Understanding the trends, and drivers of emigration, migration intention and non-migration of health workers from low-income and middle-income countries: protocol for a systematic review
Introduction The WHO estimates a shortage of 18 million health workers (HWs) by 2030, primarily in low-income and middle-income countries (LMICs). The perennial out-migration of HWs from LMICs, often to higher-income countries, further exacerbates the shortage. We propose a systematic review to unde...
| Main Authors: | , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2022-12-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/12/e068522.full |
| _version_ | 1797777273769689088 |
|---|---|
| author | Oghenebrume Wariri Paul Ikhurionan Yakubu Kevin Kwarshak Ekhosuehi T Agho Itua C G Akhirevbulu Josephine Atat Franca Erhiawarie Emmanuel O Gbejewoh Chinelo Iwegim Ukachi Nnawuihe Uyoyo Odogu Jermaine Okpere Efe E Omoyibo Efetobo Victor Orikpete Uwaila Otakhoigbogie Avwebo Ukueku Patience Ugwi |
| author_facet | Oghenebrume Wariri Paul Ikhurionan Yakubu Kevin Kwarshak Ekhosuehi T Agho Itua C G Akhirevbulu Josephine Atat Franca Erhiawarie Emmanuel O Gbejewoh Chinelo Iwegim Ukachi Nnawuihe Uyoyo Odogu Jermaine Okpere Efe E Omoyibo Efetobo Victor Orikpete Uwaila Otakhoigbogie Avwebo Ukueku Patience Ugwi |
| author_sort | Oghenebrume Wariri |
| collection | DOAJ |
| description | Introduction The WHO estimates a shortage of 18 million health workers (HWs) by 2030, primarily in low-income and middle-income countries (LMICs). The perennial out-migration of HWs from LMICs, often to higher-income countries, further exacerbates the shortage. We propose a systematic review to understand the determinants of HWs out-migration, intention to migrate and non-migration from LMICs.Methods and analysis This protocol was designed in accordance with the Preferred Reporting Items for Systematic Review and Meta-analysis Protocols guideline for the development and reporting of systematic review protocols. We will include English and French language primary studies (quantitative or qualitative) focused on any category of HWs; from any LMICs; assessed migration or intention to migrate; and reported any determinant of migration. A three-step search strategy that involves a search of one electronic database to refine the preliminary strategy, a full search of all included databases and reference list search of included full-text papers for additional articles will be employed. We will search Ovid MEDLINE, EMBASE, CINAHL, Global Health and Web of Science from inception to August 2022. The retrieved titles will be imported to EndNote and deduplicated. Two reviewers will independently screen all titles and abstract for eligibility using Rayyan. Risk of bias of the individual studies will be determined using the National Institute of Health study quality assessment tools for quantitative studies and the 10-item Critical Appraisal Skills Programme checklists for qualitative studies. The results will be presented in the form of narrative synthesis using a descriptive approachEthics and dissemination We will not seek ethical approval from an institutional review board, as this is a systematic review. At completion, we will submit the report of this review to a peer-reviewed journal for publication. Key findings will be presented at local and international conferences.PROSPERO registration number CRD42022334283. |
| first_indexed | 2024-03-12T23:01:48Z |
| format | Article |
| id | doaj.art-76055d708f444da9b2c3e2bf3d269e82 |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-03-12T23:01:48Z |
