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SUNDAY VANGUARD, APRIL 28, 2019, PAGE 9<br />
•Ngige- Minister<br />
of Labour <strong>and</strong><br />
Employment<br />
BUHARI’S MINISTER’S ‘SURPLUS DOCTORS’ CONTROVERSY<br />
Why Nigerian doctors are<br />
rushing abroad – NMA, <strong>others</strong><br />
•’We have excess doctor<br />
ors s if we add traditional healers’<br />
•My stor<br />
ory, , by y Ngige<br />
By Chioma Obinna<br />
For almost a decade, the<br />
exodus of Nigerian doctors to<br />
other countries has led to<br />
acute shortages in the nation’s<br />
various medical specialities.<br />
Some years a<strong>go</strong>, a former President of the<br />
Nigerian Medical Association (NMA), Dr<br />
Osahon Enabulele, had said that about twothirds<br />
of Nigerian doctors who leave the<br />
country end up practising medicine in<br />
foreign countries while some of them switch<br />
professions.<br />
According to him, of the 72, 000 doctors<br />
registered with the Medical <strong>and</strong> Dental<br />
Council of Nigeria (MDCN), only about<br />
27,000 are practising in Nigeria while<br />
<strong>others</strong> are practising outside the country.<br />
Enabulele also revealed that up to 7,000<br />
Nigerian doctors<br />
combined work in British<br />
<strong>and</strong> American public<br />
health sectors, while some<br />
have left the medical<br />
profession on account of<br />
better working conditions<br />
in other professions. While<br />
WHO recommends one<br />
doctor to 600 patients, in<br />
Nigeria, due to the acute<br />
shortage, one doctor<br />
attends to around 6,000<br />
patients.<br />
And with the nation’s<br />
population put at 170<br />
million some years back,<br />
experts said the country<br />
needs not less than<br />
283,333 doctors to meet<br />
global st<strong>and</strong>ards. <strong>No</strong>w,<br />
Nigeria obviously needs<br />
more than 283,333 as the<br />
population has reportedly<br />
escalated to almost 200<br />
million with over 2,000<br />
doctors migrating to the<br />
United Kingdom, United<br />
States, Canada, Australia,<br />
United Arab Emirates<br />
(UAE), <strong>and</strong> South Africa,<br />
among <strong>others</strong>, every year. Also, figures<br />
released in February 2018 by the British<br />
<strong>go</strong>vernment indicated that no fewer than<br />
5,405 Nigerian-trained doctors <strong>and</strong> nurses<br />
were working with the British National<br />
Health Service (NHS). It showed that<br />
Nigerian medics constituted 3.9 per cent of<br />
the 137,000 foreign staff of 202<br />
Even a blind<br />
man knows<br />
we don’t have<br />
enough<br />
doctors<br />
except he is<br />
referring to<br />
traditional<br />
doctors<br />
nationalities working alongside British<br />
doctors <strong>and</strong> nurses in the United Kingdom<br />
(UK). Nigeria’s poor doctor-patient ratio<br />
(roughly 1:6000) is regrettable, according<br />
to analysts, when compared to the ratio of<br />
doctor-patient in India (1:2083) <strong>and</strong> in the<br />
United States (1:500) apparently due to the<br />
fact that fresh doctors no longer see a bright<br />
future within the shores of Nigeria. Despite<br />
this disturbing scenario that has worsened<br />
the nation’s health indices <strong>and</strong> promoted<br />
medical tourism, the Minister of Labour<br />
<strong>and</strong> Employment, Dr. Emeka Ngige, last<br />
week, was quoted as saying he was not<br />
worried about the situation. “<strong>No</strong>, I’m not<br />
concerned at all. I’m not worried. We have<br />
surplus. If you have surplus, you export. It<br />
happened at one time with Indian teachers<br />
here. I was taught biology <strong>and</strong> chemistry<br />
by Indian teachers in my secondary school<br />
days. They’re surplus in their<br />
country. We’re surplus in<br />
the medical field here. I can<br />
tell you, it’s my area. We have<br />
excess. We have more than<br />
enough”, Ngige allegedly<br />
said on a television<br />
programme. He was<br />
reportedly responding to a<br />
question on alleged braindrain<br />
in the medical sector<br />
against the backdrop of the<br />
recent visit of a delegation<br />
from Saudi Arabia to recruit<br />
doctors to work in the<br />
Middle-East country.<br />
Sunday Vanguard spoke to<br />
some leaders of the various<br />
medical associations,<br />
among <strong>others</strong>, on the<br />
controversy the Labour<br />
Minister’s statement, who<br />
is also a medical doctor, is<br />
generating. To them, the<br />
statement was a reflection<br />
of the fact that those who<br />
make policies have no<br />
solution to the problems in<br />
the health sector. They<br />
argued that Nigeria needs<br />
about six times of what we<br />
have on ground for minimal acceptability.<br />
Ngige displayed ignorance –<br />
National Secretary, NMA, Dr<br />
Olumuyiwa Odusote<br />
I see the statement of the Minister of<br />
Labour as displaying ignorance of the<br />
problems on the ground which is<br />
<strong>go</strong>vernment’s primary responsibility to<br />
solve. It is not true <strong>and</strong> I am sure the rest<br />
of us know that many doctors are leaving<br />
in droves. We have less than 40,000 doctors<br />
<strong>and</strong> many are leaving on monthly basis<br />
which further drops the number <strong>and</strong> the<br />
population of those leaving keeps<br />
increasing. If you have one doctor to about<br />
5,000 Nigerians, is what he said is surplus?<br />
