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The Nurse Labor and Education Markets of the English Speaking CARICOM No ‘Business as Usual’

The Nurse Labor and Education Markets of the English Speaking CARICOM No ‘Business as Usual’ Christoph Kurowski May 2009. Motivation and objectives. What is the ES-CARICOM’s potential to serve as a medical tourism hub?

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The Nurse Labor and Education Markets of the English Speaking CARICOM No ‘Business as Usual’

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  1. The Nurse Labor and Education Markets of the English Speaking CARICOM No ‘Business as Usual’ Christoph Kurowski May 2009

  2. Motivation and objectives • What is the ES-CARICOM’s potential to serve as a medical tourism hub? • How would staff/nurse shortages compounded by migratory outflows impact the development of such an industry? • How would the development of such an industry impact the availability of staff/nurses and consequently service provision to the general population? • Establish the information base for HRH policy decision making through a comprehensive review of the regional nurse and education labor markets.

  3. The ES-CARICOM • Guyana (GY) • Jamaica (JM) • Saint Lucia (SL) • Saint Vincent & the Grenadines (SVG) • Trinidad & Tobago (TT)

  4. The approach • Multi-Year Programmatic AAA (with several deliverables) … Not leading immediately to a lending operation • Partnership with HNP hub • Partnership with PAHO • Funding from various sources (BB, Gates (through hub), PHRD) • Early engagement with key countries • Local consultants

  5. Methods

  6. A fragile supply equilibrium Death & Disability Nurse Education NLM Retirement In-Migration Out-Migration Attrition: 8% annually Increments: 10.5% annually

  7. with attrition driven by out-migration

  8. … out-migration determined by OECD country immigration policy 81% of non-migrants have considered migrating 75% of non-migrants dissatisfied with work environment US nurse shortage of over 800,000 by 2020

  9. … the stock abroad greater than in the region

  10. … and the possibility for growing intra-regional migration

  11. Negligible inactive supply

  12. … but potential to boost training capacity

  13. … yet the quality of training is doubtful. NCLEX pass rate by country

  14. Looking forward • Regional approach • Focus on both increasing nurse training and managing migration • Improve monitoring systems • Expand survey and establish baseline of panel data set • Alternative financing models for nurse education • Framework convention

  15. Ana Deroche Audrey Corry Elizabeth Ward Luke Shors Marko Vujicic Mary Dowling Oscar Ocho Pauline Reid Tomoko Ono Veronica Jarrin Yuki Murakami World Bank Team and Collaborating Agencies MoH Barbados MoH Guyana MoH Jamaica MoH St. Lucia MoH St. Vincent & the Grenadines MoH Trinidad & Tobago PAHO

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