| publishDate | 2022-12-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-76055d708f444da9b2c3e2bf3d269e822023-07-19T09:00:06ZengBMJ Publishing GroupBMJ Open2044-60552022-12-01121210.1136/bmjopen-2022-068522Understanding the trends, and drivers of emigration, migration intention and non-migration of health workers from low-income and middle-income countries: protocol for a systematic reviewOghenebrume Wariri0Paul Ikhurionan1Yakubu Kevin Kwarshak2Ekhosuehi T Agho3Itua C G Akhirevbulu4Josephine Atat5Franca Erhiawarie6Emmanuel O Gbejewoh7Chinelo Iwegim8Ukachi Nnawuihe9Uyoyo Odogu10Jermaine Okpere11Efe E Omoyibo12Efetobo Victor Orikpete13Uwaila Otakhoigbogie14Avwebo Ukueku15Patience Ugwi16Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UKDepartment of Paediatrics, University of Benin Teaching Hospital, Benin City, NigeriaDepartment of Surgery, Jos University Teaching Hospital, Jos, NigeriaDepartment of Oral Medicine, Ahmadu Bello University, Zaria, NigeriaOrthopaedics and Trauma Division, Department of Surgery, Edo Specialist Hospital, Benin City, NigeriaDepartment of Restorative Dentistry, University of Benin Teaching Hospital, Benin City, NigeriaDepartment of Pediatrics, Baylor College of Medicine, Houston, Texas, USAInternational Organization for Migration, Abuja, NigeriaFraser Health Authority, Surrey, British Columbia, CanadaIntercountry Centre for Oral Health for Africa, Jos, NigeriaDepartment of Preventive Dentistry, Lagos University Teaching Hospital, Lagos, NigeriaDepartment of Clinical Research, Alpha Research Clinic Inc, Edmonton, Alberta, CanadaDepartment of Paediatrics, Federal Medical Centre, Asaba, NigeriaDepartment of Oral Pathology and Oral Biology, University of Port Harcourt, Port Harcourt, NigeriaDepartment of Oral Pathology and Oral Medicine, University of Nigeria, Enugu Campus, Enugu, NigeriaDepartment of Obstetrics and Gynaecology, University of Port Harcourt Teaching Hospital, Port Harcourt, NigeriaLawton Community Health Center, Lawton, Oklahoma, USAIntroduction The WHO estimates a shortage of 18 million health workers (HWs) by 2030, primarily in low-income and middle-income countries (LMICs). The perennial out-migration of HWs from LMICs, often to higher-income countries, further exacerbates the shortage. We propose a systematic review to understand the determinants of HWs out-migration, intention to migrate and non-migration from LMICs.Methods and analysis This protocol was designed in accordance with the Preferred Reporting Items for Systematic Review and Meta-analysis Protocols guideline for the development and reporting of systematic review protocols. We will include English and French language primary studies (quantitative or qualitative) focused on any category of HWs; from any LMICs; assessed migration or intention to migrate; and reported any determinant of migration. A three-step search strategy that involves a search of one electronic database to refine the preliminary strategy, a full search of all included databases and reference list search of included full-text papers for additional articles will be employed. We will search Ovid MEDLINE, EMBASE, CINAHL, Global Health and Web of Science from inception to August 2022. The retrieved titles will be imported to EndNote and deduplicated. Two reviewers will independently screen all titles and abstract for eligibility using Rayyan. Risk of bias of the individual studies will be determined using the National Institute of Health study quality assessment tools for quantitative studies and the 10-item Critical Appraisal Skills Programme checklists for qualitative studies. The results will be presented in the form of narrative synthesis using a descriptive approachEthics and dissemination We will not seek ethical approval from an institutional review board, as this is a systematic review. At completion, we will submit the report of this review to a peer-reviewed journal for publication. Key findings will be presented at local and international conferences.PROSPERO registration number CRD42022334283.https://bmjopen.bmj.com/content/12/12/e068522.full |
| spellingShingle | Oghenebrume Wariri Paul Ikhurionan Yakubu Kevin Kwarshak Ekhosuehi T Agho Itua C G Akhirevbulu Josephine Atat Franca Erhiawarie Emmanuel O Gbejewoh Chinelo Iwegim Ukachi Nnawuihe Uyoyo Odogu Jermaine Okpere Efe E Omoyibo Efetobo Victor Orikpete Uwaila Otakhoigbogie Avwebo Ukueku Patience Ugwi Understanding the trends, and drivers of emigration, migration intention and non-migration of health workers from low-income and middle-income countries: protocol for a systematic review BMJ Open |
| title | Understanding the trends, and drivers of emigration, migration intention and non-migration of health workers from low-income and middle-income countries: protocol for a systematic review |
