Migration of nurses from sub-Saharan Africa: a review of issues and challenges.

OBJECTIVE To assess the impact of out-migration of nurses on the health systems in sub-Saharan Africa (SSA). SETTING The countries of SSA. DESIGN AND METHODS Review of secondary sources: existing publications and country documents on the health workforce; documents prepared for the Joint Learning Initiative Global Human Resources for Health report, the World Health Organization (AFRO) synthesis on migration, and the International Council of Nurses series on the global nursing situation. Analysis of associated data. PRINCIPAL FINDINGS The state of nursing practice in SSA appears to have been impacted negatively by migration. Available (though inadequate) quantitative data on stocks and flows, qualitative information on migration issues and trends, and on the main strategies being employed in both source and recipient countries indicate that the problem is likely to grow over the next 5-10 years. CONCLUSIONS Multiple actions are needed at various policy levels in both source and receiving countries to moderate negative effects of nurse emigration in developing countries in Africa; however, critically, source countries must establish more effective policies and strategies.

[1]  C. Omar,et al.  The human resources for health situation in Mozambique , 2006 .

[2]  M. Mackintosh,et al.  The ‘Skills Drain’ of Health Professionals from the developing World:a Framework for Policy Formulation , 2005 .

[3]  Steven Simoens,et al.  Tackling Nurse Shortages in OECD Countries. OECD Health Working Papers, No. 19. , 2005 .

[4]  Delanyo Dovlo,et al.  RECENT INTERNATIONAL PUBLICATIONS - INTERNATIONAL RECRUITMENT OF HEALTH WORKERS TO THE UK: A REPORT FOR DFID , 2004 .

[5]  M. Jacobs,et al.  Human resources for health: overcoming the crisis , 2004, The Lancet.

[6]  D. Bettcher.  Global public health: a new era , 2004 .

[7]  J. Sochalski,et al.  The migration of nurses: trends and policies. , 2004, Bulletin of the World Health Organization.

[8]  Marko Vujicic,et al.  The role of wages in the migration of health care professionals from developing countries , 2004, Human resources for health.

[9]  Joint Learning Initiative,et al.  Human resources for health : overcoming the crisis , 2004 .

[10]  A. December.  ADDRESSING AFRICA'S HEALTH WORKFORCE CRISIS: AN AVENUE FOR ACTION , 2004 .

[11]  Wilma Meeus.  "Pull" factors in international migration of health professionals , 2003 .

[12]  Ashnie Padarath,et al.  Health personnel in Southern Africa : confronting maldistribution and brain drain , 2003 .

[13]  S. Kinoti,et al.  The impact of HIV / AIDS on the health sector in Sub-Saharan Africa: the issue of human resources. , 2001 .

[14]  F. Cambournac.  Public health in Africa. , 1958, The Journal-lancet.