Apr 19, 2024
A regional health care rights campaign led by the Organization of Trade Unions of West Africa (OTUWA) saw some success in Nigeria this month, where the federal government announced a disbursement of almost $70 million to bolster the country’s health infrastructure.
The funds will be delivered through the country’s Basic Health Care Provision Fund, which delivers essential but often out-of-reach health care service to Nigeria’s citizens–more than 90 percent of whom work uncertain, poorly paid informal jobs.
“We celebrate with our Nigerian partners 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.
In Nigeria, where out-of-pocket health care payments were reportedly among the highest in the world in 2023, the campaign is supported by the International Federation of Women Lawyers (FIDA), the Medical and Health Workers Union of Nigeria (MHWUN), the National Association of Nigeria Nurses and Midwives (NANNM) and labor federations Nigeria Labor Congress (NLC) and Trade Union Congress of Nigeria (TUC).
In the region, OTUWA’s “Health Care Is a Human Right” campaign is supported by OTUWA’s affiliates together with many of their health-sector unions. A 2020 survey of 700 health workers living in Gambia, Ghana, Nigeria, Senegal, Sierra Leone and Togo provides a window into the region’s health-sector shortcomings and presents a raft of recommendations for ensuring the protection of health worker rights and effective, accessible health care for all.
OTUWA’s “Health Care Is a Human Right” campaign, launched in Abuja in March 2021, unites OTUWA affiliates in a fight for equal and fair health care access for all who live within the ECOWAS region. The campaign includes collection of health data and advocacy with national and continent-wide African Union legislators and policymakers.
The region’s signatory governments are required by ECOWAS Fundamental Principles to promote and protect human rights in accordance with the African Union (AU) Charter on Human and Peoples’ Rights—including provision of social protections such as health care.
Like many other African countries, Nigeria’s government is struggling to provide essential services to its citizens in the context of mounting national debt and illicit financial flows. Curbing multinational tax dodging, government corruption and other criminal activity is essential, say unions, because doing so could cut by almost half the $200 billion annual financing gap for achieving the UN Sustainable Development Goals, according to the UN Conference on Trade and Development (UNCTAD). The 2023 SDG 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 represents trade union national centers in the 15 West African countries comprising the Economic Community of West African States (ECOWAS).
Jul 5, 2014
In Nigeria’s oil-rich Niger Delta, where the nation’s vast oil revenue has not benefited working people, who typically are paid less than $2 per day, women and children are especially vulnerable.
Yet in the face of corruption, environmental degradation, gender discrimination and human rights abuses, a unique, women-led grassroots coalition is training and mobilizing women in urban and rural communities, empowering them to hold local lawmakers accountable and achieve concrete goals in their communities.
Women Initiative for Transparency and Social Justice (WITSOJ), a coalition of union and community groups, formed in 2007, inspired by a Solidarity Center workshop on women’s empowerment and civil-society participation in Warri, a major oil city in Delta State. Since then, WITSOJ has trained more than 5,000 women and young people in hands-on workshops.
“Because of the way the government has been running its affairs (local residents) think they should beg for health care services, schools, roads,” said Sarah Emmanuel-Apia, a lawyer and WITSOJ leader. “We show them the (Nigerian) constitution and the budget and (show them that) these things should come to them even without asking—and if they don’t get it they should come together to make their demands.”
Following one such WITSOJ training in 2011, hundreds of women from several communities marched to the local council building in Oyigbo, a town northeast of Port Harcourt, to demand a health care clinic. Local officials had ignored their requests for years, but empowered by WITSOJ, the women refused to be turned away. Ultimately, the government renovated the area’s dilapidated health clinic and also built a well-equipped health center at nearby Obuakpu.
“Maternal mortality is very high here,” said Emmanuel-Apia. “It’s normal here for women to die giving birth. If bringing the health center will help them live longer, we will support it.”
Emmanuel-Apia and others in WITSOJ are featured in a new Solidarity Center report, “Nigeria: Empowering Women, Transforming Society,” available in English and Spanish.
As a coalition of more than 20 local organizations, WITSOJ regularly taps into the expertise of its members, such as Women in PENGASSAN, the Petroleum and Natural Gas Senior Staff Association of Nigeria.
Ijeoma Dom-Nwachukwu, national chairwoman of Women in PENGASSAN, says the union partners with WITSOJ to fight for “the women who are marginalized in rural areas.
WITSOJ coordinator Dr. Jennifer Spiff says the union’s deep roots in local communities adds credibility to WITSOJ. “The partnership with the union “gives WITSOJ the leverage to be trusted as an organization owned by the masses,” she said.
“Working people see trade unions as representing the people, and believe that WITSOJ cannot be hijacked by politicians, since it has a union collaboration.” The coalition also includes the Nigeria Labor Congress (NLC) and the Trade Union Congress of Nigeria (TUC).
Through its outreach, “WITSOJ has made women realize the need for gender equality, and that most times, women can become as good ambassadors in leadership as their male counterparts,” said journalist Gold Minimah, an active WITSOJ member.
Victory Goodluck, a WITSOJ member and farmer from the Ihuike community in Ahoada East Local Government, points out that the organization’s strategy to focus on women works “because women are instruments of change.”
The report is part of Catalysts for Change, a Solidarity Center series highlighting the working people, their unions and activists who are advancing worker rights and greater equity in their societies.
