Opinion
Avoiding Brain-Drain In Medicare
The industrial action embarked upon by resident doctors in Nigeria has lasted for several weeks. A few months ago, the Nigerian Medical Association (NMA) was alleged to be demanding certain allowances, including that of COVID-19 inducement allowance.
The Federal Minister of Labour and Productivity, Dr Chris Ngige, the NMA and other stakeholders shifted grounds on the issues and came to a resolution which made them go back to work. This time around, the authorities concerned should also come together, sort out the problems concerning the medical practitioners so that the nation’s healthcare system is taken care of.
There is the fear that if they are not treated well, some of them may travel abroad for greener pastures. A situation where well-trained medical doctors will be leaving for other countries because the Nigerian system does not bother about them, should be avoided. Not just the doctors, nurses too should be taken care of as more of their services are needed in our public hospitals.
Although other professions are affected but that of medicare is more important as it deals with health. Health, they say, is wealth. A situation where a senior doctor may want to leave the country with his former students who have grown on the job for several years, to other countries because of the system in Nigeria calls for concern.
Those who may be wishing to leave should be patriotic. We are aware that many countries of the world like Canada, Australia, Germany, South Africa, to mention but a few, are seeking the services of Nigerian trained medical personnel. But it should be noted that their services are also needed in their country. As Nigerians, they need to be trusted to make some sacrifices as far as their services are concerned.
Some years back, when resident doctors embarked on strike in some of the states, there were threats of “No work, no pay”, their colleagues in other states voluntarily contributed and made funds available to them.
They should not be poor, but such calibre of persons should not be as it will be degrading. If they lack money as a result of non-payment of salaries and allowances, as punishment for industrial action, they have families and loved ones to cater for. Those who are leaving Nigeria for other climes may not be unpatriotic but need the kind of wages that are commensurate with the jobs they perform.
Researches have shown that brain-drain in Nigeria started in the early ’90s. One worrisome issue is that there are persons who at one time or the other have belonged to these associations before being at the helm of affairs. You discover that there will still be series of industrial action under their watch. So you begin to wonder whether these anomalies cannot be corrected as they are in charge.
Some persons have argued that Nigeria’s education system is poor. How come the nation’s medical graduates are good to the extent that other countries seek their services? I know that Nigeria has well-trained medical personnel who studied at home and can compete favourably at the international level.
Recently, I had an experience with some of our medical doctors, specifically in a female ward in one of our public hospitals; I was amazed at the way they were analysing health issues about women and prescribing the right drugs for the various ailments.
I began to wonder why anybody will say that we are nowhere. The truth is that we have qualified medical doctors. I think the problem is how to attend to their needs. If medical practitioners are asking for, let’s say, COVID-19 hazard allowance, they should be given so they don’t contract the virus.
The stress of a medical personnel attending to so many patients may not be easy, even at nights. When you visit the hospitals, one will not be in doubt that those groups of people deserve better working condition.
Nigerian medical doctors should be patriotic no matter their grievances, bearing in mind that “home is home”. The understanding between the indigenous medical personnel may not be the same as that of foreign medical team. Although there are some whose expertise are higher and left their countries of origin to render one assistance or the other in Nigeria.
There are also Nigerian trained medical doctors based overseas who, after taking a look at the situation in Nigeria, once in a while come home to render healthcare services. That’s a show of patriotism.
Education of a medical doctor in Nigeria is very expensive. In fact, securing admission to study medicine in the university does not come easy. So it’s like, “handle with care”.
While the Federal Government may need to look into the demands of resident doctors, NMA as a way of being patriotic, should shift ground during negotiation.
Brain-drain may not serve Nigeria well so they should not allow some of the best hands to leave. More so, you cannot tell whether they will return or not. All hands must be on deck because this is a period of pandemic.
Here in Rivers State, hospitals have been equipped with facilities of international standard which our medical personnel are competent to handle. The University of Port Harcourt Teaching Hospital (UPTH) and Rivers State University Teaching Hospital (RSUTH) have been equipped by both the federal and state governments. Spirited individuals and organisations have also donated facilities to those hospitals. The Military Hospital in Port Harcourt has also been equipped for anybody’s comfort.
In fact, the gigantic Mother and Child Hospital built by the Nyesom Wike administration is a testimony that healthcare system has been boosted. I think it is for the right medical personnel to man those facilities.
If our medical doctors are adequately taken care of, they will not leave the country for any reason. If you think any country is better than Nigeria, such place was not developed in a day. Whatever infrastructure you have overseas was developed over the years.
By: Eunice Choko-Kayode
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