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Bellagio Conference Nursing shortages in the United States, Canada, United Kingdom and many other developed countries, have become a global problem. In recent years, provider organizations in developed countries have been actively recruiting nurses from English-speaking countries. With an expected shortage of 270,000 nurses in the U.S. by the year 2010, the potential impact of private sector recruitment of nurses on health systems in poor countries, especially those that are small, is devastating. While some supply countries, such the Philippines and India, have traditionally promoted emigration of professionals to generate remittances, most now view the recruitment of nurses as a looming threat. The greatest damage, however, will be in the countries with high burden of HIV/AIDS, such as the Sub Saharan African countries, where a stable health workforce a prerequisite for any effective aid efforts. For the first phase of this project, nine case studies, three from developed countries and six from developing countries, were commissioned. Researchers gathered data on the existing stocks of nurses, as well as the inflow and the outflow from the professional and their countries. They also performed a stakeholder analysis of the interests and viewpoints of multiple sectors within their countries in relation to this issue. The nine teams then met in July 2005, together with representatives from major international agencies, to deliberate three questions:
The project also interfaced with other ongoing international initiatives concerned with migration, such as the Joint Learning Initiative and the new U.N. Commission on Migration. Sponsors include: Rockefeller Foundation, Nuffield Trust, Canadian Nursing Association, Canadian Health Services Research Foundation and the Agency for Healthcare Research and Quality. Recommendations developed at the Bellagio meeting, power point presentations, a participant list and a photograph of the group may be found below. |
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