Construct measurement items | β | α | CR | AVE |
---|---|---|---|---|
| 0.75 | 0.93 | 0.71 | |
IUCP1: Provision of unfair promotion system | 0.83 | |||
IUCP2: An unclear reward and support system | 0.89 | |||
IUCP3: Provision of a good pension scheme | 0.87 | |||
IUCP4:Provision of inadequate pay | 0.85 | |||
IUCP5: Non-provision of benefits | 0.67 | |||
IUCP6: My salary as an academic staff is not sufficient | 0.81 | |||
| 0.80 | 0.94 | 0.73 | |
PARF1: Recognition of achievements in teaching and research | 0.83 | |||
PARF2: Little or no support for research funding | 0.79 | |||
PARF3: Management of education paid little or no attention to research funding | 0.87 | |||
PARF4: Achievement in teaching and research were encouraged | 0.85 | |||
PARF5: Funding of educational facilities and infrastructural development is low | 0.88 | |||
PARF6: Poor support for improvement in educational amenities | 0.87 | |||
| 0.78 | 0.92 | 0.69 | |
NA1:Participation in university's major policy decisions are discouraged | 0.83 | |||
NA2: Daily administration of the university is closely monitored and controlled | 0.89 | |||
NA3: Visitors' interference and visitation panel are a hindrance to University autonomy | 0.89 | |||
NA4: The choice of university leadership by the tertiary institution is discouraged | 0.84 | |||
NA5: Universities are not allowed to make independent decisions | 0.79 | |||
NA6: Universities are not empowered to set strategic tasks and establish institutional objectives and goals | 0.70 | |||
| 0.75 | 0.91 | 0.66 | |
PSD1: Provision of teaching aids and supports facilities are poor | 0.87 | |||
PSD2: Management of universities does not promote staff development | 0.89 | |||
PSD3: Government paid lip service to the development of academic staff | 0.73 | |||
PSD4: I use my fund to attend conferences and seminars for personal development | 0.78 | |||
PSD5: Poor staff development reduced the quality of my teaching | 0.79 | |||
| 0.86 | 0.90 | 0.66 | |
IUF1:Non-provision of good management systems | 0.76 | |||
IUF2: Cooperation and funding of university systems are not enabled | 0.79 | |||
IUF3:Corruption is the bane of university funding in the country | 0.89 | |||
IUF4:University funding is routed via political path | 0.88 | |||
IUF5: Government does not adequately plan to fund University systems | 0.73 | |||
| 0.82 | 0.92 | 0.67 | |
QWL1:Work brings me worries and annoyance | 0.86 | |||
QWL2: I do not enjoy being a lecturer | 0.79 | |||
QWL3: My work negatively influences my family life | 0.89 | |||
QWL4: My wages and salaries are not adequate | 0.78 | |||
QWL5: Provisions of late earn allowances and promotions | 0.74 | |||
QWL6: I have no or little access to professional career development | 0.83 |
Constructs | IUCP | PARF | NA | PSD | IUF | QWL |
---|---|---|---|---|---|---|
IUCP | ||||||
PARF | 0.73** | |||||
NA | 0.75** | 0.68 | ||||
PSD | 0.62* | 0.62** | 0.71** | |||
IUF | 0.69** | 0.67** | 0.69** | 0.71* | ||
QWL | 0.65** | 0.77* | 0.78** | 0.66** | 0.70** | |
Mean | 3.6 | 3.7 | 3.5 | 3.5 | 4.2 | 4.9 |
SD | 0.6 | 0.7 | 0.6 | 0.7 | 0.8 | 0.7 |
Fit indices | Recommended value | Value in the model | References |
---|---|---|---|
/df | <5 | 2.234 | |
RMSEA | <0.08 | 0.045 | |
CFI | >0.90 | 0.952 | |
TLI | >0.90 | 0.935 | |
NFI | >0.90 | 0.922 | (2021) |
IFI | >0.90 | 0.931 | |
SRMR | <0.08 | 0.031 |
Hypotheses path analysis | Estimates | SE | -value | Acceptance/Decision |
---|---|---|---|---|
: IUCP → QWL | 0.574 | 0.042 | 0.001 | Accepted/Significant |
: PARF → QWL | 0.437 | 0.015 | 0.000 | Accepted/Significant |
: NA → QWL | 0.621 | 0.023 | 0.002 | Accepted/Significant |
: PSD →QWL | 0.315 | 0.019 | 0.001 | Accepted/Significant |
: IUF →QWL | 0.352 | 0.012 | 0.001 | Accepted/Significant |
Note(s): P -value = 0.05; Insufficient and Unfair Compensation Package = IUCP; Poor Academic Research Funding = PARF; No Autonomy = NA; Poor Staff Development = PSD; Inadequate University Funding = IUFW; Quality of Work-life = QWL
Source(s): Authors' Compilation, 2023
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International Journal for Equity in Health volume 21 , Article number: 174 ( 2022 ) Cite this article
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Over the years, the Nigerian healthcare workforce, including doctors, nurses, and pharmacists have always been known to emigrate to developed countries to practice. However, the recent dramatic increase in this trend is worrisome. There has been a mass emigration of Nigerian healthcare workers to developed countries during the COVID-19 pandemic. While the push factors have been found to include the inadequate provision of personal protective equipment, low monthly hazard allowance, and inconsistent payment of COVID-19 inducement allowance on top of worsening insecurity, the pull factors are higher salaries as well as a safe and healthy working environment. We also discuss how healthcare workers can be retained in Nigeria through increment in remunerations and prompt payment of allowances, and how the brain drain can be turned into a brain gain via the use of electronic data collection tools for Nigerian health workers abroad, implementation of the Bhagwati’s tax system, and establishment of a global skill partnership with developed countries.
