Physician-Suggested Innovative Methods for Health System Resilience amidst Workforce Emigration and Sociopolitical Unrest in Nigeria: A Survey-Based Study

Abstract

WhatsApp group for Nigeria-trained doctors. Quantitative data were analyzed using Stata 17 and qualitative themes were coded by two independent researchers. Results:The final sample included 49 Nigeria-trained physicians-35 physicians practicing in Nigeria and 14 emigrated physicians. All of the physicians currently practicing in Nigeria have considered emigrating, with 79% of them having concrete plans to emigrate in the next five years. Among emigrated physicians, factors such as remuneration (92%) and socioeconomic state of the country (92%) contributed to their decision to emigrate. Suggestions to enhance health system resilience fell into six broad themes: 1) policy and politics, 2) funding and resources, 3) organization and structure, 4) training and education, 5) research and primary health, and 6) health for peace initiatives. Conclusions:The healthcare system is currently unstable and vulnerable due to physician emigration and sociopolitical unrest. To develop and implement solutions to mitigate these issues, capturing the locally trained physicians' perspectives are critical. While each country's healthcare system is unique, countries with similar strains can adapt this model for resilience building. Future studies should focus on adapting the model in different countries with policy-level action points.

Down the brain drain: a rapid review exploring physician emigration from West Africa

“…Opportunities to strengthen the skills and employment agenda within countries including re-skilling workers from declining sectors and industries of the economy (e.g., manufacturing, agriculture) to be redeployed in the health and social care sectors, maximizing the scope and utilization of allied health care workers, and assisting newly qualified students to enter the employment market, should be employed [ 14 – 16 , 21 , 30 , 32 ]. Proper incentivization, especially with regards to deploying healthcare workers to underserved areas should be employed [ 32 ].The above-mentioned strategies should be done in tandem with strategies addressing the safety of living and working in regions healthcare workers are deployed to.…”

Original Research: Nurses' Attitudes Toward Brain Drain and the Associated Factors

“…Brain drain has been defined as “the migration of relatively highly educated individuals from developing to developed countries”1 or, more plainly, as “the movement of highly skilled and qualified people to a country where they can work in better conditions and earn more money.”2 Similar definitions appear in the health care literature 3-5. In recent years, this trend has increased, particularly in the health care fields.…”

“…2 Similar definitions appear in the health care literature. [3][4][5] In recent years, this trend has increased, particularly in the health care fields. According to the Organisation for Economic Co-operation and Development, in its 38 member countries in 2019, an average of 6% of working nurses had obtained their nursing degrees in a foreign country (range, 0.1% to 26.6%).…”

Изучение Опыта Стимулирования Труда И Мотивации В Сфере Здравоохранения (Литературный Обзор)

“…Респонденттердің пікірінше, олар: мемлекеттік қаржыландырудың жетіспеушілігі (75%), халықты дәрі-дәрмекпен қамтамасыз етудің нашарлауы (42%), медициналық технологиялар мен жабдықтардың баяу жаңартылуы (36%). Зерттеуден кӛрінетіндей, медициналық қызметкерлердің ӛз жұмысына қанағаттануына аурухананың инфрақұрылымы мен денсаулық сақтаудың материалдық ресурстарына қатысты факторлар маңызды үлес қосады [41]. Пәкістанда жүргізген зерттеуде авторлар, қаржылық ынталандыру дәрігерлердің еңбек мотивациясына азырақ әсер етті және жоғары біліктілік пен жақсы еңбек жағдайларын алу мүмкіндігі сияқты факторлардан тӛмен болды [42].…”