Africa: Plugging the health worker brain drain

The global shortage of health workers is estimated at 4.2 million by the World Health Organisation (WHO), but the migration of doctors, nurses, midwives and pharmacists from poor to rich countries means the shortfall is not evenly distributed - of the 57 nations identified as having reached a crisis point, 36 are in sub-Saharan Africa. In some countries with fragile health systems and heavy disease burdens, over half of all highly trained health workers have left for job opportunities abroad. In some of the worst cases rural hospitals have been left with just one doctor and a handful of nurses to attend to thousands of patients. What has worked so far in addressing the problem? IRIN took a look at some of the push and pull factors behind health worker migration, and what countries are doing to address them.