With just two days to the expiration of its 21-day ultimatum, the Nigerian Medical Association (NMA) has warned that doctors across the country may down tools if the Federal Government fails to address longstanding demands related to welfare and remuneration.

The association issued the ultimatum on July 2, citing unresolved issues affecting medical and dental officers. At the center of the dispute is a circular recently issued by the National Salaries, Incomes and Wages Commission, which the NMA says contravene previously agreed terms on allowances. The NMA described the document as “unilateral” and “unacceptable.”

NMA President, Prof. Bala Audu, said the association had no option but to take decisive action if the government does not withdraw the circular and engage in meaningful dialogue. “We expect that any directive affecting our members must be a product of mutual agreement, not imposition,” he said, warning of a looming collapse of the nation’s healthcare system.

Although the association has held meetings with government officials including the Coordinating Minister of Health and Social Welfare, Prof. Muhammad Pate, and Minister of State for Health, Dr. Iziaq Salako Audu disclosed that no tangible progress had been made. A planned follow-up meeting last week was stalled due to the death of former President Muhammadu Buhari.

He added that the next round of dialogue is expected to involve officials from the Ministry of Finance and the Salaries and Wages Commission, whose involvement is crucial to resolving the impasse. However, with time running out, the association has expressed concern that delays may plunge the health sector into further crisis.

The NMA reiterated that while doctors are not eager to abandon their duties, they cannot continue working under policies that undermine their welfare and compromise service delivery.

Audu urged the government to act urgently to avert a nationwide industrial action that could paralyze medical services across the country.