Going Global: Insights of Indonesian Policymakers on International Migration of Nurses

Efendi, Ferry; Haryanto, Joni; Indarwati, Retno; Kuswanto, Heri; Ulfiana, Elida; Has, Eka Mishbahatul Mar’ah; Chong, Mei Chan

doi:10.2147/jmdh.s327962

Cited by 10 publications

(8 citation statements)

References 36 publications

(31 reference statements)

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“…For nurses, the density of 52 per 10,000 people in 2019 far exceeded the threshold of 27.4 and would continue to exceed the benchmark despite a projected tapering of the density beyond 2025. The density of nurses in the Philippines was significantly higher when compared to a similar archipelago like Indonesia (34.8), 30 or Thailand (15.2) with a comparable economy, 31 or Vietnam with a similar population size (14.5). 32 The abundance of nurses in the Philippines has been attributed to overproduction 33 by a nursing education system motivated by a labor export-oriented strategy that trains nurses primarily to migrate and work in high-income countries.…”

Section: Cocreation Process For Health Workforce Planningmentioning

confidence: 93%

Cocreation in Health Workforce Planning to Shape the Future of the Health Care System in the Philippines

Liwanag¹,

Uy²,

Padilla³

et al. 2022

Glob Health Sci Pract

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The COVID-19 pandemic presented strategic opportunities to strengthen national health workforce planning to shape future health care systems that are responsive both during normal times and during crises.n We describe our health workforce planning process based on a cocreation model that built a relationship between researchers and policy makers to coproduce recommendations to strengthen primary care and advance universal health coverage in the Philippines. nWe applied 2 approaches to project the future supply of 10 selected health professions and estimated the demand for primary care services at national and subnational levels; our analysis provided spaces for policy recommendations on issues related to health workforce quantity, skill mix, and distribution.

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Section: Cocreation Process For Health Workforce Planningmentioning

confidence: 93%

Cocreation in Health Workforce Planning to Shape the Future of the Health Care System in the Philippines

Liwanag¹,

Uy²,

Padilla³

et al. 2022

Glob Health Sci Pract

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“…Beginning in the late 2000s, however, the government has increasingly adopted and promoted emigration as a strategy both for dealing with nurse unemployment and harvesting economic benefit through remittances. 36 In a wish to strive after the Philippines as a leading nurse exporting nation, the government has entered several placement agreements with high-income country governments (e.g. Japan, Germany) and started to reduce pre-existing hurdles to migration, leading to steadily increasing numbers of emigrant nurses.…”

Section: Indonesiamentioning

confidence: 99%

The impact of international health worker migration and recruitment on health systems in source countries: Stakeholder perspectives from Colombia, Indonesia, and Jordan

Sax dos Santos Gomes,

Efendi,

Putri

et al. 2024

Health Planning & Management

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IntroductionTo address domestic shortages, high‐income countries are increasingly recruiting health workers from low‐ and middle‐income countries. This practice is much debated. Proponents underline benefits of return migration and remittances. Critics point in particular to the risk of brain drain. Empirical evidence supporting either position is yet rare. This study contributes to filling this gap in knowledge by reporting high‐level stakeholders' perspectives on health system impacts of international migration in general, and active recruitment of health workers in specific, in Colombia, Indonesia, and Jordan.MethodWe used a multiple case study methodology, based on qualitative methods integrated with information available in the published literature.ResultsAll respondents decried a lack of robust and detailed data as a serious challenge in ascertaining their perspectives on impacts of health worker migration. Stakeholders described current emigration levels as not substantially aggravating existing health workforce availability challenges. This is due to the fact that all three countries are faced with health worker unemployment grounded in unwillingness to work in rural areas and/or overproduction of certain cadres. Respondents, however, pleaded against targeting very experienced and specialised individuals. While observing little harm of health worker migration at present, stakeholders also noted few benefits such as brain gain, describing how various barriers to skill enhancement, return, and reintegration into the health system hamper in practice what may be possible in theory.ConclusionImproved availability of data on health worker migration, including their potential return and reintegration into their country of origin's health system, is urgently necessary to understand and continuously monitor costs and benefits in dynamic national and international health labour markets. Our results imply that potential benefits of migration do not come into being automatically, but need in‐country supportive policy and programming, such as favourable reintegration policies or programs targeting engagement of the diaspora.

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“…Few studies report non-western workers, such as Indonesian sojourners working for multinational companies or other organizations in foreign countries, especially Germany and Australia. Research reported by Efendi et al (2021) about going global in the international migration of nurses needs to describe a destination country explicitly. However, one of the findings states that language barriers are one of the essential findings in competing in the global markets.…”

Section: Introductionmentioning

confidence: 99%

“…However, one of the findings states that language barriers are one of the essential findings in competing in the global markets. Indonesian nurses shall improve their language skills to obtain international certification and adjust to foreign work environments (Efendi et al, 2021). Other researchers, Panggabean et al identified the competencies of Indonesian sojourners and local employees in Asian working groups between Indonesia and China/Tionghoa and Indonesia and Singapore (Tjitra, Ramakrishnan, & Panggabean, 2012;Panggabean, Murniati, & Tjitra, 2013).…”

Section: Introductionmentioning

confidence: 99%

Communication competence of Indonesian workers in intercultural interaction in Munich and Canberra

Koswara

Lukman²

2022

j.kajian.kom

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The discourse of intercultural communication competence is increasingly important in the globalized world. However, there need to be more studies reported on the communication competence of Indonesian workers in intercultural interaction, particularly in the host country Germany and Australia. This study investigates communication competence in the intercultural interaction of Indonesian workers in two cities, Munich and Canberra. It focuses on intercultural challenges encountered by Indonesian workers working at different corporations and organizations in Munich and Canberra. Using qualitative methods, we examine Indonesian workers' intercultural awareness, sensitivity, and language competence in the host cities. This ethnographic study is based on interviews and informal conversations with Indonesian workers in Munich and Canberra and observations through the engagement of the researchers in the various Indonesian Diaspora community in the two cities. Based on thematic analysis, two empirical findings are essential to everyday intercultural interaction. First, intercultural awareness and sensitivity explain the knowledge and experiences of Indonesian workers on local rules and regulations, culture, and history of the host cities. Second, language competence describes the ability of Indonesian workers to understand the accents and dialects (German Bavaria and English Australian) and to overcome language barriers in everyday work and community life. The study concludes that participants have different experiences implementing communication competence in everyday interaction. It depends on the intercultural interaction intensity of Indonesian workers with their colleagues and the local community.

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Going Global: Insights of Indonesian Policymakers on International Migration of Nurses

Cited by 10 publications

References 36 publications

Cocreation in Health Workforce Planning to Shape the Future of the Health Care System in the Philippines

Cocreation in Health Workforce Planning to Shape the Future of the Health Care System in the Philippines

The impact of international health worker migration and recruitment on health systems in source countries: Stakeholder perspectives from Colombia, Indonesia, and Jordan

Communication competence of Indonesian workers in intercultural interaction in Munich and Canberra

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