The migration of doctors and other health workers to other countries is taking a toll on hospitals across the country as the institutions have reduced the number of their outpatients and surgeries due to a shortage of manpower.
Almost all the health institutions were battling with the shortage as they could not cope with the high number of patients who thronged the government hospitals, which were affordable compared with the private ones.
The Chairman of the House of Representatives Committee on Health had on Wednesday raised the alarm that not less than five wards with about 150 beds, had been closed down at the Lagos University Teaching Hospital, Idi-Araba, due to a shortage of health workers.
The Chairman of the Committee, Dr Amos Mogaji, said the five wards had to be shut because there were no workers to operate them despite the large number of patients received at the institutions daily.
Findings showed that LUTH was not the only hospital battling with the problem as health workers lamented the heavy workload because their counterparts had left the country.
Although the Nigerian Medical Association and the Nigerian Association of Resident Doctors could on Sunday not give the exact number of medical doctors that had left the country, the NMA had a few years ago said 2,000 health workers were leaving yearly.
Also, the NARD had in January 2023 stated that a survey it conducted indicated that more than 2,000 of its members left the country in 2022.
However, the harsh economic conditions in the country have been pushing many doctors to leave the country as 1,197 doctors had moved to the United Kingdom since May 29, 2023.
With health institutions including the Lagos University Teaching Hospital, the Federal Medical Centre, Abeokuta; Aminu Kano University Teaching Hospital, Kano and the Obafemi Awolowo University Teaching Hospital, Ile-Ife losing close to 1,000 doctors to japa in the last two years, there are strong indications that over 4,000 doctors might have left the country in the last two years.
In the FMC, no fewer than 200 doctors, including 50 medical consultants have left the country for greener pastures abroad.
Because of the shortage of doctors, it was gathered that the hospital was forced to reduce the number of its outpatients attended to and elective surgeries.
According to veryhealth.com, an “elective surgery” is the term used for a procedure that can be safely delayed without great risk to a patient’s health, such as cataract surgery. A nonelective (or emergency) surgery is a procedure that must be performed immediately for lifesaving or damage-preventing reasons.’’
In Kano State, The PUNCH gathered that no fewer than 789 nurses and 162 doctors had left the state, while about 50 doctors had left hospitals in Benue State.
One of our correspondents gathered that as many as 65 doctors left the OAUTH, Ile-Ife, in the last year, while about three wards had stopped admitting patients over inadequate manpower in the hospital.
An official of the NARD in the hospital, who spoke on the condition of anonymity, said, “65 doctors left OAUTH last year. 45 of them completed their training and left, while 20 abandoned their training and left for other countries.”
He also said about three wards in the hospital had stopped admitting patients due to inadequate manpower.
“Out of three units we have in the emergency section, only one is admitting patients. Two other units in the emergency ward are not admitting patients due to inadequate staff.
“Also, the psychiatric unit is not admitting new patients because we don’t have enough nurses. The Paediatric Unit is seriously understaffed. Generally, we don’t have enough staff in the hospital. Some people are available to work, but they are not employed,” he said.
OAUTH management could not be reached for reaction to the claim, as calls to Kemi Fasooto, the hospital Public Relations Officer, rang out and she has not responded to a text message sent to her by our correspondent, as at the time of filing this report.
FMC Abeokuta
At the FMC, Abeokuta, the Chairman of the Medical and Dental Consultant Association of Nigeria, Dr Jimoh Saheed, stated that in the last four years, the hospital had lost about 50 consultants and 150 resident doctors to the japa syndrome.
He said, “The japa syndrome has really affected and is still affecting the healthcare system in Nigeria. About 50 medical and dental consultants left FMC Abeokuta alone in the last four years. The number of resident doctors who left for greener pastures should be times three the above number.
“Therefore, the implication is that there is a severe shortage of manpower in the hospital, which has hampered the service delivery and care of patients. We have had to reduce the number of patients seen per clinic and also, and the elective theatre cases per day also dropped.
“As it stands, some segments of our emergencies had to be collapsed for the unit to work efficiently. The implication of all these will mean that we can’t function optimally and the japa wave has affected service delivery, training of medical specialists as well as research.”
Jimoh said the way forward was for the government to declare a state of emergency in the health sector, which would include massive recruitment of various health personnel, and equipping the hospitals to international standards, among others.
Similarly, the Chairman of the National Association of Nigeria Nurses and Midwives, Ogun State Hospital Unit, Ijaye, Abeokuta, Mrs Lola Idowu, said nurses that had left the hospital in the last three years could not be less than 40, including those who had retired.
The Benue State chapter of the NMA confirmed that more than half of the number of medical doctors working in the state Health Management Board had left the country to search for jobs in better locations.
The NMA Chairman, Dr Usha Anenga, described the situation as pathetic.
Anenga said, “We used to have over 100 doctors at the Health Management Board but now there are less than 50 left. We used to have a consultant and epidemiologist at the Federal Medical Centre but they have left. The gynecologist at the University Teaching Hospital has also left.”
