Hostname: page-component-cd9895bd7-gvvz8 Total loading time: 0 Render date: 2024-12-26T03:11:13.723Z Has data issue: false hasContentIssue false
  • English
  • Français

Recruitment of consultant psychiatrists from low- and middle-income countries

Published online by Cambridge University Press:  02 January 2018

David Ndetei ,
Salman Karim  and
Malik Mubbashar
David Ndetei
Affiliation:
Department of Psychiatry, University of Nairobi, Kenya, email [email protected]
Salman Karim
Affiliation:
Department of Psychiatry, University of Manchester, UK
Malik Mubbashar
Affiliation:
University of Health Sciences, Lahore, Pakistan
Rights & Permissions [Opens in a new window]

Extract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

The UK's 2-year International Fellowship Programme for consultant doctors has inadvertently highlighted the long-standing issues of the costs and benefits of such recruitment for the countries of origin, and of whether it is ethical for rich countries to recruit health personnel not only from other rich countries but also from low- and middle-income countries. The ‘brain drain’ from poor to rich countries has been recognised for decades; it occurs in the health sector as well as other sectors, such as education, science and engineering. It has had serious ramifications for the health service infrastructure in low-income countries, where poverty, morbidity, disability and mortality are increasing rather than decreasing, and it is a matter of serious concern for both the World Health Organization and the International Monetary Fund (Carrington & Detragiache, 1998; Lee, 2003).

Type
Special Paper
Information
International Psychiatry , Volume 1 , Issue 6 , October 2004 , pp. 15 - 18
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NCCreative Common License - ND
This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits noncommercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
Copyright
Copyright © The Royal College of Psychiatrists 2004

References

Carrington, W. J. & Detragiache, E. (1998) How Big Is the Brain Drain? IMF working paper 98/102. Washington, DC: International Monetary Fund. Available at www.imf.org/external/pubs/ft/wp/wp98102.pdf.Google Scholar
Commonwealth Secretariat (2003) Code of Practice for the International Recruitment of Health Workers. London: Commonwealth Secretariat.Google Scholar
Department of Health & Royal College of Psychiatrists (2004) Recommendations to Increase the Recruitment of and the Overall Numbers of Consultant Psychiatrists to Improve Their Retention – A Report to the Mental Health Caregroup Workforce Team and the Recruitment and Retention Sub-group of the RCPsych. Available at www.dh.gov.uk/assetRoot/04/07/65/93/04076593.PDF Google Scholar
Ehman, A. J. & Sullivan, P. (2001) South Africa appeals to Canada to stop recruiting its MDs. Canadian Medical Association Journal, 164, 387–388. Available at www.cmaj.ca/cgi/content/full/164/3/387 Google Scholar
Gulbinat, W., Manderscheid, R., Baingana, F., et al (2004) The International Consortium on Mental Health Policy and Services: objectives, design and project implementation. International Review of Psychiatry, 16, 5–17.Google Scholar
Jenkins, R. & Scott, J. (1998) The medical staffing crisis in psychiatry. Psychiatric Bulletin, 22, 239–241.Google Scholar
Jenkins, R., McCulloch, A., Friedli, L., et al (2002) Developing a National Mental Health Plan. Maudsley Monograph. London: Psychology Press, Taylor and Francis Group.Google Scholar
Jenkins, R., Gulbinat, W., Manderscheid, R., et al (2004) The Mental Health Country Profile: background, design and use of a systematic method of appraisal. International Review of Psychiatry, 16, 31–47.Google Scholar
Khandelwal, S. K., Jhingan, H. P., Ramesh, S., et al (2004) India mental health country profile. International Review of Psychiatry, 16, 126–141.Google Scholar
Lee, J. (2003) Address to the fifty-third session of the WHO regional committee for Africa, 1 September 2003. Available at www.who.int/dg/lee/speeches/2003/johannesburg/en/ Google Scholar
Pang, T., Langsang, M. A. & Haines, A. (2002) Brain drain and health professionals. BMJ, 324, 499–500.CrossRefGoogle ScholarPubMed
Patel, V. (2003) Recruiting doctors from poor countries: the great brain robbery? BMJ, 327, 928.Google Scholar
Scott, M. L., Whelan, A., Dewdney, J., et al (2004) ‘Brain drain’ or ‘ethical recruitment’? Solving health workforce shortages with professionals from developing countries. Medical Journal of Australia, 180, 174–176.Google Scholar
Stilwell, B., Diallo, K., Zurn, P., et al (2003) Developing evidence-based ethical policies on the migration of health workers: conceptual and ethical challenges. Human Resources for Health, 1, 8. Available at www.human-resources-health.com/content/1/1/8.CrossRefGoogle Scholar
World Health Organization (2001) Atlas. Mental Health Resources in the World 2001. Geneva: WHO.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.