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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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Zambia’s political challenges, ensuring free speech, addressing barriers to participation

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Active political participation is vital for ensuring leaders are accountable and promoting transparency.

In Zambia, while several political parties participate in general, by-elections, and ward elections to test their popularity, financial constraints often hinder smaller parties from making significant impacts.

Prior to the 1991 general elections, Zambia was under a one-party state led by the United National Independence Party (UNIP) and its leader, Dr. Kenneth Kaunda, who endorsed socialism over democracy.

The introduction of multiparty politics in 1991 saw the emergence of various political parties.

However, many of these parties often align with larger parties during elections due to financial pressures.

Major parties like the ruling United Party for National Development (UPND) and the Patriotic Front (PF) frequently seek financial support from conglomerates, promising kickbacks in exchange for government formation.

This has led to calls for legislation on political party financing to ensure transparency about the sources of funding for all parties, though such proposals have faced resistance.

Parties like the former ruling PF, UNIP, and the Movement for Multiparty Democracy (MMD) have struggled with internal disputes, often failing to field candidates in various elections.

Renowned academician Sishuwa Sishuwa highlighted that former ruling parties typically perform poorly after losing power. UNIP, which ruled for 27 years, collapsed after its defeat in 1991, while MMD, which governed for 20 years, similarly faltered after losing power in 2011.

When the PF went into opposition following the 2021 elections, many, including President Hakainde Hichilema, anticipated its decline.

However, Sishuwa noted that despite predictions of its demise, the PF remained resilient, winning support in subsequent polls.

Political participation was crucial for representing diverse perspectives and fostering a vibrant public discourse.

Engaged citizens can advocate for policies and laws that support free speech and democracy.

Elizabeth Carlson of Cambridge University Press points out that while ethnic identity often drives electoral participation in Africa, other factors such as co-locality, co-gender, and co-partisanship also play significant roles.

The focus should shift from ethnic influence alone to a broader understanding of electoral dynamics.

Encouraging political engagement promotes critical thinking and debate, essential for a healthy democracy and free speech.

The 2010 Afrobarometer survey revealed high support for democratic governance in Zambia since 1999, though satisfaction with how democracy functions has been below 50 percent from 2005 to 2009.

Many Zambians are dissatisfied with a political environment where ruling parties remain in power for extended periods, even with freedoms to express opinions and vote.

Before his 2021 election, President Hichilema faced obstacles such as blocked campaign events and military deployment following clashes and election-related violence.

Such challenges underscore the need for increased political participation and a more inclusive environment for free speech to thrive.

This story is sponsored by Project Aliyense.

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Don’t give up on Nigeria, Atiku begs diaspora Nigerians

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Former Vice President, and presidential candidate of the Peoples Democratic Party (PDP) in the 2023 presidential election, Alhaji Atiku Abubakar, has begged Nigerians in the diaspora not to give up on the country but to remain strong and optimistic for a better future for Nigeria.

Atiku, who made the call during a virtual interactive session with some Nigerians in the diaspora on Sunday, urged Nigerian citizens living abroad not to give up on the nation regardless of the current socio-economic challenges and what the citizens are going through back home.

According to the former Nigerian number two man, the state of the economy has led to untold hardship for millions of Nigerians and the poverty index has continued to rise but however, expressed hopes of a better and brighter future for the nation.

“I urge you not to give up just yet. Your strength and resilience are crucial to Nigeria’s future,” Atiku said, while charging the door diaspora Nigerians to play bigger roles in shaping the country’s future.

“As Nigerians living abroad, you have a unique perspective on what good governance and economic management look like.

“I encourage you to continue to pray for Nigeria’s deliverance. Your prayers and support can help bring about the transformation we need.

“I believe in the potential of our great nation and I know that with collective effort, we can overcome the current challenges and build a prosperous Nigeria for all.”

He also encouraged them to continue to support their families and friends back home.

“Continue to engage with your loved ones, offering support and encouraging peace and unity in these difficult times.

“Your contributions to the Nigerian economy through remittances and investments are quite crucial. I will appeal to all Nigerians in the diaspora to continue to support Nigeria and project it to the world as the country with great potential,” Atiku charged.

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