Brain-drain involves the migration of skilled workers out of their countries to more developed countries in search of a better standard of living in terms of better remuneration, better working conditions, and political stability [ 1 ]. Before the pandemic, the Nigerian health system faced poor funding, poor staff remuneration, and poor working conditions [ 2 ]. However, the emergence of the COVID-19 pandemic has further worsened those challenges and has created an atmosphere where Nigerian healthcare workers are further exhausted and dissatisfied with their jobs [ 3 ]. This has negatively affected healthcare delivery and medical education in Nigeria; hence, the need for urgent attention. This article aims to highlight the increased health workforce brain drain in Nigeria, the implications, and provide recommendations on not only stopping the brain drain but also converting it into a brain gain.
Prior to the pandemic, 88% (almost 9 in 10) of Nigerian doctors and about 50% of Nigerian nurses considered seeking job opportunities abroad, unless their working conditions improved [ 2 , 4 ]. Unfortunately, the pandemic further strained the already fragile Nigerian healthcare system, resulting in serious negative impacts on its workforce [ 3 ].
Nigeria is reported to be the highest workforce exporting country in Africa. Topping her destination countries are the United Kingdom (UK), United States (US), Canada, Australia, and Saudi-Arabia [ 2 ]. A national statistical report published in August 2022 by the UK government revealed that 13,609 healthcare workers have left Nigeria for the UK between 2021 to 2022 [ 5 ]. This figure is second only to Indians at 42,966, while the Philippines is third with 11,021 healthcare workers.
According to the General Medical Council of the UK register, over three years preceding the pandemic (January 2017 – December 2019), the total number of doctors that left Nigeria to practice in the UK was about 2,000 in comparison to around 3,000 recorded between January 2020 to September 2022, as illustrated in Fig. 1 [ 6 ], with many others currently writing or planning to write international licensing exams such as Professional Linguistics Assessment Board (PLAB) exam and the United States Medical Licensing Exam (USMLE). In addition, the Medical and Dental Consultants Association of Nigeria recently lamented that more than 100 medical consultants (specialists) and hundreds of junior doctors had left Nigeria for Saudi Arabia and others between 2020 to 2022 [ 7 , 8 ].
Number of Nigerian doctors on the GMC (UK) register before and during the COVID-19 pandemic
Similarly, according to the Nursing and Midwifery Council of the UK data, pre-COVID-19 pandemic, the proportion of Nigerian nurses and midwives immigrants increased from 56 in March 2018 to 276 in March 2019 compared to the pandemic period. This figure declined slightly from 695 in March 2020, to 685 in March 2021, possibly due to the transnational lockdown, then steeply rose in March 2022, to an all-time high of 3,010 (> 1000% increase), as shown in Fig. 2 [ 9 ].
Top five countries’ nurses and midwives joining the UK workforce between March 2018 to March 2022
In the same vein, the National Chairman, Association of Hospital and Administrative Pharmacists of Nigeria, reported that around 200 pharmacists have left Nigeria to practice abroad [ 10 ]. These call for concern and it is unsurprising that similar trends have also been widely reported in other low and low-middle-income countries such as Zimbabwe, South Africa, and Egypt to mention but a few [ 11 , 12 ].
Major “push factors”, such as, inadequate protection against COVID-19, insecurity, and lack of death gratuity [ 13 ], in addition to pre-existing factors, like low wages and allowances (for example, monthly payment of hazard allowance of 5000 naira = US $11), lack of career growth opportunities, poorly equipped health infrastructures, etc. are the key issues needed to be addressed. The incidence of morbidity and mortality continues to rise among health workers as they continue to be in direct contact with numerous infectious cases. Over a thousand Nigerian healthcare workers had tested positive for the virus in less than a year with many mortalities [ 3 ]. This is a stark reflection of the 4% of the federal government budget allocated to healthcare. A far cry from the minimum 15% of budgetary allocation agreed upon by African leaders in the "2001 Abuja Declaration" [ 14 ].
