The Impact of Medical Policies and Politics on Brain Drain in Developing Countries
DOI:
https://doi.org/10.60787/tnhj.v24i4.894Keywords:
brain drain, developing countries, healthcare professionals, medical policies, politics, NigeriaAbstract
Background: Brain drain devastates developing countries as healthcare professionals seek better lives abroad. Medical policies and politics significantly influence their migration decisions. Factors like inadequate funding, limited growth opportunities, political instability, and corruption drive brain drain. This article examines the relationship between medical policies and politics on brain drain in developing countries, aiming to identify key factors driving emigration and inform policy solutions to reduce brain drain and strengthen healthcare systems.
Method: This study used secondary data to investigate the impact of medical policies and politics on brain drain in Nigeria, Ghana, India, and Haiti. It examines relationships between healthcare workforce emigration and policy/political factors, using data from the World Health Organisation (WHO), Organisation for Economic Cooperation and Development (OECD), national health data, and Google Scholar articles.
Results: Brain drain has a profound impact on healthcare delivery and socioeconomic development in affected nations. Sub-Saharan Africa loses over $2 billion annually due to physician emigration. Low- and middle-income countries face a projected shortage of 18 million skilled health professionals by 2030, exacerbating service delivery gaps and hindering economic growth.
Conclusion: Brain drain in developing countries, such as Nigeria, Ghana, India, and Haiti, is driven by underfunding, low pay, and political instability, causing a loss of skilled healthcare professionals and worsening development challenges. Addressing this issue requires policy reforms, improved healthcare infrastructure, and international collaboration to retain talent and reduce reliance on aid.
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References
Raji A, Joel A, Ebenezer J, Attah E. The Effect of Brain Drain on the Economic Development of Developing Countries: Evidence from Selected African Countries. 2018 Sep 1;
Misau YA, Al-Sadat N, Gerei AB. Brain-drain and health care delivery in developing countries. J Public Health Afr. 2010 Aug 19;1(1):e6.
Dodani S, LaPorte RE. Brain drain from developing countries: how can brain drain be converted into wisdom gain? J R Soc Med. 2005 Nov;98(11):487–91.
Docquier F. The brain drain from developing countries. IZA World Labor [Internet]. 2014 May 1 [cited 2024 Jul 18]; Available from: https://wol.iza.org/articles/brain-drain-from-developing-countries/long
Gaillard J, Gaillard AM, Krishna VV. Return from Migration and Circulation of Highly Educated People: The Never-ending Brain Drain. Sci Technol Soc. 2015 Nov 1;20(3):269–78.
Chimenya A, Qi B. Investigating determinants of brain drain of health care professionals in developing countries: A review. 2023 Feb 2;
Osigbesan OT. Medical brain drain and its effect on the Nigerian Healthcare Sector (Doctoral dissertation, Walden University).
Tankwanchi ABS, Özden Ç, Vermund SH. Physician Emigration from Sub-Saharan Africa to the United States: Analysis of the 2011 AMA Physician Masterfile. PLOS Med. 2013 Sep 17;10(9):e1001513.
Saghir NSE, Anderson BO, Gralow J, Lopes G, Shulman LN, Moukadem HA, et al. Impact of Merit-Based Immigration Policies on Brain Drain from Low- and Middle-Income Countries. JCO Glob Oncol [Internet]. 2020 Feb 5 [cited 2024 Jul 26]; Available from: https://ascopubs.org/doi/10.1200/JGO.19.00266
World Health Organization. World health statistics 2012. Stat Sanit Mond 2012. 2012;176.
Okolo E, Iruo L, Ed M. Perceived Determinants of Brain Drain Among Mental Health Care Professionals in Specialist Health Care Facilities in Benin City. 2021 Feb 1;
Nigeria Health Sector Brain Drain – dRPC [Internet]. [cited 2024 Jul 26]. Available from: https://drpcngr.org/nigeria-health-sector-brain-drain/
Adjei-Mensah S. Factors Influencing Brain Drain Among Health Workers in Ghana. Eur J Hum Resour. 2023 Feb 13;7(1):17–30.
Kwamie A, Asiamah M, Schaaf M, Agyepong IA. Postings and transfers in the Ghanaian health system: a study of health workforce governance. Int J Equity Health. 2017 Sep 15;16(1):85.
Mabaya E, Adzivor SY, Wobil J, Waithaka M, Mugoya M, Damba B, M’Balou Camara KT. Ghana Country Report 2022.16. KNews. Kaieteur News. 2019 [cited 2024 Jul 27]. Guyana’s brain drain is crippling the economy. Available from: https://www.kaieteurnewsonline.com/2019/01/15/guyanas-brain-drain-is-crippling-the-economy/
Pulitzer Center [Internet]. [cited 2024 Jul 27]. Haiti’s Brain Drain: Educated Youth Are Leaving the Country as Fast as They Can. Available from: https://pulitzercenter.org/stories/haitis-brain-drain-educated-youth-are-leaving-country-fast-they-can
Ngoma A, Ismail N. The determinants of brain drain in developing countries. Int J Soc Econ. 2013 Jun 28;40.
Hashish EA, Ashour H. Determinants and mitigating factors of the brain drain among Egyptian nurses: a mixed-methods study. J Res Nurs JRN. 2020 Dec;25(8):699–719.
Chimenya A, Qi B. Investigating determinants of brain drain of health care professionals in developing countries: A review.
