Trust as Foundation: Can Nigeria's New Health Workforce Policy Stem the Migration Tide?

IF 1.9 4区医学 Q3 HEALTH POLICY & SERVICES

International Journal of Health Planning and Management Pub Date : 2024-11-24 DOI:10.1002/hpm.3879

Ayotunde Giwa

引用次数: 0

Abstract

Nigeria's 2024 National Policy on Health Workforce Migration confronts a fundamental challenge: rebuilding trust between healthcare workers and government. Using Mayer, Davis, and Schoorman's organizational trust framework, this analysis explores how trust shapes healthcare workers' migration decisions. Drawing from comparative African experiences and implementation evidence, this paper argues that without addressing core issues of trust through demonstrated policy implementation, sustained commitment to workforce welfare, and competitive compensation, even well-designed retention policies will struggle to retain Nigeria's health workers.

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信任是基础：尼日利亚新的卫生工作者政策能否遏制移民潮？

尼日利亚 2024 年国家医疗卫生劳动力迁移政策面临着一个根本性的挑战：重建医疗工作者与政府之间的信任。本文利用 Mayer、Davis 和 Schoorman 的组织信任框架，分析了信任如何影响医护人员的移民决策。本文借鉴了非洲的比较经验和实施证据，认为如果不通过示范性的政策实施、对劳动力福利的持续承诺以及有竞争力的薪酬来解决信任的核心问题，即使是精心设计的留住政策也很难留住尼日利亚的医疗工作者。

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

International Journal of Health Planning and Management Multiple-

CiteScore

4.50

自引率

3.70%

发文量

197

期刊介绍： Policy making and implementation, planning and management are widely recognized as central to effective health systems and services and to better health. Globalization, and the economic circumstances facing groups of countries worldwide, meanwhile present a great challenge for health planning and management. The aim of this quarterly journal is to offer a forum for publications which direct attention to major issues in health policy, planning and management. The intention is to maintain a balance between theory and practice, from a variety of disciplines, fields and perspectives. The Journal is explicitly international and multidisciplinary in scope and appeal: articles about policy, planning and management in countries at various stages of political, social, cultural and economic development are welcomed, as are those directed at the different levels (national, regional, local) of the health sector. Manuscripts are invited from a spectrum of different disciplines e.g., (the social sciences, management and medicine) as long as they advance our knowledge and understanding of the health sector. The Journal is therefore global, and eclectic.