劳动力迁移与人才流失——尼日利亚早期职业精神科医生的全国性横断面调查。

Workforce migration and brain drain - A nationwide cross-sectional survey of early career psychiatrists in Nigeria.

作者信息

Essien Emmanuel Aniekan, Mahmood Mohammed Yusuf, Adiukwu Frances, Kareem Yesiru Adeyemi, Hayatudeen Nafisatu, Ojeahere Margaret Isioma, Salihu Mumeen Olaitan, Sanni Kamaldeen Adeyinka, Omotoso Ayotunde Bolatito, Pinto da Costa Mariana

机构信息

Department of Clinical Services, Federal Neuropsychiatric Hospital, Calabar, Nigeria.

Department of Clinical Services, Federal Neuropsychiatric Hospital, Maiduguri, Nigeria.

出版信息

Glob Ment Health (Camb). 2024 Feb 29;11:e30. doi: 10.1017/gmh.2024.25. eCollection 2024.

DOI:10.1017/gmh.2024.25

PMID:38572258

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10988168/

Abstract

BACKGROUND

Nigeria's shortage of psychiatrists is exacerbated due to health worker migration.

AIM

This study explores migration experiences and tendencies among early-career psychiatrists in Nigeria.

METHODS

We conducted a cross-sectional survey covering Nigeria's six geopolitical zones, using a 61-item online questionnaire assessing short-term mobility, long-term migration experiences and migration attitudes. Data was analysed using IBM SPSS version 29.

RESULTS

Of 228 early-career psychiatrists surveyed, 9.7% had short-term mobility and 8.0% had long-term migration experiences. However, 85.8% had 'ever' considered migration, 69.2% were planning to leave 'now', and 52.9% had taken 'practical migration steps'. Over half (52.7%) said they would be working abroad in 5 years, with 25.2% indicating they would migrate within a year. The top reasons to leave were financial and academic, while personal and cultural factors were the key reasons to stay. Income dissatisfaction (OR = 2.27, 95%, CI = 1.05-4.88) predicted planning to leave 'now', while being in a relationship (OR = 3.46, 95%CI = 1.06-11.30) predicted taking 'practical migration steps'. Attractive job features were good welfare (85.4%) and high salaries (80.3%). Improvements in finances (90.8%) and work conditions (86.8%) were requested.

CONCLUSIONS

Systemic changes to address psychiatrists' migration from Nigeria are needed.

摘要

背景

由于卫生工作者的迁移，尼日利亚精神科医生短缺的情况更加严重。

目的

本研究探讨尼日利亚早期职业精神科医生的迁移经历和倾向。

方法

我们进行了一项横断面调查，覆盖尼日利亚的六个地缘政治区，使用一份包含61个条目的在线问卷评估短期流动性、长期迁移经历和迁移态度。数据使用IBM SPSS 29版进行分析。

结果

在接受调查的228名早期职业精神科医生中，9.7%有短期流动性，8.0%有长期迁移经历。然而，85.8%“曾经”考虑过迁移，69.2%计划“现在”离开，52.9%已经采取了“实际迁移步骤”。超过一半（52.7%）的人表示他们将在5年内出国工作，25.2%的人表示他们将在一年内迁移。离开的主要原因是经济和学术方面，而个人和文化因素是留下来的主要原因。收入不满意（比值比=2.27，95%置信区间=1.05-4.88）预测计划“现在”离开，而处于恋爱关系中（比值比=3.46，95%置信区间=1.06-11.30）预测采取“实际迁移步骤”。有吸引力的工作特征是良好的福利（85.4%）和高薪（80.3%）。他们要求改善经济状况（90.8%）和工作条件（86.8%）。