Ogaboh AA, H. T. Udom, Eke IT. Why brain drain in the Nigerian health sector? Asian J Appl Sci [Internet]. 2020 Apr 17 [cited 2024 Jul 27];8(2). Available from: https://www.ajouronline.com/index.php/AJAS/article/view/5990
Omoleke II, Taleat BA. Contemporary issues and challenges of health sector in Nigeria. Res J Health Sci. 2017;5(4):210–6.
Botezat A, Ramos R. Physicians’ brain drain - a gravity model of migration flows. Glob Health. 2020 Jan 14;16(1):7.
Oreofe I, Eyitayo DA. Migration and human capital mobility in Nigeria: motivations and implications. Int J Afr Innov Multidiscip Res [Internet]. 2022 Jun 30 [cited 2024 Jul 27]; Available from: https://mediterraneanpublications.com/mejaimr/article/view/1
DailyGuide Network [Internet]. 2021 [cited 2024 Jul 27]. Ghana Records Improvement in Doctor-to-population ratio. Available from: https://dailyguidenetwork.com/ghana-records-improvement-in-doctor-to-population-ratio/
Alhassan RK, Spieker N, van Ostenberg P, Ogink A, Nketiah-Amponsah E, de Wit TFR. Association between health worker motivation and healthcare quality efforts in Ghana. Hum Resour Health. 2013 Aug 14;11(1):37.
Docquier F, Rapoport H. Globalization, Brain Drain, and Development. J Econ Lit. 2012 Jul;50(3):681–730.
Rajan MWR and SI. migrationpolicy.org. 2020 [cited 2024 Nov 29]. Global Demand for Medical Professionals Drives Indians Abroad Despite Acute Domestic Health-Care Worker Shortages. Available from: https://www.migrationpolicy.org/article/global-demand-medical-professionals-drives-indians-abroad
Katharina Buchholz. Statista Daily Data. 2023 [cited 2024 Nov 29]. Infographic: The Countries Experiencing Doctor Brain Drain. Available from: https://www.statista.com/chart/29667/doctor-brain-drain
Deo MG. “Doctor population ratio for India - The reality.” Indian J Med Res. 2013 Apr;137(4):632.
Asri V. India has highest number of doctors working overseas: OECD report [Internet]. Indian Link. 2023 [cited 2024 Nov 29]. Available from: https://www.indianlink.com.au/india-trained-doctors-outnumber-others-in-the-oecd/
OECD. Ready for the Next Crisis? Investing in Health System Resilience [Internet]. OECD; 2023 [cited 2024 Nov 29]. (OECD Health Policy Studies). Available from: https://www.oecd-ilibrary.org/social-issues-migration-health/ready-for-the-next-crisis-investing-in-health-system-resilience_1e53cf80-en
Govindharaj Y, Khan M, Elanchezhian G. Indian conceptual approach to unemployment -an assessment. 2023 Nov 24; 09:807–29.
Arushi Pandey. Gender pay gap in India’s health workforce [Internet]. [cited 2024 Nov 29]. Available from: https://www.ideasforindia.in/topics/human-development/gender-pay-gap-in-india-s-health-workforce.html
Rahman A, Pingali P. India’s Economic Development and Social Safety Nets. In: Rahman A, Pingali P, editors. The Future of India’s Social Safety Nets: Focus, Form, and Scope [Internet]. Cham: Springer International Publishing; 2024 [cited 2024 Jul 28]. p. 57–94. Available from: https://doi.org/10.1007/978-3-031-50747-2_3
Bhadra S. Vulnerabilities of the Rural Poor in India during pandemic COVID‐19: Social Work perspective for designing sustainable emergency response. Asian Soc Work Policy Rev. 2021 Oct;15(3):221–33.
Apergis N, Cooray A. Asymmetric real exchange rates and poverty: The role of remittances. Emerg Mark Rev. 2018 Jun 1; 35:111–9.
Rémy F. The Impact of Brain Drain on Haiti’s Rural Communities: The Case of a Small Town in Central Haiti and Its Surroundings. Electron Theses Diss [Internet]. 2023 Jun 1; Available from: https://digitalcommons.acu.edu/etd/670
Mathon D, Apparicio P, Lachapelle U. Cross-border spatial accessibility of health care in the North-East Department of Haiti. Int J Health Geogr. 2018 Oct 25;17(1):36.
Gage AD, Leslie HH, Bitton A, Jerome JG, Thermidor R, Joseph JP, et al. Assessing the quality of primary care in Haiti. Bull World Health Organ. 2017 Mar 1;95(3):182–90.
Nádas M, Bedenbaugh R, Morse M, McMahon GT, Curry CL. A Needs and Resource Assessment of Continuing Medical Education in Haiti. Ann Glob Health. 2015 Mar 1;81(2):248–54.
Mombeuil C. Institutional conditions, sustainable energy, and the UN sustainable development discourse: A focus on Haiti. J Clean Prod. 2020 May 1; 254:120153.
Steckley M, Shamsie Y. Manufacturing corporate landscapes: the case of agrarian displacement and food (in)security in Haiti. Third World Q. 2015 Jan 2;36(1):179–97.
Silva M. Island in Distress: State Failure in Haiti. Fla J Int Law. 2011;23.
Rémy FC. The Impact of Brain Drain on Haiti’s Rural Communities: The Case of a Small Town in Central Haiti and Its Surroundings. Electronic Thesis and Dissertation. June 2023 1;
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