Developed countries aren’t unaffected by the pandemic, with overwhelming COVID-19 cases and deaths. The shortfall of physicians in the US, for example, is estimated to grow to nearly 95,000 by 2025 [ 14 ]. In the efforts of the US government to bridge this gap, the US Foreign Mission was reported to have advised medical professionals with approved immigration petitions to contact its embassies or consulates for possible visa appointments, specifying a preference for those working to combat the COVID-19 pandemic.
Likewise, the UK government implemented a new ‘Health and Care Visa’ policy, aiming to make it faster and cheaper for international medical graduates to migrate to the UK to practice [ 14 ]. Other several EU countries also waived strict immigration regulations on foreign-trained health personnel to facilitate reinforcement of their workforce.
The pull factors that drive the intention of the Nigerian health workforce to leave their jobs for greener pastures abroad have been found to include better opportunities for career advancement, better healthcare facilities, a conducive working environment, and higher remuneration [ 2 ]. For instance, Nigerian Professors of Medicine in Saudi-Arabia on average are paid between 5 and 7 million naira ($12,138—$16,994) monthly compared with 420,000 naira ($1,019) received by their counterparts in Nigeria [ 8 ].
Less than 50% (30,000) of the over 80,000 doctors registered with the Medical and Dental Council of Nigeria are currently practicing in the country. In a bid to facilitate universal health coverage, the world health organization recommends a minimum of 4.45 doctors, nurses, and midwives per 1,000 population; Nigeria has below 2.1 [ 15 ]. This critical shortage causes a delay in accessing quality healthcare, low usage of accredited health facilities, and higher patronage of unorthodox healthcare. These are key factors contributing to poor health indices of the nation [ 16 ].
Brain drain is also associated with job stress and occupational burnout, which affect health workers’ job performance, lead to low quality of service delivery to users, and fuels their intentions to leave their jobs [ 17 ]. Furthermore, the shortage of medical specialists has affected medical training in Nigeria, which translate to poor medical graduates and research output [ 18 ]. Having highlighted all these, universal health coverage, and other indicators of sustainable development goal three would be challenging to achieve by the projected year 2030 in Nigeria.
In light of the above findings, it is imperative for the relevant stakeholders to urgently take steps to retain its health workforce and turn the tide against brain drain. We recommend closing the wage gap between Nigeria and recruiting countries. To achieve this, the government should increase the health budget’s allocation from the current 4% to 15% and create a new funding mechanism for the healthcare sector. For instance, tax proceeds from harmful products such as alcohol and tobacco can be allocated to the health sector [ 14 ].
Also, there should be rapid employment of qualified medical and allied-health graduates to alleviate the shortage and create career advancement opportunities for the workforce. In addition, an enabling environment for private health providers to expand their capacity to provide specialist services should be encouraged, while ensuring there is minimal wage discrepancy between government workers and private employees to prevent a risk of internal brain-drain. Furthermore, the government should implement the recommendations of the Yayale Ahmed Presidential Committee on Health and the National Act of 2014, which aim to provide a framework for the regulation, development, and management of a national health system and set the standards for rendering health service in the federation [ 19 ].
Moreover, the Nigerian national policymakers on human resources for health migration should not prohibit migration. Instead, it should call for an ethical method of migration that allows Nigeria to collaborate with recruiting countries to ensure mutual benefits [ 20 ]. This can be achieved by designing an electronic database record for Nigerian healthcare workers in diaspora and creating a similar system as implemented in the Bhagwati's tax system, which enables the collection of taxes from emigrants to their country of origin, as practiced by the US and Cuba [ 21 ]. In addition, the government should create an enabling environment for the healthcare workers of Nigerian origin in the diaspora to bring capital, management, and skills back to Nigeria, as is done by India and China.
Proactively, the policymakers should consider adopting the global skill partnership model, a bilateral labor agreement between a country of origin and a country of destination. While the country of origin trains students in skills needed to meet their specific and immediate needs and that of the country of destination, the latter provides the required finance and facility and, in turn, receives skilled migrants [ 15 ]. Multinational collaborations between Nigeria and other foreign countries would help to foster bilateral relationships and encourage the development of a model which would help to improve the health systems for all, so long the model is well designed, implemented, financed, and monitored by the relevant stakeholders (governments, workers’ and employers’ unions, civil society, financial auditors, and other public institutions) [ 22 ].
