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I’m Not Borders About Doctors leaving Nigeria, We Have Surplus… Ngige

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I’m Not Borders About Doctors leaving Nigeria, We Have Surplus… Ngige

Minister of Labour and Employment, Chris Ngige, said the mass exodus of young Nigerian doctors is nothing to be worried about as there is an abundance of doctors in the country.

Ngige, who spoke during Channel Television’s Sunrise Daily on Wednesday, said there was nothing wrong in young doctors going abroad to sharpen their knowledge and skills, make more money and send back to Nigeria to develop the economy.

He said that back in the days when Nigeria did not have qualified teachers, people came from all over the world to teach in Nigerian schools.

“I’m not worried, we have surplus (of Doctors), if we have a surplus, we export,” Ngige said. “I was taught Biology and Chemistry by Indian teachers in my secondary school days. They are surplus in their country.

“We have a surplus in the medical profession in our country. I can tell you this. It is my area, we have excess. We have enough, more than enough, quote me.”

Ngige pointed out that many of the Nigerian doctors practising abroad have medical centres in Nigeria that can boast of modern facilities that could not be found even in government-owned hospitals, hence there is no question of a brain drain

“There is nothing wrong, they go out to sharpen their skills, earn money and send them back home here. Yes, we have foreign exchange earnings from them, not from oil,” he continued.

“Those guys go there, they are better trained because of the facilities they have there. Eventually, I know a couple of them who practise abroad but set up medical centres back home. They have CAT scan, MRI scan which even the government hospitals cannot maintain. So, I don’t see any loss.

“Brain drain will only be inimical when for instance neurosurgeons travel and we don’t have neurosurgeons here.”

Ngige is a medical doctor by training, having graduated from the University of Nigeria-Nsukka in 1979 and worked at the National Assembly and State House clinics at different times. He retired from the civil service in 1998 as a Deputy Director in the Federal Ministry of Health.

How true is Ngige’s claim?

Ngige’s claims re-echoed the opinion of the current Minister of Health, Isaac Adewole, who said that the number of doctors in Nigeria was sufficient for the population when compared to other African countries but that the problem was the uneven distribution of doctors across the country.

Speaking during the 38th Annual General Meeting and Scientific Conference of the National Association of Resident Doctors of Nigeria (NARD) in September 2018, Adewole said: “Data obtained from the Medical and Dental Council of Nigeria as of May 30, revealed that 88,692 doctors are registered in their books. Of these doctors, only 45,000 are currently practising and that gives us a ratio one doctor to 4,088 persons.

“Compared to many other African countries the ratio is not bad, for example, in South African it is one (doctor) to 4,000; in Egypt it is one to 1235; in Tanzania it is 1: 14,000; in Ethiopia, it is one to 1 to 118,000, in Kenya, it is one to 16,000 and in Cameroon it is one to 40,000.”

However, according to an article titled, “The emigration of doctors from Nigeria is not today’s problem, it is tomorrow’s”, Aduragbemi Banke-Thomas, a Fellow in the LSE (London School of Economics) Department of Health Policy, noted that though the population of doctors in Nigeria is significant when compared to other African countries, that ratio is still a very far cry from the “global recommendation of one doctor to 600 population”.

Citing a poll also organised by the Medical and Dental Council of Nigeria, Banke-Thomas noted that “there is a deficit of over 260,000 doctors in Nigeria and a minimum of 10,605 new doctors need to be recruited annually to meet global targets!”

“This gap is particularly critical for a country like Nigeria which has some of the poorest health outcome indices in the world, including the fourth highest maternal mortality ratio and the eight highest infant mortality ratio. So, to be clear, there are not enough doctors in Nigeria!” he opined.

Similarly, in May 2018, the President of the Nigerian Medical Association (NMA), Francis Faduyile, said that Nigerian doctors were leaving the country in high numbers because of three reasons namely, poor remuneration, poor facilities in hospitals, both of which results in lack of job satisfaction.

“Many of our health professionals are overworked. A doctor is supposed to see an average of 20 patients a day, but in Nigeria, doctors see s high as 150 patients daily” he said,

Faduyile added that “the remuneration of doctors is very poor, if you go to other climes, what we are paid here is just 10 per cent of what they collect.

On what needs to be done to make Nigerian doctors stay back home, Faduyile said: “First is when you appreciate your doctors, it will make them stay. Government needs to bring more equipment. We need to have more fund for health.

 

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Presidency Refutes Afenifere’s Deceitful Statement on President Bola Tinubu’s Midterm:

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Chief Sunday Dare

The statement from a factional Afenifere group raises serious concerns about a penchant and deliberate attempt to find faults and trade in deceit instead of objectivity. The group has found it challenging to accept that under the Renewed Hope Agenda of President Bola Tinubu, Nigeria’s comeback story is firmly underway.

