“…Historical inequalities in provision, failures to deliver progressive budgetary reallocation, the burden of the HIV/AIDS pandemic and an overall shortage and mal‐distribution of physicians both hinder public health‐care provision and drive physician emigration (Brier, 2006). Management failings, poor working conditions and overwhelming disease burden, in concert with broader concerns over safety, security, declining educational standards and limited opportunities for professional development, contribute to physician emigration (Bezuidenhout et al., ; De Vries et al., ; Joudrey and Robson, ; Lucas, , Rasool et al., ). A recent report from Human Resources for Health in South Africa notes these pressures as key challenges to the provision of public health care, noting in particular the pressures of an epidemiological context of high and rising under‐5 and maternal mortality, plus pressures from HIV/AIDs, TB, violence, road traffic injuries and an aging population (HRH SA, 2012).…”