Tuesday, 11 February 2020


The attached is the compilation of the inputs made by the extended UGONSA committee on Nursing Act amendment. The committee was set up at the 19th National Professional Conference of UGONSA, Kaduna 2019 with a mandate of comparing the current Nigerian nursing Act with that of other healthcare disciplines in Nigeria as well with the Nursing Act in developed Countries such as US, UK, Canada, etc and coming up with a document that will contain what our nursing Act should look like at the present moment. After extensive research and relentless effort from July 2019 to February 2020, the committee came up with the proposal so attached as what will at least make nursing in Nigeria more responsive, dynamic and adaptive to changing and challenging contemporary healthcare needs as is with the profession in climes with ranking health systems.

Good enough, Senator  Mohammed Hassan (Zamfara Central) out of altruism and love for the profession has landed a bill for the amendment of the Act at the National Assembly. While the collaborative effort of the NMCN and NANNM that helped to get us to this point of potential reprieve cannot be over-emphasized, UGONSA passionately call for all that sincerely want this bill to be a standing departure from the existing Act (which placed a limiting & compressing rein on almost every facet of growth & development of the profession) to make out time to review the UGONSA proposed amendments by comparing the attached document word by word with the current Act and make observations and suggestions. 

All observations and suggestions must be returned to UGONSA via our email address, gnan2ugonsa@gmail.com, not later than  Sunday 23rd February, 2020.

By the last week of February, all the suggestions, observations, and ideas articulated from the general nursing community shall be further built into this document that was produced by the committee and availed to the Distinguished Senator Mohammed Hassan, the NMCN and NANNM. 

Following this, UGONSA shall collaborate with other stakeholders to mobilize actions to see that areas that deserve amendment, as identified by the Committee & the general nursing community, are considered by the Senate sub-committee that will handle the amendment of the bill. This is a time for action and active participation; no genuine lover of the profession should sit on the fence or appear to sit on the fence. All hands must be on the deck. The UGONSA proposed amendment to the Act is in MS word while the currently existing Nursing Act is in PDF.


UGONSA National Excos

Please visit our telegram page for the documents

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Sunday, 29 December 2019


Nurses, under the auspices of University graduates of nursing science association (UGONSA), have decried the rising cases of suicide amongst students in the nation’s institutions of higher learning, describing the unfortunate development as a “sad commentary”.

In a statement by the UGONSA Assistant National Secretary East, Nurse P.O. Eteng, the association opined that the sad development now occurs almost every other week among our youths.

The statement read, “The questions begging for urgent answers are - what could make a young person in-waiting as a leader of tomorrow, see no reason to continue to exist? Have we as a Country by our actions or inactions subtly or overtly made the future of our young generation irretrievably bleak? Will this ugly trend abate or is this just the beginning?

“Whatever the answers to these questions are, one thing we cannot play down on is the urgent need to tackle the ugly trend.

“In doing this, a holistic approach involving the family, the community, the school and the government must be elaborated with keen action towards restoring hope to the young generation as hope is the anchor of existence without which life becomes meaningless and useless.

“Most specifically, solutions must be found for the skyrocketing unemployment rate pervading the country as nothing can be more traumatizing than the agony and fear of endlessly remaining unemployed after graduating from a higher institution. Such is a sad commentary that is akin to forcing an adult to remain a child forever.     

“While it is good to engage the services of healthcare professionals in stemming the tide, the ultimate goal should be to treat the disease and not its symptoms. As such we must look inward to tackle those things that make life seem like a mistake to our youths; those things that make them live in morbid fear of the unknown and hopelessness; those things that gravitate towards guilt and self-condemnation; those things that contort inclusiveness; those things that breed unending poverty and hardship.

“Most importantly, we admonish our youths to always remember that a living dog is better than a dead lion. Just as failure today is not failure forever, hardships and problems today are also not hardships or problems forever!

“Life is the most sacred gift from God that should never be tampered with by any man let alone oneself. Doing so is an unpardonable sin. Rather than resorting to taking ones’ own life we appeal to our youths to speak up and cry out whenever life challenges are excruciatingly pushing to end it all - the statement concluded.

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Friday, 20 December 2019


The University Graduates of Nursing Science Association (UGONSA), the professional association of nurses with a minimum qualification of first degree in nursing has conveyed a Nightingale seasons’ greetings to Nurses.

Recounting the tremendous efforts of nurses at resurrecting the hopes of patients and their relatives when clouds of hopelessness envelop their health, the UGONSA Assistant National Secretary East, Nurse P.O. Eteng, in a Christmas & New Year Message, described nurses as “golden gifts to mankind”.

