The brain drain potential of skilled health workers from sub-Saharan Africa: A case study of pharmacy students in Nigeria
DOI:
https://doi.org/10.46542/pe.2022.221.654663Keywords:
Brain drain, Migration, Nigeria, Pharmacist, Pharmacy studentAbstract
Background: The increasing migration of health workers from low- and middle-income countries is an ongoing public health concern. This study evaluated the brain drain potential of pharmacy students in Nigeria.
Methods: This was a cross-sectional survey of final year pharmacy students from three Nigerian universities. Data collection was done via a 46-item self-administered questionnaire.
Results: There were 377 respondents. Reasons for potential emigration included better standard of living (n=334, 88.6%), access to advanced technology (n=330, 87.5%) and opportunity for professional development (n=341, 90.5%) in the destination countries. Respondents younger than 25 years were more likely to have a high emigration potential compared to those older (98.6% vs 84.6%, ꭓ2=10.816, p=0.029).
Conclusion: This study showed high emigration potential for the surveyed final year pharmacy students. This highlights the need for interventions that will promote retention and limit brain drain.
References
Abang, M. (2019). ‘Trend of doctors emigrating is at an all-time high’ [WWW Document]. Available from: https://www.aljazeera.com/features/2019/4/8/nigerias-medical-brain-drain-healthcare-woes-as-doctors-flee
Ahmad, O.B. (2004). Brain drain: the flight of human capital. Bulletin of the World Health Organization, 82(10), 797-798.
Bhargava, A., Docquier, F., Moullan, Y. (2011). Modeling the effects of physician emigration on human development. Economics & Human Biology, 9(2), 172–183. https://doi.org/10.1016/j.ehb.2010.12.004
Bredtmann, J., Martínez Flores, F., Otten, S., (2019). Remittances and the brain drain: Evidence from microdata for Sub-Saharan Africa. The Journal of Development Studies, 55(7), 1455–1476. https://doi.org/10.1080/00220388.2018.1443208
Burch, V.C., McKinley, D., van Wyk, J., Kiguli-Walube, S., Cameron, D., Cilliers, F.J., Longombe, A.O., Mkony, C., Okoromah, C., Otieno-Nyunya, B., Morahan, P.S. (2011). Career intentions of medical students trained in six sub-Saharan African countries. Education for Health (Abingdon England), 24(3), 614 Epub 2011 Dec 16. PMID: 22267357
Canadian Institute of Health Information (2021). Pharmacists in Canada 2020 - Data Tables. Canadian Institute of Health Information, Ottawa, ON
Chirdan, O.O., Akosu, J.T., Ejembi, C.L., Bassi, A.P., Zoakah, A.I. (2009). Perceptions of working conditions amongst health workers in state-owned facilities in northeastern Nigeria. Annals of African Medicine, 8(4), 243–249. https://doi.org/10.4103/1596-3519.59579
Chukwu, O.A., Ezeanochikwa, V.N., Eya, B.E., (2017). Supply chain management of health commodities for reducing global disease burden. Research in Social and Administrative Pharmacy, 13, 871–874. https://doi.org/10.1016/j.sapharm.2016.08.008
Cometto, G., Tulenko, K., Muula, A.S., Krech, R., (2013). Health workforce brain drain: From denouncing the challenge to solving the problem. PLOS Medicine, 10(9), e1001514. https://doi.org/10.1371/journal.pmed.1001514
Crush, J., & Pendleton, W., (2012). The brain drain potential of students in the African health and nonhealth sectors. International Journal of Population Research, 2012, e274305. https://doi.org/10.1155/2012/274305
Daniel, W.W., & Cross, C.L. (2013). Biostatistics. A Foundation for Analysis in the Health Sciences, 10th ed. John Wiley & Sons, Inc., USA
Dodani, S., & LaPorte, R.E. (2005). Brain drain from developing countries: how can brain drain be converted into wisdom gain? Journal of the Royal Society of Medicine, 98(11), 487–491. https://10.1258/jrsm.98.11.487
Dzinamarira, T. & Musuka, G. (2021). Brain drain: An ever-present; significant challenge to the Zimbabwean public health sector. Public Health in Practice, 2, 100086. https://doi.org/10.1016/j.puhip.2021.100086
Ekpenyong, A., Udoh, A., Kpokiri, E., Bates, I. (2018). An analysis of pharmacy workforce capacity in Nigeria. Journal of Pharmaceutical Policy and Practice, 11, 20. https://doi.org/10.1186/s40545-018-0147-9
General Pharmaceutical Council (2020). Survey of registered pharmacy professionals 2019. General Pharmaceutical Council, London, UK. Available from: https://www.pharmacyregulation.org/about-us/research/gphc-survey-registered-pharmacy-professionals (Accessed 11 April, 2022)
