Editorial
Better Conditions For Health Workers
Deeply worried about the brain drain in Nigeria’s health sector, the House of Representatives has called on the federal government to strongly discourage the migration of health workers to other countries. The House specifically urged the Ministry of Labour, Employment and Productivity to review the salaries, allowances and welfare of medical practitioners in the country.
The Representatives equally urged the ministry to quickly expand the rapidly shrinking size of medical workers to create employment for the unemployed and develop a functional strategy that would captivate Diaspora medical personnel to work at the nation’s teaching hospitals and other health institutions.
The resolution followed a motion of urgent public importance moved by Hon. Ganiyu Johnson during the plenary. Moving the motion, Johnson said that despite Nigeria being among the highest producers of Diaspora doctors in the world, the nation faces a critical shortage of medical practitioners. He blamed the brain drain in the sector on poor remuneration and working conditions.
“Nigeria has over 90,000 qualified medical doctors practising abroad, and in fact, an average of 50 doctors who had their primary medical education in Nigeria are said to be registering for practice every week in the United Kingdom (UK), United States of America (USA), Canada and other oil-rich countries”, said Johnson.
We share the concerns or apprehension of the Representatives. The exodus of medical practitioners in Nigeria is worrisome and has particularly gone out of control, contributing to acute shortages of specialised and experienced health professionals in the country. If not curbed, it will be very tough for Nigeria to tackle the increasing poverty rate given that health is wealth.
At independence, this nation built a health system structured basically along with the model of the colonialists. From the 60s through the mid-80s, the health system was anchored and led by seasoned health administrators who coordinated the health manpower comprising pharmacists, doctors, nurses, laboratory scientists, physiotherapists, radiographers and other cadres of health workers.
The University College Hospital (UCH), Ibadan, since the 1960s through mid-1970s, was the ‘Mecca’ of medicine in Africa and indeed medical tourism. It ranked the fourth best university teaching hospital in the Commonwealth where Saudi kings came for treatment; queens were delivered of princes and princesses. By 1975, it was a designated Centre of Excellence in medicine.
However, by mid-1980s, the finest medical teachers started leaving for the Middle East and the West and the young physicians they trained moved to the West mostly for postgraduate trainings. Human capital, quality research, medical education and patient care suffered greatly while infrastructure decayed from poor funding and management. The few decades that followed witnessed a continued downturn in both human capital and infrastructure, resulting in human capital flight, brain drain and medical tourism.
Brain drain is a major challenge facing the Nigerian health system, leading to a dramatic reduction in the number of doctors and medical practitioners in the country. According to the Organisation for Economic Co-operation and Development (OECD), Nigeria is one of the three leading African sources of foreign-born doctors and general medical professionals. This is unacceptable and doesn’t tell well of the country.
The exodus has led to a drastic drop in the quality of health care services following the absence of skilled personnel. It is scandalous that despite the severe nature of this provocation and how it has badly affected the health sector, the Nigerian government is unable to reverse the trend, largely for lack of concern. Curiously, Nigeria was the only African country listed among the 20 top exporters of doctors in 2004, with a loss of 5, 499 doctors up from 1, 519 in 1991.
Clearly, at this rate, health indicators may keep declining in the absence of aggressive interventions to stop the trend. More doctors leaving the country will eventually lead to a depletion of Nigerian medical doctors. This, in turn, will add to the stress and dissatisfaction among those remaining. The poor will not be able to access health care while the rich will travel out of the country for medical attention.
A reason doctors and other health professionals leave for greener pastures is impoverished pay. Apart from abysmally low pay packages, the actual payment of salaries is often irregular. An equally major driver is miserable working conditions. This includes having to work extra hours due to inadequate staff, lack of diagnostic facilities and sometimes the need to support monthly incomes.
These problems emanate from the government’s low funding of the sector. Surprisingly, in the 2020 budget of N10.33 trillion, the health sector received only 4.14 per cent, that is, N427.03 billion out of the total budget. This is much lower than the estimated 13.5% of South Africa’s national expenditure dedicated to health. The lack of funding has brought about insufficient remuneration, the dearth of medical facilities and inadequate infrastructure in the sector.
To reverse the brain drain, the Nigerian government should rejig the entire health care system in the country. The introduction of a workable national health policy is imperative at this time. A renewed health care system will certainly create the required environment for medical practitioners to function. This includes the provision of basic equipment and infrastructure.
We support the call by the House for a review of our health workers’ pay. It is also our opinion that they be given a special salary scale. There is a need for an extension of their retirement age since at 60, when they are expected to disengage from service, many are often still fit and active. If judges, lecturers and of recent teachers could be granted such consideration, health practitioners who perform the all-important duty of saving lives must not be denied similar largesse.
