Bra in Dra in in Afric a , c ha lle ng e s a nd so lutio ns Pro - PowerPoint PPT Presentation

Bra in Dra in in Afric a , c ha lle ng e s a nd so lutio ns Pro f.Cha rle s I b ing ira 30 th a pril 2019

Why HRH  Stre ng the ning he a lth syste ms, a t a ll le ve ls is c ritic a l to me e ting the SDGS a nd a tta ining UHC in SSA a nd o the r L MI C  Huma n re so urc e s in the rig ht c a dre , se x,a g e , tra ining , e xpe rie nc e a nd mo tiva tio n a re e sse ntia l to ma ke this ha ppe n.  Go ve rnme nts sho uld inve st into the he a lth,

Bra in dra in  SSA is ho me to 24% o f the wo rld's dise a se b urde n b ut o nly 3% o f the wo rld's he a lth c a re wo rkfo rc e 15 – 18 the fina nc ia l suppo rt to pro vide the  wo rkfo rc e ne c e ssa ry to tra nsfo rm he a lth is re la tive ly me a g e r.  I nte rna l Bra in Dra in a nd e xte rna l b ra in dra in, due to re ne ume ra tio n dispa ritie s a nd o the r fa c to rs,  Afric a ’ s lo ss is ric h c o untrie s’ g a in: the re se a rc h e stima te d tha t fina nc ia l b e ne fits a mo unte d to $2.7 b illio n to the UK , $846 millio n to the Unite d Sta te s, $621 millio n to Austra lia a nd $384 millio n to Ca na da

Ac c o rding to 2015 WHO da ta , the do c to r-to -po pula tio n ra tio COUNT RY Ratios 1 sie rra L e o ne 0.2do c to rs/ 1000 2 Nig e ria 0.3 Do c to rs/ 1000 3 E thio pia 0.2Do c to rs/ 1000 4 L ib e ria 0.1do c to rs/ 1000 5 E g ypt 2.8do c to rs/ 1000 6 S.Afric a 4.3Do c to rs/ 1000

mo tiva tio na l fa c to rs to b ra in dra in :  F ina nc ia l  Ca re e r de ve lo pme nt)  Co ntinuing e duc a tio n)  Ho spita l infra struc ture  Re so urc e a va ila b ility fo r jo b sa tisfa c tio n  Mo tiva ting Ho spita l ma na g e me nt te a ms,  Pe rso na l re c o g nitio n o r a ppre c ia tio n (e ithe r fro m ma na g e rs, c o lle a g ue s o f the c o mmunity)  fring e b e ne fits,le a ve , lunc h,ve hic le ,tra ve l a b ro a d,

Othe r fa c to rs tha t pro mo te Bra in dra in  . ho using a nd tra nspo rt a llo wa nc e s jo b se c urity   pe rso na l sa fe ty  , sta ff sho rta g e s  so c ia l fa c to rs,a nd e ffe c t o n fa mily life ,ie , so c ia l se rvic e s,po litic a l situa tio ns,  Pe rso na lity a nd c ha ra c te r (https:/ / www.un.o rg / a fric a re ne wa l/ ma g a zine / de c e mb e r-2016-ma rc h-2017/ )

I ne q uita b le distrib utio n o f hrh  Multiple fa c to rs influe nc e the ine q uita b le distrib utio n o f do c to rs, ra ng ing fro m  g e ne ra l so c ia l a nd e c o no mic ine q uity, the me dic a l e duc a tio n syste m, pa yme nt inc e ntive s, pub lic / priva te he a lth syste m de ve lo pme nt a nd a so c ia l mo ve me nt fo r re fo rm  A mo ve me nt to wa rds inc re a sing priva te se c to r invo lve me nt in he a lth se rvic e s, fe e -fo r-se rvic e s pa yme nt unde r a use r fe e syste m, po o rly ma na g e d de c e ntra liza tio n, a nd inc re a sing inc o me ma ldistrib utio n usua lly re sult in a shift o f HRH in fa vo r o f the b ig c itie s, priva te ho spita ls a nd spe c ia lize d he a lth se rvic e s.

Surg e o ns sa la ry / mo nth in USD 2015 Ne w je r se y USA 216000 Ug a nda 3000 K e nya 6000 Za mb ia 24000

Bra in dra in a nd HrH re te ntio n.  F ina nc ia l inc e ntive s, c a re e r de ve lo pme nt a nd ma na g e me nt issue s a re c o re fa c to rs a ffe c ting mo tiva tio n. re c o g nitio n is hig hly influe ntia l in he a lth wo rke r mo tiva tio n;  a de q ua te supplie s a nd a ppro pria te infra struc ture a re fa c to rs tha t c a n sig nific a ntly impro ve mo ra le .  He nc e , fina nc ia l inc e ntive s b y the mse lve s a re no t the a ppro pria te re spo nse .  mo tiva tio na l fa c to rs ma y b e va lue d diffe re ntly b y diffe re nt c a dre s ,se x,a g e s,a nd c ultura l se tting s. Mo tiva tio na l fa c to rs a re influe nc e d b y the c o nte xt, a nd a re tra nsitio na l.  I mpro ve o the r multise c to ra l fa c to rs, e c o no my, po litic a l

Curre nt situa tio n  With Bre xit, the T rump pre side nc y a nd inc re a sing ly re stric tive immig ra tio n po lic ie s, the tre nd is like ly to inc re a se , Ne a rly 70% o f Afric a n MBA stude nts a t the to p 10 US a nd E uro pe a n sc ho o ls pla nne d to re turn ho me a nd wo rk a fte r g ra dua tio n, fo und a surve y b y Ja c a na Pa rtne rs ( T o miwa Ig un, fo und e r o f the Yo ung Afric a n MBAs ) Afr ic an c ountr ie s ar e se e ing a “br ain gain” as young aduate s give up on the We st( Chidinma Ire ne Nwo ye 2017 ) e lite gr Mo re o f inte rna l Bra in dra in, rura l to urb a n, pub lic to priva te , e tc , b ut within

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