ABSTRACT

The World Health Organisation's (WHO) Framework for Action' provides a guide for resolving the human resource challenge. It describes six building blocks: health service delivery, health workforce health financing, medical products, vaccines and other technologies, health information, and leadership and governance. Factors influencing individual's decisions to migrate to other countries are commonly grouped into push and pull factors depending on whether the factor is located in the source or destination country. Several codes of practice on the international recruitment of health workers have been developed over the past few years with the aim of better protecting migrant health workers, and minimising the negative impact of out-migration of health personnel for the source countries. The number of nurses and doctors that have left sub-Saharan Africa and who consider emigration is worryingly high, given the imbalance of health workers between urban and under-resourced health facilities in the country.