The health workforce brain drain in Nigeria is not a new phenomenon, but the current increasing trend is alarming. The worsening of the “push factors” and strengthening of the “pull factors” by the COVID-19 pandemic has resulted in the mass emigration of Nigerian health workers to developed countries. The negative impact on healthcare delivery and medical education in Nigeria is unprecedented. We recommend closing the gap in wage disparity between Nigeria and the recruiting countries and adopting the global partnership skills model, among others, to retain healthcare workers in Nigeria, stem the tide against brain drain, and strengthen the health system for all.
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The authors appreciate God for the inspiration. The authors also appreciate the authors of the literature they reviewed to provide information and support the writing of this manuscript.
The authors did not receive funds for this research.
Lukman Lawal and Abdulwahab Oluwatomisin Lawal contributed equally to the manuscript as first authors.
MCON Institute of Medical Research, Ilorin, Nigeria
Lukman Lawal, Abdulwahab Oluwatomisin Lawal, Opeyemi Pius Amosu, Abdulmujeeb Opeyemi Muhammad-Olodo, Nasir Abdulrasheed, Khalil-ur-Rahman Abdullah, Philemon Barnabas Kuza, Ahmed Adeseye Kareem, Abdulwahab Aliu & Taiye Muhammed Elelu
Faculty of Clinical Sciences, College of Health Sciences, University of Ilorin, Ilorin, Nigeria
Lukman Lawal, Abdulwahab Oluwatomisin Lawal, Opeyemi Pius Amosu, Abdulmujeeb Opeyemi Muhammad-Olodo, Nasir Abdulrasheed, Khalil-ur-Rahman Abdullah, Ahmed Adeseye Kareem, Abdulwahab Aliu & Taiye Muhammed Elelu
Faculty of Clinical Sciences, College of Medicine, University of Ibadan, Ibadan, Nigeria
Philemon Barnabas Kuza
Healthy Africans Platform, Research and Development, Ibadan, Nigeria
Abdullahi Tunde Aborode
Department of Chemistry, Faculty of Physical Sciences, University of Ilorin, Ilorin, Nigeria
Faculty of Pharmacy, University of Ibadan, Ibadan, Nigeria
Yusuff Adebayo Adebisi
Department of Development Studies, Faculty of Humanities and Social Science, Lupane State University, 67, Mbizi Street, Mvurwi, Lupane, Zimbabwe
Tonderai Murwira
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LL and AOL developed the concept for the article; AOL, LL, K-u-RA, PBK, NA, OPA, AAK, AA, TME and AOM-O did a literature search, developed the draft and prepared the manuscript. LL, ATA, TM and YAA assisted in supervision, critical revision of the draft for important intellectual content, and language edits. All authors approved the final content of the manuscript. The author(s) read and approved the final manuscript.
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Lawal, L., Lawal, A.O., Amosu, O.P. et al. The COVID-19 pandemic and health workforce brain drain in Nigeria. Int J Equity Health 21 , 174 (2022). https://doi.org/10.1186/s12939-022-01789-z
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ISSN: 1475-9276
4 Pages Posted: 25 Aug 2023
University of Lagos
Date Written: July, 2023
“Japa” is the new buzzword among Nigerians today, which means to leave for greener pastures abroad. Over the years, Nigeria has lost some of its best talents to other developed countries due to challenges such as insecurity, mass poverty, unemployment, poor working conditions, and lack of quality education delivery. As a result, skilled professionals in the fields of medicine, law, science, and engineering are emigrating abroad for better paying jobs and other life support opportunities. Although brain drain is not a new issue in Nigeria, it has become a thing of concern in recent times due to the alarming rate at which young professionals leave the country. This “Japa” trend has serious implications on the Nigerian economy, especially in respect of the healthcare system and the general development of the nation. It is against this backdrop that this paper examines the trend of emigration of Nigerian professionals, the causative factors and effects of such emigration, and the required policy measures.
Keywords: Brain Drain, Mass Emigration, Skilled Professionals, Nigerian Policy Measures
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Social networks and skilled health worker migration in nigeria: an ego network analysis., centrifugal cause of household poverty in nigeria, statistical abstract of the united states, the modern world-system i: capitalist agriculture and the origins of the european world-economy in the sixteenth century, impact of people management practices on business performance, the impact of office environments on employee performance: the design of the workplace as a strategy for productivity enhancement, improving motivation among primary health care workers in tanzania: a health worker perspective, related papers (5), trending questions (2).
Brain drain of nurses in Nigeria's health sector is influenced by factors like inadequate remuneration, safety concerns, and lack of proper working equipment, leading to a significant impact on the health workforce.
