Table 4 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 |