Ghani, K., Gillani, W., Ghani, M. (2010). Pharmacy teaching and practices problems in developing countries: Review. International Journal of Pharmacy Teaching and Practices, 1(1), 7
Hagopian, A., Ofosu, A., Fatusi, A., Biritwum, R., Essel, A., Gary Hart, L., Watts, C. (2005). The flight of physicians from West Africa: views of African physicians and implications for policy. Social Science & Medicine, 61(8), 1750–1760. https://doi.org/10.1016/j.socscimed.2005.03.027
Hassell, K., Nichols, L., Noyce, P. (2008). Part of a global workforce: migration of British-trained pharmacists. Journal of Health Services Research. & Policy, 13 Suppl 2, 32–39. https://doi.org/10.1258/jhsrp.2007.007100
International Pharmaceutical Federation, (2006). Global pharmacy workforce and migration report: A call for action. International Pharmaceutical Federation, The Hague. Available from: https://www.fip.org/file/1422 (Accessed 11 April 2022)
Jackson, J.K., Liang, J., Page, A.T. (2021). Analysis of the demographics and characteristics of the Australian pharmacist workforce 2013–2018: decreasing supply points to the need for a workforce strategy. International Journal of Pharmacy Practice, 29, 178–185. https://doi.org/10.1093/ijpp/riaa022
Kasper, J., Bajunirwe, F. (2012). Brain drain in sub-Saharan Africa: contributing factors, potential remedies and the role of academic medical centres. Archives of Disease in Childhood, 97, (973–979). https://doi.org/10.1136/archdischild-2012-301900
Lal, A., Erondu, N.A., Heymann, D.L., Gitahi, G., & Yates, R. (2021). Fragmented health systems in COVID-19: rectifying the misalignment between global health security and universal health coverage. Lancet, 397(10268), 61–67. https://doi.org/10.1016/S0140-6736(20)32228-5
Mattes, R., Mniki, N., (2007). Restless minds: South African students and the brain drain. Development Southern Africa, 24(1), 25–46. https://doi.org/10.1080/03768350601165769
Mills, E.J., Kanters, S., Hagopian, A., Bansback, N., Nachega, J., Alberton, M., Au-Yeung, C.G., Mtambo, A., Bourgeault, I.L., Luboga, S., Hogg, R.S., Ford, N. (2011). The financial cost of doctors emigrating from sub-Saharan Africa: human capital analysis. British Medical Journal, 343, d7031. https://doi.org/10.1136/bmj.d7031
Muula, A.S. (2005). Is there any solution to the “brain drain” of health professionals and knowledge from Africa? Croatian Medical Journal, 46, 21–29
Nwagwu, E.O.C. (2015). Migration of international medical graduates: implications for the brain drain. Open Medical Journal, 2, 17-24. https://doi.org/10.2174/1874220301401010017
Owusu-Daaku, F., Smith, F., Shah, R. (2008). Addressing the workforce crisis: the professional aspirations of pharmacy students in Ghana. Pharmacy World & Science, 30(5), 577–583. https://doi.org/10.1007/s11096-008-9214-7
Padarath, A., Chamberlain, C., McCoy, D., Ntuli, A., Rowson, M., Loewenson, R. (2003). Health personnel in Southern Africa: confronting maldistribution and brain drain. Regional Network for Equity in Health in Southern Africa (EQUINET) Health Systems Trust (South Africa) and MEDACT (UK). Available from: https://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.147.5971&rep=rep1&type=pdf (Accessed 12 April 2022)
Pang, T., Lansang, M.A., Haines, A. (2002). Brain drain and health professionals. British Medical Journal, 324(7336), 499-500 https://doi.org/10.1136/bmj.324.7336.499
Patel, Y.M., Ly, D.P., Hicks, T., Jena, A.B. (2018). Proportion of non-US-born and non-citizen health care professionals in the United States in 2016. The Journal of the American Medical Association, 320(21), 2265–2267. https://doi.org/10.1001/jama.2018.14270
United Nations, 2017. #YouthStats: globalisation and migration – Office of the Secretary-General’s Envoy on Youth. Available from: https://www.un.org/youthenvoy/globalisation-migration/ (Accessed 10 April 2022)
U.S. Embassy & Consulate in Nigeria (2017). Nigeria sees a rise to 11,710 students in the U.S. Available from: https://ng.usembassy.gov/nigeria-sees-rise-11710-students-u-s/ (Accessed on 31 March 2022)
World Health Organisation (2017). A dynamic understanding of health worker migration. Available from: http://www.healthworkforceireland.com/uploads/1/0/6/5/10659222/hwf17002_brochure_005.pdf (Accessed 10 April 2022)
Wuliji, T., Carter, S., Bates, I. (2009). Migration as a form of workforce attrition: a nine-country study of pharmacists. Human Resources for Health, 7, 32. https://doi.org/10.1186/1478-4491-7-32