The effects of brain drain on the performance of tertiary hospitals in northeastern Nigeria are not mentioned in the provided paper. The paper focuses on the factors contributing to brain drain in the Nigerian health sector and suggests policy reforms to address the issue.
International Journal of Research and Scientific Innovation (IJRSI) | Volume VII, Issue I, January 2020 | ISSN 2321–2705
Brain Drain among Nigerian Nurses: Implications to the Migrating Nurse and the Home Country
Chiamaka J. Okafor 1 , Caleb Chimereze 2
1,2 University of Nigeria, Department of Nursing Sciences
Abstract: – There have been a reasonable number of highly skilled and educated professionals migrating from their home countries (developing countries) in search of better economic and social opportunities in developed countries. This paper discussed the concept of brain drain, the causes of brain drain among Nigerian nurses, the positive and negative implications of brain drain to the migrating nurses and the home country, and suggested ways of reversing brain drain and possibly attracting nurse migrants back to the country. The literature review shows that Nigeria has witnessed increased migration of Nurses to developed nations due to push factors (low remunerations, poor governmental policies, poor working conditions) and pull factors (such as good working conditions, better pay); which are offered by developed world. However the positive impacts of brain drain which includes remittance, improved health, quality life etc. are outweighed by the negative impacts of nurse migration as it has resulted to shortage of nurses within the country leaving its citizens to suffer poor healthcare service delivery. Therefore, following the continuous migration of nurses out of the country, it is imperative that the government adopts appropriate measures through increase in workers’ remuneration, improved working conditions, professional autonomy, and regulation policies on migration to reduce migration of Nigerian nurses to developed countries.
Key Words: Brain Drain, Nigerian nurses, Emigration, Immigration, Developed countries, Developing countries
I. INTRODUCTION
The effect of industrialization and globalization, have made the world population to witness a drastic economic growth during the recent years. For each country, economic growth is important as it not only indicates its employment rate but also its wealth and standard of living. However globalization has also forced many developed countries to increase their search for skilled intellectuals from developing countries which are of cheaper option. Unavoidably, the increased mobility has resulted in shortage of skilled personnel in the developing countries as many of them prefer to seek opportunities outside their country of origin (Yellow, 2010).
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Nigeria's Vice President, Kashim Shettima. [PHOTO CREDIT: Official Twitter handle of Mr Shettima | https://twitter.com/officialSKSM/status/1786081686087733494/photo/1]
Mr shettima commended the significant contributions and sacrifices of nigerian doctors in repositioning healthcare delivery..
The Nigerian government has appealed to the country’s medical practitioners to resist the temptation of rendering services in foreign lands and work with the current administration to improve the nation’s situation.
Vice President Kashim Shettima, in a recent meeting with the National Executive Committee of the Nigerian Medical Association (NMA), made the appeal, assuring the doctors that the President Bola Tinubu-led administration is committed to their welfare and has empathy for those who choose to stay amid the “Japa syndrome”.
According to a statement signed by the Senior Special Assistant to the President on Media and Communications, Stanley Nkwocha, the NMA leadership, led by its President, Bala Audu, paid Mr Shettima a courtesy visit at the Presidential Villa on Tuesday.
Mr Shettima urged the Nigerian doctors not to despair and implored them to “remain steadfast,” commending them for the significant contributions and sacrifices they make towards repositioning the country’s healthcare delivery.
“Let us stay back and salvage this nation together. This is our country, the greatest black nation on earth, and a promising nation that we need to invest in,” he was quoted to have said.
“The NMA is one of the most prestigious, preeminent associations in this country. We must commend you for the sacrifices you are making and for staying put in this nation.
“All hope is not lost because Nigerian doctors are making giant strides, recording milestones in the profession and, most importantly, making tremendous sacrifices to serve this nation.”
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Mr Shettima further asked the NMA to encourage young doctors to specialise in key disciplines of medical practice and also check the activities of quacks in the profession.
In his comments, the NMA president said the executive committee members of the association were at the presidential villa to show solidarity for the Tinubu administration, particularly on account of its policies for the health sector.
Mr Audu said: “The NMA has come here today as a partner to your government and a patriotic group of Nigerians dedicated to the success of the Renewed Hope Agenda of this government and to ensure that this government delivers quality healthcare to all Nigerians.
“NMA remains patriotic to this nation and will fully support the health policies of your government to drive improvement in quality healthcare delivery and universal access to services to all Nigerians.”
He noted that the executive committee will work closely with the government in delivering and implementing the policies in the healthcare sector.
“The NMA wants to assure and reassure you that it will play a key role in ensuring stability in the health sector and by extension, stability for this government to deliver on its promises to Nigerians as it has already started doing,” he added.
