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The shortage of medical workers in Sub-Saharan Africa and substitution policy

  • Bourgain, Arnaud

    (Center for Mathematical Economics, Bielefeld University)

  • Pieretti, Patrice

    (Center for Mathematical Economics, Bielefeld University)

  • Zou, Benteng

    (Center for Mathematical Economics, Bielefeld University)

Substitution policies are strategies sometimes chosen in Sub-Saharan Africa for curtailing the shortage of health professionals especially caused by the outflow of medical personnel. The aim of our contribution is to propose a way to assess the merits and drawbacks of substitution policies by developing a simple growth model of healthcare productivity with medical brain drain. Within this framework, we use a medical care production function of the CES type which aggregates low and high specialized health workers. We then run simulations which compare scenarios with and without substitution strategies by using data from the Ghana's medical sector.

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Paper provided by Center for Mathematical Economics, Bielefeld University in its series Center for Mathematical Economics Working Papers with number 407.

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Date of creation: 15 Aug 2011
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Handle: RePEc:bie:wpaper:407
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  1. Stark, Oded & Helmenstein, Christian & Prskawetz, Alexia, 1998. "Human capital depletion, human capital formation, and migration: a blessing or a "curse"?," Economics Letters, Elsevier, vol. 60(3), pages 363-367, September.
  2. Benteng ZOU & Patrice Pieretti, 2007. "An Extended Solow Growth Model with Emigration: Transitional Dynamics and Skills Complementarity," Economics Bulletin, AccessEcon, vol. 6(35), pages 1-11.
  3. Pieretti, Patrice & Zou, Benteng, 2009. "Brain drain and factor complementarity," Economic Modelling, Elsevier, vol. 26(2), pages 404-413, March.
  4. Martineau, Tim & Decker, Karola & Bundred, Peter, 2004. ""Brain drain" of health professionals: from rhetoric to responsible action," Health Policy, Elsevier, vol. 70(1), pages 1-10, October.
  5. repec:ebl:ecbull:v:6:y:2007:i:35:p:1-11 is not listed on IDEAS
  6. Stark, Oded & Helmenstein, Christian & Prskawetz, Alexia, 1997. "A Brain Gain with a Brain Drain," Economics Series 45, Institute for Advanced Studies.
  7. Richardson, Gerald & Maynard, Alan & Cullum, Nicky & Kindig, David, 1998. "Skill mix changes: substitution or service development?," Health Policy, Elsevier, vol. 45(2), pages 119-132, August.
  8. M. H. Khalil Timamy, 2005. "Debate," Review of African Political Economy, Taylor & Francis Journals, vol. 32(104-105), pages 383-393, June.
  9. Alok Bhargava & Frédéric Docquier, 2008. "HIV Pandemic, Medical Brain Drain, and Economic Development in Sub-Saharan Africa," World Bank Economic Review, World Bank Group, vol. 22(2), pages 345-366, May.
  10. Alan Maynard, 2006. "Medical Workforce Planning: Some Forecasting Challenges," Australian Economic Review, The University of Melbourne, Melbourne Institute of Applied Economic and Social Research, vol. 39(3), pages 323-329, 09.
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