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Determinants of health professionals’ migration in Africa: a WHO based assessment

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  • Asongu Simplice

Abstract

Purpose - – How do economic prosperity, health expenditure, savings, price-stability, demographic change, democracy, corruption control, press freedom, government effectiveness, human development, foreign aid, physical security, trade openness and financial liberalization play-out in the fight against health-worker crisis when existing emigration levels matter? Despite the acute concern of health-worker crisis in Africa owing to emigration, lack of relevant data has made the subject matter empirically void over the last decades. The paper aims to discuss these issues. Design/methodology/approach - – A quantile regression approach is used to assess the determinants of health-worker emigration throughout the conditional distributions of health-worker emigration. This provides an assessment of the determinants when existing emigrations levels matter. Findings - – Findings provide a broad range of tools for the fight against health-worker brain-drain. As a policy implication, blanket emigration-control policies are unlikely to succeed equally across countries with different levels of emigration. Thus to be effective, immigration policies should be contingent on the prevailing levels of the crisis and tailored differently across countries with the best and worst records on fighting health-worker emigration. Originality/value - – This paper has examined the theoretical postulations of a World Health Organization report on determinants of health-worker migration.

Suggested Citation

  • Asongu Simplice, 2015. "Determinants of health professionals’ migration in Africa: a WHO based assessment," International Journal of Social Economics, Emerald Group Publishing Limited, vol. 42(7), pages 666-686, July.
  • Handle: RePEc:eme:ijsepp:v:42:y:2015:i:7:p:666-686
    DOI: 10.1108/IJSE-12-2013-0287
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    1. Simplice A. Asongu, 2013. "Fighting Corruption when Existing Corruption-Control Levels Count: What do Wealth-Effects Tell us in Africa?," Institutions and Economies (formerly known as International Journal of Institutions and Economies), Faculty of Economics and Administration, University of Malaya, vol. 5(3), pages 53-74, October.
    2. Simplice A, Asongu, 2012. "Fighting corruption when existing corruption-control levels count : what do wealth effects tell us?," MPRA Paper 36901, University Library of Munich, Germany.
    3. John Anyanwu & Andrew E. O. Erhijakpor, 2009. "Health Expenditures and Health Outcomes in Africa," African Development Review, African Development Bank, vol. 21(2), pages 400-433.
    4. Asongu Simplice, 2014. "Fighting African corruption when existing corruption-control levels matter in a dynamic cultural setting," International Journal of Social Economics, Emerald Group Publishing Limited, vol. 41(10), pages 906-922, October.
    5. Asongu Simplice, 2014. "Globalization and health worker crisis: what do wealth-effects tell us?," International Journal of Social Economics, Emerald Group Publishing Limited, vol. 41(12), pages 1243-1264, November.
    6. Simplice Asongu, 2014. "The Questionable Economics of Development Assistance in Africa: Hot-Fresh Evidence, 1996–2010," The Review of Black Political Economy, Springer;National Economic Association, vol. 41(4), pages 455-480, December.
    7. Simplice A Asongu, 2012. "On the effect of foreign aid on corruption," Economics Bulletin, AccessEcon, vol. 32(3), pages 2174-2180.
    8. Simplice A. Asongu, 2013. "Fighting corruption in Africa: do existing corruption‐control levels matter?," International Journal of Development Issues, Emerald Group Publishing Limited, vol. 12(1), pages 36-52, April.
    9. Simplice Asongu, 2014. "The impact of health worker migration on development dynamics: evidence of wealth effects from Africa," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 15(2), pages 187-201, March.
    10. Okada, Keisuke & Samreth, Sovannroeun, 2012. "The effect of foreign aid on corruption: A quantile regression approach," Economics Letters, Elsevier, vol. 115(2), pages 240-243.
    11. Asongu Simplice, 2013. "Globalization and Africa: implications for human development," International Journal of Development Issues, Emerald Group Publishing Limited, vol. 12(3), pages 213-238, September.
    12. Hagopian, Amy & Ofosu, Anthony & Fatusi, Adesegun & Biritwum, Richard & Essel, Ama & Gary Hart, L. & Watts, Carolyn, 2005. "The flight of physicians from West Africa: Views of African physicians and implications for policy," Social Science & Medicine, Elsevier, vol. 61(8), pages 1750-1760, October.
    13. John Anyanwu, 2007. "Demand for Health Care Institutions' Services: Evidence from Malaria Fever Treatment in Nigeria," African Development Review, African Development Bank, vol. 19(2), pages 304-334.
    14. Simplice Asongu, 2014. "Financial development dynamic thresholds of financial globalization," Journal of Economic Studies, Emerald Group Publishing Limited, vol. 41(2), pages 166-195, March.
    15. Asongu, Simplice A., 2013. "On the effectiveness of foreign aid in institutional quality," European Economic Letters, European Economics Letters Group, vol. 2(1), pages 12-19.
    16. Billger, Sherrilyn M. & Goel, Rajeev K., 2009. "Do existing corruption levels matter in controlling corruption?: Cross-country quantile regression estimates," Journal of Development Economics, Elsevier, vol. 90(2), pages 299-305, November.
    17. Roger Koenker & Kevin F. Hallock, 2001. "Quantile Regression," Journal of Economic Perspectives, American Economic Association, vol. 15(4), pages 143-156, Fall.
    18. Michael A. Clemens & Gunilla Pettersson, 2006. "A New Database of Health Professional Emigration from Africa," Working Papers 95, Center for Global Development.
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    Cited by:

    1. Jacob Nunoo & Kwabena Nkansah Darfor & Isaac Koomson & Abigail Arthur, 2018. "Employment security and workers’ moonlighting behavior in Ghana," Journal of Economic Studies, Emerald Group Publishing Limited, vol. 45(1), pages 144-155, January.
    2. Jacob Nunoo & Kwabena Nkansah Darfor & Isaac Koomson & Abigail Arthur, 2016. "Employment Security and Workers’ Moonlighting Behaviour in Ghana," Research Africa Network Working Papers 16/006, Research Africa Network (RAN).
    3. Simplice A. Asongu & Joseph I. Uduji & Elda N. Okolo-Obasi, 2020. "Fighting African capital flight: trajectories, dynamics, and tendencies," Financial Innovation, Springer;Southwestern University of Finance and Economics, vol. 6(1), pages 1-21, December.
    4. Ivo J. Leke & Simplice Asongu, 2016. "The Costs and Benefits of Migration into the European Union: Debunking Contemporary Myths with Facts," Working Papers of the African Governance and Development Institute. 16/053, African Governance and Development Institute..
    5. Simplice A. Asongu, 2013. "How Would Population Growth Affect Investment in the Future? Asymmetric Panel Causality Evidence for Africa," African Development Review, African Development Bank, vol. 25(1), pages 14-29, March.

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    More about this item

    Keywords

    Migration; Africa; Health; Wealth; Human capital;
    All these keywords.

    JEL classification:

    • D60 - Microeconomics - - Welfare Economics - - - General
    • F22 - International Economics - - International Factor Movements and International Business - - - International Migration
    • I10 - Health, Education, and Welfare - - Health - - - General
    • J24 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Human Capital; Skills; Occupational Choice; Labor Productivity
    • O15 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Economic Development: Human Resources; Human Development; Income Distribution; Migration

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