Mr Audu further noted that when fully implemented, the programmes and projects of the Tinubu health policies will increase the training spaces for specialists in the country, as well as the quality of the postgraduate medical training.
“We are sure that this government will address the infrastructural needs to be able to sustain the quality of this training as well as the remuneration that will improve the wellbeing of Nigerian doctors to remain and serve in this country,” he said.
Also, the Nigerian Minister of Health and Social Welfare, Muhammad Pate, recently lamented that the country’s health system remains weak partly because its trained health professionals migrated to developed countries that did not invest in their first professional education.
Hundreds of Nigerian health workers migrate annually to more advanced countries, mainly because they seek better working conditions and better quality of life.
Various statistics show that over 5,000 Nigerian medical doctors migrated to the UK between 2015 and 2022.
According to the development Research and Project Centre (dRPC), 233 Nigerian doctors moved to the UK in 2015; the number increased to 279 in 2016; in 2017 the figure was 475; in 2018, the figure rose to 852; in 2019 it increased to 1,347; in 2020, the figure was 833 and in 2021, it was put at 932.
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IN recent years, Africa has been grappling with a profound challenge across various sectors – a significant brain drain, with skilled professionals seeking opportunities abroad.
Reports from research firms New World Wealth and Henley & Partners illuminate the scale of this issue, revealing staggering figures of high-net-worth individuals (HNWIs) leaving the continent in pursuit of better prospects.
With approximately 138,000-dollar millionaires calling Africa home, the departure of an estimated 18,500 HNWIs over the past decade has reverberated across multiple industries. Destinations ranging from the UK, the USA, the UAE, Australia, Canada, France, to Switzerland have become primary magnets for these individuals, lured by promises of economic prosperity and enhanced opportunities. However, this exodus isn't confined solely to the realm of affluence.
Africa is witnessing a parallel trend of critical brain drain in sectors vital to its development, particularly in healthcare. Tanzania, for instance, stands out as a poignant example, bearing the brunt of losing a substantial portion of its skilled medical workforce. According to a joint report by Sikika and the Medical Association of Tanzania (MAT), 8.2 percent of Tanzanian doctors have sought opportunities abroad, leaving the nation grappling with a severe shortage of healthcare professionals.
The ramifications of this medical exodus are dire, with Tanzania alone haemorrhaging over $11.22 million as 184 graduate doctors bid farewell to their homeland. Such migrations echo throughout neighbouring countries like Uganda and Kenya, exacerbating concerns about the broader brain drain phenomenon.
Beyond healthcare, this phenomenon extends its tentacles into various sectors, including engineering, academia, and technology. Skilled professionals are drawn to the allure of foreign lands, enticed by the promise of better pay, working conditions, and avenues for personal and professional growth.
The repercussions of this exodus reverberate deeply, undermining Africa's efforts towards sustainable development and hindering progress across multiple fronts. In response to these alarming trends, stakeholders are sounding the alarm, calling for decisive action from governments and relevant authorities.
Addressing the root causes of brain drain requires a multifaceted approach, encompassing improvements in working conditions, investment in education and infrastructure, and the creation of conducive environments for innovation and entrepreneurship. Moreover, the dearth of medical personnel exacerbates existing healthcare challenges, with Tanzania struggling to meet the World Health Organization's recommended doctor-to-population ratio of 1:1,000.
Currently, the ratio stands at a staggering 1:30,000, posing a severe impediment to quality healthcare provision, particularly in rural areas. The strain on the healthcare system is further compounded by the concentration of medical professionals in major urban centers, leaving underserved regions grappling with inadequate medical care.
The root causes of this healthcare crisis are multifaceted. While financial incentives undoubtedly play a significant role in enticing doctors abroad, deeper issues such as demotivation during medical training and a lack of investment in healthcare infrastructure contribute to the exodus.
Surveys indicate that a large majority of medical students’ report diminishing motivation throughout their training, raising concerns about the quality and commitment of future medical professionals.In response to this alarming trend, stakeholders urge decisive action from the Tanzanian government and relevant authorities.
Irenei Kiria, executive director of Sikika, emphasizes the need for comprehensive reforms aimed at attracting and retaining qualified healthcare workers. Improving financial incentives, working conditions, and ensuring the availability of medical supplies and equipment are cited as crucial steps to stem the tide of medical brain drain and revitalize the healthcare sector.
A comprehensive analysis by analyst Scott Firing based in the UK delves into the broader dynamics of Africa's brain drain. Despite challenges in accurately tracking migratory numbers, estimates from the UN indicate a substantial increase in migration from the continent, with over 40 million Africans seeking better opportunities elsewhere since 2010.
