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• W1557794142 abstract "Within the framework of sustainable development the need to build national capacity in developing countries has been widely recognized and the international donor community has committed considerable resources to achieving this goal. Ensuring that those trained abroad do return to their countries of origin has become a major challenge for all stakeholders concerned. In this regard the apparent success of the strategies reported by Kupfer et al. to encourage the return home of health experts trained abroad is encouraging. However, the discussion presented falls somewhat short with regard to details of the sustainability of the measures suggested. Repatriation of professionals in itself is not sustainable if retention is not addressed appropriately. That retention of skilled personnel is rather difficult is demonstrated by the fact that the various regional and global strategies that have been adopted (1, 2) seem to have been unable to satisfactorily stem the outflow of highly qualified professionals (3-5). Furthermore, the development of appropriate strategies is quite often hampered by the fact that most national governments, particularly those of the source countries, have difficulties in monitoring the inflow and outflow of migrants (6). Because of the growing demand for health professionals in the developed world that cannot be met by the domestic labour market, wealthy countries will inevitably continue to draw on the human resources of the less developed world. To facilitate such movements, regional and global agreements (such as the Free Trade Area of the Americas (FTAA), General Agreement on Trade in Services (GATS) (particularly Mode 4), and the Caribbean Single Market and Economy (CSME) in the Caribbean Community (CARICOM) framework) on the free movement of labour, together with fast-track immigration procedures in the receiving countries that target people with the required skills, are being put in place. These agreements are, however, hampering efforts to protect the poorer countries from the loss of their skilled workers. Against the background of continued international mobility of professionals, the responsibilities of both the source and the recipient countries need to be made explicit before a consensus can be reached on viable solutions to the problem that would take into account the needs of all partners concerned. In this regard, the following issues should be further considered. * Migration of professionals should be monitored and managed. Measures agreed by both sides should be adopted, and structures for their enforcement need to be put in place. * Training programmes for professionals should be designed according to the needs identified in their country of origin and the national administrations need to be held accountable for the re-integration of the returning professionals into the national health system. …" @default.
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• W1557794142 date "2004-08-01" @default.
• W1557794142 modified "2023-09-22" @default.
• W1557794142 title "Strategies to Manage Migration of Health Professionals to Protect National Health Systems Will Be Successful Only If All Stakeholders Are Involved in the Process" @default.
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