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The international migration literature has highlighted four key stylized facts from the perspective of the source country: (i) Migration rates are notably high, with some nations seeing over ten percent of their population living abroad. (ii) Certain developing countries have witnessed a significant exodus of skilled workers, commonly referred to as brain drain, spanning several decades. (iii) Migrants often maintain strong ties to their country of origin, evidenced by the substantial remittances they send back to their relatives. (iv) Migration is not necessarily permanent, as a considerable number of individuals return to their home country after a period spent abroad. In this paper, we present a theoretical model that endogenously explains these facts. Our model allows us to explore key issues in migration literature from a theoretical standpoint. We analyze the general equilibrium effects of migration, its long-term implications, and its welfare consequences. Additionally, we investigate whether the combined impact of return migration and remittances can counterbalance the effects of skilled migration. Finally, we evaluate the efficacy of policy interventions designed to mitigate the adverse effects of brain drain.
Nigeria’s shortage of psychiatrists is exacerbated due to health worker migration.
Aim
This study explores migration experiences and tendencies among early-career psychiatrists in Nigeria.
Methods
We conducted a cross-sectional survey covering Nigeria’s six geopolitical zones, using a 61-item online questionnaire assessing short-term mobility, long-term migration experiences and migration attitudes. Data was analysed using IBM SPSS version 29.
Results
Of 228 early-career psychiatrists surveyed, 9.7% had short-term mobility and 8.0% had long-term migration experiences. However, 85.8% had ‘ever’ considered migration, 69.2% were planning to leave ‘now’, and 52.9% had taken ‘practical migration steps’. Over half (52.7%) said they would be working abroad in 5 years, with 25.2% indicating they would migrate within a year. The top reasons to leave were financial and academic, while personal and cultural factors were the key reasons to stay. Income dissatisfaction (OR = 2.27, 95%, CI = 1.05–4.88) predicted planning to leave ‘now’, while being in a relationship (OR = 3.46, 95%CI = 1.06–11.30) predicted taking ‘practical migration steps’. Attractive job features were good welfare (85.4%) and high salaries (80.3%). Improvements in finances (90.8%) and work conditions (86.8%) were requested.
Conclusions
Systemic changes to address psychiatrists’ migration from Nigeria are needed.
Existing empirical literature provides converging evidence that selective emigration enhances human capital accumulation in the world's poorest countries. However, the within-country distribution of such brain gain effects has received limited attention. Focusing on Senegal, we provide evidence that the brain gain mechanism primarily benefits the wealthiest regions that are internationally connected and have better access to education. Conversely, human capital responses are negligible in regions lacking international connectivity, and even negative in better connected regions with inadequate educational opportunities. These results extend to internal migration, implying that highly vulnerable populations are trapped in the least developed areas.
Chapter 10 exemplifies the importance of the cyber-biological fusion of the Fourth Industrial Revolution by exploring African health care trends and the future impacts of 4IR technologies. Health in society is critical for the productivity and performance of a country. Efforts to improve health outcomes in the African Union will require a variety of strategies and policy options such as emergency preparedness, technological innovation, and public–private partnerships. By addressing recurrent challenges and policy constraints in Africa, the continent can be better prepared for succeeding in the 4IR.
Volume 2 of The Cambridge History of Global Migrations presents an authoritative overview of the various continuities and changes in migration and globalization from the 1800s to the present day. Despite revolutionary changes in communication technologies, the growing accessibility of long-distance travel, and globalization across major economies, the rise of nation-states empowered immigration regulation and bureaucratic capacities for enforcement that curtailed migration. One major theme worldwide across the post-1800 centuries was the differentiation between “skilled” and “unskilled” workers, often considered through a racialized lens; it emerged as the primary divide between greater rights of immigration and citizenship for the former, and confinement to temporary or unauthorized migrant status for the latter. Through thirty-one chapters, this volume further evaluates the long global history of migration; and it shows that despite the increased disciplinary systems, the primacy of migration remains and continues to shape political, economic, and social landscapes around the world.
