. Our rights have been neglected for so long, but we have come so far through our work within the union,” says Shifana Ali, a medical laboratory assistant and active participant in the campaign.

Over the past five years, MHPU, a Solidarity Center partner, has received essential support in advocacy and organizing efforts.

“Workers in the Maldives often are challenged with low wages and poor working conditions,” Zimna says. “A majority of workers in Maldives are migrants, and the growing workforce often is exploited and exposed to unsafe conditions.  

“The experiences that we share are similar—as with many workers around the world, the solution lies in organizing workers and building our collective power to resist, fight and win for the workers. We are strongly committed to organizing workers in the Maldives.”

West Africa Union Health Care Campaign Celebrates Sierra Leone Funding Boost

West Africa Union Health Care Campaign Celebrates Sierra Leone Funding Boost

A four-year, regional, health care rights campaign led by the Organization of Trade Unions of West Africa (OTUWA) is expanding its success and influence in the region with Sierra Leone’s Finance Minister last month announcing a 2 percent increase in the country’s budget allocation for the health sector, from 7 percent in 2024 to 9 percent in 2025.

“The Sierra Leone Labor Congress appreciates the increase as a success of our health care campaign,” says OTUWA Executive Secretary John Odah, while noting that Sierra Leone’s government has not met the 15 percent minimum annual budgetary health allocation to which African heads of state agreed in the landmark 2001 Abuja Declaration.

Like many countries in the region, in the context of mounting national debt, multinational tax dodging and illicit financial flows, Sierra Leone’s government is struggling to provide essential services to its citizens, including accessible health care. 

Sierra Leone’s health care funding increase builds on the success of OTUWA’s “Health Care Is a Human Right” campaign this year in Nigeria, where the federal government in April announced a disbursement of almost $70 million to bolster the country’s health infrastructure

Given that more than 80 percent of West Africa’s working people earn their living in poorly paid and uncertain informal-sector jobs, lack of access to state-provided health care or health insurance is placing an unfair financial burden on low‐income individuals and households, say unions. A United Nations report noted that 381 million people, or almost 5 percent of the world’s population, were pushed into extreme poverty in 2019 by out-of-pocket health expenditures. 

OTUWA’s health care rights campaign unites West Africa’s unions in a fight for equal and fair health care access for all. Campaign participants, which include OTUWA affiliates and national health care unions, have been advocating since 2020 for the protection of health worker rights and effective, accessible health care for all with national and continent-wide African Union legislators and policymakers, including the Economic Community of West African States (ECOWAS) Parliament. An OTUWA survey of 700 health workers living in Gambia, Ghana, Nigeria, Senegal, Sierra Leone and Togo provided a window into the region’s health-sector shortcomings and presented a raft of recommendations that included increased funding for the health care sector across the region. This year, the campaign expanded its influence through an alliance with Public Services International, a global union federation that represents 30 million workers in 154 countries and, to preserve public resources, added good governance to its demands.

“We celebrate with our Sierra Leonean brothers and sisters and will continue to support unions that are demanding more investment by governments in the health of their citizens,” says Solidarity Center Africa Regional Program Director Christopher Johnson.

OTUWA represents trade union national centers in the 15 West African countries comprising ECOWAS. None of West Africa’s signatory governments–required by ECOWAS Fundamental Principles to promote and protect human rights in accordance with the African Union (AU) Charter on Human and People’s Rights, including provision of social protections such as health care–are implementing the 15 percent minimum annual budgetary health allocation.