Evidence map›Paper›PMID 39611329›Full record

ArticleGlobal health action2024

Understanding the exodus: a 15-year retrospective cohort study on the pattern and determinants of migration among Nigerian doctors and dentists.

Oghenebrume Wariri, Patience Toyin-Thomas, Itua C G Akhirevbulu, Oladapo Oladeinde, Oluchi Omogbai, Philippa Odika, John Osakue, Avwebo Ukueku, Efetobo Orikpete, Chinelo Iwegim and 9 more

Abstract read
In one paragraph

Article in Global health action, 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
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
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

19 authors.

Oghenebrume WaririDepartment of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK.ORCID 0000-0002-7432-8995
Patience Toyin-ThomasThe Department of Pediatrics, Geisel School of Medicine, Dartmouth College, Hanover, New Hampshire, USA.
Itua C G AkhirevbuluOrthopaedics and Traumatology Division, Department of Surgery, Edo Specialist Hospital, Benin City, Nigeria.
Oladapo OladeindeDepartment of Family Medicine, Medicine Hat Regional Hospital, Medicine Hat, Alberta, Canada.
Oluchi OmogbaiIndependent Researcher, Abbotsford, British Columbia, Canada.
Philippa OdikaDepartment of Public Health, Faculty of Health, Education and Society, University of Northampton, UK.
John OsakueDepartment of Anaesthetics, Hull University Teaching Hospital NHS Trust, Hull, England, UK.
Avwebo UkuekuDepartment of Obstetrics and Gynaecology, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria.
Efetobo OrikpeteDepartment of Oral Pathology, Oral Medicine and Oral Radiology, Faculty of Dentistry University of Port Harcourt, Nigeria.
Chinelo IwegimMedical Microbiology Department, University of Toronto, Toronto, Canada.
Efe E OmoyiboDepartment of Paediatrics, Federal Medical Centre, Asaba, Nigeria.
Jermaine OkpereTom Baker Cancer Centre, Alberta Health Services, Calgary, Alberta, Canada.
Uwaila OtakhoigbogieDepartment of Oral Pathology and Oral Medicine, Faculty of Dentistry, College of Medicine, Ituku/Ozalla Campus, University of Nigeria, Nigeria.
Ekhosuehi T AghoDental and Maxillofacial Surgery Department, National Hospital Abuja, Nigeria.
Sunday C MadubuezeDepartment of Family Medicine, Dalhatu Araf Specialist Hospital (DASH), Lafia, Nigeria.
Nnennaya C UgojiSchool of Paediatrics, Health Education, North East, England, UK.
Chukwunwike W OzegbeDepartment, Obstetrics and Gynaecology, Model Hospital, Akwanga, Nigeria.
Oti N AriaBurns, Plastic and Reconstructive Surgery Unit, Department of Surgery, Rivers State University Teaching Hospital, Port Harcourt, Nigeria.
Paul IkhurionanDepartment of Child Health, University of Benin Teaching Hospital, Benin-city, Nigeria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNigeria faces a critical shortage of healthcare professionals yet experiences a significant annual exodus of doctors and dentists. This alarming trend threatens the country's ability to provide equitable healthcare.

objectiveThis study investigated the patterns and determinants of migration among doctors and dentists who graduated from the University of Benin, Nigeria, 15 years ago.

methodsWe conducted a retrospective cohort study that tracked 274 of the 379 (72.3%) eligible cohort. We computed the migration incidence rate per person-year from 2008 to 2023, covering 3,455 person-years of follow-up and analysed migration drivers as push and pull factors across macro-, meso-, and micro-levels.

resultsFifteen years post-graduation, 48.9% (134/274) of the cohort had migrated. While the annual incidence rate of migration remained stable for the first 8 years, it spiked after 2016, reaching 11.4 per 100 person-years in 2023. Among those who migrated, the majority (96.3%, 129/134) relocated outside the African continent. The top three destination countries were the UK (48.5%, 65/134), Canada (20.9%, 28/134), and the USA (19.4%, 26/134). The leading push factors were insecurity of lives and property (57.8%), concerns about children's futures (50.3%), and limited career development opportunities (45.9%). The primary pull factors included security (56.3%), permanent residency (49.6%), and better pay in the destination country (46.7%). Significant predictors of migration included younger age, timing of marriage, and residency training status.

conclusionsTo avert an impending crisis, the Nigerian government must address the root causes driving the increasing migration of doctors and dentists.

Indexed as

DentistsEmigration and ImmigrationPhysiciansAdultFemaleHumansMaleNigeriaRetrospective Studiesdoctorhuman resource for healthMigrationNigeriaretrospective cohort

Identifiers

PMID39611329
PMCPMC11610232

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.