Brain Drain And Funding Challenges In Nigeria’s Health Sector

 By Aishat Abisola

Over the years, Nigeria has dealt with a profound crisis plaguing its healthcare system, exacerbated by the alarming rate of brain drain among its highly-skilled medical professionals. Nigeria’s health sector is in a precarious state as doctors, nurses, and other essential healthcare personnel depart the country for greener pasture abroad.

A closer look at the issue reveals a critical factor that fuels brain drain, which is harming our health sector. The consequences of this phenomenon are dire, and have led to a shortage of healthcare professionals, compromising the overall quality of healthcare services in Nigeria. 

Of Government, Doctors And The Sick

By Dan Amor

Fillers emanating from the health sector point to the fact that the sector which manages the lives of the downtrodden and sick Nigerians may soon witness another major industrial action. The National As­sociation of Resident Doctors of Ni­geria (NARD) had on Monday giv­en government a 21 day ultimatum to address their nagging demands “failure which industrial harmony in our hospitals may not be guar­anteed”. Unfortunately, anticipating the outcome of its lethargic dispo­sition towards the urgent needs of the sector, the Federal Government had last week directed the immedi­ate implementation of the no-work, no-pay policy, just to intimidate the doctors into submission.

It is benumbing that health personnel entrusted with the lives of Nigeri­ans are owed salaries ranging from three to eight months by the cur­rent administration in several states of the federation. This has resulted in the collapse of the healthcare de­livery system and loss of lives in the affected states. The doctors are also peeved by the undue sack of their members from some training insti­tutions, none funding of residency training and delay in effecting pen­sion deductions of members. Ac­cording to them, hospitals at all lev­els are not adequately funded and existing facilities are not upgraded in line with international best prac­tices. In fact, our healthcare system is, lamentably, a sorry spectacle of the untold blight and decadence that have overtaken the Nigerian landscape. But another strike by doctors would spell doom for the ailing economy and its attendant hardship would be disastrous. A brief analysis of what patients suf­fered as a result of strikes in the re­cent past would here suffice.

Sometime in 2002, Mrs. Do­rathy Williams (not her real name), a pregnant teacher in Egbeda area of Lagos, fell into labour. Promptly, she gathered her ante-natal materi­als and headed for Ayinke House, the ante-natal ward of the Lagos State University Teaching Hospital built and donated by the late philan­thropist, Sir Mobolaji Bank-Antho­ny, where she had registered for the ante-natal care. But she was greeted by a rude shock: the doors were slammed on her face, as doctors and nurses had embarked on one of their countless strikes. The woman was quickly rushed to a nearby pri­vate hospital, where she laboured for another three days, without any inch near delivery. This prompted a Caesarian section which was suc­cessful. But her husband’s eyeballs nearly popped out of their sock­ets when he was slammed a bill of N45,000! The teacher-husband was able to raise N30,000, with a prom­ise to offset the balance later.

The hospital refused to budge. He had to threaten to abandon the moth­er and the child before they were discharged. Even then, vital drugs were denied them until the money was fully paid. Another woman, Mrs. Yetunde Olumide, a fashion designer, also fell into labour dur­ing the same period. Although she had a normal delivery at a private hospital near her house at Itire, she soon developed post-natal compli­cations, as she began to bleed. Plans were mooted to refer her to the La­gos University Teaching Hospital, LUTH, Idi-Araba, a stone throw to their residence, when the bleed­ing was getting out of hand. But that was not possible because of the strike. She gave up the ghost the fol­lowing day. And because there were no facilities at the maternity to pre­serve the child without the mother’s milk, it died two weeks later too.

Also, in 2002, one Charlie, a lo­cal contractor living in Iba area of Lagos, had rushed his pregnant wife to a private hospital in Ojo for delivery. It was an emergency case as it was not possible for the lady to deliver through the normal chan­nel. To be treated to a Caesarian section, the hospital management needed a cash deposit of N25,000, which Charlie could not afford. All entreaties including the pledge of Charlie’s elder sister, Lizzy’s car as collateral, were refused until the la­dy’s condition became increasingly complicated. There was no option of taking her to any General Hospi­tal due to the health workers’ strike. As she was reluctantly taken into the theatre to be operated upon, the lady died in the process.

Even then, the hospital management re­fused to release the lifeless body of the woman with that of the unborn baby insisting on having their mon­ey before the release of the corpse. It was the quick intervention of neighbours which prevented a dou­ble tragedy, as the man went wild, and like a possessed beast, started smashing everything and snarl­ing at everybody in sight. The man even threatened to sue the hospital management for negligence. He told this writer that it was his threat to abandon the lifeless body of the wife at the hospital that prompted them to release it to him even as he actually rallied round his family members in Lagos to offset the bill.