Specialist training in Fiji: Why do graduates migrate, and why do they remain? A qualitative study

Human Resources for Health

Volumn 7, Issue , 2009, Pages

  Oman, Kimberly M ^a   Moulds, Robert ^b   Usher, Kim ^a  

^a JAMES COOK UNIVERSITY   (Australia)

^b FIJI SCHOOL OF MEDICINE   (Fiji)

Author keywords

[No Author keywords available]

Indexed keywords

EID: 62649124361     PISSN: None     EISSN: 14784491     Source Type: Journal    
DOI: 10.1186/1478-4491-7-9     Document Type: Article

References (42)

1. World Health Organization The World Health Report 2006: Working Together For Health Geneva: World Health Organization; 2006.
2. Joint Learning Initiative Human Resources for Health: Overcoming the Crisis Cambridge, Massachusetts: The President and Fellows of Harvard College; 2004.
3. Chen L Evans T Anand S Boufford J Brown H Chowdhury M Cueto M Dare L Dussault G Elzinga G Human resources for health: Overcoming the crisis Lancet 2004, 364:1984-1990. 10.1016/S0140-6736(04)17482-5 15567015
4. Connell J The Migration of Skilled Health Personnel in the Pacific Region Manila: World Health Organization Western Pacific Region; 2004.
5. Fiji Islands Bureau of Statistics http://www.statsfiji.gov.fj
6. UNGASS Country Report - 2006 Republic of the Fiji Islands http://data.unaids.org/pub/Report/2006/ 2006_country_progress_report_fiji_en.pdf.
7. Nadakuitavuki R Fiji Ministry of Health From crises to challenges! (conference presentation) Fiji Medical Association Annual Conference; 31 August - 3 September 2006; Suva, Fiji 2006.
8. Fiddes T Fiji School of Medicine Diploma and Masters programmes Pacific Health Dialog 2000, 7:84-85. 11588933
9. Malani J Hunton R Oman K Moulds R Physician training for the Pacific Focus on Health Professional Education 2003, 5:1-11.
10. Oman K Malani J Moulds R Postgraduate internal medicine teaching in the Pacific: a sustainable approach Medical Education 2003, 37:1041-1042. 10.1046/j.1365-2923.2003.01653.x 14629438
11. Clunie GJ McCaig E Baravilala W The Fiji School of Medicine postgraduate training project Medical Journal of Australia 2003, 179:631-632. 14636137
12. Yanuca Island Declaration http://whqlibdoc.who.int/wpro/1994-99/ WPR_RC46_INF_DOC1.pdf
13. Duke T Tefuarani N Baravilala W Getting the most out of health education in Papua New Guinea: Report from the 40th Annual Papua New Guinea Medical Symposium Medical Journal of Australia 2004, 181:606-607. 15588181
14. Kevau IH Vince JD McPherson JV Tailoring medical education in Papua New Guinea to the needs of the country Medical Journal of Australia 2004, 181:608-610. 15588182
15. Martey JO Hudson CN Training specialists in the developing world: ten years on, a success story for West Africa British Journal of Obstetrics and Gynaecology 1999, 106:91-94. 10426672
16. Nmadu PT Trends in staffing an academic department of surgery in a tropical hospital: past, present, any future? British Medical Journal 1996, 312:1345-1347. 2351023 8646051
17. Terry SI Morgan OSC An assessment of the Doctorate of Medicine (Internal Medicine), University of the West Indies Medical Education 1989, 23:399-402. 10.1111/j.1365-2923.1989.tb01567.x 2770583
18. Vince JD Medical postgraduate education in child health in Papua New Guinea Papua New Guinea Medical Journal 2000, 43:54-59. 11407618
19. Watters DAK Theile DE Progress of surgical training in Papua New Guinea to the end of the 20th century Aust NZ J Surg 2000, 70:302-307. 10.1046/ j.1440-1622.2000.01808.x
20. Awases M Gbary AR Nyoni J Chatora R Migration of health professionals in six countries: A synthesis report. pp. 68 World Health Organization Regional Office for Africa: Brazzaville, Democratic Republic of the Congo 2003, 68:.
21. Astor A Akhtar T Matallana MA Muthuswamy V Olowu FA Tallo V Lie RK Physician migration: views from professionals in Colombia, Nigeria, India, Pakistan, and the Philippines Social Science & Medicine 2005, 61:2492-2500. 10.1016/j.socscimed.2005.05.003