The statement reads, “As we celebrate Christmas which signifies Love to mankind we cannot but celebrate nurses who are golden gifts to mankind representing the practicum of the love we celebrate in yuletide by altruistically living their lives for the care and betterment of patients and their relatives alike.

“Even though the year 2019 was a great nursing year, we charge our amiable and indefatigable nurses to surpass the great records of 2019 in the year 2020 as THE WORLD HEALTH ORGANISATION has designated 2020 as the “Year of the Nurse”, marking 200 years since the birth of Florence Nightingale, who was the motivating spirit behind advent of modern nursing.

“As an association, we reaffirm our avowed mandate of striving to get better deals for nurses and patients in our health system. Come 2020, we shall give more vigour to capacity building for valued-added nursing services through advocacy and drive for change aimed at loosening the restricting rein that prevents nurses from practicing with the full set of the competences with which they were trained.

“Our Scientific Sessions and Career Support Programmes designed to enhance nurses’ critical thinking and clinical judgment skills will be made more penetrating in the oncoming year to universally engender our motto - Nightingalism and Professionalism for qualitative client care.  

“In the spirit of the season, we pray that God will continue to grant Nurses the grace to shoulder the enormous responsibilities they bear in client care as we wish nurses the world over, and all individuals and groups that promote the course of nurses and their patients, a merry Christmas and fruitful New Year – the statement concluded.

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Saturday, 30 November 2019

13 Ways to Prevent Type 2 Diabetes

Type 2 diabetes is a chronic disease that affects millions of people worldwide. Uncontrolled cases can cause blindness, kidney failure, heart disease and other serious conditions.

Before diabetes is diagnosed, there is a period where blood sugar levels are high but not high enough to be diagnosed as diabetes. This is known as prediabetes.

It's estimated that up to 70% of people with prediabetes go on to develop type 2 diabetes. Fortunately, progressing from prediabetes to diabetes isn't inevitable (1).

Although there are certain factors you can't change — such as your genes, age or past behaviors — there are many actions you can take to reduce the risk of diabetes.

Here are 13 ways to avoid getting diabetes.
1. Cut Sugar and Refined Carbs From Your Diet

Eating sugary foods and refined carbs can put at-risk individuals on the fast track to developing diabetes.

Your body rapidly breaks these foods down into small sugar molecules, which are absorbed into your bloodstream.

The resulting rise in blood sugar stimulates your pancreas to produce insulin, a hormone that helps sugar get out of the bloodstream and into your body's cells.

In people with prediabetes, the body's cells are resistant to insulin's action, so sugar remains high in the blood. To compensate, the pancreas produces more insulin, attempting to bring blood sugar down to a healthy level.

Over time, this can lead to progressively higher blood sugar and insulin levels, until the condition eventually turns into type 2 diabetes.

Many studies have shown a link between the frequent consumption of sugar or refined carbs and the risk of diabetes. What's more, replacing them with foods that have less of an effect on blood sugar may help reduce your risk (2Trusted Source, 3Trusted Source, 4Trusted Source, 5Trusted Source, 6Trusted Source).

A detailed analysis of 37 studies found that people with the highest intakes of fast-digesting carbs were 40% more likely to develop diabetes than those with the lowest intakes (7Trusted Source).

    Eating foods high in refined carbs and sugar increases blood sugar and insulin levels, which may lead to diabetes over time. Avoiding these foods may help reduce your risk.
2. Work Out Regularly

Performing physical activity on a regular basis may help prevent diabetes.

Exercise increases the insulin sensitivity of your cells. So when you exercise, less insulin is required to keep your blood sugar levels under control.

One study in people with prediabetes found that moderate-intensity exercise increased insulin sensitivity by 51% and high-intensity exercise increased it by 85%. However, this effect only occurred on workout days (8Trusted Source).

Many types of physical activity have been shown to reduce insulin resistance and blood sugar in overweight, obese and prediabetic adults. These include aerobic exercise, high-intensity interval training and strength training (9Trusted Source, 10Trusted Source, 11Trusted Source, 12Trusted Source, 13Trusted Source, 14Trusted Source).

Working out more frequently seems to lead to improvements in insulin response and function. One study in people at risk of diabetes found that burning more than 2,000 calories weekly via exercise was required to achieve these benefits (14Trusted Source).

Therefore, it's best to choose physical activity that you enjoy, can engage in regularly and feel you can stick with long-term.

    Performing physical activity on a regular basis can increase insulin secretion and sensitivity, which may help prevent the progression from prediabetes to diabetes.

