| Summary |
The report describes the exodus of healthcare workers from areas of
poverty and low socio-economic development, to more highly developed
areas.... There are a variety of push and pull factors that impact on the
movement of healthcare workers, arising both within and beyond the health
system. Factors endogenous to the health care system are low remuneration
levels, work associated risks including of diseases like HIV/AIDS and TB,
inadequate human resource planning with consequent unrealistic work loads,
poor infrastructure and sub-optimal conditions of work.
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| More Details |
Exogenous push factors are also noted, including political insecurity,
crime, taxation levels, repressive political environments and falling
service standards.
Movement is also influenced by pull factors, including aggressive
recruitment by recipient countries, improved quality of life, study and
specialisation opportunities and improved pay.
These push and pull factors are mitigated by stick factors in source
countries, which lead to greater personnel retention, including family
ties, psychological links with home, migration costs, language and other
social and cultural factors. Stay factors influence decisions to remain
in recipient countries and influence rates of return of personnel. These
include reluctance to disrupt family life and schooling, lack of
employment opportunities in host country and a higher standard of living
in the recipient country.
These factors are presented in the context of current approaches to
training and retention of health personnel in southern Africa. They are
analysed for their costs and benefits to source and recipient areas and
countries, and for their impact on equity in health personnel
distribution. |
| Publication Webpage |
http://www.equinetafrica.org/policy.html |
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| Keywords |
This Item is associated with the Following
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