22. Dovlo D Causes of health worker migration - perspectives from Ghana - voices of health workers Institute of Futures Studies Workshop on Global Migration, Stockholm, Sweden, 13 June 2004
23. Hagopian A Ofosu A Fatusi A Biritwum R Essel A Hart LG Watts C The flight of physicians from West Africa: Views of African physicians and implications for policy Social Science & Medicine 2005, 61:1750-1760. 15927335
24. Akl EA Maroun N Major S Afif C Chahoud B Choucair J Sakr M Schunemann HJ Why are you draining your brain? Factors underlying decisions of graduating Lebanese medical students to migrate Social Science & Medicine 2007, 64:1278-1284. 10.1016/j.socscimed.2006.10.021
25. Raviola G Machoki MI Mwaikambo E Delvecchio Good MJ HIV, disease plague, demoralization and "burnout": resident experience of the medical profession in Nairobi, Kenya Culture, Medicine and Psychiatry 2002, 26:55-86. 10.1023/A:1015289132151 12088098
26. Dieleman M Identifying factors for job motivation of rural health workers in North Viet Nam Human Resources for Health 2003, 1:. 280735 14613527
27. Mathauer I Imhoff I Health worker motivation in Africa: the role of non-financial incentives and human resource management tools Human Resources for Health 2006, 4:. 1592506 16939644
28. Muula AS Maseko FC How are health professionals earning their living in Malawi? BMC Health Services Research 2006, 6:1-12. 1395358 16403235 10.1186/1472-6963-6-97
29. Lindelow M Serneels P The performance of health workers in Ethiopia: results from qualitative research Social Science & Medicine 2006, 62:2225-2235. 10.1016/j.socscimed.2005.10.015
30. Ofili AN Asuzu MC Isah EC Ogbeide O Job satisfaction and psychological health of doctors at University of Benin Teaching Hospital Occupational Medicine 2004, 54:400-403. 10.1093/occmed/kqh081 15347778
31. Kyaddondo D Whyte SR Working in a decentralized system: a threat to health workers' respect and survival in Uganda International Journal of Health Planning and Management 2003, 18:329-342. 10.1002/hpm.730
32. Okuonzi SA Learning from failed health reform in Uganda British Medical Journal 2004, 329:1173-1175. 527704 15539678 10.1136/bmj.329.7475.1173
33. Roenen C Ferrinho P Van Dormael M Conceicao MC Van Lerberghe W How African doctors make ends meet: an exploration Tropical Medicine and International Health 1997, 2:127-135. 10.1046/j.1365-3156.1997.d01-240.x
34. Israr SM Razum O Ndiforchu V Martiny P Coping strategies of health personnel during economic crisis: a case study from Cameroon Tropical Medicine and International Health 2000, 5:288-292. 10.1046/ j.1365-3156.2000.00547.x
35. Van Lerberghe W Conceicao C Van Damme W Ferrinho P When staff is underpaid: dealing with the individual coping strategies of health personnel Bulletin of the World Health Organization 2002, 80:581-584. 12163923
36. Epi-Info Version 3.3.2 http://www.cdc.gov/epiinfo/
37. QSR QSR N6 "Nud*ist" QSR International Pty Ltd 6.0 2002.
38. Azam A Motivation of doctors within the Fiji Civil Service unpublished Masters in Business Administration thesis University of the South Pacific 1996.
39. Connell J Brown RP The remittances of migrant Tongan and Samoan nurses from Australia Human Resources for Health 2004, 2:. 407854 15078577
40. Tora E A survey on the resignation of doctors in Fiji unpublished Masters thesis Fiji School of Medicine, School of Medical Sciences 2001.
41. Brown RP Connell J The migration of doctors and nurses from South Pacific Island nations Social Science & Medicine 2004, 58:2193-2210. 10.1016/j.socscimed.2003.08.020
42. Naidu LK Contemporary professional emigration from Fiji [unpublished MA Thesis] University of the South Pacific 1997 (quoted by Connell, J. in The migration of skilled health personnel in the Pacific region: a summary report. Manila: World Health Organization Western Pacific Region; 2004)