3. Drink Water as Your Primary Beverage

Water is by far the most natural beverage you can drink.

What's more, sticking with water most of the time helps you avoid beverages that are high in sugar, preservatives and other questionable ingredients.

Sugary beverages like soda and punch have been linked to an increased risk of both type 2 diabetes and latent autoimmune diabetes of adults (LADA).

LADA is a form of type 1 diabetes that occurs in people over 18 years of age. Unlike the acute symptoms seen with type 1 diabetes in childhood, LADA develops slowly, requiring more treatment as the disease progresses (15Trusted Source).

One large observational study looked at the diabetes risk of 2,800 people.

Those who consumed more than two servings of sugar-sweetened beverages per day had a 99% increased risk of developing LADA and a 20% increased risk of developing type 2 diabetes (16Trusted Source).

Researchers of one study on the effects of sweet drinks on diabetes stated that neither artificially sweetened beverages nor fruit juice were good beverages for diabetes prevention (17Trusted Source).

By contrast, consuming water may provide benefits. Some studies have found that increased water consumption may lead to better blood sugar control and insulin response (18Trusted Source, 19Trusted Source).

One 24-week study showed that overweight adults who replaced diet sodas with water while following a weight loss program experienced a decrease in insulin resistance and lower fasting blood sugar and insulin levels (19Trusted Source).

    Drinking water instead of other beverages may help control blood sugar and insulin levels, thereby reducing the risk of diabetes.

4. Lose Weight If You're Overweight or Obese

Although not everyone who develops type 2 diabetes is overweight or obese, the majority are.

What's more, those with prediabetes tend to carry excess weight in their midsection and around abdominal organs like the liver. This is known as visceral fat.

Excess visceral fat promotes inflammation and insulin resistance, which significantly increase the risk of diabetes (20Trusted Source, 21Trusted Source, 22Trusted Source, 23Trusted Source).

Although losing even a small amount of weight can help reduce this risk, studies show that the more you lose, the more benefits you'll experience (24Trusted Source, 25Trusted Source).

One study of more than 1,000 people with prediabetes found that for every kilogram (2.2 lbs) of weight participants lost, their risk of diabetes reduced by 16%, up to a maximum reduction of 96% (25Trusted Source).

There are many healthy options for losing weight, including low-carb, Mediterranean, paleo and vegetarian diets. However, choosing a way of eating you can stick with long-term is key to helping you maintain the weight loss.

One study found that obese people whose blood sugar and insulin levels decreased after losing weight experienced elevations in these values after gaining back all or a portion of the weight they lost (26Trusted Source).

    Carrying excess weight, particularly in the abdominal area, increases the likelihood of developing diabetes. Losing weight may significantly reduce the risk of diabetes.

5. Quit Smoking

Smoking has been shown to cause or contribute to many serious health conditions, including heart disease, emphysema and cancers of the lung, breast, prostate and digestive tract (27Trusted Source).

There's also research linking smoking and second-hand smoke exposure to type 2 diabetes (28Trusted Source, 29Trusted Source, 30Trusted Source, 31Trusted Source).

In an analysis of several studies totaling over one million people, smoking was found to increase the risk of diabetes by 44% in average smokers and 61% in people who smoked more than 20 cigarettes daily (30Trusted Source).

One study followed the risk of diabetes in middle-aged male smokers after they quit. After five years their risk had reduced by 13%, and after 20 years they had the same risk as people who had never smoked (31Trusted Source).

Researchers stated that even though many of the men gained weight after quitting, after several smoke-free years, their risk of diabetes was lower than if they'd continued smoking.

    Smoking is strongly linked to the risk of diabetes, especially in heavy smokers. Quitting has been shown to reduce this risk over time.

6. Follow a Very-Low-Carb Diet

Following a ketogenic or very-low-carb diet can help you avoid diabetes.

Although there are a number of ways of eating that promote weight loss, very-low-carb diets have strong evidence behind them.

They have consistently been shown to lower blood sugar and insulin levels, increase insulin sensitivity and reduce other diabetes risk factors (32Trusted Source, 33Trusted Source, 34Trusted Source, 35Trusted Source, 36Trusted Source).

In a 12-week study, prediabetic individuals consumed either a low-fat or low-carb diet. Blood sugar dropped by 12% and insulin dropped by 50% in the low-carb group.

In the low-fat group, meanwhile, blood sugar dropped by only 1% and insulin dropped by 19%. Thus, the low-carb diet had better results on both counts (35Trusted Source).