Editorial
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Editorial
WPFD: Nigeria’s Defining Test
Nigeria stands at a critical juncture as the world marked World Press Freedom Day (WPFD) on May 3. This annual observance is a reminder that a free press is central to democratic life, good governance, and public accountability. For Nigeria, it is also a moment for sober reflection on how far the country has come and how far it still has to go in safeguarding the independence of its media.
World Press Freedom Day exists to highlight the fundamental importance of freedom of expression and to honour journalists who risk their lives in pursuit of truth. It underscores the idea that without a free press, societies cannot function transparently, nor can citizens make informed decisions. In countries like Nigeria, where democracy continues to evolve, the observance carries particular urgency.
This year’s theme, “Shaping a Future at Peace: Promoting Press Freedom for Human Rights, Development and Security”, places journalism at the heart of global stability. It emphasises that a peaceful society cannot be built on silence, fear, or manipulated information. Rather, it depends on the free flow of accurate, timely, and independent reporting.
At its core, the theme highlights the role of journalism in fostering accountability, dialogue, and trust. These are not abstract ideals. In Nigeria, where public confidence in institutions is often fragile, the media remains one of the few platforms through which citizens can question authority and demand transparency. When press freedom declines, so too does public trust.
Journalism serves as a foundation for peace, security, and economic recovery. Countries with robust media systems tend to attract greater investment, maintain stronger institutions, and resolve conflicts more effectively. Nigeria’s economic challenges, ranging from inflation to unemployment, require open scrutiny and informed debate, both of which depend on a free press.
However, the issue of information integrity has become increasingly complex in the digital age. Artificial Intelligence (AI) and online platforms have amplified the spread of misinformation and disinformation. In Nigeria, where internet penetration has grown rapidly, false narratives can travel faster than verified facts. This makes the role of credible journalism more vital than ever.
The challenge is not only technological but also ethical. AI-driven manipulation of information threatens to distort public discourse, influence elections, and deepen social divisions. In such an environment, professional journalism must act as a stabilising force, ensuring that truth prevails over sensationalism and propaganda.
Equally troubling is the safety of journalists. Across Nigeria, reporters face growing levels of online harassment, judicial intimidation, and physical threats. Self-censorship is becoming more common, as media practitioners weigh the risks of reporting sensitive issues. This trend undermines the very essence of journalism.
A particularly alarming incident involved a serving minister in the present administration, who openly threatened to shoot a journalist during a televised exchange. Such conduct, broadcast to the public, sends a dangerous signal that hostility towards the press is acceptable. It erodes the norms of democratic engagement and places journalists in harm’s way.
This year’s theme aligns closely with the United Nations Sustainable Development Goal (SDG)16, which promotes peace, justice, and strong institutions. Freedom of expression is a cornerstone of this goal. Without it, institutions weaken, corruption thrives, and justice becomes elusive. Nigeria’s commitment to SDG 16 must therefore include genuine protection for the media.
Historically, the Nigerian press has been a formidable force. From resisting colonial rule to challenging military dictatorships, our journalists have played a central role in shaping the nation’s political landscape. Today, however, that legacy appears to be under strain, as the media operates under what can best be described as a veneer of freedom.
Beneath this facade lies a troubling reality. Journalists are routinely harassed, detained, and prosecuted for performing their constitutional duties. Reports from media watchdogs indicate that dozens of Nigerian journalists face legal threats or arrest each year, often for exposing corruption or criticising those in power.
The Cybercrimes (Prohibition, Prevention, etc.) Act of 2015 has become a focal point of concern. Originally intended to combat cyber threats, it has increasingly been used to silence dissent. Sections 24 and 27(1)(b), in particular, have been invoked to target journalists, bloggers, and social commentators.
Although amendments introduced in February 2024 were meant to safeguard journalists, concerns persist. The law continues to be wielded in ways that stifle investigative reporting and restrict freedom of expression. Legal reforms must go beyond cosmetic changes to address the root causes of misuse.
To safeguard the future of journalism in Nigeria, decisive action is required. The Cybercrimes Act must be revisited to ensure it cannot be weaponised against the press. Law enforcement agencies must operate free from political influence, upholding the rule of law and protecting journalists’ rights. Civil society and international partners must also strengthen independent media through funding, training, and platforms for wider reach.
In this rapidly evolving world shaped by artificial intelligence and digital innovation, Nigeria faces a clear choice. It can either allow press freedom to erode under pressure, or it can champion a truly independent media landscape. The path it chooses will determine not only the future of journalism, but also the strength of its democracy and the peace it seeks to build.
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