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Developing evidence-based ethical policies on the migration of health workers : conceptual and practical challenges

By James Buchan, Barbara Stilwell, Khassoum Diallo, Pascal Zurn, Mario R Dal Poz and Orvill Adams

Abstract

It is estimated that in 2000 almost 175 million people, or 2.9% of the world's population, were living\ud outside their country of birth, compared to 100 million, or 1.8% of the total population, in 1995.\ud As the global labour market strengthens, it is increasingly highly skilled professionals who are\ud migrating. Medical practitioners and nurses represent a small proportion of highly skilled workers\ud who migrate, but the loss of health human resources for developing countries can mean that the\ud capacity of the health system to deliver health care equitably is compromised. However, data to\ud support claims on both the extent and the impact of migration in developing countries is patchy\ud and often anecdotal, based on limited databases with highly inconsistent categories of education\ud and skills.\ud The aim of this paper is to examine some key issues related to the international migration of health\ud workers in order to better understand its impact and to find entry points to developing policy\ud options with which migration can be managed.\ud The paper is divided into six sections. In the first, the different types of migration are reviewed.\ud Some global trends are depicted in the second section. Scarcity of data on health worker migration\ud is one major challenge and this is addressed in section three, which reviews and discusses different\ud data sources. The consequences of health worker migration and the financial flows associated with\ud it are presented in section four and five, respectively. To illustrate the main issues addressed in the\ud previous sections, a case study based mainly on the United Kingdom is presented in section six.\ud This section includes a discussion on policies and ends by addressing the policy options from a\ud broader perspective

Topics: RA
Publisher: BioMed Central
Year: 2003
OAI identifier: oai:eresearch.qmu.ac.uk:20

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  1. (2001). Agency for International Development: The Health Sector Human Resources Crisis in Africa: An issues paper Washington, DC: USAID Bureau for Africa, Office of Sustainable Development;
  2. (2002). Briefing note on international migration of health professionals: levelling the playing field for developing country health systems.
  3. (2000). Economic and Social Council: Report of the doi
  4. (2001). Europe and the immigration of skilled labour. In: International Migration of the Highly Skilled. International Migration Quarterly Review doi
  5. (2000). Explaining migration: a critical view. International SocialPage 12 of 13 (page number not for citation purposes) curse or boon? A survey of the literature. Draft report. Private communication to OSD .
  6. (2001). From brain exchange to brain gain: policy implications for the UK of recent trends in skilled migration from developing countries.
  7. (2001). Health worker motivation in Zimbabwe. Internal report. Department of Organization of Health Care Delivery. Geneva: World Health Organization
  8. Health: Guidance on international recruitment London;
  9. (2002). Hear N and Engberg-Pedersen P: The migration-development nexus: evidence and policy options Copenhagen: Centre for Development Research; doi
  10. (2002). Imbalances in the health workforce. Geneva: World Health Organization doi
  11. (2000). International migration at the beginning of the twenty-first century: global trends and issues. doi
  12. (2003). International nurse mobility: Trends and policy implications Geneva: World Health Organization;
  13. (1995). International Organization for Migration: Migration Management Training Programme. Chapter 1.
  14. (2002). International recruitment of nurses: United Kingdom case study London: Royal College of Nursing;
  15. (2000). Medical migration: who are the real losers? The Lancet doi
  16. (2000). Medical migration. The Lancet doi
  17. Migration Research Unit: International migration and the United Kingdom. Draft final report to the Home Office London:
  18. (2001). Nurse migration: global treasure hunt or disaster in the making? Nurse Inquiry doi
  19. (2001). Organisation for Economic Co-operation and Development: Trends in International Migration. Annual Report.
  20. (2002). Population Division Populations Database [http://esa.un.org/unpp].
  21. Quand le Nord d├ębauche les m├ędecins du Sud. Le Monde diplomatique 2002:28 [http://www.monde-diplomatique.fr]. Last accessed 14/10/03
  22. (1999). Report on issues affecting the mobility and retention of health workers in Commonwealth African States. Unpublished report to Commonwealth Secretariat.
  23. (1998). Rethinking human resources: an agenda for the millennium. Health Policy and Planning doi
  24. (1999). South African Network of Skills Abroad:
  25. Statistics on Asian labour migration: review of sources, methods and problems. Paper presented at the Regional Seminar on International Labour Migration Statistics in Asia, doi
  26. (1996). Statistics on international labour migration: a review of sources and methodological issues.
  27. The brain drain: curse or boon? A survey of the literature. Draft report. Private communication to OSD . doi
  28. (1998). The impact of health sector reform on public sector health worker motivation in Zimbabwe. Major Applied Research 5. Working Paper 4. Partnerships for Health Reform.
  29. (2001). The migration of professionals: theories and typologies. doi
  30. (1992). The use of migrant remittances in development: lessons from the Asian experience. doi
  31. (2002). When staff is underpaid. Dealing with the individual coping strategies of health personnel. Bulletin of the World Health Organization
  32. (2000). Workers without frontiers. The impact of globalization on international migration Geneva: International LabourOffice;

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