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Globalization and health worker crisis: what do wealth-effects tell us?


  • Asongu Simplice

    () (Yaoundé/Cameroun)


Owing to lack of relevant data on health human resource (HHR) migration, the empirical dimension of the health-worker crisis debate has remained void despite abundant theoretical literature. A health worker crisis is overwhelming the world. Shortages in health professionals are reaching staggering levels in many parts of the globe. This paper complements existing literature by empirically investigating the WHO hypothetical determinants of health-worker migration in the context of globalization when income-levels matter. In plainer terms, the work explores how the wealth of exporting countries play-out in the determinants of HHR emigration. We assess the determinants of emigration in the health sector through-out the conditional distribution of health human resource emigration. Findings provide very targeted policy implications based on income-levels and existing emigration levels for both physician and nurse worker crises. Beside specific policy recommendations, we also outlined broad policy measures for source-countries, recipient-states and regional (international) institutions.

Suggested Citation

  • Asongu Simplice, 2012. "Globalization and health worker crisis: what do wealth-effects tell us?," Working Papers 12/023, African Governance and Development Institute..
  • Handle: RePEc:agd:wpaper:12/023

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    References listed on IDEAS

    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. Koenker,Roger, 2005. "Quantile Regression," Cambridge Books, Cambridge University Press, number 9780521845731, March.
    4. Michael A. Clemens & Gunilla Pettersson, 2006. "A New Database of Health Professional Emigration from Africa," Working Papers 95, Center for Global Development.
    5. Simplice A. Asongu, 2013. "Fighting corruption in Africa: do existing corruption-control levels matter?," International Journal of Development Issues, Emerald Group Publishing, vol. 12(1), pages 36-52, April.
    6. Simplice A, Asongu, 2012. "Fighting corruption with cultural dynamics: when legal-origins, religious-influences and existing corruption-control levels matter," MPRA Paper 36893, University Library of Munich, Germany.
    7. Ivar Kolstad & Espen Villanger, 2008. "Foreign Direct Investment in the Caribbean," Development Policy Review, Overseas Development Institute, vol. 26(1), pages 79-89, January.
    8. 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.
    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, 2011. "Government Quality Determinants of Stock Market Performance in African Countries," Working Papers 11/019, African Governance and Development Institute..
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    Cited by:

    1. Oasis Kodila-Tedika & Simplice A. Asongu, 2016. "Genetic distance and cognitive human capital: a cross-national investigation," Journal of Bioeconomics, Springer, vol. 18(1), pages 33-51, April.
    2. Asongu Simplice, 2015. "Determinants of health professionals’ migration in Africa: a WHO based assessment," International Journal of Social Economics, Emerald Group Publishing, vol. 42(7), pages 666-686, July.
    3. Ivo J. Leke & Simplice Asongu, 2016. "The Costs and Benefits of Migration into the European Union: Debunking Contemporary Myths with Facts," Working Papers 16/053, African Governance and Development Institute..
    4. Ssozi, John & Amlani, Shirin, 2015. "The Effectiveness of Health Expenditure on the Proximate and Ultimate Goals of Healthcare in Sub-Saharan Africa," World Development, Elsevier, vol. 76(C), pages 165-179.

    More about this item


    Welfare; Health; Human Capital; Migration;

    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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