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Migration management and health service delivery: A case of the Zimbabwe public health sector
Development Southern Africa ( IF 1.691 ) Pub Date : 2021-03-14 , DOI: 10.1080/0376835x.2021.1890547
Maureen Mudzonga 1
Affiliation  

ABSTRACT

Poor economic conditions in Zimbabwe have greatly contributed to irregular emigration and brain drain with the public health sector seriously affected. This article identifies and critiques the strategies underpinning the out-migration management policy framework that regulates the movement of health professionals in Zimbabwe. It highlights strategies that can ensure that the state derives maximum benefits from its trained personnel, reduce their emigration and benefit from their movement without infringing on their freedoms of choice and movement. Qualitative techniques were used to gather data with in-depth interviews and questionnaires as data collection tools. Results show that previous strategies put in place to manage health professionals’ emigration in Zimbabwe have not effectively harnessed the benefits from that movement. The article concludes that the government should take advantage of existing initiatives and craft a robust out-migration management policy framework that infuses all merits of the individual strategies to effectively manage emigration. This should include strategies such as reduction in hiring expatriates and using the funds to improve remuneration of locals to reduce skills flight; making arrangements for excess labour export to countries in need of such labour for a fee and initiating diaspora engagement initiatives to facilitate skills transfer from the emigrated professionals.



中文翻译:

移民管理和卫生服务提供:津巴布韦公共卫生部门的案例

摘要

津巴布韦糟糕的经济状况极大地导致了非正常移民和人才外流,公共卫生部门受到严重影响。本文确定并批评了支持外迁管理政策框架的策略,该框架规范了津巴布韦卫生专业人员的流动。它强调了可以确保国家从其训练有素的人员中获得最大利益、减少他们的移民并从他们的迁徙中受益而不侵犯他们的选择和迁徙自由的战略。定性技术被用来收集数据,深度访谈和问卷调查作为数据收集工具。结果表明,以前为管理卫生专业人员在津巴布韦的移民而制定的战略并没有有效地利用这一运动的好处。文章的结论是,政府应该利用现有的举措,制定一个强有力的向外移民管理政策框架,将个人战略的所有优点融入到有效管理移民中。这应包括诸如减少雇用外籍人员和利用资金提高当地人的薪酬以减少技能外流等策略;安排向需要此类劳动力的国家提供有偿劳动力出口,并启动侨民参与倡议,以促进移民专业人士的技能转移。这应包括诸如减少雇用外籍人员和利用资金提高当地人的薪酬以减少技能外流等策略;安排向需要此类劳动力的国家提供有偿劳动力出口,并启动侨民参与倡议,以促进移民专业人士的技能转移。这应包括诸如减少雇用外籍人员和利用资金提高当地人的薪酬以减少技能外流等策略;安排向需要此类劳动力的国家提供有偿劳动力出口,并启动侨民参与倡议,以促进移民专业人士的技能转移。

更新日期:2021-03-14
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