Nigeria’s healthcare system is facing a major shakeup, with the government taking a hard line on healthcare professionals seeking opportunities abroad. The “Japa Syndrome,” as it’s called, refers to the mass exodus of doctors, nurses, and other medical personnel leaving the country for better pay and working conditions.
No More Leave of Absence:
In a controversial move, the Minister of State for Health, Dr. Tunji Alausa, announced that health workers seeking greener pastures abroad must now resign their positions entirely. The days of applying for leave and then disappearing to another country are over.
This policy stems from a presidential executive order aimed at stopping the brain drain crippling the national health sector.
Government Ramps Up Training:
But the government isn’t just blocking exits, it’s also trying to plug the leaks.
They’ve significantly increased training programs for nurses, with annual enrollment jumping from 28,000 to 68,000! Plans are in place to reach a staggering 120,000 new nurses by the end of the year. Similar hikes are planned for doctors, dentists, and pharmacists.
This ambitious plan aims to create a constant flow of new talent, ensuring there’s always someone ready to step in when someone leaves.

“Eat Your Cake and Have It?”
– Not Anymore: The Minister doesn’t mince words. He acknowledges the right of healthcare workers to seek opportunities abroad – it’s a free world. However, he emphasizes that you can’t enjoy the benefits of both worlds. Want to work in a foreign country? Resign. Don’t expect to keep a foot in the door here while building a career elsewhere.
This, according to the Minister, creates problems. A health worker on leave of absence still holds a position on the government payroll, making it difficult to find replacements. Their absence adds to the burden of their colleagues left behind.
Reactions and the Road Ahead
While the government’s plan tackles the immediate issue of understaffing, it remains to be seen if it solves the root causes of “Japa Syndrome.” Questions linger. Will increased training programs translate into improved working conditions and competitive salaries within Nigeria? How will the healthcare sector cope with the loss of experienced professionals in the short term? Only time will tell if this bold move is a cure or a complication for Nigeria’s healthcare woes.