Cookies on this website
We use cookies to ensure that we give you the best experience on our website. If you click 'Continue' we'll assume that you are happy to receive all cookies and you won't see this message again. Click 'Find out more' for information on how to change your cookie settings.

BACKGROUND: About a third of the countries affected by shortage of human resources for health are the emerging market economies (EMEs). The greatest shortage in absolute terms was found to be in India and Indonesia leading to health system crisis. This review identifies the patterns of migration of health workers, causes and possible solutions in these EMEs. METHODS: A qualitative synthesis approach based on the 'critical review' and 'realist review' approaches to the literature review was used. RESULTS: The patterns of migration of health professionals' in the EMEs have led to two types of discrepancies between health needs and healthcare workers: (i) within country (rural-urban, public-private or government healthcare sector-private sector) and (ii) across countries (south to north). Factors that influence migration include lack of employment opportunities, appropriate work environment and wages in EMEs, growing demand in high-income countries due to demographic transition, favourable country policies for financial remittances by migrant workers and medical education system of EMEs. A range of successful national and international initiatives to address health workforce migration were identified. CONCLUSIONS: Measures to control migration should be country specific and designed in accordance with the push and pull factors existing in the EMEs.

Original publication

DOI

10.1093/pubmed/fds087

Type

Journal article

Journal

J Public Health (Oxf)

Publication Date

03/2013

Volume

35

Pages

157 - 163

Keywords

Developing Countries, Emigration and Immigration, Health Manpower, Humans, India, Indonesia