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Published in: Human Resources for Health 1/2016

Open Access 01-06-2016 | Case study

The views of migrant health workers living in Austria and Belgium on return migration to sub-Saharan Africa

Authors: Annelien Poppe, Silvia Wojczewski, Katherine Taylor, Ruth Kutalek, Wim Peersman

Published in: Human Resources for Health | Special Issue 1/2016

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Abstract

Background

The negative consequences of the brain drain of sub-Saharan African health workers for source countries are well documented and include understaffed facilities, decreased standards of care and higher workloads. However, studies suggest that, if migrated health workers eventually return to their home countries, this may lead to beneficial effects following the transfer of their acquired skills and knowledge (brain gain). The present study aims to explore the factors influencing the intentions for return migration of sub-Saharan African health workers who emigrated to Austria and Belgium, and gain further insight into the potential of circular migration.

Methods

Semi-structured interviews with 27 sub-Saharan African health workers in Belgium and Austria were conducted.

Results

As mentioned by the respondents, the main barriers for returning were family, structural crises in the source country, and insecurity. These barriers overrule the perceived drivers, which were nearly all pull factors and emotion driven. Despite the fact that only a minority plans to return permanently, many wish to return regularly to work in the healthcare sector or to contribute to the development of their source country.

Conclusion

As long as safety and structural stability cannot be guaranteed in source countries, the number of return migrants is likely to remain low. National governments and regional organizations could play a role in facilitating the engagement of migrant health workers in the development of the healthcare system in source countries.
Literature
2.
go back to reference Owusu-Daaku F, Smith F, Shah R. Addressing the workforce crisis: the professional aspirations of pharmacy students in Ghana. Pharm World Sci. 2008;30(5):577–83.CrossRefPubMed Owusu-Daaku F, Smith F, Shah R. Addressing the workforce crisis: the professional aspirations of pharmacy students in Ghana. Pharm World Sci. 2008;30(5):577–83.CrossRefPubMed
3.
go back to reference Luboga S, Hagopian A, Ndiku J, Bancroft E, McQuide P. Satisfaction, motivation, and intent to stay among Ugandan physicians: a survey from 18 national hospitals. Int J Health Plann Manage. 2011;26(1):2–17.CrossRefPubMed Luboga S, Hagopian A, Ndiku J, Bancroft E, McQuide P. Satisfaction, motivation, and intent to stay among Ugandan physicians: a survey from 18 national hospitals. Int J Health Plann Manage. 2011;26(1):2–17.CrossRefPubMed
4.
go back to reference Aiken LH, Buchan J, Sochalski J, Nichols B, Powell M. Trends in international nurse migration. Health Aff (Millwood). 2004;23(3):69–77.CrossRef Aiken LH, Buchan J, Sochalski J, Nichols B, Powell M. Trends in international nurse migration. Health Aff (Millwood). 2004;23(3):69–77.CrossRef
5.
go back to reference Ogilvie L, Mill JE, Astle B, Fanning A, Opare M. The exodus of health professionals from sub-Saharan Africa: balancing human rights and societal needs in the twenty-first century. Nurs Inqu. 2007;14(2):114–24.CrossRef Ogilvie L, Mill JE, Astle B, Fanning A, Opare M. The exodus of health professionals from sub-Saharan Africa: balancing human rights and societal needs in the twenty-first century. Nurs Inqu. 2007;14(2):114–24.CrossRef
6.
go back to reference Nguyen L, Ropers S, Nderitu E, Zuyderduin A, Luboga S, Hagopian A. Intent to migrate among nursing students in Uganda: Measures of the brain drain in the next generation of health professionals. Hum Resour Health. 2008;6:5.CrossRefPubMedPubMedCentral Nguyen L, Ropers S, Nderitu E, Zuyderduin A, Luboga S, Hagopian A. Intent to migrate among nursing students in Uganda: Measures of the brain drain in the next generation of health professionals. Hum Resour Health. 2008;6:5.CrossRefPubMedPubMedCentral
