Sangam: A Confluence of Knowledge Streams

HIV Pandemic, Medical Brain Drain, and Economic Development in Sub-Saharan Africa

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dc.creator Bhargava, Alok
dc.creator Docquier, Frédéric
dc.date 2012-03-30T07:12:37Z
dc.date 2012-03-30T07:12:37Z
dc.date 2008-05-30
dc.date.accessioned 2023-02-18T19:41:14Z
dc.date.available 2023-02-18T19:41:14Z
dc.identifier World Bank Economic Review
dc.identifier 1564-698X
dc.identifier http://hdl.handle.net/10986/4483
dc.identifier.uri http://localhost:8080/xmlui/handle/CUHPOERS/249968
dc.description Country-level longitudinal data at three-year intervals over 1990–2004 are used to analyze the factors affecting emigration of physicians from Sub-Saharan countries and the effects of this medical brain drain on life expectancy and number of deaths due to AIDS. Data are compiled on emigrating African physicians from 16 receiving Organisation for Economic Co-operation and Development (OECD) countries. A comprehensive longitudinal database is developed by merging the medical brain drain variables with recent data on HIV prevalence rates, public health expenditures, physicians' wages, and economic and demographic variables. A triangular system of equations is estimated in a random effects framework using five time observations for medical brain drain rates, life expectancy, and number of deaths due to AIDS, taking into account the interdependence of these variables. Lower wages and higher HIV prevalence rates are strongly associated with the brain drain of physicians from Sub-Saharan African to OECD countries. In countries in which the HIV prevalence rate exceeds 3 percent, a doubling of the medical brain drain rate is associated with a 20 percent increase in adult deaths from AIDS; medical brain drain does not appear to affect life expectancy. These findings underscore the need to improve economic conditions for physicians in order to retain physicians in Sub-Saharan Africa, especially as antiretroviral treatment becomes more widely available.
dc.publisher World Bank
dc.rights CC BY-NC-ND 3.0 IGO
dc.rights http://creativecommons.org/licenses/by-nc-nd/3.0/igo
dc.rights World Bank
dc.subject AIDS
dc.subject AIDS pandemic
dc.subject brain drain
dc.subject HIV
dc.subject international migration
dc.subject life expectancy
dc.subject number of deaths
dc.subject pandemic
dc.subject public health
dc.subject young people
dc.title HIV Pandemic, Medical Brain Drain, and Economic Development in Sub-Saharan Africa
dc.type Journal Article
dc.type Journal Article
dc.coverage South Africa
dc.coverage Uganda
dc.coverage Burkina Faso
dc.coverage Congo, Republic of
dc.coverage Ghana


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