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Figure II.1.11: Factors affecting health professionals’ decision to migrate from<br />

African countries<br />

Source: Stilwell et al., 2004<br />

Kyobe (2010) adds that among <strong>the</strong> reasons that are usually cited to justify immigration is<br />

<strong>the</strong> pressure of working on crowded wards with few drugs and little essential equipment<br />

and <strong>the</strong> feeling of being undervalued. In addition to <strong>the</strong>se factors, Pang et al., (2002)<br />

adds an oppressive political climate, persecution of intellectuals, and discrimination.<br />

Similarly, researchers have issues in <strong>the</strong>ir home countries with (i) <strong>the</strong> lack of funding, (ii)<br />

poor facilities, (iii) limited career structures, and (iv) poor intellectual stimulation. The<br />

dissatisfaction factors also include, as indicated in table 8 are security, <strong>the</strong> threat of<br />

violence from ethnic frictions (Stiwell, 2003 92 ), and <strong>the</strong> wish to provide a good education<br />

for <strong>the</strong>ir children Buchan and Perfilieva (2006).<br />

92 Citing Dovlo, D. (1999), ‘Issues Affecting <strong>the</strong> Mobility and Retention of Health Workers/Professionals in<br />

Commonwealth African States’, London: Consultancy Report for <strong>the</strong> Commonwealth Secretariat, unpublished<br />

manuscript.<br />

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