Understanding the exodus: a 15-year retrospective cohort study on the pattern and determinants of migration among Nigerian doctors and dentists.

IF 2.2 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Global Health Action Pub Date : 2024-12-31 Epub Date: 2024-11-29 DOI:10.1080/16549716.2024.2432754

Oghenebrume Wariri, Patience Toyin-Thomas, Itua C G Akhirevbulu, Oladapo Oladeinde, Oluchi Omogbai, Philippa Odika, John Osakue, Avwebo Ukueku, Efetobo Orikpete, Chinelo Iwegim, Efe E Omoyibo, Jermaine Okpere, Uwaila Otakhoigbogie, Ekhosuehi T Agho, Sunday C Madubueze, Nnennaya C Ugoji, Chukwunwike W Ozegbe, Oti N Aria, Paul Ikhurionan

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引用次数: 0

Abstract

Background: Nigeria faces a critical shortage of healthcare professionals yet experiences a significant annual exodus of doctors and dentists. This alarming trend threatens the country's ability to provide equitable healthcare.

Objective: This study investigated the patterns and determinants of migration among doctors and dentists who graduated from the University of Benin, Nigeria, 15 years ago.

Methods: We conducted a retrospective cohort study that tracked 274 of the 379 (72.3%) eligible cohort. We computed the migration incidence rate per person-year from 2008 to 2023, covering 3,455 person-years of follow-up and analysed migration drivers as push and pull factors across macro-, meso-, and micro-levels.

Results: Fifteen years post-graduation, 48.9% (134/274) of the cohort had migrated. While the annual incidence rate of migration remained stable for the first 8 years, it spiked after 2016, reaching 11.4 per 100 person-years in 2023. Among those who migrated, the majority (96.3%, 129/134) relocated outside the African continent. The top three destination countries were the UK (48.5%, 65/134), Canada (20.9%, 28/134), and the USA (19.4%, 26/134). The leading push factors were insecurity of lives and property (57.8%), concerns about children's futures (50.3%), and limited career development opportunities (45.9%). The primary pull factors included security (56.3%), permanent residency (49.6%), and better pay in the destination country (46.7%). Significant predictors of migration included younger age, timing of marriage, and residency training status.

Conclusions: To avert an impending crisis, the Nigerian government must address the root causes driving the increasing migration of doctors and dentists.

查看原文本刊更多论文

了解出走：对尼日利亚医生和牙医迁移模式和决定因素的15年回顾性队列研究。

背景：尼日利亚面临着医疗保健专业人员的严重短缺，但每年都有大量医生和牙医外流。这一令人担忧的趋势威胁到该国提供公平医疗保健的能力。目的：本研究调查了15年前毕业于尼日利亚贝宁大学的医生和牙医的移民模式和决定因素。方法：我们进行了一项回顾性队列研究，追踪了379名符合条件的队列中的274名（72.3%）。我们计算了2008年至2023年的人口迁移发生率，涵盖了3455人年的随访，并分析了宏观、中观和微观层面的人口迁移驱动因素。结果：毕业15年后，48.9%（134/274）的队列移民。虽然移民的年发病率在前8年保持稳定，但在2016年之后飙升，到2023年达到每100人年11.4人。在移民者中，大多数（96.3%,129/134）迁移到非洲大陆以外。排名前三的目的地国家分别是英国（48.5%,65/134）、加拿大（20.9%,28/134）和美国（19.4%,26/134）。最主要的推动因素是生命财产不安全（57.8%）、对孩子未来的担忧（50.3%）和有限的职业发展机会（45.9%）。主要的吸引因素包括安全（56.3%）、永久居留权（49.6%）和目的地国家较高的薪酬（46.7%）。迁移的重要预测因素包括年龄更小、结婚时间和住院医师培训状况。结论：为了避免即将到来的危机，尼日利亚政府必须解决导致医生和牙医移民增加的根本原因。

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 Health Action PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

5.10

自引率

3.80%

发文量

108

审稿时长

16 weeks

期刊介绍： Global Health Action is an international peer-reviewed Open Access journal affiliated with the Unit of Epidemiology and Global Health, Department of Public Health and Clinical Medicine at Umeå University, Sweden. The Unit hosts the Umeå International School of Public Health and the Umeå Centre for Global Health Research. Vision: Our vision is to be a leading journal in the global health field, narrowing health information gaps and contributing to the implementation of policies and actions that lead to improved global health. Aim: The widening gap between the winners and losers of globalisation presents major public health challenges. To meet these challenges, it is crucial to generate new knowledge and evidence in the field and in settings where the evidence is lacking, as well as to bridge the gaps between existing knowledge and implementation of relevant findings. Thus, the aim of Global Health Action is to contribute to fuelling a more concrete, hands-on approach to addressing global health challenges. Manuscripts suggesting strategies for practical interventions and research implementations where none already exist are specifically welcomed. Further, the journal encourages articles from low- and middle-income countries, while also welcoming articles originated from South-South and South-North collaborations. All articles are expected to address a global agenda and include a strong implementation or policy component.