How free should the movement of people be compared to the movement of capital? Unlike those who defend a presumption in favour of symmetrical treatment, I suggest that the presumption in favour of free human movement is much stronger than the same presumption in favour of the free movement of capital. Against those who claim that capital ought to be freer to move than people, I argue that states have much stronger reasons, both of distributive justice and cultural integrity, to constrain capital movement than they have to restrict human movement. Further, the case for restricting skilled workers' right to exit their country in the case of brain drain is much weaker than the parallel case for restricting investors' right to exit from a country that faces a threat of capital flight. Overall, my argument supports the ‘reversed asymmetry thesis’: People should be much freer to move than capital.
European Federation of Psychiatric Trainees (EFPT) is a platform for psychiatric trainees from not only Europe but also various other countries. EFPT exclusively works on binding clinical practice and science for better mental health care. Research Working Group (RWG) of EFPT works on sharing knowledge with peers by brainstorming, collaborating and coordinating projects, organizing journal clubs and workshops.
Objectives
We will focus on tele-psychiatry also known as e-mental health, a subdivision of telemedicine, provides diagnostic interview, evaluation, therapies, psycho-education and treatment. We plan The Brain-Drain follow-up study, investigates immigration of psychiatric trainees. Also educational activities have planned.
Methods
With a questionnaire on the topic of psychiatry residents’ acceptance of tele-psychiatry using The Unified Theory of Acceptance and Use of Technology (UTAUT), we will hold the first multi-national survey among psychiatry residents. The Brain-Drain study was conducted by the EFPT-RWG in the past had a promising outcome. We are currently working on the follow-up of the study. We are starting to hold events. For instance we will commence the monthly journal club. Apart from giving a platform for scientific debate, journal club will also provide a chance have a elaborate discussion with author. We will organize a workshop on how to write a case-study with Neuro-Psycho-Pharmacology Working Group of EFPT.
Results
We assume diverse attitudes overlapping different telepsychiatry exposure and regualtions, comprehensive data on immigration of trainees and sharing knowledge on practice and research.
Conclusions
Hopefully, we will have clearer understanding of changes in working environment of trainees either with new technologies or in different countries.
The growing scientific research output from Asia has been making headlines since the start of the twenty-first century. But behind this science story, there is a migration story. The elite scientists who are pursuing cutting-edge research in Asia are rarely 'homegrown' talent but were typically born in Asia, trained in the West, and then returned to work in Asia. Asian Scientists on the Move explores why more and more Asian scientists are choosing to return to Asia, and what happens after their return, when these scientists set up labs in Asia and start training the next generation of Asian scientists. Drawing on evocative firsthand accounts from 119 Western-trained Asian scientists about their migration decisions and experiences, and in-depth analysis of the scientific field in four country case studies - China, India, Singapore and Taiwan - the book reveals the growing complexity of the Asian scientist migration system.
In this paper, we investigate the long-term effects of climate change on the mobility of working-age people. We use a world economy model that covers almost all the countries around the world, and distinguishes between rural and urban regions as well as between flooded and unflooded areas. The model is calibrated to match international and internal mobility data by education level for the last 30 years, and is then simulated under climate change variants. We endogenize the size, dyadic, and skill structure of climate migration. When considering moderate climate scenarios, we predict mobility responses in the range of 70–108 million workers over the course of the twenty-first century. Most of these movements are local or inter-regional. South–South international migration responses are smaller, while the South–North migration response is of the “brain drain” type and induces a permanent increase in the number of foreigners in OECD countries in the range of 6–9% only. Changes in the sea level mainly translate into forced local movements. By contrast, inter-regional and international movements are sensitive to temperature-related changes in productivity. Lastly, we show that relaxing international migration restrictions may exacerbate the poverty effect of climate change at origin if policymakers are unable to select/screen individuals in extreme poverty.
In this chapter, we explore the possibility that entrepreneurial ecosystems have become the engine behind innovation leadership in emerging markets. We study the experience of 11 Balkan nations and provide evidence of their dynamic entrepreneurial ecosystems, despite national institution shortcomings and low public R&D spending. We emphasize the role of entrepreneurial finance, technical talent and the culture and connectedness of the entrepreneurial community as the most significant drivers behind the bubbling entrepreneurial ecosystems in the Balkans. We also argue that these arguments are critical and can nourish innovation performance in emerging contexts. We argue that by supporting their entrepreneurial ecosystems, many emerging countries that present similar institutional shortcomings to the Balkans can become innovation leaders.
