Evidence map›Paper›PMID 38572258›Full record

ArticleGlobal mental health (Cambridge, England)2024

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

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

Abstract read
In one paragraph

Article in Global mental health (Cambridge, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
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  4. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Emmanuel Aniekan EssienDepartment of Clinical Services, Federal Neuropsychiatric Hospital, Calabar, Nigeria.ORCID https://orcid.org/0000-0002-9920-9159
Mohammed Yusuf MahmoodDepartment of Clinical Services, Federal Neuropsychiatric Hospital, Maiduguri, Nigeria.ORCID https://orcid.org/0000-0001-6599-4067
Frances AdiukwuDepartment of Mental Health, University of Port Harcourt, Choba, Rivers State, Nigeria.ORCID https://orcid.org/0000-0001-5543-1746
Yesiru Adeyemi KareemDirectorate of Clinical Services, Neuropsychiatric Hospital, Aro, Abeokuta, Nigeria.ORCID https://orcid.org/0000-0001-5569-6592
Nafisatu HayatudeenDepartment of Clinical Services, Federal Neuropsychiatric Hospital, Kaduna, Nigeria.ORCID https://orcid.org/0000-0002-9502-3971
Margaret Isioma OjeahereDepartment of Psychiatry, Jos University Teaching Hospital, Plateau, Nigeria.ORCID https://orcid.org/0000-0002-0593-2400
Mumeen Olaitan SalihuDepartment of Behavioural Sciences, University of Ilorin Teaching Hospital, Ilorin, Nigeria.ORCID https://orcid.org/0000-0003-2174-6488
Kamaldeen Adeyinka SanniDepartment of Clinical Services, Federal Neuropsychiatric Hospital, Kaduna, Nigeria.ORCID https://orcid.org/0009-0001-9426-9187
Ayotunde Bolatito OmotosoDepartment of Behavioural Sciences, University of Ilorin Teaching Hospital, Ilorin, Nigeria.ORCID https://orcid.org/0000-0002-1344-1898
Mariana Pinto da CostaInstitute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.ORCID https://orcid.org/0000-0002-5966-5723

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

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.

Indexed as

brain drainhealth personnelhuman migrationNigeriapsychiatryworkforce migration

Identifiers

PMID38572258
PMCPMC10988168

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.