The rebellious Afenifere claims that President Bola Tinubu’s administration’s performance over the past two years has witnessed a regression in human development, economic mismanagement, and democratic backsliding.

This is a jaundiced view, echoing the view of opposition politicians, one of whom the group supported in the 2023 election.

A balanced assessment based on available data reveals a more objective and progressive picture, with significant achievements amid the challenges expected from a country like Nigeria with decades-old problems.

Beyond its confounding conclusions based on prejudice, the statement raises the following issues. With the ensuing point-by-point clarification, it will become clear that the group’s position is neither grounded in facts nor logic.

  1. Economic Reforms and Their Impact

The factional Afenifere’s claim that Tinubu’s economic reforms, particularly the removal of fuel subsidy and the floating of the naira, have led to “unmitigated sufferings” and “economic deforms” seeks to draw attention to some of the challenges but overlooks the macroeconomic gains. The removal of the fuel subsidy, announced on May 29, 2023, saved the government over $10 billion in 2023 alone, reducing fiscal strain and redirecting funds to other sectors. Unifying the foreign exchange market and the naira’s floatation aimed to address distortions in the currency market, boosted foreign reserves to $38.1 billion by 2024 and achieved a trade surplus of N18.86 trillion for the country.

Under the Tinubu administration, Nigeria’s annual inflation rate fell to 23.71% in April 2025 from 24.23% in the prior month. Food inflation, the most significant component of the inflation basket, remained elevated but moderated to 21.26% from 21.79%

While these figures indicate stabilisation, the immediate impact on ordinary Nigerians is not lost. The government’s cash transfer programme, which provides funds to the poorest households and benefits over 5.7 million households, is a credible outreach.

However, dismissing the twin policies as “unforced errors” ignores the unsustainable nature of the previous subsidy regime and multiple exchange rate systems, which were draining public finances. A more balanced critique would acknowledge the necessity of reform while emphasising the need for better-targeted social safety nets.

As of today, the Tinubu administration has recorded over 900,000 beneficiaries of the Presidential Loan and Grant Scheme, over 600,000 beneficiaries of the Students’ Loan Scheme, NELFUND, N70,000 minimum wage, NYSC monthly stipend increase from N33,000 to N77,000, Free CNG kits distributed to thousands of commercial drivers across Nigeria with CNG buses rolled out in partnership with state governments, leading to a significant drop in transport costs. The administration also recorded over $10 Billion FX debt cleared, Federal account allocation to states growing by 60%, enabling more local development projects, N50 billion released to end the perennial ASUU strikes, and over 1,000 PHCs revitalised nationwide with an additional 5,500 undergoing upgrades.

The administration also disbursed N75 Billion in palliative funds to states and LGs for food distribution and cash transfers, over 150,000 youths are being trained in software development, tech support and data analysis under the 3 Million Technical Talent (3MTT) project, over 20,000 affordable housing units under construction under the renewed Hope cities program launched across Nigeria, N200 Billion in Loans to farmers and agro-processors. Other gains: over two million Nigerians are now connected to new digital infrastructure and community broadband hubs and public WiFi projects, 3.84% GDP growth in Q4 2024 (highest in 3 years), over $50 Billion in new FDI Commitments, Net Foreign Exchange Reserves up from $3.99 Billion (2023) to $23.11 Billion (2024), over $8 Billion in new oil and gas investments unlocked, and over $800 million realised in processing investments in solid minerals in 2024 and inflation as at April was down to 23.17%.

It is now pertinent to inquire from opposition leaders about alternative strategies they would propose in contrast to this administration’s extensive list of significant achievements currently benefiting Nigerians in real-time.

  1. Cost of Governance and the Oronsaye Report

The assertion that the Tinubu administration has failed to implement the Oronsaye Report and instead increased governance costs is inaccurate. The Oronsaye Report, which recommends the merger or scrapping of government agencies to reduce expenditure, has not been fully implemented and has drawn criticisms; it must be noted, however, that the administration has made some efforts to improve fiscal discipline. The fiscal deficit was reduced from 5.4% of GDP in 2023 to 3.0% in 2024, and the debt service-to-revenue ratio dropped from nearly 100% in 2022 to under 40% by 2024. The government also recorded over N6 trillion in revenue in Q1 2025, partly due to removing Ways & Means financing and fuel subsidies. These steps demonstrate fiscal prudence and will eventually translate into immediate, tangible relief for citizens. The administration is working earnestly to address these optics and prioritise cost-cutting measures, including implementing the Oronsaye Report, to restore public trust.

