Evidence map›Paper›PMID 41858234›Full record

ArticleGlobal health action2026

`This is our country and somehow, we have to make it work': a sequential explanatory mixed-methods study of the enablers of non-migration and return migration in a cohort of Nigerian medical doctors and dentists.

Paul Ikhurionan, Patience Toyin-Thomas, Efetobo V Orikpete, Philippa Odika, Oti N Aria, Avwebo O Ukueku, Yasangra R Adeniji, Chinelo Iwegim, Uwaila Otakhoigbogie, Itua C G Akhirevbulu and 11 more

Erratum issuedAbstract read
In one paragraph

Article in Global health action, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors.

Paul IkhurionanInstitute of Child Health, University of Benin, Benin, Nigeria.
Patience Toyin-ThomasThe Department of Pediatrics, Geisel School of Medicine, Dartmouth College, Hanover, NH, USA.
Efetobo V OrikpeteDepartment of Oral Pathology, Oral Medicine and Oral Radiology, Faculty of Dentistry University of Port Harcourt, Port Harcourt, Nigeria.
Philippa OdikaIndependent Researcher, Sugar Land, TX, USA.
Oti N AriaBurns, Plastic and Reconstructive Surgery Unit, Department of Surgery, Rivers State University Teaching Hospital, Port Harcourt, Nigeria.
Avwebo O UkuekuDepartment of Obstetrics and Gynaecology, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria.
Yasangra R AdenijiDepartment of Paediatrics, Federal Teaching Hospital, Gombe, Nigeria.
Chinelo IwegimMedical Microbiology Department, University of Toronto, Toronto, Canada.
Uwaila OtakhoigbogieDepartment of Oral Pathology and Oral Medicine, Faculty of Dentistry, College of Medicine, Ituku/Ozalla Campus, University of Nigeria, Enugu, Nigeria.
Itua C G AkhirevbuluOrthopaedics and Traumatology Division, Department of Surgery, Edo Specialist Hospital, Benin, Nigeria.
Sunday C MadubuezeDepartment of Family Medicine, Federal University Teaching Hospital, (FUTH), Lafia, Nigeria.
Ekhosuehi T AghoDental and Maxillofacial Surgery Department, National Hospital Abuja, Abuja, Nigeria.
Chukwunwike W OzegbeDepartment, Obstetrics and Gynaecology, Federal University Teaching Hospital, Lafia, Nasarawa State, Nigeria.
Josephine AtatDepartment of Restorative Dentistry, University of Benin Teaching Hospital, Benin, Nigeria.
Oluchi OmogbaiIndependent Researcher, Abbotsford, British Columbia, Canada.
Ekpereka S NawfalDepartment of Epidemiology, Florida International University, Miami, FL, USA.
Uyoyo OdoguMike Petryk School of Dentistry, University of Albert, Edmonton, Alberta, Canada.
Oladapo OladeindeDepartment of Family Medicine, Medicine Hat Regional Hospital, Medicine Hat, Alberta, Canada.
Efe E OmoyiboInstitute of Child Health, University of Benin, Benin, Nigeria.
Ukachi C NnawuiheDepartment of Public Health, Intercountry Centre for Oral Health for Africa, Jos, Nigeria.
Oghenebrume WaririDepartment of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK.ORCID 0000-0002-7432-8995

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhile many studies have explored the drivers of health-worker emigration, there is limited understanding of the factors that potentially encourage them to remain or return after migration.

objectivesWe explored three interrelated questions: what factors encouraged some members of the study population to remain in Nigeria?; what circumstances might encourage those intending to migrate to reconsider their plans?; and what conditions could encourage those who have already emigrated to consider returning?

methodsWe conducted a sequential explanatory mixed-methods study among a cohort of Nigerian-trained doctors and dentists. In the quantitative phase, 274 cohort members completed a structured survey assessing drivers of migration. In the qualitative phase, 50 participants across three migration status groups (emigrated, intending to migrate, and not intending to migrate) were interviewed. Thematic analysis was conducted.

resultsOverall, 49.3% (135/274) of the cohort had already migrated within 15 years of qualifying, while 63.6% (82/139) of those still in Nigeria expressed an intention to migrate. Qualitative findings reinforced the quantitative results, highlighting shared potential enablers of staying (among those intending to migrate) or returning (among already migrated), including improved security, economic stability, better remuneration, stronger healthcare infrastructure, and enhanced training opportunities. Most of those who had already migrated expressed a willingness to return, though often as a long-term plan. Those with no intention to migrate cited a sense of duty and patriotism, family responsibilities, thriving businesses, and professional or age-related factors as reasons for staying back.

conclusionThis study offers actionable insights to inform policies on health-worker migration.

Indexed as

DentistsEmigration and ImmigrationPhysiciansAdultBrain DrainCohort StudiesFemaleHumansIntentionMaleMiddle AgedNigeriadoctors and dentistsEmigrationintention to migratemixed-methodsreturn migration

Identifiers

PMID41858234
PMCPMC13007456

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.