Ohene-Botwe B, Antwi W K, Amedu C, Akudjedu T N, Mudadi L-S, Chinene B, Adjeley Quaye S N, Dambele M Y, Mkoloma S S, Barare C, Kumsa M J, Sichone J, Saizi R, Mdletshe S, Dlama J Z, Malamateniou C, Ahmad R
Department of Midwifery and Radiography, SHPS, City St George's, University of London, Northampton Square, London, EC1V 0HB, United Kingdom.
Department of Radiography, School of Biomedical & Allied Health Sciences, CHS, University of Ghana, Ghana.
Radiography (Lond). 2025 Jul;31(4):103001. doi: 10.1016/j.radi.2025.103001. Epub 2025 Jun 7.
African countries face a critical challenge as radiography professionals and other healthcare workers migrate to high-income countries with better-resourced health systems. This study sought to identify the factors influencing the migration of qualified radiography professionals and evaluate the challenges and strategies for retaining the radiography workforce across the continent.
This quantitative cross-sectional study was conducted using an online questionnaire. The link to the questionnaire was widely advertised through professional body platforms, as well as the professional and social media pages of radiography professionals across Africa. Descriptive, inferential statistics and exploratory factor analysis using principal component analysis were used to examine the data.
A total of 755 radiography professionals from 17 African countries participated. Poor salary was the most commonly cited push factor for migration, reported by 80.00 % of participants. In the exploratory factor analysis, five factors were identified, explaining 55.57 % of the variation in the data on push factors for migration among radiography professionals. These factors include the health system, economic concerns, professional challenges, political issues, and social conditions. Better salaries (86.49 %) and improved living conditions (86.35 %) were the most common pull factors. Additionally, 92.00 % of participants identified improving radiography professionals' salaries as the most effective strategy for reducing migration.
Low salaries, inadequate working conditions, and the pursuit of better opportunities abroad are key contributors to the migration of radiography professionals from Africa. To address this issue, African healthcare systems must prioritise improving remuneration, enhancing working conditions, investing in health infrastructure, and implementing targeted policies focused on professional development and career growth.
Retaining radiography professionals in Africa requires a multifaceted approach to strengthen the workforce and improve healthcare systems.
随着放射影像学专业人员和其他医护人员向卫生系统资源更丰富的高收入国家迁移，非洲国家面临着严峻挑战。本研究旨在确定影响合格放射影像学专业人员迁移的因素，并评估在整个非洲大陆留住放射影像学专业人员队伍所面临的挑战和策略。
本定量横断面研究通过在线问卷进行。问卷链接通过专业机构平台以及非洲各地放射影像学专业人员的专业和社交媒体页面广泛宣传。使用描述性统计、推断性统计以及主成分分析的探索性因素分析来检验数据。
来自17个非洲国家的755名放射影像学专业人员参与了研究。低薪资是最常被提及的促使迁移的因素，80.00%的参与者报告了这一点。在探索性因素分析中，确定了五个因素，解释了放射影像学专业人员迁移推动因素数据中55.57%的变异。这些因素包括卫生系统、经济担忧、专业挑战、政治问题和社会状况。更高的薪资（86.49%）和改善的生活条件（86.35%）是最常见的吸引因素。此外，92.00%的参与者认为提高放射影像学专业人员的薪资是减少迁移的最有效策略。
低薪资、工作条件不足以及对国外更好机会的追求是非洲放射影像学专业人员迁移的关键因素。为解决这一问题，非洲卫生系统必须优先提高薪酬、改善工作条件、投资卫生基础设施，并实施侧重于专业发展和职业成长的针对性政策。
在非洲留住放射影像学专业人员需要采取多方面的方法来加强专业人员队伍并改善卫生系统。