  1. Allegations of Prebendalism and Corruption

Afenifere’s claim that the administration favours “the privileged and connected” through corrupt palliative distribution and mega-project allocations is questionable. Reports of palliatives being mismanaged or distributed through unverified channels have no doubt surfaced, raising concerns about transparency.

The administration has taken steps against corruption, such as suspending Humanitarian Affairs Minister Betta Edu in January 2024 over alleged fund diversion, signalling some commitment to accountability. Critics may argue that more systemic action is needed, but dismissing all the efforts as propaganda overlooks these initial steps.

Without abusing Presidential powers, the administration is working on expediting action on all pending investigations and prosecution of corrupt practices. At the same time, critical agencies are collating credible evidence on ongoing corruption litigations. It must, however, be noted that in 2024, the Economic and Financial Crimes Commission (EFCC) secured a record-breaking 4,111 convictions, marking its most successful year since its inception. They recovered over N364 billion and significant amounts in foreign currencies, including $214.5 Million, $54,318.64, and 31,265 Euros.

The EFCC achieved its single most significant asset recovery in 2025, with the final forfeiture of an Abuja estate measuring 150,500 square meters and containing 725 units of duplexes and other apartments. The EFCC concluded the final forfeiture and handed the estate to the Ministry of Housing in May 2025.

  1. Democratic Concerns and Centralisation

Afenifere’s accusation that the Tinubu administration is pursuing a “one-party state totalitarianism” and undermining democratic institutions is unsupported and lacks merit. The claim of neutralising the legislature and judiciary is also a false alarm.

The public should note that the Supreme Court has upheld opposition victories in states like Kano, Plateau, and Abia, suggesting judicial independence. The Independent National Electoral Commission (INEC) has faced criticism for allegedly appointing individuals said to be ruling party affiliates, but no evidence confirms these appointees are card-carrying APC members.

The allegation that the Tinubu government cracks down on peaceful protesters is primarily unfounded. It is a regurgitated rhetoric deployed under previous administrations as a reflection of broader challenges in Nigeria’s democratic culture.

The issue of the State Police is more complex than the oversimplified approach of the factional Afenifere’s statement. Every administration policy is subject to security impact assessment before implementation, and there is a difference between the State Police being widely advocated and a Police State that critics may blame the Federal Government for if implemented without caution.

  1. Security and Social Welfare

Contrary to the impression created, the administration’s security record is impressive. Over 13,500 terrorists, bandits, and insurgents have been neutralised and 7,000 arrested in the past year, though there is still some news of abductions and violent attacks. The administration’s proactive response to security-related matters has paved the way for more farmers to return to their farms, impacting food production and supply.

The administration also embarked on agricultural initiatives, including tractor procurement, fertiliser distribution, and increased mechanisation.

The government has also not relented on its Regional Development drive as the administration succeeded in establishing Development Commissions across 6 Geopolitical zones (South West, North West, North Central. North East, South East and the Niger Delta) to empower communities and accelerate developments.

  1. Political Climate and 2027 Elections
    The claims of government-sponsored conflicts within opposition parties lack concrete evidence and should be ignored.

Economic reforms are undoubtedly laying the foundation for long-term stability, with GDP growth at 4.6% in Q4 2024 and a Fitch B credit rating upgrade as evidence. Moody’s Investors Service’s latest upgrade of Nigeria’s rating from Caa1 to B3, with a Stable Outlook, indicates that the Tinubu administration is on the right path.

The government is not oblivious to some discontent and difficult times among Nigerians. There is an urgency to deliver more tangible results, which is guaranteed given the impressive performance of the administration in just two years.

Afenifere’s statement saw the cup as half empty. On the contrary, it’s half full. Under President Tinubu’s administration, some of Nigeria’s hydra-headed problems are being tackled headlong.

The administration has achieved fiscal improvements, such as reduced deficits and increased revenues, which will eventually translate into meaningful microeconomic relief for most Nigerians in the short term, even as the government moves to address these issues with greater empathy and transparency.

The administration’s demonstrable priorities are securing the nation, fixing the economy, and improving human capital development.

Responsible citizens and political leaders must work collaboratively with the administration to address the challenges and counter disinformation, as highlighted in the admonition against fake news and deceptive AI videos.

Under President Tinubu’s leadership, Nigeria is turning the corner. From stabilising the naira and curbing inflation to reducing debt burdens and

expanding access to education and health, the administration delivers bold reforms with actual results. With improved security, regional inclusion, anti-corruption measures, and institutional rebuilding, Nigeria’s comeback story is not yet complete — but it is firmly underway.

– Sunday Dare is the Special Adviser to Mr. President on Media and Public Communications.

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