REGULATING THE MOVEMENT OF DOCTORS SUPPLY AND DEMAND

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• We discuss this topic today because we as
  professionals and regulatory bodies accept that
  all is not well.
• We discuss this hoping that some amongst us might
  provide reasonable and workable solutions.
• We need to draw attention to those issues as
  regulators, on the National Agendas of recipient
  countries, because donor countries have already
  got it on their agendas.

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• We need to unselfishly mobilise political will so
  that these issues can get the necessary global
  attention (IAMRA is an international
  organisation) and action.
• Recognising the significant efforts and
  investment made by developing countries in
  training and development of human resources for
  health.

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• The aim is not to challenge the right of health
  professionals to migrate in pursuit of a better
  life for themselves and their families

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• In 2001, 11 332 doctors and 41 617 nurses worked
  in public sector in South Africa (Doherty and
  Joffe, 2003)
• The migration has worsened since 2001.

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• The UK Code of Practice states that recruitment
  should take place only on the basis of bilateral
  agreements between countries at government level
  and it suggests that such issues should be
  covered by Memoranda of Understanding

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• A synopsis of the push
• pull and anchor factors

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• Looking at the figures shown for South Africa
  earlier and the above figures for the developed
  world
• We need an international convention on the
  recruitment of health personnel from developing
  countries
• We are ethical people we should develop a
  global code of ethics in international
  recruitment
• Establish ways for somehow compensating
  developing countries for their loss

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• Strategies must be crafted to channel, balance
  and manage migration to provide good and
  equitable global health while mitigating harm in
  both source and destination countries (JLI).
• Corrective strategies can capitalize on the
  abundance of potential human capital in
  low-income countries by ramping up training and
  educational investments

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• A global educational reinvestment fund would be a
  win-win approach to international migration,
  intensifying investments in educational capacity
  in source countries.
• The WHO has estimated that, to meet ambitious
  targets of millennium development goals, African
  health services will need to train and retain an
  extra million health workers by 2010 (WHO 2004).

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• Creating win-win situations for source and
  destination countries should be a priority for a
  global mobility regime.
• The UN has a Global Commission on migration
  launched Dec 2003 chaired by Dr Mamphele
  Ramphele and Jan Karlsson.

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• There should be an expression of the principle of
  mutuality of benefits to both the donor and
  recipient countries.
• Nurses have developed an International Code.
  What are we as IAMRA doing in protecting the
  public of the world?

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I THANK YOU!