Diasporas and Divergent Development in Kerala and Punjab

Walton‐Roberts, Margaret

doi:10.1007/978-81-322-1047-4_4

Cited by 20 publications

(1 citation statement)

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“…In terms of regional differences, Kerala has long been seen as the main source location for nurse outmigration [33], and Punjab has seen a substantial increase in training capacity, especially for nurses, for export [34]. Kerala and Punjab were chosen due to the states’ level of health care training capacity and their high degree of outward orientation in terms of international migration; Kerala and Punjab are in the top three Indian states with the highest share of total emigrants (outmigrants) residing in another country [35]. …”

Section: Methodsmentioning

confidence: 99%

Causes, consequences, and policy responses to the migration of health workers: key findings from India

et al. 2017

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BackgroundThis study sought to better understand the drivers of skilled health professional migration, its consequences, and the various strategies countries have employed to mitigate its negative impacts. The study was conducted in four countries—Jamaica, India, the Philippines, and South Africa—that have historically been “sources” of health workers migrating to other countries. The aim of this paper is to present the findings from the Indian portion of the study.MethodsData were collected using surveys of Indian generalist and specialist physicians, nurses, midwives, dentists, pharmacists, dieticians, and other allied health therapists. We also conducted structured interviews with key stakeholders representing government ministries, professional associations, regional health authorities, health care facilities, and educational institutions. Quantitative data were analyzed using descriptive statistics and regression models. Qualitative data were analyzed thematically.ResultsShortages of health workers are evident in certain parts of India and in certain specialty areas, but the degree and nature of such shortages are difficult to determine due to the lack of evidence and health information. The relationship of such shortages to international migration is not clear. Policy responses to health worker migration are also similarly embedded in wider processes aimed at health workforce management, but overall, there is no clear policy agenda to manage health worker migration. Decision-makers in India present conflicting options about the need or desirability of curtailing migration.ConclusionsConsequences of health work migration on the Indian health care system are not easily discernable from other compounding factors. Research suggests that shortages of skilled health workers in India must be examined in relation to domestic policies on training, recruitment, and retention rather than viewed as a direct consequence of the international migration of health workers.

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Section: Methodsmentioning

confidence: 99%