CEM REPORT, HEALTH | Nigeria’s healthcare system faces a unique challenge: a growing number of nursing graduates are looking to leave the country for what they perceive as greener pastures. This phenomenon, known as “Japa” (Yoruba for “to leave quickly”), has caused concern within the government, particularly as it relates to the vital field of mental health care.
Dame Francisca Okafor, Director of Nursing for the Federal Ministry of Health and Social Welfare, addressed graduating nurses at the recent seventh combined convocation of the School of Psychiatric Nursing at Neuropsychiatric Hospital, Aro in Abeokuta, urged the 619 graduates to consider staying in Nigeria and contributing to the country’s mental health care system.
Okafor highlighted the critical role nurses play in addressing Nigeria’s growing mental health burden. She pointed to the connection between the country’s economic hardship and the rise in depression and substance abuse. With a limited number of mental health professionals, the potential exodus of these graduates could significantly impact the quality of care available to Nigerians in need.
While acknowledging the desire for better working conditions, Okafor emphasized the importance of patriotism and service to the nation. She recognized the government’s responsibility to improve the work environment for nurses but stressed the need for graduates to consider the long-term benefits of staying in Nigeria.
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“While the government is working on your work environment being better, we must always remember that Nigeria remains our home and no sacrifice can be too much to render in our service to the nation.”
Following the Right Channels for Japa
For nurses who remain determined to leave the country, Okafor cautioned against taking shortcuts. She highlighted the plight of many Nigerian nurses abroad who end up in menial jobs due to improper emigration processes. Following the established channels ensures nurses can leverage their qualifications and contribute to the healthcare system in their chosen destination.
“There are many Nigerian nurses abroad doing all sorts of menial jobs in spite of their academic qualifications. This is because they were more interested in leaving the country, rather than going through the right channels”.
New Mental Health Act
Okafor also emphasized the graduates’ crucial role in educating the public about mental health. With their specialized training, these nurses are uniquely positioned to challenge the stigma surrounding mental illness. She urged them to utilize the recently signed Mental Health Act (2022) as a framework for providing compassionate and effective care.
If You Ask Me
The Nigerian government is actively working to address the concerns of its healthcare workers. Initiatives to improve work environments and provide better compensation are underway. However, a solution requires a collaborative effort. Nursing graduates must weigh the challenges at home with the potential benefits of working abroad. Ultimately, a commitment from both sides – the government and its healthcare workforce – is necessary to ensure Nigerians have access to quality healthcare, particularly in the crucial field of mental health.
By fostering open dialogue and taking concerted action, Nigeria can create a healthcare system that retains its talented workforce and provides quality care for all its citizens.
