The impact of out-migration on the nursing workforce in Kenya

Health Services Research

Volumn 46, Issue 4, 2011, Pages 1300-1318

  Gross, Jessica M ^a   Rogers, Martha F ^a   Teplinskiy, Ilya ^a   Oywer, Elizabeth ^b   Wambua, David ^b   Kamenju, Andrew ^c   Arudo, John ^d   Riley, Patricia L ^e,f   Higgins, Melinda ^a   Rakuom, Chris ^f   Kiriinya, Rose ^c   Waudo, Agnes ^c  

^a EMORY UNIVERSITY   (United States)

^b Nursing Council of Kenya   (Kenya)

^c Kenya Health Workforce Project   (Kenya)

^d AGA KHAN UNIVERSITY   (Pakistan)

^e CENTERS FOR DISEASE CONTROL AND PREVENTION   (United States)

^f Kenyan Ministry of Medical Services   (Kenya)

Author keywords

database; emigration; Human resource information systems; Kenya; nursing workforce; professional regulatory bodies

Indexed keywords

ADULT; ARTICLE; ECONOMIC ASPECT; FEMALE; HUMAN; KENYA; MALE; MIGRATION; NURSE TRAINING; NURSING; NURSING EDUCATION; UNITED KINGDOM; UNITED STATES;

ADOLESCENT; ADULT; AGE FACTORS; EMIGRATION AND IMMIGRATION; FEMALE; HUMANS; KENYA; MALE; MIDDLE AGED; NURSING; POLICY; POLITICS; YOUNG ADULT;

EID: 79960090531     PISSN: 00179124     EISSN: 14756773     Source Type: Journal    
DOI: 10.1111/j.1475-6773.2011.01251.x     Document Type: Article

References (36)

