Faculty of Medicine, University of Botswana, Gaborone, Botswana.
PLoS One. 2018 Nov 16;13(11):e0206969. doi: 10.1371/journal.pone.0206969. eCollection 2018.
The shortage of skilled healthcare workers in Sub-Saharan Africa is aggravated by their emigration to high resource countries. There is evidence that a small number of healthcare workers return to their home countries. It is important to understand the factors that influence decisions to return in order to develop appropriate strategies to attract more back. This study sought to investigate the perspectives of healthcare workers who returned to Botswana after working in the diaspora. We conducted semi-structured interviews of 8 healthcare workers. Using the thematic analysis method we developed a thematic index to code the data. The main reasons for returning were family ties and missing home whilst the key reasons for emigration were concerns about the quality of health care, lack of professional progression opportunities and feeling under-valued. Difficulties reintegrating into the Botswana health care system are a potential push factors for those who return. Policies that aim to attract back healthcare workers should address professional progression, reintegration and improvement of the healthcare system.
撒哈拉以南非洲熟练医疗工作者短缺的问题因他们移民到高资源国家而加剧。有证据表明,少数医疗工作者会返回自己的祖国。了解影响返回决策的因素很重要,以便制定适当的策略来吸引更多人回国。本研究旨在调查在侨居国外工作后返回博茨瓦纳的医疗工作者的观点。我们对 8 名医疗工作者进行了半结构化访谈。我们使用主题分析方法制定了主题索引对数据进行编码。返回的主要原因是家庭关系和想家,而移民的主要原因是担心医疗质量、缺乏专业发展机会和感到被低估。重新融入博茨瓦纳医疗保健系统的困难是那些返回的人的潜在推动因素。旨在吸引医疗工作者回国的政策应解决专业发展、重新融入和医疗系统改善等问题。