• Users Online: 81
  • Print this page
  • Email this page
ORIGINAL ARTICLE
Year : 2021  |  Volume : 30  |  Issue : 5  |  Page : 543-547

Determinants of Nigerian medical doctors' willingness to practice in foreign countries


1 Endocrinology, Diabetes and Metabolism Unit, Department of Internal Medicine, Aminu Kano Teaching Hospital, Kano, Nigeria
2 Department of Community Medicine, Aminu Kano Teaching Hospital, Kano, Nigeria

Correspondence Address:
Dr. Mansur A Ramalan
Department of Internal Medicine, Aminu Kano Teaching Hospital, Kano; No. 2 New Hospital Road, Off Zaria Road, P. M. B 3452, Post Code 700231, Kano
Nigeria
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/NJM.NJM_111_21

Rights and Permissions

Background: Despite the poor doctor–patient ratio in Nigeria, which is far below the World Health Organization's recommendation, Nigerian doctors are known to contribute a significant proportion of the medical workforce in other countries, especially in the United Kingdom (UK) and the United States of America (USA). Aim: This study aimed to assess Nigerian medical doctors' willingness to practice in foreign countries, as well as the possible push and pull factors contributing to this brain drain. Methodology: A cross-sectional survey was conducted, and 329 medical doctors were selected from a list of doctors who were attending the Annual Delegates Meeting of the Nigerian Medical Association, using a systematic random sampling technique. A semistructured self-administered questionnaire was used to obtain the information from the selected respondents. Results: All selected respondents agreed to participate in the study. The mean age of the participants was 41.4 ± 6.3 years, 85.9% of them being males and 75.7% being Christians. About 36% of the respondents had medical fellowship, 31.6% were resident doctors, and 16.4% had only an MBBS degree. The median duration of practice was 12 years, and the median monthly income was ₦420,000.000. About 72.9% of the respondents were willing to practice in foreign countries if given the opportunity, 29.2% of whom preferred the USA, 25.1% preferred the UK, and 15.7 preferred Australia. Among those not willing to practice in foreign countries, 48.3% preferred working in Nigeria despite all the challenges and 32.2% was due to family and other personal reasons. Among those willing to practice in foreign countries, about 66.3% was due to poor financial incentives/working environment, 46.5% due to insecurity, and 38% due to inter-professional rivalry in the health sector. The following factors were found to be independent (intrinsic) determinants of willingness to practice in a foreign country: Geopolitical zone of origin, highest educational qualifications, duration of practice, and average monthly income. Conclusion: It is a big threat to the Nigerian health system for the majority of its doctors to be willing to leave the country. Hence, the need for governments at all levels to, as a matter of urgency, address the factors responsible for this drive.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed161    
    Printed4    
    Emailed0    
    PDF Downloaded29    
    Comments [Add]    

Recommend this journal