Then we have a big problem in our h<strong>and</strong>s.<br />
When the World Health Organisation,<br />
WHO, is saying that the <strong>minimum</strong> we<br />
should have is one doctor to 600 patients, I<br />
don’t underst<strong>and</strong> the basis for the minister’s<br />
assertion <strong>and</strong>, definitely, it is not supported<br />
with facts. His statement is on the contrary.<br />
I think that the problem here is on the<br />
utilization of skilled manpower. It is the<br />
duty of <strong>go</strong>vernment to assess the need <strong>and</strong><br />
distribute available resources appropriately<br />
<strong>and</strong>, if the <strong>go</strong>vernment cannot assess <strong>and</strong><br />
determine what we need, then we have a<br />
major problem. If those who make policies<br />
are saying we don’t have problems, it means<br />
no one will find solution to the problems<br />
because they don’t perceive that there are<br />
problems. It also means that the health<br />
system has a very long way to <strong>go</strong> if this<br />
opinion is what is held in the Federal<br />
Executive Council. The NMA has been<br />
doing a lot in terms of brain-drain. Last<br />
year, the theme of our conference focused<br />
on brain-drain. And next week we are <strong>go</strong>ing<br />
to hold our annual delegates meeting in<br />
Abakaliki, Ebonyi State <strong>and</strong> brain-drain is<br />
also <strong>go</strong>ing to be the main theme. We are<br />
trying to bring it to the fore <strong>and</strong> find<br />
solution. We have invited all the tiers of<br />
<strong>go</strong>vernment, from the President down to the<br />
chief medical directors of teaching<br />
hospitals <strong>and</strong> general hospitals, to attend<br />
the meeting so that we can brainstorm <strong>and</strong><br />
everybody will appreciate the magnitude<br />
of the problem. And then work out a<br />
solution. We have been in the media<br />
advocating, making noise <strong>and</strong> trying to<br />
push for a solution. In 2017, the Vice<br />
President responded that <strong>go</strong>vernment was<br />
<strong>go</strong>ing to do something to reverse braindrain.<br />
It is pathetic that two years after, one<br />
of the serving ministers is encouraging<br />
doctors to <strong>go</strong> abroad because he knows one<br />
or two doctors who went abroad, 25 years<br />
a<strong>go</strong>, <strong>and</strong> came back to establish one or two<br />
centres which are catering for 10 or at most<br />
30 patients a month in a country of 200<br />
million. That is like a drop in an ocean. It is<br />
not <strong>go</strong>ing to impact any of the worst indices<br />
that we have in the world. We are talking<br />
about reversing the trend by ensuring that<br />
Nigerians are able to live longer, <strong>and</strong> in<br />
<strong>go</strong>od health, <strong>and</strong>, for that to happen, we<br />
have to look at it in totality. <strong>No</strong>t just what<br />
happened in a few urban centres where only<br />
the rich can afford the service. We are<br />
talking about what is happening in the rural<br />
areas where the people cannot access basic<br />
care <strong>and</strong> survive long enough to change<br />
their economy <strong>and</strong> the economy of the<br />
nation.<br />
It is unfortunate that a<br />
minister is encouraging<br />
brain-drain – La<strong>go</strong>s NMA<br />
Chairman, Dr Saliu Oseni<br />
It’s an unfortunate situation that a<br />
minister of the federation is encouraging<br />
brain-drain. Currently, we have about<br />
35,000 doctors serving a population of over<br />
200 million, which means you have one<br />
doctor to about 5,700 citizens. This ratio is<br />
frightening in some rural areas. Studies<br />
have shown that Nigeria has 0.2 doctors<br />
per 1,000 populations compared to the UK<br />
<strong>and</strong> Germany which have 2.8 <strong>and</strong> 4<br />
respectively. WHO has recommended one<br />
doctor to 600 populations; so if a minister,<br />
who happens to be a doctor, can be saying<br />
we have surplus doctors, it’s clear why our<br />
health sector is in ruins. We currently have<br />
one of the highest perinatal mortality,<br />
maternal <strong>and</strong> infant mortality <strong>and</strong> yet a<br />
minister is encouraging brain-drain. It<br />
means we have more problems than we<br />
think, as there is need to have appropriate<br />
insight into a problem to render solution.<br />
So, one can best imagine the advice of such<br />
doctor in the Federal Executive Council<br />
meeting on matters of manpower deficit in<br />
the health sector. Even a blind man knows<br />
we don’t have enough doctors except he is<br />
referring to traditional doctors. We will still<br />
advise <strong>go</strong>vernment to improve the welfare<br />
package of health professionals to<br />
discourage their migration <strong>and</strong> also support<br />
the establishment of more medical schools<br />
to churn out more doctors. It’s clear why we<br />
had the rot in the health sector. We can be<br />
sure that even the ministry of health doesn’t<br />
have the correct population of its staff. Well,<br />
<strong>go</strong>vernment is trying to show some interest<br />
of recent but complete sincerity is only what<br />
God knows. That’s why we are saying that<br />
medical tourism should be denied public<br />
officers, so that they can feel the effect of<br />
bad <strong>go</strong>vernance on the people. Also, don’t<br />
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