Occupational deskilling or calculated decisions? Investigating the willingness to leave the health sector post-migration

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Abstract

The unquenched thirst for emigration in Nigeria and the increasing cost of migrating to the West has been established in the literature. Professionals, such as healthcare workers (HCWs), are poorly paid in Nigeria, making many seek better employment abroad. However, many professionals work in less skilled sectors or jobs below their previous position—and education and years of experience—in their home country. While studies have investigated occupational deskilling empirically from the experiences of migrants in the host country, this study focused on HCWs who are still in Nigeria but expressed emigration intentions. This allows us to understand whether migrants are victims of occupational deskilling in the host country or whether it is a calculated decision. We investigated the willingness among HCWs in Nigeria to accept occupational deskilling post-migration. Using a cross-sectional online survey, we analysed responses from 411 respondents who indicated emigration intentions. We computed logistic regression models at a 95% level of significance. We found that 65.3% of healthcare workers reported willingness to accept occupational deskilling. Male HCWs were twice as likely as their female counterparts to accept occupational deskilling, and pharmacists were 16 times more likely to accept it than medical doctors and dentists. Work hours and job satisfaction were also significantly associated with the acceptance of occupational deskilling. We submit that, in the case of Nigerian HCWs, migrants are not necessarily victims of occupational deskilling; their decisions could have been calculated, which resulted in the impression that working in the less skilled sector in the West is better than working as an HCW in Nigeria.
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Occupational deskilling or calculated decisions? Investigating the willingness to leave the health sector post-migration | Authorea try { document.documentElement.classList.add('js'); } catch (e) { } var _gaq = _gaq || []; _gaq.push(['_setAccount', 'G-8VDV14Y67G']); _gaq.push(['_trackPageview']); (function() { var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true; ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js'; var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(ga, s); })(); Skip to main content Preprints Collections Wiley Open Research IET Open Research Ecological Society of Japan All Collections About About Authorea FAQs Contact Us Quick Search anywhere Search for preprint articles, keywords, etc. Search Search ADVANCED SEARCH SCROLL International Journal of Health Planning and Management This is a preprint and has not been peer reviewed. Data may be preliminary. 16 January 2025 V1 Latest version Share on Occupational deskilling or calculated decisions? Investigating the willingness to leave the health sector post-migration Authors : Tunde A. Alabi 0000-0002-3261-714X , Oluwaseun Badru [email protected] , Fatai A. Badru , and Oluwafemi Adeagbo Authors Info & Affiliations https://doi.org/10.22541/au.173702746.63370525/v1 483 views 124 downloads Contents Abstract Supplementary Material Information & Authors Metrics & Citations View Options References Figures Tables Media Share Abstract The unquenched thirst for emigration in Nigeria and the increasing cost of migrating to the West has been established in the literature. Professionals, such as healthcare workers (HCWs), are poorly paid in Nigeria, making many seek better employment abroad. However, many professionals work in less skilled sectors or jobs below their previous position—and education and years of experience—in their home country. While studies have investigated occupational deskilling empirically from the experiences of migrants in the host country, this study focused on HCWs who are still in Nigeria but expressed emigration intentions. This allows us to understand whether migrants are victims of occupational deskilling in the host country or whether it is a calculated decision. We investigated the willingness among HCWs in Nigeria to accept occupational deskilling post-migration. Using a cross-sectional online survey, we analysed responses from 411 respondents who indicated emigration intentions. We computed logistic regression models at a 95% level of significance. We found that 65.3% of healthcare workers reported willingness to accept occupational deskilling. Male HCWs were twice as likely as their female counterparts to accept occupational deskilling, and pharmacists were 16 times more likely to accept it than medical doctors and dentists. Work hours and job satisfaction were also significantly associated with the acceptance of occupational deskilling. We submit that, in the case of Nigerian HCWs, migrants are not necessarily victims of occupational deskilling; their decisions could have been calculated, which resulted in the impression that working in the less skilled sector in the West is better than working as an HCW in Nigeria. Supplementary Material File (occupational deskilling. january 15, 2024.docx) Download 2.78 MB Information & Authors Information Version history V1 Version 1 16 January 2025 Copyright This work is licensed under a Non Exclusive No Reuse License. Collection International Journal of Health Planning and Management Keywords healthcare workers japa migration and health occupational downgrading professional migrants Authors Affiliations Tunde A. Alabi 0000-0002-3261-714X University of Lagos View all articles by this author Oluwaseun Badru [email protected] The University of Iowa View all articles by this author Fatai A. Badru University of Lagos View all articles by this author Oluwafemi Adeagbo The University of Iowa View all articles by this author Metrics & Citations Metrics Article Usage 483 views 124 downloads .FvxKWukQNSOunydq8rnd { width: 100px; } Citations Download citation Tunde A. Alabi, Oluwaseun Badru, Fatai A. Badru, et al. Occupational deskilling or calculated decisions? Investigating the willingness to leave the health sector post-migration. Authorea . 16 January 2025. DOI: https://doi.org/10.22541/au.173702746.63370525/v1 If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download. 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