7.
go back to reference Poppe A, Jirovsky E, Blacklock C, Laxmikanth P, Moosa S, De Maeseneer J, et al. Why sub-Saharan African health workers migrate to European countries that do not actively recruit: a qualitative study post-migration. Glob Health Action. 2014;7:24071.PubMed Poppe A, Jirovsky E, Blacklock C, Laxmikanth P, Moosa S, De Maeseneer J, et al. Why sub-Saharan African health workers migrate to European countries that do not actively recruit: a qualitative study post-migration. Glob Health Action. 2014;7:24071.PubMed
8.
go back to reference Hagopian A, Ofosu A, Fatusi A, Biritwum R, Essel A, Gary Hart L, et al. The flight of physicians from West Africa: views of African physicians and implications for policy. Soc Sci Med. 2005;61(8):1750–60.CrossRefPubMed Hagopian A, Ofosu A, Fatusi A, Biritwum R, Essel A, Gary Hart L, et al. The flight of physicians from West Africa: views of African physicians and implications for policy. Soc Sci Med. 2005;61(8):1750–60.CrossRefPubMed
9.
go back to reference Astor A, Akhtar T, Matallana MA, Muthuswamy V, Olowu FA, Tallo V, et al. Physician migration: views from professionals in Colombia, Nigeria, India, Pakistan and the Philippines. Soc Sci Med. 2005;61(12):2492–500.CrossRefPubMed Astor A, Akhtar T, Matallana MA, Muthuswamy V, Olowu FA, Tallo V, et al. Physician migration: views from professionals in Colombia, Nigeria, India, Pakistan and the Philippines. Soc Sci Med. 2005;61(12):2492–500.CrossRefPubMed
10.
go back to reference Bidwell P, Laxmikanth P, Blacklock C, Hayward G, Willcox M, Peersman W, et al. Security and skills: the two key issues in health worker migration. Glob Health Action. 2014;7:24194.PubMed Bidwell P, Laxmikanth P, Blacklock C, Hayward G, Willcox M, Peersman W, et al. Security and skills: the two key issues in health worker migration. Glob Health Action. 2014;7:24194.PubMed
11.
go back to reference Jirovsky E, Hoffmann K, Maier M, Kutalek R. “Why should I have come here?”--A qualitative investigation of migration reasons and experiences of health workers from sub-Saharan Africa in Austria. BMC Health Serv Res. 2015;15:74.CrossRefPubMedPubMedCentral Jirovsky E, Hoffmann K, Maier M, Kutalek R. “Why should I have come here?”--A qualitative investigation of migration reasons and experiences of health workers from sub-Saharan Africa in Austria. BMC Health Serv Res. 2015;15:74.CrossRefPubMedPubMedCentral
12.
go back to reference Padarath A, Chamberlain C, McCoy D, Ntuli A, Rowson M, Loewenson R. Health personnel in Southern Africa: confronting maldistribution and brain drain. South Africa: Regional Network for Equity in Health in Southern Africa, Health Systems Trust; 2003. Padarath A, Chamberlain C, McCoy D, Ntuli A, Rowson M, Loewenson R. Health personnel in Southern Africa: confronting maldistribution and brain drain. South Africa: Regional Network for Equity in Health in Southern Africa, Health Systems Trust; 2003.
13.
14.
go back to reference World Health Organization. World Health Report 2006: Working together for health. Geneva: WHO; 2006. World Health Organization. World Health Report 2006: Working together for health. Geneva: WHO; 2006.
15.
go back to reference Mills EJ, Kanters S, Hagopian A, Bansback N, Nachega J, Alberton M, et al. The financial cost of doctors emigrating from sub-Saharan Africa: human capital analysis. BMJ. 2011;343:d7031.CrossRefPubMedPubMedCentral Mills EJ, Kanters S, Hagopian A, Bansback N, Nachega J, Alberton M, et al. The financial cost of doctors emigrating from sub-Saharan Africa: human capital analysis. BMJ. 2011;343:d7031.CrossRefPubMedPubMedCentral
16.
go back to reference Cinar D, Docquier F. Brain drain and remittances: implications for the source countries. Brussels Econ Rev. 2004;47:103–18. Cinar D, Docquier F. Brain drain and remittances: implications for the source countries. Brussels Econ Rev. 2004;47:103–18.
