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Global health,
defined as the
health of
populations in a
global context,
emphasizes the
health problems,
issues, challenges,
opportunities,
policy solutions,
and management
approaches that
transcend national
borders or that have
economic, social,
and political
implications that go
beyond the sovereign
domain of individual
nations.
The two companion
papers, attached
here, address two
issues that are of
high priority on the
global health policy
agenda. The papers are pre-publication
versions that will
be produced in the
near future as
two chapters in a
book on Global
Health Governance
and Moving Health
Sovereignty
edited by the Centre
for International
Governance
Innovation (CIGI)
and published by
Ashgate Publishing.
They may not
be cited without
permission from the
publisher.
The first paper,
“The Challenge of
Globalization to
Health Systems in
Sub-Saharan Africa:
A Labor Market
Perspective”,
analyses the
challenge
globalization poses
to human resource
capacity of health
systems in
Sub-Saharan African
(SSA) countries
transmitted through
healthcare labor
market channels and
the resulting growth
in the international
mobility of health
professionals,
mainly physicians
and nurses. The
paper addresses two
central questions:
(i) What
are the structure
and dynamics of
international labor
market markets for
physicians and
nurses?
(ii) What
are the impacts on
the human resource
capacity of health
systems in SSA to
effectively respond
to demand for safe
and quality
healthcare?
The second paper,
“Managing Health
Professionals’
Mobility to Maximize
Benefits and Reduce
the Negative Impacts
on Supply in
Sub-Sahara Africa”
assumes that the
international
mobility of
physicians and
nurses from SSA to
rich countries is
here to stay, and
has both positive
and negative
consequences for the
performance of
health systems. The
paper addresses
three questions:
(i) What
are the scale and
health system
impacts of the
mobility of SSA
health professionals
to OECD countries?
(ii) What
are some of the key
management issues?
(iii)
In what conceptual
terms might a
balanced and
comprehensive
approach to managing
the international
mobility of health
professionals be
formulated, so that
the benefits of
their mobility are
maximized and shared
as widely as
possible, while
mitigating negative
impacts on the human
resource supply
remaining at home?
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