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Open Access
Article
Publication date: 27 September 2022

Olusegun Emmanuel Akinwale and Olusoji James George

The mass exodus of the professional healthcare workforce has become a cankerworm for a developing nation like Nigeria, and this worsens the already depleted healthcare systems in…

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Abstract

Purpose

The mass exodus of the professional healthcare workforce has become a cankerworm for a developing nation like Nigeria, and this worsens the already depleted healthcare systems in underdeveloped nation. This study investigated the rationale behind medical workers' brain-drain syndrome and the quality healthcare delivery in the Nigerian public healthcare sector.

Design/methodology/approach

To stimulate an understanding of the effect of the phenomenon called brain drain, the study adopted a diagnostic research design to survey the public healthcare personnel in government hospitals. The study administered a battery of adapted research scales of different measures to confirm the variables of interest of this study on a probability sampling strategy. The study surveyed 450 public healthcare sector employees from four government hospitals to gather pertinent data. The study used a structural equation model (SEM) and artificial neural networks (ANNs) to analyse the collected data from the medical personnel of government hospitals.

Findings

The findings of this study are significant as postulated. The study discovered that poor quality worklife experienced by Nigerian medical personnel was attributed to the brain-drain effect and poor healthcare delivery. The study further demonstrated that job dissatisfaction suffered among the public healthcare workforce forced the workforce to migrate to the international labour market, and this same factor is a reason for poor healthcare delivery. Lastly, the study discovered that inadequate remuneration and pay discouraged Nigerian professionals and allied healthcare workers from being productive and ultimately pushed them to the global market.

Originality/value

Practically, this study has shown three major elements that caused the mass movement of Nigerian healthcare personnel to other countries of the world and that seems novel given the peculiarity of the Nigerian labour market. The study is original and novel as much study has not been put forward in the public healthcare sector in Nigeria concerning this phenomenon.

Open Access
Article
Publication date: 3 April 2023

Olga Gheorghiev

This study examines Covid-19-related policies as a showcase for priorities in migration governance, the role of the state and employers’ associations, as well as gaps in social…

Abstract

Purpose

This study examines Covid-19-related policies as a showcase for priorities in migration governance, the role of the state and employers’ associations, as well as gaps in social security and social protection.

Design/methodology/approach

This paper looks at how immigration interacts with the labour market in the Czech Republic through the prism of the varieties of capitalism framework and its relation to the concepts of labour market segmentation and flexibility.

Findings

The findings show that pandemic-related measures focused on continuously adjusting a legislative framework granting access to third-country workers. However, protective measures that would guarantee migrant workers and their families access to social rights, such as healthcare, were lacking. In this context, several lines of segmentation are observed: between migrant workers in standard employment and those in non-standard employment, when looking at their access to healthcare; between migrants hired directly by employers and those working through temporary agencies in terms of their wages, stability and protection; and, at a sectoral level, between the skilled workforce and migrants that are pushed to low-qualified poorly paid, and routinised jobs.

Originality/value

This paper expands the existing literature on the preferences and influence of governments, employers and trade unions regarding the demand for foreign labour in varieties of capitalism by adding the perspective of a Central European economic model. At the same time, its findings contribute to the understanding that labour market inequalities are not fostered on the supply side of migrant labour, through exogenous societal or cultural characteristics specific to countries of origin, but rather through institutionalised measures, practices and policies in countries of destination.

Details

International Journal of Sociology and Social Policy, vol. 43 no. 3/4
Type: Research Article
ISSN: 0144-333X

Keywords

Open Access
Article
Publication date: 23 March 2023

Olusegun Emmanuel Akinwale, Uche C. Onokala and Olayombo Elizabeth Akinwale

This study explored how the Singaporean government responded to the Covid-19 pandemic crisis from early January 2020 to the end of May of the same year. It evaluated the…

Abstract

Purpose

This study explored how the Singaporean government responded to the Covid-19 pandemic crisis from early January 2020 to the end of May of the same year. It evaluated the capability of Singapore's leadership management in a crisis during the peak and ravaging period of the Covid-19 pandemic.

Design/methodology/approach

The study utilised a systematic design analysis approach, analysing Singaporean cases on the Covid-19 crisis using a systematic and narrative approach to underscore the country's response to the pandemic attack from January 2020 to May 2020.

