The Health Effects of Underemployment in Nigeria: A Silent Crisis We’re Not Talking About Enough


 


Underemployment in Nigeria is like a slow-burning fire—less visible than unemployment, but just as destructive. It affects millions of people every day, yet it rarely sparks the kind of national conversation it deserves.

We all know someone—maybe a university graduate driving a Keke, or an engineer working as a cashier—who is educated, skilled, and eager to contribute meaningfully, but stuck in a job that pays peanuts or doesn’t utilize their abilities. That’s underemployment, and it’s taking a serious toll—not just economically, but physically and mentally too.

What Is Underemployment, Really?

Underemployment refers to a situation where people are working, but not in jobs that match their skills, education level, or desired hours. According to the National Bureau of Statistics (NBS), Nigeria’s underemployment rate was 15.6% as of Q4 2020. When combined with an unemployment rate of 33.3%, more than 48% of the labor force is not fully utilized (NBS 2021).

But the story doesn’t end at numbers—it digs deep into people’s health, families, and communities.

1. Mental Health: The Hidden Burden

For many Nigerians, especially youth, underemployment feels like a personal failure, even when it's clearly systemic. Imagine spending years in school, graduating with good grades, only to end up doing menial or low-paying jobs. That frustration? It builds up.

Research by the World Health Organization (WHO) shows a strong link between underemployment and mental health challenges such as:

Depression


Anxiety


Substance abuse


Unfortunately, mental health support in Nigeria is still lacking. According to a report by the Association of Psychiatrists in Nigeria, there are fewer than 300 psychiatrists serving over 200 million Nigerians. Most people suffering from mental distress due to underemployment go untreated.

2. Physical Health: The Body Bears the Cost

Underemployment also affects people physically. Low wages often mean people can’t afford quality food, healthcare, or housing. That leads to:

Poor nutrition, especially among young adults and mothers


Increased stress-related illnesses like high blood pressure, ulcers, or heart disease


Delayed treatment for conditions like malaria, diabetes, and infections


And let’s not forget the long hours many underemployed Nigerians work just to make ends meet—whether it’s combining multiple gigs, hustling on the street, or doing labor-intensive tasks outside their skill set.

3. Family and Social Stress

In Nigeria, many people are not just working for themselves—they’re breadwinners for entire families. Underemployment can cause strain in marriages, delay in child-rearing, and family conflict.

Socially, many underemployed individuals feel ashamed or isolated. It’s tough to engage with peers when you feel like you're not doing "enough," despite giving your best. This creates a cycle of low self-worth, withdrawal, and in extreme cases, suicidal thoughts.

4. Youth Restiveness and Crime

Here’s where underemployment becomes a national security issue.

With over 13 million out-of-school children and a frustrated youth population, underemployment feeds into:

Cybercrime ("Yahoo Yahoo")


Cultism and gang activity


Political thuggery and violence


According to the United Nations Office on Drugs and Crime (UNODC), there’s a direct correlation between joblessness (including underemployment) and rising crime in urban areas of Nigeria.

5. Healthcare Access: Still a Luxury for Many

Without stable jobs, most underemployed Nigerians lack health insurance or access to decent medical services. Nigeria’s National Health Insurance Scheme (NHIS) still struggles to cover informal workers or part-timers effectively.

This leads to increased reliance on:

Traditional medicine (which is not always safe or regulated)


Self-medication (which can cause drug resistance or complications)


Prayer houses or miracle centers (due to desperation)


All of these create long-term health risks for vulnerable populations.

So What Can We Do About It?

Solving underemployment isn't just about creating more jobs—it’s about creating meaningful, decent, and well-paying jobs that match people’s skills and aspirations.

Here’s what Nigeria needs:

Job creation policies focused on sectors like tech, agriculture, and renewable energy


Expansion of vocational training and entrepreneurship programs


Mental health advocacy and affordable access to psychological support


Health insurance coverage for informal and part-time workers


Social welfare systems that provide a safety net during hard times


Final Thoughts

Underemployment is not just a paycheck problem—it’s a health crisis hiding in plain sight. From depression and stress to family conflict and poor nutrition, the effects are deep and damaging.

If Nigeria is serious about improving public health and national productivity, it’s time to shine a spotlight on underemployment and treat it like the threat it really is.

Let’s move beyond survival. Let’s talk solutions.

Sources:

National Bureau of Statistics (NBS), Labour Force Report Q4 2020


WHO Mental Health Atlas 2021


Association of Psychiatrists in Nigeria (APN)


UNODC Nigeria Crime Statistics 2023


National Health Insurance Authority (NHIA)


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