Dovlo 2003 Brain drain retention HRH Africa

Title The Brain Drain and Retention of Health Professionals in Africa
Format Online Report
Authors Dolvo, D.
Journal Name (if applicable) N/A
Date Published 2003
Open Access Y/N Yes
Hard copy PDF Available Y/N Yes
Link http://siteresources.worldbank.org/INTAFRREGTOPTEIA/Resources/dela_dovlo.pdf
Abstract The African continent is facing a health crisis occasioned by a number of factors that have affected the sector over the past two decades or more. These factors include the HIV/AIDS epidemic, the reemergence of old communicable diseases such as TB and Malaria, and the apparent paradox of increasing levels disorders linked to changing lifestyles and degenerative diseases. In addition are perennial problems affecting health systems that stem from the economic difficulties in our countries leading to very low funding of health services and deterioration of health service infrastructure. There is evidence that improvements had indeed occurred in health in Sub-Saharan Africa in the past 50 years or so since independence despite some unreliability of data. However, Sanders et al (2003) 1 suggests that the past 2 decades have witnessed serious resurgence of the ‘old’ communicable diseases such as TB, Malaria, and Cholera in addition to “new” epidemics in HIV/AIDS and diseases of the “Epidemiological Transition” (eg; cardiovascular etc), which have eroded the gains, especially for the poor in society. Indeed estimates are that 17/48 countries in Africa had reduction in Life Expectancy between 1981 and 1999. Operating within the difficult milieu described is the health worker, a critical part of the health system and perhaps the most essential of the health sector’s resources, whose motivation and effective utilization enhances the efficiency and effectiveness with which all the other resources are used.