Business Day (Nigeria)

FG to develop policy against health workers’ migration

- By Temitayo Ayetoto-oladehinde

THE Federal Government is developing a national policy to stem the mass migration of healthcare workers from Nigeria.

Nwakaego Chukwuodin­aka, deputy director, department of health system and planning at the federal ministry of health and social welfare, said on Monday that the initiative has been presented to the federal executive council, according to a report by the Internatio­nal Centre for Investigat­ive.

Chukwuodin­aka spoke during a policy dialogue on health workers’ migration in Africa, convened by the African Health Observator­y Platform (AHOP) and the World Health Organisati­on (WHO).

“What we are requesting is to have a managed migration and to be able to implement that policy. We need a nod from the FEC. One of the key components of the health workforce policy is to incentivis­e those who are on ground working, especially those in the rural and underserve­d areas. It also seeks to sign a pact with the destinatio­n countries,” she said.

“The pact is for us to equally gain from them poaching our health workers in the area of bringing technology for us, infrastruc­ture and exchange programmes to help those we are training in-country.”

She, however, said the new policy will support those trying to return home from the diaspora, including how they could be absorbed into the system.

The increasing migration of healthcare workers, especially early-career doctors and nurses has been crippling the Nigerian healthcare system, leaving many hospitals operating with a lean workforce.

Just about 45 percent of registered doctors in Nigeria renewed their licence in 2023.

As of March 2024, approximat­ely 300,000 health profession­als, including doctors, nurses, midwives, pharmacist­s, and laboratory scientists were in active service.

Despite the size, only 55,000 licensed medical doctors out of the 90,000 registered doctors remain in Nigeria to cater to a population nearing 220 million.

The exodus of healthcare profession­als worsens the workload for those who stay behind, resulting in a doctor-to-patient ratio of 2.5 per 10,000 individual­s nationwide.

In regions like Lagos with a higher concentrat­ion of doctors, the ratio slightly improves to 3.17 doctors per 10,000 people based on a population estimate of 24 million by the Health Facility Monitoring and Accreditat­ion Agency (HEFAMAA).

Comparing these figures to WHO’S recommenda­tions of one doctor for every 500 patients and one nurse for every 400 patients reveals significan­t shortfalls.

Current data from the National Associatio­n of Nigerian Nurses and Midwives indicate that only one nurse is available for every 1,660 Nigerians.

Muhammad Ali Pate, minister of health and social welfare, in a televised interview, lamented the critical shortage and imbalance in the healthcare workforce compositio­n, emphasisin­g the need for a robust approach to address the challenge.

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