If you minimize your carb intake, your blood sugar levels won't rise very much after you eat. Therefore, your body needs less insulin to maintain your blood sugar within healthy levels.

What's more, very-low-carb or ketogenic diets may also reduce fasting blood sugar.

In a study of obese men with prediabetes who followed a ketogenic diet, average fasting blood sugar decreased from 118 to 92 mg/dl, which is within the normal range. Participants also lost weight and improved several other health markers (36Trusted Source).

For more info, check out this Guide to Healthy Low-Carb Eating With Diabetes.

    Following a ketogenic or very-low-carb diet can help keep blood sugar and insulin levels under control, which may protect against diabetes.

7. Watch Portion Sizes

Whether or not you decide to follow a low-carb diet, it's important to avoid large portions of food to reduce the risk of diabetes, especially if you are overweight.

Eating too much food at one time has been shown to cause higher blood sugar and insulin levels in people at risk of diabetes (37Trusted Source).

On the other hand, decreasing portion sizes may help prevent this type of response.

A two-year study in prediabetic men found that those who reduced food portion sizes and practiced other healthful nutrition behaviors had a 46% lower risk of developing diabetes than the men who made no lifestyle changes (38Trusted Source).

Another study looking at weight loss methods in people with prediabetes reported that the group practicing portion control lowered their blood sugar and insulin levels significantly after 12 weeks (39Trusted Source).

    Avoiding large portion sizes can help reduce insulin and blood sugar levels and decrease the risk of diabetes.

8. Avoid Sedentary Behaviors

It's important to avoid being sedentary if you want to prevent diabetes.

If you get no or very little physical activity, and you sit during most of your day, then you lead a sedentary lifestyle.

Observational studies have shown a consistent link between sedentary behavior and the risk of diabetes (40Trusted Source, 41).

A large analysis of 47 studies found that people who spent the highest amount of time per day engaged in sedentary behavior had a 91% increased risk of developing diabetes (41).

Changing sedentary behavior can be as simple as standing up from your desk and walking around for a few minutes every hour.

Unfortunately, it can be hard to reverse firmly entrenched habits.

One study gave young adults at risk of diabetes a 12-month program designed to change sedentary behavior. Sadly, after the program ended, the researchers found that participants hadn't reduced how much time they sat (42Trusted Source).

Set realistic and achievable goals, such as standing while talking on the phone or taking the stairs instead of the elevator. Committing to these easy, concrete actions may be the best way to reverse sedentary tendencies.

    Avoiding sedentary behaviors like excessive sitting has been shown to reduce your risk of getting diabetes.

9. Eat a High-Fiber Diet

Getting plenty of fiber is beneficial for gut health and weight management.

Studies in obese, elderly and prediabetic individuals have shown that it helps keep blood sugar and insulin levels low (43Trusted Source, 44Trusted Source, 45Trusted Source, 46Trusted Source).

Fiber can be divided into two broad categories: soluble and insoluble. Soluble fiber absorbs water, whereas insoluble fiber does not.

In the digestive tract, soluble fiber and water form a gel that slows down the rate at which food is absorbed. This leads to a more gradual rise in blood sugar levels (47Trusted Source).

However, insoluble fiber has also been linked to reductions in blood sugar levels and a decreased risk of diabetes, although exactly how it works is not clear (4Trusted Source, 47Trusted Source, 48Trusted Source).

Most unprocessed plant foods contain fiber, although some have more than others. Check out this list of 22 high-fiber foods for many excellent sources of fiber.

    Consuming a good fiber source at each meal can help prevent spikes in blood sugar and insulin levels, which may help reduce your risk of developing diabetes.

10. Optimize Vitamin D Levels

Vitamin D is important for blood sugar control.

Indeed, studies have found that people who don't get enough vitamin D, or whose blood levels are too low, have a greater risk of all types of diabetes (49Trusted Source, 50Trusted Source, 51Trusted Source, 52Trusted Source).

Most health organizations recommend maintaining a vitamin D blood level of at least 30 ng/ml (75 nmol/l).

One study found that people with the highest blood levels of vitamin D were 43% less likely to develop type 2 diabetes than those with the lowest blood levels (49Trusted Source).

Another observational study looked at Finnish children who received supplements containing adequate levels of vitamin D.

Children who took the vitamin D supplements had a 78% lower risk of developing type 1 diabetes than children who received less than the recommended amount of vitamin D (50Trusted Source).

Controlled studies have shown that when people who are deficient take vitamin D supplements, the function of their insulin-producing cells improves, their blood sugar levels normalize and their risk of diabetes reduces significantly (51Trusted Source, 52Trusted Source).