1. Adano, U., 2008. " The Health Worker Recruitment and Deployment Process in Kenya: An Emergency Hiring Program. Human Resources for Health 6: 19.
2. Aiken, L. H., 2007. " US Nurse Labor Market Dynamics Are Key to Global Nurse Sufficiency. Health Services Research 42 (3, Part 2): 1299-320. (Pubitemid 46699461)
3. Arudo, J., 2008. Evaluation of Employment and Migration Status of Nurses from KENYA. Nairobi, East Africa: Aga Khan University.
4. Blanchet, K., R. Keith, and, P. Shackleton,. 2006. "One Million More: Mobilising the African Diaspora Healthcare Professionals for Capacity Building in Africa." Save the Children [accessed on March 15, 2009]. Available at http://www.hrh resourcecenter.org/node/604
5. Buchan, J., 2007. " International Recruitment of Nurses: Policy and Practice in the United Kingdom. Health Services Research 42 (3, Part 2): 1321-35.
6. Chaguturu, S., and, S. Vallabhaneni,. 2005. " Aiding and Abetting- Nursing Crises at Home and Abroad. New England Journal of Medicine 353 (17): 1761-63. (Pubitemid 41549885)
7. Chankova, S., G. Kombe, S. Muchiri, C. Decker, G. Kimani, and, N. Pielemeier,. 2006. Rising to the Challenges of Human Resources for health in Kenya: Developing Empirical Evidence for Policy Making. Bethesda, MD: USAID, Partners for Health Reformplus. Available at
8. Chankova, S., S. Muchiri, and, G. Kombe,. 2009. " Health Workforce Attrition in the Public Sector in Kenya: A Look at the Reasons. Human Resources for Health 7: 58.
9. Commission on Graduates of Foreign Nursing Schools (CGFNS). 1999. "Nursing Relief for Disadvantaged Areas Act of 1999 Passed" [accessed on March 15, 2009]. Available athttp://www.cgfns.org/sections/newsandalerts/ 1999/12-02-99-act.shtml
10. Department of Human Resources for Health, World Health Organization. 2008. Establishing Monitoring Benchmarks for Human Resources for Health: The Workforce Density Approach. Spotlight on health workforce statistics. Geneva, Switzerland: Department of Human Resources for Health, World Health Organization. Available at http://www.who.int/hrh/statistics/spotlight/en/index. html
11. Diallo, K., 2004. " Data on the Migration of Health-Care Workers: Sources, Uses, and Challenges. Bulletin of the World Health Organization 82 (8): 601-7.
12. Diallo, K., P. Zurn, N. Gupta, and, M. DalPoz,. 2003. " Monitoring and Evaluation of Human Resources for Health: An International Perspective. Human Resources for Health 1 (1): 3.
13. Dovlo, D., 2007. " Migration of Nurses from Sub-Saharan Africa: A Review of Issues and Challenges. Health Services Research 42 (3, Part 2): 1373-88.
14. Dussault, G., and, M. C. Franceschini,. 2006. " Not Enough There, Too Many Here: Understanding Geographical Imbalances in the Distribution of The Health Workforce. Human Resources for Health 4: 12.
15. Gross, J. M., P. L. Riley, R. Kiriinya, C. Rakuom, R. Willy, A. Kamenju, E. Oywer, D. Wambua, A. Waudo, and, M. F. Rogers,. 2010. " The impact of an Emergency Hiring Plan on the Shortage and Distribution of Nurses in Kenya: The Importance of Information Systems. Bulletin of the World Health Organization 88 (11): 824-30.
16. International Monetary Fund. 2005. "Kenya: Poverty Reduction Strategy Annual Progress Report-2003/2004." Available at http://imf.org/external/pubs/ft/scr/2007/cr07158.pdf
17. Joint Learning Initiative. 2004 "Human Resources for Health: Overcoming the Crisis" [accessed on March 15, 2009]. Available at http://www.hrhresourcecenter.org/node/31
18. Kaiser Network, Global Health Workforce Alliance. 2007. A call to action: Ensuring Global Human Resources for Health. Proceedings report. Geneva. [accessed on March 15, 2009]. Available at http://www.hrhresourcecenter.org/ node/1363
19. Kingma, M., 2006. Nurses on the Move: Migration and the Global Health Care Economy. Ithaca: Cornell University Press.
20. Kingma, M., 2007. " Nurses on the Move: A Global Overview. Health Services Research 42 (3, Part 2): 1281-98.
21. Kirigia, J. M., A. R. Gbary, L. K. Muthuri, J. Nyoni, and, A. Seddoh,. 2006. " The Cost of Health Professionals' Brain Drain in Kenya. BMC Health Services Research 6: 89.
22. McCoy, D., S. Bennett, S. Witter, B. Pond, B. Baker, J. Gow, S. Chand, T. Ensor, and, B. McPake,. 2008. " Salaries and Incomes of Health Workers in Sub-Saharan Africa. Lancet 371 (9613): 675-81. (Pubitemid 351273399)
23. Munjanja, O., S. Kibuka, and, D Dovlo,. 2005. The Nursing Workforce in Sub-Saharan Africa. The Global Nursing Review Initiative, Issue 7. Geneva, Switzerland: International Council of Nurses. Available at
24. Nguyen, L., S. Ropers, E. Nderitu, A. Zuyderduin, S. Luboga, and, A. Hagopian,. 2008. " Intent to Migrate among Nursing Students in Uganda: Measures of the Brain Drain in the Next Generation of Health Professionals. Human Resources for Health 6 (1): 5.
25. Ogilvie, L., J. E. Mill, B. Astle, A. Fanning, and, M. Opare,. 2007. " The Exodus of Health Professionals from Sub-Saharan Africa: Balancing Human Rights and Societal needs in the Twenty-First Century. Nursing Inquiry 14 (2): 114-24.
26. Riley, P. L., S. M. Vindigni, J. Arudo, A. N. Waudo, A. Kamenju, J. Ngoya, E. O. Oywer, C. P. Rakuom, M. E. Salmon, M. Kelley, M. Rogers, M.E St Louis, and, L. H. Marum,. 2007. " Developing a Nursing Database System in Kenya. Health Services Research 42 (3): 1389-405. (Pubitemid 46699462)
27. Ross, S. J., D. Polsky, and, J. Sochalski,. 2005. " Nursing Shortages and International Nurse Migration. International Nursing Review 52 (4): 253-62. (Pubitemid 41571727)
28. Stilwell, B., K. Diallo, P Zurn, M. R. DalPoz, O. Adams, and, J. Buchan,. 2003. " Developing Evidence-Based Ethical Policies on the Migration of Health Workers: Conceptual and Practical Challenges. Human Resources for Health 1 (1): 8.
29. Stilwell, B., K. Diallo, P. Zurn, M. Vujicic, O. Adams, and, M. Dal Poz,. 2004. " Migration of Health-Care Workers from Developing Countries: Strategic Approaches to Its Management. Bulletin of the World Health Organization 82 (8): 595-600.
30. Troy, P. H., L.A Wyness, and, E. McAuliffe,. 2007. " Nurses' Experiences of Recruitment and Migration from Developing Countries: A Phenomenological Approach. Human Resources for Health 5: 15.
31. U.K. Department of Health. 1999. "Guidance on International Nursing Recruitment" [accessed on March 15, 2009]. Available at http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/ PublicationsPolicyAndGuidance/DH-4073317
32. U.K. Department of Health. 2004. "Code of Practice for the International Recruitment of Healthcare Professionals." Available at http://www.dh.gov.uk/en/Publicationsandstatistics/ Publications/ PublicationsPolicyAndGuidance/DH-4097730
33. U.K. Nursing and Midwifery Council. 2009. "Statistical Analysis of the Register." Available at http://www.nmc-uk.org/About-us/Statistics/ Statistics-about-nursesand-midwives/
34. Volqvartz, J., 2005. " The Brain Drain. Guardian.
35. World Health Organization. 2006. Working Together for Health. World Health Report. Available at http://www.who.int/whr/2006/en/
36. World Health Organization. 2010. WHO Global Code of Practice on the International Recruitment of Health Personnel. World Health Assembly 63.16. Available at http://my.ibpinitiative.org/?m3mq7w6w