The focus of the chapter is on the potential and challenges for African countries in science and development. Africa has a thriving indigenous knowledge system that can contribute to modern science. Some of the challenges are not unique to Africa but are common to other developing countries as well. No country can depend fully on other countries for its science and technology needs. A balance has to be maintained between the reliance and transfer of technology from elsewhere and the country developing its own. Sourcing and allocation of funds continue to be problems for Africa. Unlike other developing countries, Africa suffers from a brain drain, with its own consequences for the advancement of national scientific systems. A well-established system of education will go a long way towards encouraging science education and the production of new scientists, technicians and engineers. The link between science and society needs to be strengthened for the mutual, bilateral and beneficial interests of both. In order for Africa to enhance its research capacity, strenuous efforts are required on many different fronts. A functional rewards system, as worked out in some countries in Africa, encourages and motivates scientists to continue their work with dedication and commitment.
Since gaining political independence in the 1950s, science has rapidly become a prerequisite for national development within many African nations. Supported by international agencies, such as UNESCO, initiatives were taken to direct Africa on the road of scientific development, enabling contributions to world science and significant progress in many specific research areas. However, from a developmental perspective there remains the question of how science influences national development plans and strategies. How far are science policies integrated into the national development plans? What potential and challenges do science and technology pose for Africa and its prospects for wider development? Offering a comprehensive historical and empirical study of science in both colonial and post-colonial Africa, R. Sooryamoorthy brings to light the connections between science, policy and development in African nations. Focusing on understanding the widening gap in science and technology between developed and developing regions, and the integration (or lack of) with national development strategies, this study provides important insights into the potential opportunities and challenges facing Africa in the areas of science.
La fédération européenne des internes de psychiatrie (EFPT) a réalisé une étude observationnelle sur la migration des internes de psychiatrie en Europe suite à un rapport de la WPA . Entre 2013 et 2014, 2281 internes de 33 pays ont répondu à un questionnaire sur internet. Nous présenterons les résultats concernant les internes faisant leurs études en France. Au total, 193 personnes ont répondu en France (2e pays répondeur). Parmi ces internes, 8 n’avaient pas la nationalité française, ce qui fait de la France le 7e pays le plus attractif de l’étude. A contrario, 4 français émigrés à l’étranger ont répondu à l’étude. En termes d’expérience de mobilité, 30 % des français ont déjà vécu à l’étranger entre 3 et 12 mois. Seuls 5 % des internes ont passé plus d’un an à l’étranger, soit 3 fois moins que dans les autres pays européens (p < 10−4) ce qui place la France à la 14e place en termes de nombre d’émigrants. Cette faible mobilité ne s’explique pas par une désaffection : 71 % des internes ont déjà envisagé de partir à l’étranger. Cependant, 65 % des répondeurs pensent qu’ils resteront en France dans les 5 prochaines années. Les raisons principales pour quitter la France sont personnelles, académiques ou liées à l’environnement culturel. Le salaire des internes de psychiatrie en France est compris entre 1500 et 1999 €, ce qui est un salaire moyen en Europe et dont ils semblent modérément satisfaits et qui ne représente pas une réelle motivation à l’émigration. D’autres difficultés davantage culturelles ou liés à la faiblesse des aides à la mobilité pourraient expliquer cette moindre mobilité par rapport aux autres pays européens. Depuis 2011, l’EFPT cherche à répondre à cette volonté de mobilité par un programme d’échange de 2 à 6 semaines parmi 13 pays européens.
There is a shortage of psychiatrists worldwide. Within Europe, psychiatric trainees can move between countries, which increases the problem in some countries and alleviates it in others. However, little is known about the reasons psychiatric trainees move to another country.
Methods:
Survey of psychiatric trainees in 33 European countries, exploring how frequently psychiatric trainees have migrated or want to migrate, their reasons to stay and leave the country, and the countries where they come from and where they move to. A 61-item self-report questionnaire was developed, covering questions about their demographics, experiences of short-term mobility (from 3 months up to 1 year), experiences of long-term migration (of more than 1 year) and their attitudes towards migration.
Results:
A total of 2281 psychiatric trainees in Europe participated in the survey, of which 72.0% have ‘ever’ considered to move to a different country in their future, 53.5% were considering it ‘now’, at the time of the survey, and 13.3% had already moved country. For these immigrant trainees, academic was the main reason they gave to move from their country of origin. For all trainees, the overall main reason for which they would leave was financial (34.4%), especially in those with lower (<500€) incomes (58.1%), whereas in those with higher (>2500€) incomes, personal reasons were paramount (44.5%).
