Mental Healthcare Access in India: Models, Trends, and Challenges

Kar, Sujita Kumar; Menon, Vikas

doi:10.1007/978-981-99-9153-2_5

Cited by 2 publications

(1 citation statement)

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“…Brain drain incidence has been perceived as the migration of skilled health-care professionals physicians, nurses and pharmacists away from their own countries of origin to other host nations in search of improved job opportunities, enhanced working conditions and quality of work-life (Akinwale and George, 2023) . This mass exodus of the professional medical workforce can essentially influence the health-care infrastructure and service delivery in the country of origin experiencing such brain drain challenge (Kar and Menon, 2024). However, this has been the case in African continents for over a decade and Nigeria's version has been exceptional to such an extent that they coined a peculiar concept called "JAPA theory".…”

Section: Introductionmentioning

confidence: 99%

Brain drain incidence and health-care infrastructural deficit challenges: the role of capacity development among “JAPA” physicians in Nigeria

Akinwale,

Kuye,

George

2024

SAMAMJ

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Purpose The brain drain challenge has become a cankerworm confronting not only the public health-care sector in Nigeria but almost all sectors of the national economy. This study aims to explore the push factors responsible for brain drain incidence among the migrated, JAPA, physicians to other global work environments. The study investigates the mediating role of capacity development among migrated, JAPA, physicians between the health-care infrastructural deficit and brain drain syndrome. Design/methodology/approach This study used a survey cross-sectional research design to examine the 214 migrated physicians in four notable perceived countries (UK, USA, Canada and Australia). The study used a probability sampling strategy to survey a self-administered online research instrument. The study adapted a battery of scales from several authors to measure the relevant constructs of this study. Hierarchical multiple regression was used to examine factors that provoke the incidence of brain drain burden among the JAPA Physicians. While Macro Hayes Process was used to investigate the mediating role of capacity development among migrated physicians. Findings The study revealed from the “JAPA” physicians that working conditions are turbulent and utterly poor which led to the incidence of brain drain. The study indicated that poor remuneration and benefits are the predominant reason for JAPA physicians to European countries and USA/UK. The findings of the study demonstrated that restricted opportunities and poor standard of living in the country were additional factors responsible for the brain drain of Nigerian physicians to other international countries. The outcome of the study also illustrated that inadequate infrastructure and facilities are the dominant variables that pushed physicians to foreign nations. It was revealed that there is a toxic mix of several issues that led to a brain drain albatross among the migrated physicians from Nigeria. The last part of the study indicated that physicians’ capacity development was a game changer that would discourage brain drain incidence and establish motivation for working in Nigeria's public health-care sector. Originality/value The study has given a direction for providing succinct solutions to the cankerworm of brain drain that has depleted the Nigerian public health-care industry. It has proffered a possible trajectory that will reverse the JAPA syndrome among the professional health-care workforce. This will not only benefit the public health-care personnel but also be significant for all the human capital across all the sectors of the national economy of Nigeria.

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Section: Introductionmentioning

confidence: 99%