17.
go back to reference Connell J. Migration and the globalisation of health care: the health worker exodus? Cheltenham: Edward Elgar; 2010. Connell J. Migration and the globalisation of health care: the health worker exodus? Cheltenham: Edward Elgar; 2010.
18.
go back to reference Kangasniemi M, Winters LA, Commander S. Is the medical brain drain beneficial? Evidence from overseas doctors in the UK. Soc Sci Med. 2007;65:915–23.CrossRefPubMed Kangasniemi M, Winters LA, Commander S. Is the medical brain drain beneficial? Evidence from overseas doctors in the UK. Soc Sci Med. 2007;65:915–23.CrossRefPubMed
19.
20.
go back to reference Mayr K, Peri G. Brain drain and brain return: theory and application to Eastern-Western Europe. B E J Econ Anal Policy. 2009;9(1):49. Mayr K, Peri G. Brain drain and brain return: theory and application to Eastern-Western Europe. B E J Econ Anal Policy. 2009;9(1):49.
21.
go back to reference Lowell BL, Findlay A. Migration of highly skilled persons from developing countries: impact and policy responses. International Migration Papers. Geneva: International Labour Office; 2002. Lowell BL, Findlay A. Migration of highly skilled persons from developing countries: impact and policy responses. International Migration Papers. Geneva: International Labour Office; 2002.
24.
go back to reference Dustmann C, Fadlon I, Weiss Y. Return migration, human capital accumulation and the brain drain. J Dev Econ. 2011;95:58–67.CrossRef Dustmann C, Fadlon I, Weiss Y. Return migration, human capital accumulation and the brain drain. J Dev Econ. 2011;95:58–67.CrossRef
25.
go back to reference Naicker S, Plange-Rhule J, Tutt RC, Eastwood JB. Shortage of healthcare workers in developing countries – Africa. Ethn Dis. 2009;19(1 Suppl 1):S1. -60–4. Naicker S, Plange-Rhule J, Tutt RC, Eastwood JB. Shortage of healthcare workers in developing countries – Africa. Ethn Dis. 2009;19(1 Suppl 1):S1. -60–4.
26.
go back to reference Asampong E, Harrison JA, Yarney L, Opuku-Mensah K, Karim AS, Fobil JN. Back to my roots: a study of “returning” emigrated health professionals in the greater Accra region of Ghana. Africa Today. 2013;59(4):119–30.CrossRef Asampong E, Harrison JA, Yarney L, Opuku-Mensah K, Karim AS, Fobil JN. Back to my roots: a study of “returning” emigrated health professionals in the greater Accra region of Ghana. Africa Today. 2013;59(4):119–30.CrossRef
27.
go back to reference Constant AF, Nottmeyer O, Zimmerman KF. The economics of circular migration. IZA DP No. 6940. Bonn: IZA; 2012. Constant AF, Nottmeyer O, Zimmerman KF. The economics of circular migration. IZA DP No. 6940. Bonn: IZA; 2012.
28.
go back to reference Humphries N, McAleese S, Tyrrell E, Thomas S, Normand C, Brugha R. Applying a typology of health worker migration to non-EU migrant doctors in Ireland. Hum Resour Health. 2015;13:52.CrossRefPubMedPubMedCentral Humphries N, McAleese S, Tyrrell E, Thomas S, Normand C, Brugha R. Applying a typology of health worker migration to non-EU migrant doctors in Ireland. Hum Resour Health. 2015;13:52.CrossRefPubMedPubMedCentral
29.
go back to reference Akl EA, Maroun N, El-Asmar K, Jaoude EA, Irani J, Badr K. Willingness of Lebanese physicians in the United States to relocate to Lebanon. Hum Resour Health. 2012;10:15.CrossRefPubMedPubMedCentral Akl EA, Maroun N, El-Asmar K, Jaoude EA, Irani J, Badr K. Willingness of Lebanese physicians in the United States to relocate to Lebanon. Hum Resour Health. 2012;10:15.CrossRefPubMedPubMedCentral
30.
go back to reference Taylor K, Blacklock C, Hayward G, Bidwell P, Laxmikanth P, Riches N, et al. ‘You can’t stay away from your family’: a qualitative study of the ongoing ties and future plans of South African health workers in the United Kingdom. Glob Health Action. 2015;8:26125.PubMed Taylor K, Blacklock C, Hayward G, Bidwell P, Laxmikanth P, Riches N, et al. ‘You can’t stay away from your family’: a qualitative study of the ongoing ties and future plans of South African health workers in the United Kingdom. Glob Health Action. 2015;8:26125.PubMed
