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Federal Government Commits to Rebuilding 18 Medical Schools to Stem Africa’s Health Worker Exodus

The federal government has announced an ambitious commitment to rehabilitate medical education infrastructure across 18 colleges of medicine throughout Nigeria while simultaneously making substantial investments in simulation laboratories at institutions nationwide, framing these initiatives as an urgent and necessary response to a continental health workforce crisis that threatened to leave Africa perpetually dependent on external expertise to manage diseases that killed its own citizens in disproportionate numbers.

Atuwo was emphatic and unapologetic about the intensity of the federal government’s focus on medical education as a strategic priority, acknowledging that this emphasis had attracted internal criticism within government but maintaining that the urgency of the situation fully justified it.

“We have put substantial funding in simulation labs across the country. We want to rehabilitate medical education in about 18 of our colleges of medicine all over the country, and we are doing so much more. At the Federal Ministry of Education, they are even accusing us that we are laying too much emphasis on medical education, and we are not apologetic for it,” he told conference delegates.

The minister’s address, delivered by Atuwo, placed Nigeria’s challenge within the broader continental context, describing Africa as standing at a critical and defining inflection point in health and medical education. The continent bore nearly a quarter of the global disease burden, he noted, while being supported by only a small fraction of the global health workforce. This fundamental imbalance, compounded by the persistent and accelerating migration of skilled health professionals to higher-income countries and by systemic inefficiencies in training ecosystems that produced graduates who were not always adequately prepared for the clinical realities they would face, demanded a bold, coordinated, and sustained continental response that went beyond incremental improvements to existing systems.

On Nigeria’s specific and detailed policy direction, Atuwo outlined a comprehensive programme that included expanding capacity in medical and allied health training institutions to increase the number of graduates entering the healthcare system, strengthening accreditation systems and the collaborative functioning of regulatory bodies to ensure quality standards were consistently applied, making significant capital investments in medical education infrastructure through TETFund and NELFUND, and promoting data-driven planning and digital transformation across institutions to improve efficiency and outcomes.

He placed particular emphasis on the critical importance of policy alignment between the Ministry of Education and the Ministry of Health, arguing forcefully that training without deployment and education without service delivery could not produce the healthcare outcomes Nigeria and Africa urgently needed. Without a coherent system that moved trained professionals from educational institutions into productive clinical roles, he said, investments in training capacity would fail to translate into improved health outcomes for citizens.

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