Findings

Against the backdrop of Singapore's peculiar political system of government dominated by the ruling People's Action Party (PAP) and culture of bureaucracy, the government has increasingly executed several control measures, including strict travel bans, contact tracing, the circuit breaker–lockdown, mask-wearing, social distancing orders as well as financial support to businesses and employees from top to the bottom in the country. However, the treatment and health issues of the migrant workers in the dormitories continue to be the major concern among academics and scholars. At the same time, policy inadequacies truncate the excellent measure of Singapore's response to Covid-19. The case point review concluded that the mortality rate in Singapore remains low compared to other nations of the world. Singapore's case points unveil fundamental learning that an excellent leadership-driven harmonised strategic model is essential for crisis management in any society. The finding of the analysis demonstrated that Singapore adopted a contingency and value-based leadership model to advance good governance and tackle the spread of the deadly coronavirus in its country.

Originality/value

The study has demonstrated a profound analysis that has not been conducted hitherto. Investigation of the Singapore case point is not a popular analysis among Nigerian scholars. Therefore, from Nigeria's perspective, the study has showcased the good and the wrong sides of a coin in Singapore's leadership and power dynamic in crisis management.

Details

LBS Journal of Management & Research, vol. 21 no. 1
Type: Research Article
ISSN: 0972-8031

Keywords

Book part
Publication date: 3 May 2017

Geraldine Healy and Franklin Oikelome

This chapter provides comparative insights into the context of equality and diversity in the United States and the United Kingdom. It argues that there is a real danger that…

Abstract

This chapter provides comparative insights into the context of equality and diversity in the United States and the United Kingdom. It argues that there is a real danger that progressive initiatives in combatting racism in both countries may have stalled and indeed may be slipping backwards. The chapter focuses on one sector, the healthcare sector, where service delivery is local but where in both countries there is huge reliance on an international workforce through migration. Despite huge differences in the US and UK healthcare systems, it is found that the pattern of migration with respect to both highly qualified professional workers (e.g. physicians) and middle and lower ranked workers is similar. The resilience of racial disadvantage is exposed in the context of a range diversity management initiatives.

Details

Management and Diversity
Type: Book
ISBN: 978-1-78635-550-8

Keywords

Open Access
Article
Publication date: 1 March 2022

Aktar Hossain and Mohammad Osman Gani

The study aims to examine the impact of migration on household consumption expenditures in Bangladesh.

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Abstract

Purpose

The study aims to examine the impact of migration on household consumption expenditures in Bangladesh.

Design/methodology/approach

The paper uses coarsened exact matching methods to examine the causal impact between migration and household welfare using the dataset on Bangladesh Household Income and Expenditure Survey 2010 on 12,213 households.

Findings

The study reveals that migration has a positive impact on household welfare improvement through increases in their consumption expenditures. Households with migration status are found to spend more on food, non-food (housing, durable goods, fuel, cosmetics, cleaning, transport, clothing, taxes, insurance, recreation) items and medical. However, the authors do not find any evidence of impacts on education expenditures.

Research limitations/implications

The availability of panel data and the use of other variables (e.g. household investment expenditures, household budget allocation for agricultural input expenses, etc.) would have been able to provide vivid results.

Originality/value

This paper adds to the Bangladeshi migration literature by offering a novel empirical assessment of the Bangladeshi migrants and its impact on household welfare by drawing upon a recently published, nationally representative sample of Bangladeshi households.

Details

Asian Journal of Economics and Banking, vol. 6 no. 2
Type: Research Article
ISSN: 2615-9821

Keywords

Abstract

Details

Children and the Climate Migration Crisis: A Casebook for Global Climate Action in Practice and Policy
Type: Book
ISBN: 978-1-80455-910-9

Article
Publication date: 21 September 2015

Marie-Lyne Grenier

Health care worker migration from underserved nations to developed nations, also known as the “brain drain” effect, is a leading cause of worldwide health inequalities. The…

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Abstract

Purpose

Health care worker migration from underserved nations to developed nations, also known as the “brain drain” effect, is a leading cause of worldwide health inequalities. The purpose of this paper is to identify the factors which have and continue to contribute to “brain drain,” investigate the human consequences of health care worker migration, and explore the ways in which a global ethical leadership approach could be used to help address the issue of “brain drain” and its resulting deleterious effects on global health equality.