Good food sources of vitamin D include fatty fish and cod liver oil. In addition, sun exposure can increase vitamin D levels in the blood.

However, for many people, supplementing with 2,000–4,000 IU of vitamin D daily may be necessary to achieve and maintain optimal levels.

    Consuming foods high in vitamin D or taking supplements can help optimize vitamin D blood levels, which can reduce your risk of diabetes.

11. Minimize Your Intake of Processed Foods

One clear step you can take to improve your health is to minimize your consumption of processed foods.

They're linked to all sorts of health problems, including heart disease, obesity and diabetes.

Studies suggest that cutting back on packaged foods that are high in vegetable oils, refined grains and additives may help reduce the risk of diabetes (53Trusted Source, 54Trusted Source, 55Trusted Source).

This may be partly due to the protective effects of whole foods like nuts, vegetables, fruits and other plant foods.

One study found that poor-quality diets that were high in processed foods increased the risk of diabetes by 30%. However, including nutritious whole foods helped reduce this risk (55Trusted Source).

    Minimizing processed foods and focusing on whole foods with protective effects on health may help decrease the risk of diabetes.

12. Drink Coffee or Tea

Although water should be your primary beverage, research suggests that including coffee or tea in your diet may help you avoid diabetes.

Studies have reported that drinking coffee on a daily basis reduced the risk of type 2 diabetes by 8–54%, with the greatest effect generally seen in people with the highest consumption (56Trusted Source, 57Trusted Source, 58Trusted Source, 59Trusted Source, 60Trusted Source, 61).

Another review of several studies that included caffeinated tea and coffee found similar results, with the largest risk reduction in women and overweight men (62Trusted Source).

Coffee and tea have antioxidants known as polyphenols that may help protect against diabetes (63Trusted Source).

In addition, green tea contains a unique antioxidant compound called epigallocatechin gallate (EGCG) that has been shown to reduce blood sugar release from the liver and increase insulin sensitivity (64Trusted Source, 65Trusted Source).

    Drinking coffee or tea may help reduce blood sugar levels, increase insulin sensitivity and reduce the risk of diabetes.

13. Consider Taking These Natural Herbs

There are a few herbs that may help increase insulin sensitivity and reduce the likelihood of diabetes progression.

Curcumin is a component of the bright gold spice turmeric, which is one of the main ingredients in curries.

It has strong anti-inflammatory properties and has been used in India for centuries as part of Ayurvedic medicine.

Research has shown it can be very effective against arthritis and may help reduce inflammatory markers in people with prediabetes (66Trusted Source, 67Trusted Source).

There's also impressive evidence that it may decrease insulin resistance and reduce the risk of diabetes progression (68Trusted Source, 69Trusted Source).

In a controlled nine-month study of 240 prediabetic adults, among the group who took 750 mg of curcumin daily, no one developed diabetes. However, 16.4% of the control group did (69Trusted Source).

In addition, the curcumin group experienced an increase in insulin sensitivity and improved functioning of insulin-producing cells in the pancreas.

Berberine is found in several herbs and has been used in traditional Chinese medicine for thousands of years.

Studies have shown that it fights inflammation and lowers cholesterol and other heart disease markers (70Trusted Source).

In addition, several studies in people with type 2 diabetes have found that berberine has strong blood-sugar-lowering properties (71Trusted Source, 72Trusted Source, 73Trusted Source, 74Trusted Source).

In fact, a large analysis of 14 studies found that berberine is as effective at lowering blood sugar levels as metformin, one of the oldest and most widely used diabetes medications (74Trusted Source).

Because berberine works by increasing insulin sensitivity and reducing the release of sugar by the liver, it might theoretically help people with prediabetes avoid diabetes.

However, at this point there are no studies that have looked at this.

In addition, since its effects on blood sugar are so strong, it should not be used in conjunction with other diabetes medications unless authorized by a doctor.

    The herbs curcumin and berberine increase insulin sensitivity, reduce blood sugar levels and may help prevent diabetes.

The Bottom Line

You have control over many of the factors that influence diabetes.

Rather than viewing prediabetes as a stepping stone to diabetes, it may be helpful to see it as a motivator for making changes that can help reduce your risk.

Eating the right foods and adopting other lifestyle behaviors that promote healthy blood sugar and insulin levels will give you the best chance at avoiding diabetes.

