|
Summary of push and pull factors identified by respondents |
|
| Push factors |
Pull factors |
|
|
|
| Job security |
|
|
|
|
| No jobs available |
Jobs available; colleagues, friends and recruiters telling them about opportunities |
| Lack of promotions |
|
| Risk of losing jobs due to lack of funds |
|
|
|
|
| Working conditions |
|
|
|
|
| Low salaries |
Reasonable remuneration – able to save money |
| Non-payment of salaries (non-payment of housing allowance) |
|
| Deteriorating work environment/facilities |
|
| Inadequate medicine and equipment |
|
| Significant stress, overtime and generally poor conditions of service resulting in fatigue and burn-out |
Regular workload |
| Inability to treat patients due to poor services and medicine |
|
| Impossible patient-health care provider ratios, making it difficult to give quality care |
Reasonable conditions of work |
| Poor health human resources planning |
|
|
|
|
| Economic and political considerations |
|
|
|
|
| Disarray in severely economically depressed SSA countries |
Canada a wealthy, democratic country |
| Political and racial upheaval |
Not corrupt |
| Gender discrimination |
|
|
|
|
| Physical security |
|
|
|
|
| Carjackings |
Safe country |
| Muggings |
|
| Significant criminality |
|
| Gender-based violence |
|
| Significant exposure to HIV – risk of infection through treatment of patients |
|
|
|
|
| Quality of life |
|
|
|
|
| Poor accommodation |
Canada tolerant, multi-ethnic |
| Lack of transport to go to work |
Good quality of life |
| Inability to live a decent life |
|
|
|
|
| Education |
|
|
|
|
| Diminishing quality of education for children |
Greater opportunities for children – good education and ability to earn a decent living |
Labonté et al. Human Resources for Health 2006 4:22 doi:10.1186/1478-4491-4-22 |
|