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Brain Drain: Nigeria lost 16,000 doctors to foreign countries in five years— Health Minister

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Nigeria’s Coordinating Minister of Health and Social Welfare, Prof Ali Pate, has confirmed that no fewer than 16,000 medical doctors left the country to foreign lands in search of greener pastures in the last five years.

The minister, who disclosed this during a guest appearance on a television programme on Sunday, said the brain drain phenomenon, popularly known as ‘Japa Syndrome’, had robbed Nigeria of its best hands in the health sector, as other health professionals had taken the same route by fleeing the country to foreign countries.

Pate who lamented that Nigeria has seen a generation of young doctors, health workers, tech entrepreneurs and a number of professionals abandoned the for greener pasture abroad, however, assured that the government was taking measures to reverse the trend.

The Minister decried that presently, only 55,000 licensed doctors are in the country to attend to the growing population of patients following the exodus of health professionals to hospitals and health facilities abroad.

“In the last five years, the country lost about 15,000 to 16,000 doctors to the Japa syndrome while about 17,000 had been transferred,” he said.

“There are about 300,000 health professionals working in Nigeria today in all cadres. I am talking about doctors, nurses, midwives, pharmacists, laboratory scientists and others. We did an assessment and discovered we have 85,000 to 90,000 registered Nigerian doctors.

“Not all of them are in the country. Some are in the Diaspora, especially in the US and UK. But there are 55,000 licensed doctors in the country.”

“The issue overall, in terms of health professionals, is that they are not enough. They are insufficient in terms of the skills mix. Can you believe most of the high skilled professional doctors are in Lagos, Abuja and a few urban centres? There is a huge distribution issue.

“The population of doctor overall is about 7,600 doctors in Lagos and 4,700 or thereabout in Abuja. The doctor to population ratio in Abuja is 14.7 per 10,000 population. These are numbers that you can verify. In Lagos, it is about 4.6, even though the average is 2.2 by 10,000.

“There are huge distributional issues and they are, of course, the opportunities even for some of those who have been trained to get into the market.

“So you have to look at it from a perspective that is holistic. Not only doctors but other cadres that are important in the delivery of health care. For doctors, we have been losing many that have been trained.”

“Now to the Japa you talked about, it is not only limited to Nigeria. It is a global phenomenon. Other countries don’t have enough.

“They are asking to take more. It is not only in Nigeria. It is happening in India, Philippines and other parts of Africa. In the last five years, we have lost about 15,000 to 16,000 and about 17,000 had been transferred. We’re barely managing.

“That’s why expanding their training will become logical. The same thing with nurses and midwives; they are also leaving. That’s why expanding the training is important to ensure those still around are well trained.

“We are beginning to take steps to expand the training and work environment, taking some steps to encourage salaries and incomes commission to do certain things that will encourage them to feel at home.

“But even the issue of working hours that has come about recently, particularly for the junior doctors, is being addressed.

“We are beginning to take steps to expand the training and work environment, taking some steps to encourage salaries and incomes commission to do certain things that will encourage them to feel at home.

“But even the issue of working hours that has come about recently, particularly for the junior doctors, is being addressed.

“This is because when some of their colleagues leave and they remain at home, the burden has not reduced.

“And so they work extremely hard. We’ve listened to that. We are looking at how we can alleviate that and with the Medical and Dental Council of Nigeria, we are looking at how, within the code of ethics and the guidelines for the physician, to provide some safeguards to ensure they are treated as valuable assets so they are not burnt out,” the Minister said.

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Chipata youth calls for stronger media protections amid concerns over media independence

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Alepha Banda, a programmes officer at the Youth Development Foundation (YDF), says Zambia’s existing laws do not adequately safeguard journalists, thereby impeding media freedoms and their ability to report objectively.

Banda also argued that journalists’ lack of economic stability makes them susceptible to manipulation.

In an interview with Zambia Monitor in the Eastern Province, Banda stated the need for the government to develop policies aimed at protecting private media entities and journalists.

“The government should formulate a policy that will protect the private media and journalists,” he said.

Moreover, Banda pointed out that although individuals theoretically possess the freedom to express themselves, this liberty was frequently curtailed by factors such as fear and threats emanating from certain members of the political class.

“Individuals in positions of power have a tendency to interfere with the media, as evidenced by numerous incidents where media outlets have been stormed by individuals affiliated with certain political factions,” he said.

Nevertheless, he noted that there had been instances where the government respected media freedoms.

“At least we have seen some tolerance in some instances, where the government has not taken action that hinders media freedom,” he stated.

Additionally, Banda mentioned that the marginalised were often overlooked both in new media platforms and traditional mainstream media outlets.

“The marginalised are often neglected across television, radio, and newspapers,” he said.

This story is sponsored content from Zambia Monitor’s Project Aliyense.

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Nigeria may need to raise supplementary budget to be able pay minimum wage— IMF

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The International Monetary Fund (IMF) says the Nigerian government may need to raise a supplementary budget to be able to pay the proposed minimum wage increase for workers.

The IMF which gave the advise in its latest staff country report for Nigeria on Monday, said a supplementary budget was necessary because the negotiated amount for the wage increase may surpass the budgeted amount in the original 2024 budget.

“The authorities noted that a supplementary budget may be needed to accommodate the outcome of the ongoing wage structure negotiations which may exceed what they had included in the 2024 budget,” the report said.

“Staff projects a higher fiscal deficit than anticipated in the 2024 budget, but broadly unchanged from 2023. The drivers are lower oil/gas revenue projections, reflecting IMF oil price forecasts but incorporating recent production gains; higher implicit fuel and electricity subsidies; continued suspension of excise measures included in the MTEF; and higher interest costs,” the agency noted.

The report also noted that the government might need to raise the domestic and external borrowing ceilings to prevent fresh borrowings from the apex bank’s Ways and Means.

“Over the medium-term, staff projects consolidation in the non-oil primary deficit. With rising interest costs, government debt stabilises towards the end of the projection period.

“Staff factors in an under-execution of capital expenditure in line with past outcomes and estimates an FGN deficit of 4.5 per cent of GDP relative to the 2024 budget target of 3.4 per cent of GDP.

“For the consolidated government, this implies a projected deficit of 4.7 per cent of GDP in 2024—compared to 4.8 per cent of GDP in 2023 measured from the financing side—which is appropriate given the large social needs and factoring in a realistic pace of revenue mobilisation.

“Based on staff’s projections, the authorities must raise the domestic and external borrowing ceilings to prevent renewed recourse to CBN financing.

“With higher interest rates, banks and nonbanks should have sufficient appetite—as indicated by market sources—conditional on careful management of system liquidity, including a likely reduction in the currently high cash reserve requirement.”

Organised labour in the country has continued to clamour for an increase in the minimum wage for government workers.

Labour leaders have demanded for N615,000 from N30,000 as salaries for lowest ranked workers, while a tripartite committee set up by the government have mulled N70,000 as the new minimum wage.

Despite the government allocating N6.48tn for personnel cost in the 2024 budget, the international lender argues that the amount may be insufficient, which could force the government to come up with a supplementary budget to fund the deficit, the report added.

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