GRNMA Strike: Full List of Nurses and Midwives’ Allowances and Demands in Ghana
As the GRNMA strike continues across Ghana, nurses and midwives are demanding full implementation of agreed allowances. See the complete list of items and eligibility details.
Isaac Mintah 
The Ghana Registered Nurses and Midwives Association (GRNMA) has embarked on a nationwide strike, citing government delays in implementing several agreed allowances and conditions of service. The union has released a detailed breakdown of their demands—categorized under Appendix A and B—as the basis of the ongoing industrial action.
Below is a comprehensive table of all allowances being demanded:
Appendix A: Approved Rates of Allowances for Nurses/Allied Health Professionals
|
S/N |
Item / Allowance |
Agreed Rate / Agreement |
Eligibility |
|
1 |
Acting Allowance |
Difference between acting officer's salary and minimum of acting post or 20% of basic salary, whichever is higher |
Applicable acting staff |
|
2 |
Additional Duty Allowance |
10% of monthly basic salary |
All applicable staff |
|
3 |
Overtime Allowance |
1.5x for working days; 2.0x for weekends/public holidays |
All applicable staff |
|
4 |
Call-In Allowance |
10% of basic salary |
All applicable staff |
|
5 |
Commuted Overtime Allowance |
20% of basic salary |
All applicable staff |
|
6 |
Height/Depth Allowance |
GH¢2.80–GH¢5.60/day depending on depth; GH¢2.80 for each extra 10m |
Staff working at height/depth |
|
7 |
Permanent Posting Allowance |
3 months' basic salary |
Staff on permanent transfer |
|
8 |
Temporary Posting Allowance |
Hotel for 3 months + 20% of basic salary for 3 months |
Temporarily posted staff |
|
9 |
Travelling Expenses Allowance |
7 tonnes at STC rate or government-approved transporter |
Eligible traveling staff |
|
10 |
Tools Allowance |
GH¢7.00 per working day |
Staff using tools |
|
11 |
Physically Challenged Guide |
Daily Minimum Wage × 27 days |
Physically challenged staff |
|
12 |
Physically Challenged Transport |
20% of monthly basic salary |
Physically challenged staff |
|
13 |
Night/Out of Station Allowance |
GH¢210–GH¢490/night depending on rank; ⅓ reduction if accommodation/meals are provided |
Local traveling officers |
|
14 |
Trekking Officers |
Full night allowance (max 12 days); half after that |
Field officers |
|
15 |
Foreign Trips (Per Diem) |
Government approved rate |
Staff on foreign trips |
|
16 |
Foreign Trips (Warm Clothing) |
Government approved rate |
Staff on foreign trips |
|
17 |
Day Trip Allowance |
GH¢105–GH¢245 depending on rank |
All traveling staff |
|
18 |
Vehicle Maintenance Allowance |
Car: GH¢210/month; Motorcycle: GH¢70; Bicycle: GH¢28 |
Vehicle-owning staff |
|
19 |
Kilometric Allowance |
Car: GH¢3.50/km; Motorcycle: GH¢1.40/km |
Staff using personal vehicles |
|
20 |
Medical Subsidy |
NHIS coverage + 20% for uncovered costs; spouse + 4 children (18 yrs); up to 23 yrs if in school |
All staff |
|
21 |
Funeral Grant |
Employee: GH¢2100; Spouse/Child: GH¢1400 |
Staff and immediate family |
Appendix B: Additional Allowances Agreed Upon
|
S/N |
Item / Allowance |
Agreed Rate / Agreement |
Eligibility |
|
1 |
Book and Research Allowance |
Government approved rate; findings to inform teaching/learning |
Nursing Tutors with PhD/Masters in degree-awarding institutions |
|
2 |
Uniform Allowance |
GH¢1000 per year |
All nurses and midwives in public sector |
|
3 |
Fuel Allowance |
180 litres/month at GH¢10.99 or prevailing gov’t ex-pump rate |
Principal Nursing/Midwifery Officers and above |
|
4 |
Non-Basic Allowance |
8% of monthly basic salary |
All nurses and midwives |
|
5 |
On-Call Facilitation Allowance |
5% of basic salary |
Nurses/midwives in understaffed facilities |
|
6 |
Rural Incentive Allowance |
As per final Ministry of Health technical committee report |
Nurses/midwives in rural postings |
|
7 |
13th Month Allowance |
One month's basic salary paid annually at facility level |
All nurses and midwives |
|
8 |
Continuous Professional Development |
Annual license renewal + CPD costs to be covered by employer |
All nurses and midwives |
Union Position
GRNMA says the strike will continue until the government fully commits to implementing these agreed items. The association maintains that the allowances listed are part of binding collective agreements and must not be ignored or delayed further.
We are not demanding anything new,” a GRNMA official said. “We simply want the state to respect and fulfill the obligations it has already signed off.
The strike has impacted public hospitals and clinics across Ghana, prompting concern among patients and healthcare administrators.
