CEU Electronic Theses and Dissertations, 2010
| Author | Msonda, Daniel Theodore |
|---|---|
| Title | BRAIN DRAIN IN THE HEALTH SECTOR IN SOUTHERN AFRICA: A COMPARATIVE STUDY OF PUSH AND PULL FACTORS IN MALAWI AND ZAMBIA |
| Summary | This paper explains the differential patterns of nurse migration between Malawi and Zambia, two countries with similar pre-colonial, colonial and post-colonial histories, and with similar social-cultural contexts. It advances the argument that institutional reforms in the health and economic sectors had more perverse externalities in Zambia than in Malawi, which constituted push factors for nurse migration from the Zambian health sector. It finds that macro-level policy factors and micro-level players and actors, all of which depend on the institutional policy environment, play a significant role in influencing the decision to migrate. While theory predicts that poorer countries would register higher rates of migration, this study finds that conventional indicators of economic development play a less important role than institutional factors. The study draws evidence from secondary data sources and academic literature on migration to explain the puzzle. It benefits from wider discourses on migration including neoclassical theories and structural theories of migration. Frameworks on public service motivation also form part of the analytical tools. Based on the analysis of the findings, the paper draws conclusions and implications relevant for policy and intellectual discourses on migration and public service motivation. |
| Supervisor | Bodenstein, Thilo |
| Department | Public Policy MA |
| Full text | https://www.etd.ceu.edu/2010/msonda_daniel.pdf |
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