The South African Department of Home Affairs (DHA) is responsible for the implementation and management of migration policy and legislation, as well as the registration of births, marriages and deaths and the issuing of identity documents and passports. It is often criticised in the media and in private conversation for being administratively inefficient, cumbersome and unwieldy. The Southern African Migration Project (SAMP) therefore proposed to test current perceptions of the Department through a study.
Human Resources
The quality of migration services delivery in South Africa
Southern African Migration Project (SAMP)
The Supply of Physician Services in OECD Countries
Equidad listserv : PAHO
The delivery of an appropriate quantity and quality of health care in an efficient way requires, among other things, matching the supply with the demand for the services of physicians, over time. Such matching has led to very different levels of physicians per million population across OECD countries ; because of variations, among other things, in: morbidity and mortality, health expenditure as a share of GDP and the design of health systems. Most OECD countries experience inequities in the geographical distribution of their physician workforce. This article discusses how, to tackle this difficulty, a mix of educational policies, regulatory policies and financial policies has been used with some success in a number of countries.
Training health professionals in palliative care
Lessons from South Africa
Palliative care should be an integral part of every health care professional's role. A key aspect of palliative care training involves raising the awareness of health care professionals, service providers and users. Palliative care should not just be seen as the compassionate care of dying patients but as an active discipline including assessing and treating pain and other problems. Health care workers need specific training to be able to offer quality palliative care to their patients.
Understanding press coverage of cross border migration in Southern Africa since 2000
Southern African Migration Project (SAMP)
Xenophobia is a distinctive and widespread phenomenon in South and Southern Africa. The print media, in particular, has been accused of exacerbating xenophobic attitudes. This paper discusses press coverage of cross-border migration in Southern Africa from 2000-2003, with a focus on xenophobia. The study revisits research conducted in South Africa by the Southern African Migration Project (SAMP) in the 1990s to
determine what, if any, changes have occurred in that country’s press coverage of the issue.
Globalization, Skilled Migration and Poverty Alleviation: Brain Drains in Context
Development Research Centre on Migration, Globalisation and Poverty, University of Sussex
The debate on the 'brain drain', or the emigration of skilled workers, is not new but it has taken on greater urgency in the context of a globalizing economy and ageing societies. Today, the developed world is perceived as poaching the best and the brightest from the developing world, thus prejudicing those countries of their chance of development. This paper starts with two guarded caveats: first, that any brain drain is as much internal within any country as it is among countries and, second, that the skilled migration system should not be seen in isolation from other types of migration. The paper reviews the data available for the analysis of skilled migration and identifies the main global trends. It goes on to examine the globalization of education and of health as reflected in the movement of students and health personnel.
Is There any Solution to the “Brain Drain” of Health Professionals and Knowledge from Africa?
Department of Community Health, University of Malawi College of Medicine, Blantyre, Malawi
African public health care systems suffer from significant "brain drain" of its health care professionals and knowledge as health workers migrate to wealthier countries such as Australia, Canada, USA, and the United Kingdom. Knowledge generated on the continent is not readily accessible to potential users on the continent. In this paper, the brain drain is defined as both a loss of health workers (hard brain drain) and unavailability of research results to users in Africa (soft brain drain). The "pull" factors of "hard brain drain" include better remuneration and working conditions, possible job satisfaction, and prospects for further education, whereas the "push" factors include a lack of better working conditions including promotion opportunities and career advancement.
An approach to estimating human resource requirements for the MDGs
Health Policy and Planning 2005 20(5):267-276
In the context of the Millennium Development Goals, human resources represent the most critical constraint in achieving the targets. Therefore, it is important for health planners and decision-makers to identify what are the human resources required to meet those targets. Planning the human resources for health is a complex process. It needs to consider both the technical aspects related to estimating the number, skills and distribution of health personnel for meeting population health needs, and the political implications, values and choices that health policy- and decision-makers need to make within given resources limitations.
Human resources for health in Africa
BMJ 2005;331:1037-1038
African countries have a very low density health workforce, compounded by poor skill mix and inadequate investment. Yet trained healthcare staff continue to migrate from Africa to more developed countries. The World Health Organization has estimated that, to meet the ambitious targets of the millennium development goals, African health services will need to train and retain an extra one million health workers by 2010.
No consensus on solution to brain drain
International and local delegates to the Scotland-Malawi conference held in Edinburgh, Scotland recently were alarmed with the shortage of health workers in the country which they said has worsened due to brain drain. But the conference failed to reach a consensus to curb the problem. Some delegates suggested that an immediate deportation of the health workers from the United Kingdom while others proposed that the UK should pay back.
An action plan to prevent brain drain: Building Equitable Health
A report by Physicians for Human Rights
"The nations of the world are setting ambitious health and development goals, including the World Health Organization (WHO) target of providing AIDS treatment to 3 million people by 2005 and health-related UN Millennium Development Goals. Unless greater attention by donors and governments is given to developing human resources, these goals almost certainly will not be met. Many of the countries in sub-Saharan Africa, the region that will be the focus of this report, are experiencing severe shortages of skilled health care workers. There are multiple causes, the significance of which varies by country, but one of the most important factors is brain drain."