| title_full | Understanding the trends, and drivers of emigration, migration intention and non-migration of health workers from low-income and middle-income countries: protocol for a systematic review |
| title_fullStr | Understanding the trends, and drivers of emigration, migration intention and non-migration of health workers from low-income and middle-income countries: protocol for a systematic review |
| title_full_unstemmed | Understanding the trends, and drivers of emigration, migration intention and non-migration of health workers from low-income and middle-income countries: protocol for a systematic review |
| title_short | Understanding the trends, and drivers of emigration, migration intention and non-migration of health workers from low-income and middle-income countries: protocol for a systematic review |
| title_sort | understanding the trends and drivers of emigration migration intention and non migration of health workers from low income and middle income countries protocol for a systematic review |
| url | https://bmjopen.bmj.com/content/12/12/e068522.full |
| work_keys_str_mv | AT oghenebrumewariri understandingthetrendsanddriversofemigrationmigrationintentionandnonmigrationofhealthworkersfromlowincomeandmiddleincomecountriesprotocolforasystematicreview AT paulikhurionan understandingthetrendsanddriversofemigrationmigrationintentionandnonmigrationofhealthworkersfromlowincomeandmiddleincomecountriesprotocolforasystematicreview AT yakubukevinkwarshak understandingthetrendsanddriversofemigrationmigrationintentionandnonmigrationofhealthworkersfromlowincomeandmiddleincomecountriesprotocolforasystematicreview AT ekhosuehitagho understandingthetrendsanddriversofemigrationmigrationintentionandnonmigrationofhealthworkersfromlowincomeandmiddleincomecountriesprotocolforasystematicreview AT ituacgakhirevbulu understandingthetrendsanddriversofemigrationmigrationintentionandnonmigrationofhealthworkersfromlowincomeandmiddleincomecountriesprotocolforasystematicreview AT josephineatat understandingthetrendsanddriversofemigrationmigrationintentionandnonmigrationofhealthworkersfromlowincomeandmiddleincomecountriesprotocolforasystematicreview AT francaerhiawarie understandingthetrendsanddriversofemigrationmigrationintentionandnonmigrationofhealthworkersfromlowincomeandmiddleincomecountriesprotocolforasystematicreview AT emmanuelogbejewoh understandingthetrendsanddriversofemigrationmigrationintentionandnonmigrationofhealthworkersfromlowincomeandmiddleincomecountriesprotocolforasystematicreview AT chineloiwegim understandingthetrendsanddriversofemigrationmigrationintentionandnonmigrationofhealthworkersfromlowincomeandmiddleincomecountriesprotocolforasystematicreview AT ukachinnawuihe understandingthetrendsanddriversofemigrationmigrationintentionandnonmigrationofhealthworkersfromlowincomeandmiddleincomecountriesprotocolforasystematicreview AT uyoyoodogu understandingthetrendsanddriversofemigrationmigrationintentionandnonmigrationofhealthworkersfromlowincomeandmiddleincomecountriesprotocolforasystematicreview AT jermaineokpere understandingthetrendsanddriversofemigrationmigrationintentionandnonmigrationofhealthworkersfromlowincomeandmiddleincomecountriesprotocolforasystematicreview AT efeeomoyibo understandingthetrendsanddriversofemigrationmigrationintentionandnonmigrationofhealthworkersfromlowincomeandmiddleincomecountriesprotocolforasystematicreview AT efetobovictororikpete understandingthetrendsanddriversofemigrationmigrationintentionandnonmigrationofhealthworkersfromlowincomeandmiddleincomecountriesprotocolforasystematicreview AT uwailaotakhoigbogie understandingthetrendsanddriversofemigrationmigrationintentionandnonmigrationofhealthworkersfromlowincomeandmiddleincomecountriesprotocolforasystematicreview AT avweboukueku understandingthetrendsanddriversofemigrationmigrationintentionandnonmigrationofhealthworkersfromlowincomeandmiddleincomecountriesprotocolforasystematicreview AT patienceugwi understandingthetrendsanddriversofemigrationmigrationintentionandnonmigrationofhealthworkersfromlowincomeandmiddleincomecountriesprotocolforasystematicreview |