Department of Paediatrics, University of Benin Teaching Hospital, Benin City, Nigeria.
Department of Surgery, Jos University Teaching Hospital, Jos, Nigeria.
BMJ Open. 2022 Dec 6;12(12):e068522. doi: 10.1136/bmjopen-2022-068522.
The WHO estimates a shortage of 18 million health workers (HWs) by 2030, primarily in low-income and middle-income countries (LMICs). The perennial out-migration of HWs from LMICs, often to higher-income countries, further exacerbates the shortage. We propose a systematic review to understand the determinants of HWs out-migration, intention to migrate and non-migration from LMICs.
This protocol was designed in accordance with the Preferred Reporting Items for Systematic Review and Meta-analysis Protocols guideline for the development and reporting of systematic review protocols. We will include English and French language primary studies (quantitative or qualitative) focused on any category of HWs; from any LMICs; assessed migration or intention to migrate; and reported any determinant of migration. A three-step search strategy that involves a search of one electronic database to refine the preliminary strategy, a full search of all included databases and reference list search of included full-text papers for additional articles will be employed. We will search Ovid MEDLINE, EMBASE, CINAHL, Global Health and Web of Science from inception to August 2022. The retrieved titles will be imported to EndNote and deduplicated. Two reviewers will independently screen all titles and abstract for eligibility using Rayyan. Risk of bias of the individual studies will be determined using the National Institute of Health study quality assessment tools for quantitative studies and the 10-item Critical Appraisal Skills Programme checklists for qualitative studies. The results will be presented in the form of narrative synthesis using a descriptive approach ETHICS AND DISSEMINATION: We will not seek ethical approval from an institutional review board, as this is a systematic review. At completion, we will submit the report of this review to a peer-reviewed journal for publication. Key findings will be presented at local and international conferences.
CRD42022334283.
世界卫生组织估计，到 2030 年，全球将短缺 1800 万名卫生工作者（HWs），主要集中在低收入和中等收入国家（LMICs）。HWs 从 LMICs 向高收入国家的常年外流，进一步加剧了短缺问题。我们提出了一项系统评价，以了解 LMICs 中 HWs 外流、迁移意愿和非迁移的决定因素。
本方案是根据系统评价和荟萃分析方案的首选报告项目制定的，用于开发和报告系统评价方案。我们将包括以任何类别的 HWs 为重点的英语和法语的初级研究（定量或定性）；来自任何 LMICs；评估迁移或迁移意向；并报告任何迁移决定因素。将采用三步骤搜索策略，包括搜索一个电子数据库以完善初步策略、全面搜索所有纳入数据库和纳入全文论文的参考文献搜索以获取其他文章。我们将从创建日期到 2022 年 8 月，在 Ovid MEDLINE、EMBASE、CINAHL、全球卫生和 Web of Science 中进行搜索。检索到的标题将被导入 EndNote 并去重。两名评审员将使用 Rayyan 独立筛选所有标题和摘要以确定是否符合入选标准。使用 NIH 研究质量评估工具评估定量研究的个体研究的偏倚风险，并使用 10 项关键评估技能计划清单评估定性研究的偏倚风险。结果将以描述性方法的叙述性综合形式呈现。
我们不会向机构审查委员会寻求伦理批准，因为这是一项系统评价。完成后，我们将向同行评审期刊提交本综述报告以供发表。主要发现将在地方和国际会议上展示。
PROSPERO 注册号：CRD42022334283。