Conclusions:
A high number of psychiatric trainees considered moving to another country, and their motivation largely reflects the substantial salary differences. These findings suggest tackling financial conditions and academic opportunities.
The brain drain of psychiatrists is considered as a mental health care damaging phenomenon in low- and middle-income countries. Albania currently has one of the world's highest emigration rates, relative to its population and a total emigrant population of more than 1.25 millions in 2014. More than 50% of the lecturers and researchers in Albania left the country during 1991–2005. Nevertheless, the data on healthcare workers migration is very limited.
Objectives
Assessing the migration profile and migratory trends of psychiatry trainees in Albania as part of EFPT Brain Drain study in Europe.
Methods
Data collection was accomplished by an anonymous online survey and hard-copy questionnaire in University Hospital Center “Mother Teresa”, to all psychiatric residents in Psychiatric Clinic in Tirana, during May–October 2013.
Results
More than 2/3 respondents are very dissatisfied with their income but the main reasons for leaving the country are personal and family composition. A minority did have a short term or long term experience abroad respectively 8,3% and 16.7% during which 50% of them considered to have the same opportunities as the locals. A total of 66% of residents consider leaving the country after the residency training.
Conclusions
Losing large numbers of skilled psychiatrists contributes to decreasing of quality of mental health services. Since it can be considered “brain waste” in terms of a loss of investment into human resource development, Albania needs to establish policies to promote returnees.
Disclosure of interest
The authors have not supplied their declaration of competing interest.
Edited by
Matthew Craven, School of Oriental and African Studies, University of London,Sundhya Pahuja, University of Melbourne,Gerry Simpson, London School of Economics and Political Science
Edited by
Matthew Craven, School of Oriental and African Studies, University of London,Sundhya Pahuja, University of Melbourne,Gerry Simpson, London School of Economics and Political Science
In 1963, the UN Sub-Commission on Prevention of Discrimination and Protection of Minorities published a study that found that more people were ‘effectively confined behind their national boundaries today than in previous periods of history’.The study, written by Filipino Judge José D. Inglés in his capacity as Special Rapporteur, represented the first attempt within UN institutions to examine the emerging right under international law of individuals to leave any country including their own, and to systematically document how various states were recognising – or failing to recognise – this right in their domestic laws and regulations.
This study examines the gender dimension of the brain drain in Turkey, drawing on the results of an online survey to argue that the gender inequality present in sending countries can serve as a push factor in women's decisions to migrate and return or not return. The results indicate that the gender gap in the labor market in Turkey is an important factor in shaping the return intentions of female Turkish professionals and students living abroad. The findings reveal a gender gap in return intentions independent of other main factors, such as age, field of study/occupation, or duration of stay.
This article analyzes the effect of migration from a less advanced economy to a more advanced economy on economic growth. The analysis is performed in a two-country growth model with endogenous fertility, in which congestion diseconomies are incorporated. The model shows that out-migration increases fertility and reduces human capital in the source economy. At the same time, in-migration reduces fertility and can increase or decrease the average level of human capital in the host economy. I show how migration affects the inter-temporal evolution of human capital in the world economy. I also demonstrate that a tax imposed on immigrants in the host economy can increase human capital accumulation in the receiving and sending economies and the world as a whole.
This essay examines the recent rise in popularity of science fiction in Africa. I argue that this growth can be traced to key shifts within the logic of structural adjustment programs. Over the last twenty years, the World Bank and the International Monetary Fund (IMF) have begun to place a heightened emphasis on “poverty reduction strategies” (or PRSs). These PRSs have taken the two organizations’ longstanding commitment to free-market policies and adapted them to the rhetoric of social and economic justice by suggesting that “sustainable” welfare programs can only be constructed through the “long-term” benefits of well-planned “institutions.”
As I show, this vision of long-term development has encouraged a move toward fictional forms capable of speaking to elongated temporal scales. Using Nnedi Okorafor’s novel Lagoon as my primary example, I investigate how sci-fi narratives have struggled to represent social agency within the longue durée of institutional planning.