 Written by Franziska Spritzler, RD, CDE on January 29, 2017

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Friday, 15 November 2019


Following the call by UGONSA for its members to indicate States where the nascent nursing internship training for the graduates of BNSc degree is yet to be implemented, the association has sent letters to seven States identified by its members. Letters were sent to both the Governors of the concerned States and their Commissioners of Health. The States include Imo, Delta, Enugu, Ogun, Kaduna, Abia, and Plateau State. Below is a sample of the letter sent to the States:

His Excellency,
Rt. Hon. Simon Bako Lalong,
The Executive Governor of Plateau State,
Government House, Jos,
Plateau State, Nigeria.



We laud the ongoing effort of the Plateau State government to reposition the health system of the State for efficiency in service delivery. We also laud the great effort of the State Government at manpower build-up and development in the health system of the State.

2. However, we passionately appeal for the kind intervention of your good office to bridge the missing link in the nursing education of the graduates of Bachelor of Nursing Science (BNSc) degree of Plateau State origin, which is non-availability of internship position for them in Plateau State-owned hospitals; an unfortunate scenario that has hampered the completion of nursing education of the majority of the baccalaureate-prepared nursing students.

3. The release of the internship circular, Ref No. HCSF/EPO/EIR/CND/S.100/ST/97, on 8th September 2016 by the office of the head of the civil service of the federation (HCSF) made it mandatory that every graduate of BNSc degree must undergo a one-year internship training to be eligible for issuance of a full license by the Nursing and Midwifery Council of Nigeria (NMCN). What this portends is that internship training is a sine qua non of their graduation and change of licensure status from “provisional to full” by the NMCN and thus anyone who was unable to find internship placement remains trapped in the transition gulf between graduation and licensure.

4. Since 2016, when internship training commenced in Nursing, no hospital owned by the Plateau State Government has ever included the post of nurse interns in their internship adverts whenever they advertized for internship placement. Thus, as the fresh university graduates of Plateau State origin from other core healthcare disciplines such as Medicine, Pharmacy, Dentistry, Med Lab, Optometry, Physiotherapy, etc, are given the opportunity for internship training in the State-owned hospitals, those of nursing are ostracized and left to wallow at the mercy of hospitals in other States when their own State has capable hospitals that can take care of their needs.

5. We, therefore, most passionately implore that you intervene to see that nurses, who can be described as the mother of the hospital (if the hospital is likened to a family) is given the opportunity to blend their theoretical know-how with comprehensive clinical skills by affording the fresh graduates of BNSc degree internship opportunity in Plateau State-owned hospitals to enable them get adequate training and skills to provide exceptional nursing care to the populace.

6. The lives of people have been entrusted onto the care of nurses; it is thus imperative that nurses are well educated and trained to carry out this task effectively and efficiently.


We most humbly and passionately request that you kindly use your good office to

1. see that the post of nurse intern is included in subsequent internship adverts of Plateau State-owned hospitals that offer internship training for fresh graduates of core healthcare disciplines.

2. give fresh graduates of BNSc degree of Plateau State origin, the opportunity to do internship in Plateau State-owned hospitals as done for the fresh graduates of other core healthcare disciplines.

3. make the Plateau State Specialist Hospital, Jos, and the Plateau State Hospital Management Board to extend the internship opportunity they have been availing the fresh graduates other core healthcare professions to the fresh graduate nurses.

Please find the attached circulars and implementation guide for the nursing internship from the NMCN for guidance on placement and postings during the nursing internship.

Kindly accept the assurances of our esteemed regards!


CHIEF (HON.) S.E.O. EGWUENU                                   NURSE G.I. NSHI
         National President                                                         National Secretary

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Wednesday, 6 November 2019


The Medical Director,
National Orthopaedic Hospital Enugu,
Enugu State, Nigeria.


We highly commend the ongoing effort of your Hospital to recruit nurse interns and wish to intimate you on some salient points that bother screening and selection of eligible candidates for the programme.

2. The release of the internship circular, Ref No. HCSF/EPO/EIR/CND/S.100/ST/97, on 8th September 2016, prompted the Nursing and Midwifery Council of Nigeria (NMCN) to declare official commencement of the internship training nationwide on February 3, 2017, vide a memo Ref No.N&MCN/SG/RO/CIR/24/VOL.4/4 with the release of the implementation guide for the programme.

3. Section 2.2 No.2 (page 4) of the internship guide stated that screening shall be based on institutional criteria.   

4. This clause was necessary to allow for flexibility for hospitals to use their discretion to handle areas of seeming controversy in the screening and selection of eligible candidates. 

5. At the time of the release of the circular in 2016 and throughout 2017 that the internship commenced, the issuance of provisional licences to fresh B.N.Sc graduates was not streamlined until the first quarter of 2018. Thus, most candidates who graduated in the year 2016 and 2017 received a permanent licence from the NMCN despite being eligible for running internship.

