The Brain Drain Myth: Retention of Specialist Surgical Graduates in East, Central and Southern Africa, 1974–2013

Hutch, Avril; Bekele, Abebe; O’Flynn, Eric; Ndonga, Andrew; Tierney, Sean; Fualal, J; Samkange, Christopher; Erzingatsian, Krikor

doi:10.1007/s00268-017-4307-x

Cited by 38 publications

(47 citation statements)

References 27 publications

(21 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Recent work from 10 countries in the East, Central and Southern Africa region showed that 1,038 surgeons had been trained locally from 1974 to 2013 with 85% of surgeons retained in the countries where they trained and 88% retained in the region. [13] By comparison, previously, only 10% of Ghanaian obstetricians who trained abroad were found to have returned to Ghana. [1] GCPS-trained surgeons were widely distributed within the country, with 44% in the higher need areas outside the two biggest cities.…”

Section: Discussionmentioning

confidence: 88%

In‐Country Training by the Ghana College of Physicians and Surgeons: An Initiative that has Aided Surgeon Retention and Distribution in Ghana

et al. 2018

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 88%

In‐Country Training by the Ghana College of Physicians and Surgeons: An Initiative that has Aided Surgeon Retention and Distribution in Ghana

et al. 2018

View full text Add to dashboard Cite

show abstract

“…Researchers found that of the 1038 surgeons included in the study, 85.1% remained in the country of training, 88.3% remained in the COSECSA region, and 93.4% stayed in Africa. 39 This high retention rate of trained surgeons serves to illustrate that when given the opportunity to remain in their country of origin, trained surgeons will generally opt to do so. Thus, the need to create local opportunities is apparent, and it is in our best interest to do so.…”

Section: Bilateral Partnershipmentioning

confidence: 99%

Global Surgery Pro–Con Debate: A Pathway to Bilateral Academic Success or the Bold New Face of Colonialism?

Scheiner

Rickard

Nwomeh

et al. 2020

Journal of Surgical Research

Self Cite

View full text Add to dashboard Cite

Global surgery, especially academic global surgery, is of tremendous interest to many surgeons. Classically, it entails personnel from high-income countries going to low-and middle-income countries and engaging in educational activities as well as procedures. Academic medical personnel have included students, residents, and attendings. The pervasive notion is that this is a winewin situation for the volunteers and the hosts, that is, a pathway to bilateral academic success. However, a critical examination demonstrates that it can easily become the bold new face of colonialism of a low-and middle-income country by a high-income country.

show abstract

“…There are incentives to encourage staffing and retention in rural regions. Additionally, the plan advocates for local specialty training through the development of regional training hubs to encourage providers to practice where they train, a factor known to improve local retention 23. Supportive supervision and continuing medical education at all levels of care are also included, as professional development opportunities have been cited as the strongest determinant of staff retention 24.…”

Section: Section 2: Nsoap Contentmentioning

confidence: 99%

Towards equitable surgical systems: development and outcomes of a national surgical, obstetric and anaesthesia plan in Tanzania

et al. 2019

View full text Add to dashboard Cite

Despite emergency and essential surgery and anaesthesia care being recognised as a part of Universal Health Coverage, 5 billion people worldwide lack access to safe, timely and affordable surgery and anaesthesia care. In Tanzania, 19% of all deaths and 17 % of disability-adjusted life years are attributable to conditions amenable to surgery. It is recommended that countries develop and implement National Surgical, Obstetric and Anesthesia Plans (NSOAPs) to systematically improve quality and access to surgical, obstetric and anaesthesia (SOA) care across six domains of the health system including (1) service delivery, (2) infrastructure, including equipment and supplies, (3) workforce, (4) information management, (5) finance and (6) Governance. This paper describes the NSOAP development, recommendations and lessons learnt from undertaking NSOAP development in Tanzania.The NSOAP development driven by the Ministry of Health Community Development Gender Elderly and Children involved broad consultation with over 200 stakeholders from across government, professional associations, clinicians, ancillary staff, civil society and patient organisations. The NSOAP describes time-bound, costed strategic objectives, outputs, activities and targets to improve each domain of the SOA system. The final NSOAP is ambitious but attainable, reflects on-the-ground priorities, aligns with existing health policy and costs an additional 3% of current healthcare expenditure.Tanzania is the third country to complete such a plan and the first to report on the NSOAP development in such detail. The NSOAP development in Tanzania provides a roadmap for other countries wishing to undertake a similar NSOAP development to strengthen their SOA system.

show abstract

The Brain Drain Myth: Retention of Specialist Surgical Graduates in East, Central and Southern Africa, 1974–2013

Cited by 38 publications

References 27 publications

In‐Country Training by the Ghana College of Physicians and Surgeons: An Initiative that has Aided Surgeon Retention and Distribution in Ghana

In‐Country Training by the Ghana College of Physicians and Surgeons: An Initiative that has Aided Surgeon Retention and Distribution in Ghana

Global Surgery Pro–Con Debate: A Pathway to Bilateral Academic Success or the Bold New Face of Colonialism?

Towards equitable surgical systems: development and outcomes of a national surgical, obstetric and anaesthesia plan in Tanzania

Contact Info

Product

Resources

About