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Migration of Health Workers and Its Impacts on the Nigerian Health Care Sector: Protocol for a Scoping Review
Univ Bradford, UK.
Univ Bradford, UK.
Univ Bradford, UK.
Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry. Univ Bradford, UK. (eHealth Institue)ORCID iD: 0000-0003-0197-8716
2025 (English)In: JMIR Research Protocols, E-ISSN 1929-0748, Vol. 14, article id e62726Article in journal (Refereed) Published
Abstract [en]

Background: Health worker migration from Nigeria poses significant challenges to the Nigerian health care sector and has far-reaching implications for health care systems globally. Understanding the factors driving migration, its effects on health care delivery, and potential policy interventions is critical for addressing this complex issue. Objective: This study aims to comprehensively examine the factors encouraging the emigration of Nigerian health workers, map out the effects of health worker migration on the Nigerian health system, document the loss of investment in health training and education resulting from migration, identify relevant policy initiatives addressing migration, determine the effects of Nigerian health worker migration on destination countries, and identify the benefits and demerits to Nigeria of health worker migration. Methods: This study will follow the Joanna Briggs Institute methodology. A search strategy will retrieve published studies from MEDLINE, CINAHL, Embase, Global Health, Academic Search Premiere, and Web of Science. Unpublished studies will be sourced from dissertations and theses. A comprehensive search will involve keyword scans and citation searches. Exclusion criteria will filter out irrelevant studies, such as studies unrelated to the international migration of health workers and non-English language studies. A total of 2 independent reviewers will screen the titles and abstracts and then review the full text. Data will be extracted from the included studies using a data extraction tool developed for this study. The study selection process will be shown using a PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) flowchart. While the traditional risk of bias assessments is not applied to scoping reviews, the quality of included studies Results: The process of selecting studies will be shown using a PRISMA ScR flowchart, and information gathering will be done through a charting table that has been prepared in advance. We plan to collect data from January 2025 to March 2025 and present the results to examine publication patterns and study details. The final summary is expected to be released by the summer Conclusions: This study holds immense potential to contribute to understanding health worker migration from Nigeria and inform policy and practice interventions to address its challenges. By synthesizing existing evidence, the scoping review will guide future research and policy efforts to mitigate the adverse effects of migration on health care systems and workforce sustainability. Furthermore, the results will aid in recognizing deficiencies in the existing literature; this will offer a defined path for specific policy measures and methods to retain health care workers effectively and thus support the sustainability of health

Place, publisher, year, edition, pages
JMIR Publications, 2025. Vol. 14, article id e62726
Keywords [en]
training and education, health policy, healthcare workforce, policy interventions, socio-political factors, political instability, workforce capacity
National Category
Public Health, Global Health and Social Medicine Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
Health and Caring Sciences
Identifiers
URN: urn:nbn:se:lnu:diva-136986DOI: 10.2196/62726ISI: 001415983000003PubMedID: 39883921Scopus ID: 2-s2.0-85219732289OAI: oai:DiVA.org:lnu-136986DiVA, id: diva2:1940151
Available from: 2025-02-25 Created: 2025-02-25 Last updated: 2025-03-26Bibliographically approved

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