Notably, intra-African migration remains predominant, accounting for the highest percentage of this movement. The labour component of intra-African migration is substantial, with approximately 80 percent of migrants employed in various industries. Countries like South Africa, Nigeria, and Cote d'Ivoire attract migrants seeking employment opportunities.
Meanwhile, the exodus of highly educated and skilled individuals towards destinations like France, the UK, the US, and Canada persists. Visa data from these countries reveals a notable rise in African emigration, particularly in study and work visa categories. The consequences of Africa's brain drain are profound, particularly in critical sectors such as healthcare and engineering.
The departure of skilled professionals raises questions about the impact on Africa's socio-economic landscape. Yet, amidst these challenges, there is a glimmer of hope in the form of financial remittances, which have surged alongside migration numbers. The consequences of brain drain extend far beyond the immediate loss of skilled professionals.
It cripples local economies, hampers innovation and development, and perpetuates a cycle of dependency on foreign expertise. In healthcare, the departure of doctors and nurses exacerbates already strained systems, leading to inadequate access to medical care, particularly in rural areas.
This, in turn, contributes to increased morbidity and mortality rates, hindering progress towards achieving health-related Sustainable Development Goals. Furthermore, brain drain stifles innovation and hampers economic growth.
Skilled professionals often drive technological advancements and entrepreneurial endeavors, which are essential for diversifying economies and creating sustainable livelihoods. When these individuals depart, their expertise and potential contributions to local industries are lost, stifling economic progress and perpetuating dependency on imports and foreign expertise.
To grapple with the challenge of brain drain, Africa must adopt a multifaceted approach. Firstly, there is a need to address the root causes driving professionals to seek opportunities abroad. This includes improving working conditions, offering competitive salaries, and providing opportunities for career advancement and professional development.
Additionally, investment in education and research infrastructure is crucial to nurture local talent and encourage innovation. Fostering regional cooperation can also play a significant role in mitigating brain drain. By sharing resources, expertise, and best practices, African nations can create an environment conducive to retaining skilled professionals and fostering collaboration across borders.
Initiatives such as joint research projects, academic exchanges, and regional accreditation frameworks can help strengthen local institutions and reduce the incentives for professionals to seek opportunities abroad.
Furthermore, investing in sectors beyond healthcare, such as sports, can help retain talent and contribute to national pride and identity. For instance, African countries have seen a significant exodus of sports gurus to foreign leagues and teams, lured by lucrative contracts and better infrastructure.
To address this, African nations can invest in developing local sports infrastructure, coaching programs, and talent identification systems, creating opportunities for athletes to thrive and succeed domestically. In essence, addressing brain drain requires a concerted effort from governments, institutions, and stakeholders across various sectors.
By improving working conditions, fostering regional cooperation, and investing in education and infrastructure, African nations can stem the tide of brain drain and unlock the full potential of their human capital, ensuring the well-being and prosperity of their citizens for generations to come.
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Brain drain in Nigeria: In Contemporary Nigeria, there is mass movement of highly skilled professionals to advanced countries such UK, USA, Germany, Canada to mention just a few. This article examined reasons behind such massive Exodus to include lack of poor working condition, lack of improvement in research and advancement of professional proficiency, poor renumeration and contemptuous ...
January 8, 2024. Nigeria, a nation rich in human potential, grapples with a pervasive and critical issue — the brain drain of its highly skilled professionals. This phenomenon sees experts across various fields departing the country in pursuit of an enhanced quality of life, improved financial stability, and an environment that nurtures their ...
This study investigates the incidence of brain-drain and QWL amongst academics in Nigerian universities.,To sparkle a clearer understanding concerning factors preventing the QWL amongst Nigeria's lecturers, this study utilised a cross-sectional research design to survey the participants across all departments in federal institutions through an ...
The health workforce brain drain in Nigeria is not a new phenomenon, but the current increasing trend is alarming. The worsening of the "push factors" and strengthening of the "pull factors" by the COVID-19 pandemic has resulted in the mass emigration of Nigerian health workers to developed countries. The negative impact on healthcare ...
Nigeria is earmarked for health (Abang, 2019). Brain drain is the movement of highly skilled workers from a developing country to a developed country (Ogaboh et al., 2020). As a phenomenon, brain drain has drained Africa of healthcare practitioners, who make up only 3% of the global workforce on a
In understanding the scope of Nigeria's brain drain, a comparative analysis with other countries facing similar challenges is essential. This would provide a nuanced understanding of Nigeria's situation in the global context. ... and clear policy recommendations, the essay can provide a comprehensive, insightful, and engaging discussion of ...
Brain drain has been identified as one major factor that has kept Nigeria in a perplexed condition of. one step forward and six steps ba ckwards. It has been seen as one of the major impediments ...
