oa South African Health Review - Human resources : international context : human resources
This chapter reviews human resources for health in South Africa from an international perspective. It highlights the vast inequities in global and regional distribution of health workers and briefly examines those factors affecting human resource development. <BR>International migration of health workers is affected by both push factors, such as the impact of HIV and AIDS on health workers and poor working conditions and pull factors, such as underproduction of health workers in developed countries coupled with aggressive recruitment. <BR>The liberalisation of trade, including in health services, influences the brain drain from public to private and from developing to developed countries. The General Agreement on Trade in Services (GATS) with its four modes of supply for trade in services threatens to aggravate this problem. The chapter further examines the impact of migration and highlights possible responses to address the impact.
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