Dovlo Delanyo
Route Des Tattes D'Oie 32, Nyon, Switzerland.
Health Serv Res. 2007 Jun;42(3 Pt 2):1373-88. doi: 10.1111/j.1475-6773.2007.00712.x.
To assess the impact of out-migration of nurses on the health systems in sub-Saharan Africa (SSA).
The countries of SSA.
Review of secondary sources: existing publications and country documents on the health workforce; documents prepared for the Joint Learning Initiative Global Human Resources for Health report, the World Health Organization (AFRO) synthesis on migration, and the International Council of Nurses series on the global nursing situation. Analysis of associated data.
The state of nursing practice in SSA appears to have been impacted negatively by migration. Available (though inadequate) quantitative data on stocks and flows, qualitative information on migration issues and trends, and on the main strategies being employed in both source and recipient countries indicate that the problem is likely to grow over the next 5-10 years.
Multiple actions are needed at various policy levels in both source and receiving countries to moderate negative effects of nurse emigration in developing countries in Africa; however, critically, source countries must establish more effective policies and strategies.
评估护士外流对撒哈拉以南非洲（SSA）卫生系统的影响。
SSA各国。
回顾二手资料：关于卫生人力的现有出版物和国家文件；为联合学习倡议全球卫生人力资源报告、世界卫生组织（非洲区域办事处）关于移民的综合报告以及国际护士理事会全球护理状况系列编写的文件。分析相关数据。
SSA的护理实践状况似乎受到了移民的负面影响。关于存量和流量的现有（尽管不充分）定量数据、关于移民问题和趋势的定性信息，以及来源国和接收国正在采用的主要策略表明，该问题在未来5至10年可能会加剧。
来源国和接收国的各级政策都需要采取多项行动，以减轻非洲发展中国家护士移民的负面影响；然而，至关重要的是，来源国必须制定更有效的政策和战略。