Nigeria. Furthermore, this study a rgues that the implications of b rain drain on Nigeria's health and. educational systems are enormous, as Nigeria will co ntin ue to suffer from decline labour ...
It is argued that Nigeria will continue to suffer from declining economic growth and development because of the absence of the lost professionals in both the health and educational systems that would have contributed to the nation's Gross Domestic Product (GDP). The issue of brain drain is a global challenge facing particularly the developing countries of the world.
Brain drain in Nigeria is not a recent phenomenon. Migrating for greener pastures has been a recurrent clause in Nigerians' daily conversations since the turn of the 1970s when the culture of military
Although brain drain is not a new issue in Nigeria, it has become a thing of concern in recent times due to the alarming rate at which young professionals leave the country. This "Japa" trend has serious implications on the Nigerian economy, especially in respect of the healthcare system and the general development of the nation.
Nigeria when it concluded that though "brain drain appears to be a problem in Nigeria, it has not yet reached crises propor-tion."23 Aderinto, on the other hand, argued to the contrary, that though the "proportion may be low, the qualitative compo-nents of the brain drain might be very significant."24 In other
University Administration and the Challenges of Brain Drain in Nigeria DOI: 10.9790/487X-2204015765 www.iosrjournals.org 58 | Page poor funding have conspired with other factors, (top of which is brain drain), to deal a near mortal blow to Nigeria‟s university educational sector to the shame of a nation. ...
The mass departure of Africa's intellectual and skilled population to Western nations, called the "Brain-Drain", has been one of the greatest obstacles to the development of the continent. Nigeria, in particular, is suffering from the shortage of professionals and skillful individuals necessary for the advancement of the nation's capital.
Key Works: Doctors, Migration, Brain Drain, Nigeria. Gazette of Medicine, Vol. 9 No. 1, Jun - Nov 2021, ISSN 2315-7801, e2384-6283 INTRODUCTION Brain drain is a common phenomenon seen in developing countries ravaging Nigeria and occurring amongst all cadres of healthcare ...
Chi-square was used to test its hypothesis. Our result revealed a relationship between poor leadership of the country and brain drain. It equally indicated that students are interested in travelling out of the country to developed societies after their study. Also from the study, twelve causes of brain drain were indentified.
The African Brain Drain and the Social Impact of Skilled Migration. T. Boyo. Published 1 November 2013. Sociology, Economics, Political Science. The rapid rate at which educated Africans are migrating to the West has garnered much attention among scholars and has been termed 'brain drain'. This thesis presents two arguments.
(DOI: 10.24203/AJAS.V8I2.5990) One prime problem facing developing countries is the exodus of its skilled labour to advanced nations for greener pasture. This study therefore examines whether remuneration, workers' safety and working equipment accounts for brain flight among health practitioners in Nigeria. Survey research design was used. The research approach was predominantly quantitative ...
This paper discussed the concept of brain drain, the causes of brain drain among Nigerian nurses, the positive and negative implications of brain drain to the migrating nurses and the home country, and suggested ways of reversing brain drain and possibly attracting nurse migrants back to the country. The literature review shows that Nigeria has ...
Out of this figure, Nigeria has the highest number of entries yearly. In his article on brain drain of health professionals and knowledge from Africa, Muula (2005) defined brain drain as both a loss of health workers (hard brain drain) and unavail-ability of research results to users in Africa (soft brain drain).
Brain drain from Nigeria, nicknamed Japa (meaning run or to flee in Yoruba) is the exodus of middle-class and highly skilled Nigerians which has been occurring in waves since the late 1980s to early 1990s. This trend was initially restricted to certain professions but has now become free for all with the introduction of visa programs in order to fill workforce gaps in developed nations.
1948. 57. PDF. This work studies brain drain, its causes and relationship with economic growth in Nigeria. Long-term economic growth cannot be achieved without people with professional technical expertise, entrepreneurial and managerial skills and investment in real sector (agriculture and industry).The absence of these experts in Nigeria, as a ...
Brain Drain: 'Resist temptation to flee Nigeria' - Shettima tells doctors Mr Shettima commended the significant contributions and sacrifices of Nigerian doctors in repositioning healthcare ...
A new graduate doctor in Nigeria earns approximately N200,000 ($133) and N250,000 ($166) in state and federal respectively as a medical officer. Even consultants struggle with meager salaries of ...
Improving financial incentives, working conditions, and ensuring the availability of medical supplies and equipment are cited as crucial steps to stem the tide of medical brain drain and revitalize the healthcare sector. A comprehensive analysis by analyst Scott Firing based in the UK delves into the broader dynamics of Africa's brain drain.