6. Thus, it is up to hospitals to work around the internship guide and consider screening and selection of candidates based on when they graduated from school in a match with when the internship circular was released.  

7. In lieu of this, candidates who graduated in the year 2016 and 2017 that received permanent licences when the nursing council was yet to streamline the issuance of provisional licences are eligible for screening and selection for internship. 

8. Kindly find attached documents for further guidance on the subject matter.

Thank you.


CHIEF (HON.) S.E.O. EGWUENU                                                       NURSE G.I. NSHI
National President                                                                                     National Secretary

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Sunday, 29 September 2019


The Honourable Minister of Interior,
Federal Ministry of Interior (FMOI),
Block F, Old Federal Secretariat,
Area 1, P.M.B. 7007, Garki, Abuja.
Phone: 09-6713526.
E-mail: info@interior.gov.ng.



We are delighted to extend our warm Nightingalic congratulations to you over your recent appointment by President Muhammadu Buhari, GCFR, to serve the country in another great capacity as the Honourable Minister of Interior. It was the special vigour and hard work you elaborated in the past in other realms of service to the country that paved way for your elevation to this new post to help the country solve its internal challenges that are growing in complexity at this auspicious moment in our national life. We give all glory to God for this positive development and wish you every success in your new assignment. 

2. However, we wish to draw your esteemed attention to a perennial injustice nurses have suffered in the Ministry of Interior for your urgent intervention.

3. We make haste to call your esteemed attention to this injustice because of the inclination that neither you nor President Muhammadu Buhari (who appointed you to this post) condones or adulates injustice and marginalization. 

4. On this very issue in question, we had written the Ministry twice vide our letters Ref Nos UGONSA/018/FMOI/01 & UG/NAT/19/ FMOI/01 dated 18th May, 2018 and 4th March, 2019 respectively, yet the injustice persists unaddressed.

5. The issue is the inexplicable delay in implementation of Federal Government of Nigeria’s service circulars for nurses by the Federal Ministry of Interior despite the ministry being in the know of such circulars.

6. Extant circulars for placement of nurses in the Civil/Public Service of the Federation stipulate that the entry point of Registered Nurses (RN) with Bachelor of Nursing Science (B.N.Sc) degree post-NYSC (National Youth Service Corps) is CONHESS 08 (.i.e. Grade Level 09) as evidenced by the following circulars herewith attached for your on-the-spot attention and confirmation:

(a).  Circular, Ref No. HCSF/EIR/CND/S.100/ST/97 dated September 8, 2016 from the    
        office of the Head of Civil Service of the Federation (HCSF) (attached herewith as 
        Annexure A).

 (b). Circular, Ref No.C6093/T/13 dated 19th June, 2017, from Federal Ministry of Health 
       (FMOH) [attached herewith as Annexure B].

 (c). Circular Ref No. C.6093/T/16 dated February 20, 2018 from FMOH (attached
        herewith as Annexure C).

(d). Circular Ref No. C2920/5.3/C.2/1/155 dated 5th February, 2019 from the FMOH
       (attached herewith as Annexure D).

(e). Circular, Ref No. B63279/S.7/II/T/273 dated 24th April, 2002 from the office of the 
       HCSF (attached herewith as Annexure E).

(f). A letter by the FMOH to a Chief Medical Director (CMD) on entry point placement of 
      graduate nurses (RN with B.N.Sc/B.Sc.Nursing) on CONHESS 08 (attached herewith
      as Annexure F).

(g). The Implementation Guide for Internship Programme for graduates of B.N.Sc degree 
       from the Nursing and Midwifery Council of Nigeria (NMCN), the statutory regulatory 
       body for nursing in Nigeria (page 6 attached herewith as Annexure G).

(h). Industrial Arbitration Panel (IAP) award of the year 1981, which granted that the
       profession of Nursing is on parity with that of Pharmacy in Nigeria, as is the case in 
       Great Britain from the National Industrial Court of Nigeria (attached herewith as 
       Annexure H).

7. It is very painful, inexcusable and inexplicable that the current entry point placement of CONHESS 08 post-NYSC of Registered Nurses(RN) with B.N.Sc/B.Sc. Nursing, that came into effect since year 2016, is yet to be implemented in any of the services/agencies under the Ministry of Interior such as the Nigerian Correctional (Prisons) Service (NCS), Nigerian Security and Civil Defense Corps (NSCDC), Nigeria Immigration Service (NIS), and the Nigeria Fire Service (NFS).

