Workforce migration and brain drain – A nationwide cross-sectional survey of early career psychiatrists in Nigeria

IF 3.3 2区医学 Q2 PSYCHIATRY

Global Mental Health Pub Date : 2024-02-29 DOI:10.1017/gmh.2024.25

Emmanuel Aniekan Essien, Mohammed Yusuf Mahmood, Frances Adiukwu, Yesiru Adeyemi Kareem, Nafisatu Hayatudeen, Margaret Isioma Ojeahere, Mumeen Olaitan Salihu, Kamaldeen Adeyinka Sanni, Ayotunde Bolatito Omotoso, Mariana Pinto da Costa

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引用次数: 0

Abstract

Background

Nigeria’s shortage of psychiatrists is exacerbated due to health worker migration.

Aim

This study explores migration experiences and tendencies among early-career psychiatrists in Nigeria.

Methods

We conducted a cross-sectional survey covering Nigeria’s six geopolitical zones, using a 61-item online questionnaire assessing short-term mobility, long-term migration experiences and migration attitudes. Data was analysed using IBM SPSS version 29.

Results

Of 228 early-career psychiatrists surveyed, 9.7% had short-term mobility and 8.0% had long-term migration experiences. However, 85.8% had ‘ever’ considered migration, 69.2% were planning to leave ‘now’, and 52.9% had taken ‘practical migration steps’. Over half (52.7%) said they would be working abroad in 5 years, with 25.2% indicating they would migrate within a year. The top reasons to leave were financial and academic, while personal and cultural factors were the key reasons to stay. Income dissatisfaction (OR = 2.27, 95%, CI = 1.05–4.88) predicted planning to leave ‘now’, while being in a relationship (OR = 3.46, 95%CI = 1.06–11.30) predicted taking ‘practical migration steps’. Attractive job features were good welfare (85.4%) and high salaries (80.3%). Improvements in finances (90.8%) and work conditions (86.8%) were requested.

Conclusions

Systemic changes to address psychiatrists’ migration from Nigeria are needed.

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劳动力迁移和人才流失--对尼日利亚早期职业精神科医生的全国横断面调查

背景尼日利亚的精神科医生短缺问题因卫生工作者的迁徙而加剧。目的本研究探讨了尼日利亚早期职业精神科医生的迁徙经历和倾向。方法我们对尼日利亚的六个地缘政治区进行了横断面调查，使用 61 个项目的在线问卷评估短期流动、长期迁徙经历和迁徙态度。结果在接受调查的 228 名早期职业精神科医生中，9.7% 的人有短期流动经历，8.0% 的人有长期移民经历。然而，85.8%的人 "曾经 "考虑过移民，69.2%的人 "现在 "计划离开，52.9%的人已经采取了 "实际移民措施"。超过半数（52.7%）的人表示他们将在 5 年内到国外工作，25.2%的人表示他们将在一年内移民。离开的首要原因是经济和学业，而留下来的主要原因是个人和文化因素。收入不满意（OR = 2.27，95% CI = 1.05-4.88）预示着他们计划 "现在 "离开，而恋爱关系（OR = 3.46，95% CI = 1.06-11.30）预示着他们会采取 "实际移民措施"。有吸引力的工作特点是福利好（85.4%）和工资高（80.3%）。要求改善经济状况（90.8%）和工作条件（86.8%）。结论需要进行系统变革，以解决精神科医生从尼日利亚移民的问题。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Global Mental Health PSYCHIATRY-

自引率

5.10%

发文量

审稿时长

25 weeks

期刊介绍： lobal Mental Health (GMH) is an Open Access journal that publishes papers that have a broad application of ‘the global point of view’ of mental health issues. The field of ‘global mental health’ is still emerging, reflecting a movement of advocacy and associated research driven by an agenda to remedy longstanding treatment gaps and disparities in care, access, and capacity. But these efforts and goals are also driving a potential reframing of knowledge in powerful ways, and positioning a new disciplinary approach to mental health. GMH seeks to cultivate and grow this emerging distinct discipline of ‘global mental health’, and the new knowledge and paradigms that should come from it.

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