Design/methodology/approach

An argument is made supporting the need for a global leadership approach that is centered on the enforcement of ethical international health care worker recruitment policies and collaborative endeavors between wealthy and underserved nations to help improve the working conditions of health care workers worldwide.

Findings

The successful use of ethical leadership approaches in addressing and reversing the “brain drain” effect has been documented in Thailand and Ireland. These case examples could be used as templates for future legislative action on a global scale.

Originality/value

This piece highlights the urgent need for a global ethical leadership approach to help address the issue of “brain drain” in underserved nations and provides concrete strategies to help guide legislative decision making.

Details

International Journal of Migration, Health and Social Care, vol. 11 no. 3
Type: Research Article
ISSN: 1747-9894

Keywords

Book part
Publication date: 27 September 2021

Isabella Bertolini

A Memorandum of Understanding (MoU) was uncovered in January 2017 detailing the sharing of patient data from NHS Digital to the Home Office. It signified a deepening of the…

Abstract

A Memorandum of Understanding (MoU) was uncovered in January 2017 detailing the sharing of patient data from NHS Digital to the Home Office. It signified a deepening of the hostile environment’s presence in the NHS, and was comprehensively rejected by medical professionals. In November 2018, following extensive action calling for its removal, the MoU was withdrawn. This chapter explores how three factors: the lack of legal basis, wide reaching effects, and ethical conflicts of the MoU led to the success of this action, and aims to apply these lessons to other areas of hostile environment policy. It will be established that ethics proved the most influential factor in inciting the opposition, however, all factors may have been integral to the overall success. It shall be demonstrated that, although the success of this action promises much with regards to charging policy, it may be of limited applicability to other areas of the hostile environment.

Details

Privatisation of Migration Control: Power without Accountability?
Type: Book
ISBN: 978-1-80117-663-7

Keywords

Article
Publication date: 14 December 2018

Arati Maleku, Youn Kyoung Kim and Guijin Lee

While social cohesion is important for the promotion of immigrant health, language is a core component through which immigrant groups establish social connections. Since language…

Abstract

Purpose

While social cohesion is important for the promotion of immigrant health, language is a core component through which immigrant groups establish social connections. Since language is a vehicle through which immigrant groups establish social linkages and that English language proficiency has been established as a virtual requirement for full participation in US society, the purpose of this paper is to examine the role of language in establishing social cohesion affecting immigrant health.

Design/methodology/approach

Using the 2012 California Health Interview Survey, the authors investigated the role of language efficacy in the relationship between social cohesion and utilization of healthcare among immigrant groups with good and poor health statuses (n=11,134). Mediation analyses were conducted using PROCESS Macro.

Findings

The direct effect of social cohesion on healthcare utilization and the effect of English language efficacy on healthcare utilization were significant for both groups. English language efficacy was a significant mediator between social cohesion and healthcare utilization among immigrants with good health statuses.

Research limitations/implications

Limitations include generalizability issues across immigrant sub-populations, limited measures in terms of English language efficacy and limitations with measures variables such as length of stay.

Social implications

This study highlights that language is the channel that plays a crucial role not only to establish and maintain social cohesion for positive health outcomes, but also the ripple effects of promoting trust, belonging, opportunity of upward mobility and inclusion.

Originality/value

The findings of the study add value to other pertinent issues of linguistic diversity, positive social relationships and well-being of diverse communities.

Details

International Journal of Migration, Health and Social Care, vol. 15 no. 1
Type: Research Article
ISSN: 1747-9894

Keywords

Article
Publication date: 31 December 2008

Jennifer Gray and Leigh Johnson

Six empirical studies of nurse migration motivations and intentions were identified for review. The review revealed that motivations and intentions varied by country of origin and…

Abstract

Six empirical studies of nurse migration motivations and intentions were identified for review. The review revealed that motivations and intentions varied by country of origin and by individual nurses. Nurses from more developed countries migrated for personal reasons, while nurses from less developed countries migrated for economic, professional and family reasons. Country‐level studies are needed in resource‐poor countries to inform health system policies and workforce development. These policies must simultaneously protect the right of the individual nurse to migrate and create conditions conducive to retention of nurses. Additional research is needed to understand the decision‐making processes related to migration and the experiences of individual nurses who migrate to more developed countries.

Details

International Journal of Migration, Health and Social Care, vol. 4 no. 4
Type: Research Article
ISSN: 1747-9894

Keywords

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