Migration of nurses from sub-Saharan Africa: A review of issues and challenges
Migration of nurses from sub-Saharan Africa: A review of issues and challenges
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DOI：
10.1111/j.1475-6773.2007.00712.x
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发表时间：
2007-06-01
影响因子：
3.4
通讯作者：
Dovlo, Delanyo
中科院分区：
文献类型：
--
作者：
Dovlo, Delanyo
Objective.评估护士外移对撒哈拉以南非洲卫生系统的影响。撒哈拉以南非洲国家。设计和方法。二次资料来源：关于卫生工作队伍的现有出版物和国家文件;为联合学习倡议全球卫生人力资源报告编写的文件、世界卫生组织（非洲区域办事处）关于移徙问题的综合报告以及国际护士理事会关于全球护理状况的系列报告。相关数据分析。主要发现。南撒哈拉地区的护理实践状况似乎受到了移民的负面影响。现有的（尽管不充分的）关于存量和流动的数量数据、关于移徙问题和趋势的质量信息以及关于来源国和接受国正在采用的主要战略的信息表明，这个问题在今后5-10年可能会加剧。来源国和接受国需要在不同政策层面采取多种行动，以减轻非洲发展中国家护士移民的负面影响;然而，关键是来源国必须制定更有效的政策和战略。
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.