Why move abroad? Factors influencing migration intentions of final year students of health-related disciplines in Nigeria

Abstract Background Limited human resource for health may impede the attainment of health-related sustainable development goals in low-income countries. This study aims to identify migration factors among final-year students of health-related disciplines at a Nigerian university, reflecting trends i...

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Main Authors: Temitope Olumuyiwa Ojo, Blessing Pelumi Oladejo, Bolade Kehinde Afolabi, Ayomide Damilola Osungbade, Princely Chukwunenye Anyanwu, Ikeme Shaibu-Ekha
Format: Article
Language:English
Published: BMC 2023-10-01
Series:BMC Medical Education
Subjects:
Online Access:https://doi.org/10.1186/s12909-023-04683-6
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author Temitope Olumuyiwa Ojo
Blessing Pelumi Oladejo
Bolade Kehinde Afolabi
Ayomide Damilola Osungbade
Princely Chukwunenye Anyanwu
Ikeme Shaibu-Ekha
author_facet Temitope Olumuyiwa Ojo
Blessing Pelumi Oladejo
Bolade Kehinde Afolabi
Ayomide Damilola Osungbade
Princely Chukwunenye Anyanwu
Ikeme Shaibu-Ekha
author_sort Temitope Olumuyiwa Ojo
collection DOAJ
description Abstract Background Limited human resource for health may impede the attainment of health-related sustainable development goals in low-income countries. This study aims to identify migration factors among final-year students of health-related disciplines at a Nigerian university, reflecting trends in Nigeria and sub-Saharan African countries. Methods A cross-sectional study was conducted using a semi-structured, self-administered questionnaire to collect data from 402 final-year students of Medicine/Dentistry, Nursing, Pharmacy and Occupational therapy Physiotherapy at Obafemi Awolowo University, Ile Ife. Univariate, bivariate and multivariate data analysis were conducted and a p-value < 0.05 was taken as statistically significant. Results The mean age of the respondents was 24.3 ± 2.3 years. Most (326; 81.1%) respondents had intentions to migrate and majority (216; 53.7%) of respondents had an unfavourable attitude towards practising in Nigeria. Students of Nursing constitute the highest proportion (68; 91.9%) of those willing to migrate (p = 0.009). The common preferred destinations for those who intend to migrate were the United Kingdom (84; 25.8%), Canada (81; 24.8%), and the United States of America (68; 20.9%). Respondents who had favourable attitude towards practicing abroad (AO.R: 2.9; 95% C.I 1.6–5.2; p = 0.001) were three times more likely to have migration intentions compared with those who had an unfavourable attitude towards practicing abroad, while the odds for those who had favourable attitude towards practicing in Nigeria (AO.R: 0.4; 95% C.I 0.2–0.7; p = 0.002) was two times less than those who had an unfavourable attitude towards practice in Nigeria. Respondents who desire specialist training (AO.R: 3.0; 95% C.I 1.7–5.4; p < 0.001) were three times more likely to have intention to migrate abroad when compared to those who were undecided or had no desire to pursue specialist training. Conclusion Most respondents had the intention to migrate abroad after graduation and this could be attributed to the desire for specialist training and their attitude towards practising in Nigeria. Interventions aimed at improving specialist training in Nigeria and incentivizing health care practice may reduce migration trends among Nigeria’s health professionals in training.
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spelling doaj.art-765f467d2419452e904c7676b0ca1c522023-11-20T09:46:54ZengBMCBMC Medical Education1472-69202023-10-012311910.1186/s12909-023-04683-6Why move abroad? Factors influencing migration intentions of final year students of health-related disciplines in NigeriaTemitope Olumuyiwa Ojo0Blessing Pelumi Oladejo1Bolade Kehinde Afolabi2Ayomide Damilola Osungbade3Princely Chukwunenye Anyanwu4Ikeme Shaibu-Ekha5Department of Community Health, Obafemi Awolowo UniversityDepartment of Community Health, Obafemi Awolowo UniversityDepartment of Community Health, Obafemi Awolowo University Teaching Hospitals ComplexDepartment of Community Health, Obafemi Awolowo UniversityDepartment of Community Health, Obafemi Awolowo UniversityDepartment of Community Health, Obafemi Awolowo UniversityAbstract Background Limited human resource for health may impede the attainment of health-related sustainable development goals in low-income countries. This study aims to identify migration factors among final-year students of health-related disciplines at a Nigerian university, reflecting trends in Nigeria and sub-Saharan African countries. Methods A cross-sectional study was conducted using a semi-structured, self-administered questionnaire to collect data from 402 final-year students of Medicine/Dentistry, Nursing, Pharmacy and Occupational therapy Physiotherapy at Obafemi Awolowo University, Ile Ife. Univariate, bivariate and multivariate data analysis were conducted and a p-value < 0.05 was taken as statistically significant. Results The mean age of the respondents was 24.3 ± 2.3 years. Most (326; 81.1%) respondents had intentions to migrate and majority (216; 53.7%) of respondents had an unfavourable attitude towards practising in Nigeria. Students of Nursing constitute the highest proportion (68; 91.9%) of those willing to migrate (p = 0.009). The common preferred destinations for those who intend to migrate were the United Kingdom (84; 25.8%), Canada (81; 24.8%), and the United States of America (68; 20.9%). Respondents who had favourable attitude towards practicing abroad (AO.R: 2.9; 95% C.I 1.6–5.2; p = 0.001) were three times more likely to have migration intentions compared with those who had an unfavourable attitude towards practicing abroad, while the odds for those who had favourable attitude towards practicing in Nigeria (AO.R: 0.4; 95% C.I 0.2–0.7; p = 0.002) was two times less than those who had an unfavourable attitude towards practice in Nigeria. Respondents who desire specialist training (AO.R: 3.0; 95% C.I 1.7–5.4; p < 0.001) were three times more likely to have intention to migrate abroad when compared to those who were undecided or had no desire to pursue specialist training. Conclusion Most respondents had the intention to migrate abroad after graduation and this could be attributed to the desire for specialist training and their attitude towards practising in Nigeria. Interventions aimed at improving specialist training in Nigeria and incentivizing health care practice may reduce migration trends among Nigeria’s health professionals in training.https://doi.org/10.1186/s12909-023-04683-6Migration intentionHuman Resources for HealthHealth-related disciplinesFinal year studentsNigeria
spellingShingle Temitope Olumuyiwa Ojo
Blessing Pelumi Oladejo
Bolade Kehinde Afolabi
Ayomide Damilola Osungbade
Princely Chukwunenye Anyanwu
Ikeme Shaibu-Ekha
Why move abroad? Factors influencing migration intentions of final year students of health-related disciplines in Nigeria
BMC Medical Education
Migration intention
Human Resources for Health
Health-related disciplines
Final year students
Nigeria
title Why move abroad? Factors influencing migration intentions of final year students of health-related disciplines in Nigeria
title_full Why move abroad? Factors influencing migration intentions of final year students of health-related disciplines in Nigeria
title_fullStr Why move abroad? Factors influencing migration intentions of final year students of health-related disciplines in Nigeria
title_full_unstemmed Why move abroad? Factors influencing migration intentions of final year students of health-related disciplines in Nigeria
title_short Why move abroad? Factors influencing migration intentions of final year students of health-related disciplines in Nigeria
title_sort why move abroad factors influencing migration intentions of final year students of health related disciplines in nigeria
topic Migration intention
Human Resources for Health
Health-related disciplines
Final year students
Nigeria
url https://doi.org/10.1186/s12909-023-04683-6
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