31.
32.
go back to reference Humphries N, Brugha R, McGee H. “I won’t be staying here for long”: a qualitative study on the retention of migrant nurses in Ireland. Hum Resour Health. 2009;7:68.CrossRefPubMedPubMedCentral Humphries N, Brugha R, McGee H. “I won’t be staying here for long”: a qualitative study on the retention of migrant nurses in Ireland. Hum Resour Health. 2009;7:68.CrossRefPubMedPubMedCentral
33.
35.
go back to reference Blacklock C, Ward AM, Heneghan C, Thompson M. Exploring the migration decisions of health workers and trainees from Africa: a meta-ethnographic synthesis. Soc Sci Med. 2014;100:99–106.CrossRefPubMed Blacklock C, Ward AM, Heneghan C, Thompson M. Exploring the migration decisions of health workers and trainees from Africa: a meta-ethnographic synthesis. Soc Sci Med. 2014;100:99–106.CrossRefPubMed
36.
go back to reference Moosa S, Wojczewski S, Hoffmann K, Poppe A, Nkomazana O, Peersman W, et al. The inverse primary care law in sub-Saharan Africa: a qualitative study of the views of migrant health workers. Br J Gen Pract. 2014;64(623):e321–8.CrossRefPubMedPubMedCentral Moosa S, Wojczewski S, Hoffmann K, Poppe A, Nkomazana O, Peersman W, et al. The inverse primary care law in sub-Saharan Africa: a qualitative study of the views of migrant health workers. Br J Gen Pract. 2014;64(623):e321–8.CrossRefPubMedPubMedCentral
37.
go back to reference Glaser B, Strauss AL. The discovery of grounded research: strategies for qualitative research. Chicago: Aldine Publishing Company; 1967. Glaser B, Strauss AL. The discovery of grounded research: strategies for qualitative research. Chicago: Aldine Publishing Company; 1967.
38.
go back to reference Bradley EH, Curry LA, Devers KJ. Qualitative data analysis for health services research: Developing taxonomy, themes, and theory. Health Serv Res. 2007;42(4):1758–72.CrossRefPubMedPubMedCentral Bradley EH, Curry LA, Devers KJ. Qualitative data analysis for health services research: Developing taxonomy, themes, and theory. Health Serv Res. 2007;42(4):1758–72.CrossRefPubMedPubMedCentral
39.
go back to reference Dodani S, LaPorte RE. Brain drain from developing countries: how can brain drain be converted into wisdom gain? J Royal Soc Med. 2005;98:487–91.CrossRef Dodani S, LaPorte RE. Brain drain from developing countries: how can brain drain be converted into wisdom gain? J Royal Soc Med. 2005;98:487–91.CrossRef
40.
go back to reference Constant AF, Zimmermann KF. Circular and repeat migration: counts of exits and years away from the host country. Popul Res Policy Rev. 2011;30:495–515.CrossRef Constant AF, Zimmermann KF. Circular and repeat migration: counts of exits and years away from the host country. Popul Res Policy Rev. 2011;30:495–515.CrossRef
41.
go back to reference Stuart M, Russell D. Engaging the diaspora as volunteers in international development. The Philanthropist. 2011;24(1):31–9. Stuart M, Russell D. Engaging the diaspora as volunteers in international development. The Philanthropist. 2011;24(1):31–9.
42.
go back to reference Dimaya RM, McEwen MK, Curry LA, Bradley EH. Managing health worker migration: a qualitative study of the Philippine response to nurse brain drain. Hum Resour Health. 2012;10:47.CrossRefPubMedPubMedCentral Dimaya RM, McEwen MK, Curry LA, Bradley EH. Managing health worker migration: a qualitative study of the Philippine response to nurse brain drain. Hum Resour Health. 2012;10:47.CrossRefPubMedPubMedCentral
Metadata
Title
The views of migrant health workers living in Austria and Belgium on return migration to sub-Saharan Africa
Authors
Annelien Poppe
Silvia Wojczewski
Katherine Taylor
Ruth Kutalek
Wim Peersman
Publication date
01-06-2016
Publisher
BioMed Central
Published in
Human Resources for Health / Issue Special Issue 1/2016
Electronic ISSN: 1478-4491
DOI
https://doi.org/10.1186/s12960-016-0129-4

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