Beltman Jogchum J, Stekelenburg Jelle, van Roosmalen Jos
Leids Universitair Medisch Centrum, afd. Verloskunde, The Netherlands.
Ned Tijdschr Geneeskd. 2010;154:A1159.
International migration of health care workers from low-income countries to the West has increased considerably in recent years, thereby jeopardizing the achievements of The Millennium Development Goals, especially number 4 (reduction of child mortality) and 5 (improvement of maternal health).This migration, as well as the HIV/AIDS epidemic, lack of training of health care personnel and poverty, are mainly responsible for this health care personnel deficit. It is essential that awareness be raised amongst donors and local governments so that staffing increases, and that infection prevention measures be in place for their health care personnel. Western countries should conduct a more ethical recruitment of health care workers, otherwise a new millennium development goal will have to be created: to reduce the human resources for health crisis.
近年来，医护人员从低收入国家向西方的国际迁移显著增加，从而危及千年发展目标的成果，尤其是目标4（降低儿童死亡率）和目标5（改善孕产妇健康）。这种迁移，以及艾滋病毒/艾滋病疫情、医护人员缺乏培训和贫困，是造成医护人员短缺的主要原因。至关重要的是要提高捐助者和地方政府的认识，以便增加人员配备，并为其医护人员实施感染预防措施。西方国家应该以更符合道德的方式招募医护人员，否则将不得不制定一项新的千年发展目标：减少卫生危机中的人力资源。
