25/06/2026
CLINICAL OFFICERS ASSOCIATION OF ZAMBIA (COAZ)
To Mr. Hakainde Hichilema
President of the Republic of Zambia
Lusaka
24th June 2026
Your Excellency
RE: APPEAL FOR URGENT GOVERNMENT ACTION ON THE STRUCTURAL CHALLENGES AFFECTING CLINICAL OFFICERS IN ZAMBIA
On behalf of the Clinical Officers Association of Zambia (COAZ) and the thousands of Clinical Officers serving the people of Zambia, we wish to convey our sincere appreciation for your Government's commitment to strengthening the health sector and improving access to quality healthcare services for all citizens.
Clinical Officers remain the backbone of healthcare delivery, particularly in rural and underserved communities where they constitute the majority of frontline healthcare providers. Over the years, Government has invested significantly in the training and development of Clinical Officers through degree-level and specialist programmes in areas such as Medical Licentiate Practice, Clinical Anaesthesia, Ophthalmology, Mental Health and Psychiatry, among others.
Despite these investments, serious structural challenges continue to affect the Clinical Officer workforce. While training and professional competencies have advanced, the public service establishment has not been adequately aligned to recognize these developments. Consequently, many degree-holder and specialist Clinical Officers continue to be employed and remunerated under structures designed for diploma holders, with limited opportunities for career progression and advancement.
Your Excellency, the absence of recognized establishment positions for specialist Clinical Officers has resulted in the underutilization of highly trained personnel and has negatively affected morale within the profession. Furthermore, the lack of clear progression pathways and appropriate remuneration frameworks has created inequities that undermine Government's efforts to strengthen primary healthcare and achieve Universal Health Coverage.
As Zambia prepares for future democratic processes, Clinical Officers and the communities they serve are eager to see practical solutions to these longstanding concerns. We respectfully request your intervention and leadership in ensuring that the following matters are addressed through the relevant ministries or authorities:
1. Review of the 2015 Job Evaluation and Grading Framework as it relates to Clinical Officers.
2. Creation and recognition of establishment positions for degree-holder and specialist Clinical Officers within the Public Service.
3. Development of structured career progression pathways from entry-level to specialist and advanced practice levels.
4. Alignment of remuneration and conditions of service with qualifications, competencies, and responsibilities.
5. Integration of specialist Clinical Officers into workforce planning and deployment frameworks.
6. Strengthening coordination between the Ministry of Health, Public Service Management Division, Emoluments Commission, regulatory bodies, and training institutions to ensure policy coherence.
Your Excellency, addressing these concerns will not only improve the welfare and motivation of Clinical Officers but will also strengthen healthcare delivery, reduce referral burdens, improve access to specialized services, and contribute significantly to the attainment of Universal Health Coverage in Zambia.
We remain confident in your Government's commitment to fairness, equity, and evidence-based policy reforms. We therefore humbly request an audience or support for a high-level policy dialogue involving relevant stakeholders to develop sustainable solutions to these challenges.
We pledge our continued commitment to serving the people of Zambia diligently and professionally while supporting Government's agenda of improving health outcomes for all citizens.
Please accept, Your Excellency, the assurances of our highest consideration.
Yours faithfully,
Dr. Jones Neba
President
Clinical Officers Association of Zambia (COAZ)