By Shadrach Aziz Kamara
The Sierra Leone Medical and Dental Association (SLMDA) has issued a stern warning of an impending strike action due to the government’s failure to meet long-standing demands over unpaid fuel allowances. The strike, if it goes ahead, could leave patients across the country without critical medical care.
Dr. Samba Jalloh, Vice President of the SLMDA, expressed deep frustration over the government’s breach of a Memorandum of Understanding (MOU) signed with the association. “We have reached a breaking point,” Dr. Jalloh stated. “The MOU needs to be revised, particularly regarding fuel allowances, and if the government fails to act, doctors will be left with no choice but to strike.”
According to Dr. Jalloh, this is not the first time the issue has been raised. As a former Secretary-General of the SLMDA, he noted that previous efforts to address these concerns have been unsuccessful. While doctors continue to perform their duties, even in rural provinces, the lack of consistent fuel supplies severely hampers their ability to serve patients. He urged the Ministry of Finance, alongside the Ministry of Health, to step in and resolve the matter.
Dr Austin Demby S/L Minister of Heath
Dr. Frederick Coker, President of the SLMDA, elaborated on the issue, explaining that each doctor is entitled to 45 litres of fuel per week. However, this benefit has been inconsistently provided, leading to widespread discontent among medical professionals. “We’ve made every effort to resolve this issue with the Ministry of Health,” Dr. Coker stated. “A letter was sent with a 21-day ultimatum demanding fuel allowances for the first half of the year, but no payments have been made.”
During a meeting on October 18, the SLMDA executive committee reaffirmed that if the government does not engage with them by October 22, the strike will proceed. “Doctors are deeply concerned for the public,” Dr. Coker added. “But we’ve exhausted every other option.”
The association also raised broader wage concerns, as discussions continue with the 2023 Wages and Perpetuation Commission. The commission was set up to address salary issues for government workers, including doctors.
Dr. Henry Sankoh Jr., International Liaison Officer for Junior Doctors, stressed that junior doctors stand in solidarity with the SLMDA. “Fuel allowances are essential for us to commute to work,” he said. “A permanent solution is needed.” Dr. Sankoh also warned of a potential brain drain, revealing that 30% of doctors are considering leaving the country if the situation does not improve.
As the October 22 deadline looms, the healthcare system in Sierra Leone faces the risk of a significant disruption, with both senior and junior doctors united in their call for action. The government’s response in the coming days will determine whether the strike becomes a reality.
