By Lawal Dahiru Mamman
Brain drain in Nigeria has lingered for some time now. In the medical profession, it is the most dominant issue occupying the mind of physicians and other health personnel. This may not be unconnected to the fact that human life is sacrosanct.
It goes without saying that the incessant brain drain of medical personnel in Nigeria will slow the attainment of Universal Health Coverage (UHC), that all people have access to the full range of quality health services, they need, when and where they need them, without financial hardship, in this part of the world.
Mainly, the mass exodus of doctors out of the country is caused by poor welfare of medical practitioners, lack of or insufficient working equipment, and poor working environment leading to the need for seeking a more sumptuous alternative – greener pasture as it is called.
This is purely a reflection of the theory which argued that “…… if wages rose above subsistence, the number of workers would increase ….” By implication, wherever our medical brains are sprinting to have a more luscious wage or salary for the profession. This would increase the country’s workforce while wearing out our dear nation.
Discussions have sprung over time on how to salvage the situation. Experts have suggested an increment in the welfare of doctors. In contrast, others have voted for ending medical tourism, especially public officeholders, to enable them to pay more attention to funding health facilities at home.
The most recent attempt to curb the mortal exodus of medical practitioners is to shackle them with the power of the law. This is through a bill sponsored by Ganiyu Johnson, a lawmaker from Lagos. The bill seeks to amend the Medical and Dental Practitioners Act 2004 to address the brain drain in the health sector. According to the lawmaker, it is only fair for medical doctors who enjoy taxpayer subsidies on their training to give back to society.
The legislation is titled, ‘A Bill for an Act to Amend the Medical and Dental Practitioners Act, Cap. M379, Laws of the Federation of Nigeria, 2004 to Mandate Any Nigeria Trained Medical or Dental Practitioner to Practice in Nigeria for a Minimum of Five Years Before being Granted a Full License by the Council to Make Quality Health Services Available to Nigeria; and for Related Matters.’
While the above is more restricted to medical and dental practitioners, the same lawmaker said on Friday, April 14, 2023, that he would be presenting a similar bill on nurses and pharmacists; when he intends to do that, time will tell.
With different medical associations reacting in negation by stating that the bill has the propensity to trample on the rights of doctors, the Minister of Health, Dr Osagie Ehanire, said the bill is in order especially looking at the fees paid by the government to subsidise their training at universities, and the service which they render before travelling overseas. However, the minister said the service does not make up for the cost of training.
The Nigerian Medical Association (NMA) has said the bill will not see the light of the day because it impedes the constitutional right to freedom of movement of doctors and violates international labour law, chiefly since the government has subsidised students from all other professions.
The Nigerian Medical Students Association (NiMSA) and the World Medical Association (WMA) have vehemently disapproved of it, too, because the bill, according to the latter, is “not only outlandish but totally retrogressive, unresearched and very ill-informed.”
The bill that intends to give health workers full license only after five years of working in Nigeria has passed the second reading in the House of Representatives. While this may have come out of benevolence, it may not be the piece we search for to solve the puzzle of brain drain in the health sector.
If the bill sees the light of day, after five years, doctors will still have the freedom to travel out, in my opinion even more experienced. So, could this be the solution we yawn for? Instead, a more lasting solution should involve doctors and government officials meeting halfway to save Nigeria’s crumbling health sector.
I want to firmly believe that Nigeria has what it takes to cultivate the soil for growing ‘greener pasture’ our medical professionals continue to voyage foreign lands for. But only leaders fuelled with altruism can summon the political will to do the needful.
Lawal Dahiru Mamman writes from Abuja and can be reached via dahirulawal90@gmail.com.
