This report reviews the available literature and the surveys of health worker (and other skilled health personnel) migration in the Pacific region. The migration of skilled health workers poses a number of problems to maintain adequate health care provision in countries. The report looks at existing policies and how their review could influence the retention and appropriate allocation of health workers in Pacific Islands' countries.
For more than a quarter of a century there has been significant international migration of skilled health workers, but in the last decades, with critical changes in both sending and receiving countries, few parts of the world are now unaffected by the consequences of the migration of health workers, either as sources, destinations or sometimes both. The book takes the understanding of health worker migration substantially beyond the more scattered and fragmented papers and anecdotes that largely existed before, into the first consolidated analysis. In doing so it reveals its exceptional significance for both sending and receiving countries (in economic, social and political terms), provides the only analysis of remittances of health workers, casts new light on gender, globalisation, transnational linkages, the trade in services (linked to GATS) and the overall relationship between migration and development, and reviews practical responses and solutions.
The adoption by WHO's Member States of the Global Code of Practice in the International Recruitment of Health Personnel, and the implementation of it by so many countries, represent two of the biggest steps in recent years towards solving the shortage of health-care workers around the world. The countries' response has been a momentous achievement. Now, a third big step is being taken with the publication of this book. It underlines WHO's unwavering commitment to supporting the implementation of the Code and provides a wide range of detailed examples from the countries themselves of how they are tackling the many complex issues involved. It provides not just numerous insights into progress but also gives other countries valuable guidance and recommendations on how they, too, can implement the Code. Countries are encouraged to learn from the shared experiences, domestic solutions and multi-lateral cooperation described in this book, and move ahead to support and advance the Code's aspirational principles. By doing so, they also strengthen the campaign towards Universal Health Care -- a campaign that requires innovative solutions to the health workforce shortage in order to be successful. The crux of the Code is the development of human resources for health through all aspects of education, improved retention and fair recruitment practices while encouraging technical collaboration and financial support. WHO is playing a leading role in these initiatives and stands ready to assist all its Member States in implementing the Code. We strongly recommend this book to health policy-makers and decision-takers in governments, nongovernmental organizations and other partners and stakeholders, including civil society. They will find it an indispensable guide to a better future for health-care personnel and the people they serve.
The 2006 World Health Report focuses on the chronic shortages of doctors, midwives, nurses and other health care support workers in the poorest countries of the world where they are most needed. This is particularly true in sub-Saharan Africa, which has only four in every hundred global health workers but has a quarter of the global burden of disease, and less than one per cent of the world's financial resources. Poor working conditions, high rates of attrition due to illness and migration, and education systems that are unable to pick up the slack reflect the depth of the challenges in these crisis countries. This report considers the challenges involved and sets out a 10-year action plan designed to tackle the crisis over the next ten years, by which countries can strengthen their health system by building their health workforces and institutional capacity with the support of global partners.
'There are few studies on return migration in general and even fewer on migrants who have returned to their home countries in the Asian and Pacific region. Much is heard about "brain drain but much less about brain drain reversal. This book is to be welcomed as the first multi-country study to be published on the return of skilled and business migrants and the impact that they can have on their home economies in Asia and the Pacific. That impact is shown to be various and to change over time, the contributions clearly varying depending upon the nature of the environments to which the migrants have returned. The book presents valuable material from Bangladesh, China, Taiwan and Viet Nam, together with a contextual analysis of migrant communities from these economies in Australia.' - Ronald Skeldon, University of Sussex, UK Globalisation and social transformation theorists have paid significantly less attention to the movement of people than they have to the movement of capital. This book redresses the balance and provides timely insights into recent developments in return skilled migration in four regions in the Asia Pacific - Bangladesh, China, Taiwan and Vietnam. The authors believe that the movement of skilled migrants, and the tacit knowledge they bring with them, is a vital component in the process of globalisation.
"The Pacific Islands are feeling the effects of globalisation. Free trade in sugar and garments is threatening two of Fiji's key industries. At the same time other opportunities are emerging. Labour migration is growing in importance, and Pacific governments are calling for more access to Australia's labour market. Fiji has joined Samoa, Tonga, Tuvalu and Kiribati as a remittance economy, with thousands of its citizens working overseas. Meantime, Papua New Guinea and Solomon Islands grapple with an older kind of globalisation in which overseas companies exploit mineral and forest resources. The Pacific Islands confront unique problems of governance in this era of globalisation. The modern, democratic state often fits awkwardly with traditional ways of doing politics in that part of the world. Just as often, politicians in the Pacific exploit tradition or invent it to serve modern political purposes. The contributors to this volume examine Pacific globalisation and governance from a wide range of perspectives. They come from Papua New Guinea, Solomon Islands, Hawai'i, the Federated States of Micronesia, Samoa, Fiji, New Zealand and Jamaica as well as Australia."--Publisher's description.
