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Stemming the Impact of Health Professional Brain Drain from Africa: A Systemic Review of Policy Options

机译:遏制非洲卫生专业人员流失的影响:对政策选择的系统评价

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摘要

Africa has been losing professionally trained health workers who are the core of the health system of this continent for many years. Faced with an increased burden of disease and coupled by a massive exodus of the health workforce, the health systems of many African nations are risking complete paralysis. Several studies have suggested policy options to reduce brain drain from Africa. The purpose of this paper is to review possible policies, which can stem the impact of health professional brain drain from Africa. A systemic literature review was conducted. Cinahl, Science Direct and PubMed databases were searched with the following terms: health professional brain drain from Africa and policies for reducing impact of brain drain from Africa. References were also browsed for relevant articles. A total of 425 articles were available for the study but only 23 articles met the inclusion criteria. The review identified nine policy options, which were being implemented in Africa, but the most common was task shifting which had success in several African countries. This review has demonstrated that there is considerable consensus on task shifting as the most appropriate and sustainable policy option for reducing the impact of health professional brain drain from Africa.
机译:多年来,非洲一直在失去受过专业训练的卫生工作者,这些工作者是该大陆卫生系统的核心。面对不断增加的疾病负担以及大量的卫生人力外逃,许多非洲国家的卫生系统正面临完全瘫痪的危险。多项研究提出了减少非洲人才外流的政策选择。本文的目的是审查可能的政策,这些政策可能会阻止来自非洲的卫生专业人员的人才外流。进行了系统的文献综述。使用以下术语搜索了Cinahl,Science Direct和PubMed数据库:来自非洲的卫生专业人才流失以及减少来自非洲的人才流失影响的政策。还浏览了相关文章的参考文献。共有425篇文章可供研究,但只有23篇文章符合纳入标准。审查确定了九项政策方案,这些方案正在非洲实施,但最常见的是任务转移,在几个非洲国家都取得了成功。这项审查表明,对于减少低调卫生专业人才从非洲流失的影响的最适当和可持续的政策选择,任务转移已达成了广泛共识。

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