Evidence map›Paper›PMID 26068218›Full record

ArticlePloS one2015

African Female Physicians and Nurses in the Global Care Chain: Qualitative Explorations from Five Destination Countries.

Silvia Wojczewski, Stephen Pentz, Claire Blacklock, Kathryn Hoffmann, Wim Peersman, Oathokwa Nkomazana, Ruth Kutalek

Abstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Silvia WojczewskiDepartment of General Practice and Family Medicine, Centre of Public Health, Medical University of Vienna, Kinderspitalgasse 15, 1090, Vienna, Austria.
Stephen PentzDepartment of Family Medicine, University of the Witwatersrand, Johannesburg, South Africa.
Claire BlacklockNuffield Department of Primary Care Health Sciences, University of Oxford, Radcliffe Observatory Quarter, Oxford, OX2 6GG, United Kingdom.
Kathryn HoffmannDepartment of General Practice and Family Medicine, Centre of Public Health, Medical University of Vienna, Kinderspitalgasse 15, 1090, Vienna, Austria.
Wim PeersmanDepartment of Family Medicine and Primary Healthcare, Ghent University, University Hospital, 6 K3, De Pintelaan 185, 9000, Ghent, Belgium.
Oathokwa NkomazanaSchool of Medicine, University of Botswana, Botswana, Medical Education Partnership Initiative principal investigator, Gaborone, Botswana.
Ruth KutalekDepartment of General Practice and Family Medicine, Centre of Public Health, Medical University of Vienna, Kinderspitalgasse 15, 1090, Vienna, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Migration of health professionals is an important policy issue for both source and destination countries around the world. The majority of migrant care workers in industrialized countries today are women. However, the dimension of mobility of highly skilled females from countries of the global south has been almost entirely neglected for many years. This paper explores the experiences of high-skilled female African migrant health-workers (MHW) utilising the framework of Global Care Chain (GCC) research. In the frame of the EU-project HURAPRIM (Human Resources for Primary Health Care in Africa), the research team conducted 88 semi-structured interviews with female and male African MHWs in five countries (Botswana, South Africa, Belgium, Austria, UK) from July 2011 until April 2012. For this paper we analysed the 34 interviews with female physicians and nurses using the qualitative framework analysis approach and the software atlas.ti. In terms of the effect of the migration on their career, almost all of the respondents experienced short-term, long-term or permanent inability to work as health-care professionals; few however also reported a positive career development post-migration. Discrimination based on a foreign nationality, race or gender was reported by many of our respondents, physicians and nurses alike, whether they worked in an African or a European country. Our study shows that in addition to the phenomenon of deskilling often reported in GCC research, many female MHW are unable to work according to their qualifications due to the fact that their diplomas are not recognized in the country of destination. Policy strategies are needed regarding integration of migrants in the labour market and working against discrimination based on race and gender.

Indexed as

Delivery of Health CareHuman MigrationAdultAfricaAgedBlack PeopleFemaleHumansMaleMiddle AgedNursesPhysiciansTransients and MigrantsWorkforce

Identifiers

PMID26068218
PMCPMC4466329

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.