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
{"title":"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","authors":"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","doi":"10.1017/gmh.2024.25","DOIUrl":null,"url":null,"abstract":"<span>Background</span><p>Nigeria’s shortage of psychiatrists is exacerbated due to health worker migration.</p><span>Aim</span><p>This study explores migration experiences and tendencies among early-career psychiatrists in Nigeria.</p><span>Methods</span><p>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.</p><span>Results</span><p>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.</p><span>Conclusions</span><p>Systemic changes to address psychiatrists’ migration from Nigeria are needed.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":null,"pages":null},"PeriodicalIF":3.3000,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Workforce migration and brain drain – A nationwide cross-sectional survey of early career psychiatrists in Nigeria\",\"authors\":\"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\",\"doi\":\"10.1017/gmh.2024.25\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<span>Background</span><p>Nigeria’s shortage of psychiatrists is exacerbated due to health worker migration.</p><span>Aim</span><p>This study explores migration experiences and tendencies among early-career psychiatrists in Nigeria.</p><span>Methods</span><p>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.</p><span>Results</span><p>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.</p><span>Conclusions</span><p>Systemic changes to address psychiatrists’ migration from Nigeria are needed.</p>\",\"PeriodicalId\":48579,\"journal\":{\"name\":\"Global Mental Health\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":3.3000,\"publicationDate\":\"2024-02-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Global Mental Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1017/gmh.2024.25\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Global Mental Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1017/gmh.2024.25","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHIATRY","Score":null,"Total":0}
Workforce migration and brain drain – A nationwide cross-sectional survey of early career psychiatrists in Nigeria
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.
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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