8. For example the advert for recruitment of officers into the Nigerian Prison Service (now known as Nigeria Correctional Service) made by the Civil Defence, Fire, Immigration, and Prisons Services Board (CDFIBP) on Daily Trust Newspaper of Monday 30 April, 2018 aberrantly placed all Registered Nurses (including those with B.N.Sc/B.Sc.Nursing degree) on CONHESS 06 in a bizarre disobedience to the extant law that prescribes CONHESS 08 for Registered Nurses(RN) with B.N.Sc/B.Sc.Nursing degree post-NYSC (please kindly refer Annexure I for the Nigerian Prisons Service advert).

9. This year, 2019, CDFIBP, in its current advert for recruitment into the NSCDC (made online via https://cdfipb.careers/jobs/civil-defence), trampled again upon the law and listed the entry point of all Registered nurses and midwives, including the graduates of B.N.Sc/B.Sc.Nursing degree, as CONHESS 07 without specifying CONHESS 08 as the entry point for the Registered Nurses (RN) with B.N.Sc/B.Sc.Nursing post-NYSC, as stipulated by the extant circulars (please kindly refer Annexure J for the NSCDC advert).

10. Compounding the woes of nurses in the Ministry of Interior is the suppressive placement by CDFIBP of all nurses, including those with university degree in nursing, in the inspectorate cadre whereas the university graduates of other core healthcare disciplines such as Pharmacy, Medicine, Dentistry, Optometry, etc, are all placed in the superintendent cadre (please refer to the attached adverts. i.e. Annexure I & J). This anomalous and provocative behaviour by CDFIBP and other board of agencies/services/parastatals under the Ministry of Interior is totally in defiance of the verdict of the gazzeted Industrial Arbitration Panel (IAP) Award of year 1981that granted that the profession of nursing is on parity with that of Pharmacy in Nigeria as is the case in Great Britain (please refer Annexure H). It is also reeks of either a deliberate feigning of ignorance of existence of baccalaureate and post-baccalaureate nursing degrees registrable by the Nursing & Midwifery Council of Nigeria (NMCN) or a mischievous sinister plot to cast the nursing degree (.i.e. B.N.Sc/B.Sc.Nursing) as inferior to other bachelor degrees.  

11. This issue is of grave concern as par uncertainty enveloping the applicability of rule of law and engagement of due process in the Ministry of Interior that is otherwise supposed to be a bastion of rule of law, equity and fairness.  

12. We in the nursing community are very appalled by this ugly development in the Ministry of interior and passionately implore your urgent intervention to put things in the right perspective.

13. Our people are already agitated and find it difficult to endure a day longer without having what is duly their right granted by the Ministry of Interior and it will not be in a good light that the implementation of the circulars came in subject of protest, picketing and “placard carrying”.

We most respectfully implore your urgent intervention to end the perennial injustice nurses suffer in the Federal Ministry of Interior by using your good office to compel CDFIBP and other boards of agencies/parastatals/services under the Ministry to
1. implement CONHESS 08 (.i.e. Grade Level 09) as the entry point for Registered Nurses (RN) possessing B.N.Sc/B.Sc.Nursing degree in line with the provision of the  extant circulars of the Nigerian Government. 

2. upgrade to CONHESS 08 the existing Nurse Officers possessing B.N.Sc/B.Sc.Nursing degree who were employed before 8th September, 2016  but are still below the new base of CONHESS 08 effective from 8th September, 2016 (being the date of release of the circular REF No. HCSF/EIR/CND/S.100/ST/97 by the office of the Head of Civil Service of the Federation .i.e. Annexure A) as prescribed by the civil service circular, Ref No. B63279/S.7/II/T/273 dated 24th April, 2002 (.i.e. Annexure E).

3. upgrade all graduate nurses (i.e. RN with B.N.Sc/B.Sc.Nursing degree) who were wrongly employed below the new base of CONHESS 08 after 8th September, 2016 to CONHESS 08 effective from the date of their employment as prescribed by the civil service circular, Ref No. B63279/S.7/II/T/273 dated 24th April, 2002 (i.e. Annexure E).

4. employ the university graduates of nursing (.i.e. RN possessing B.N.Sc/B.Sc.Nursing degree) on the superintendent cadre as done for the university graduates of other core healthcare disciplines.

Accept please the assurances of our highest regards as we heartily wish you a successful and rewarding tenure!

      CHIEF (HON.) S.E.O. EGWUENU                                    NURSE G.I. NSHI
            National President                                                           National Secretary

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