The European Journal of Health Economics

, Volume 15, Issue 2, pp 187–201

The impact of health worker migration on development dynamics: evidence of wealth effects from Africa

Original Paper

DOI: 10.1007/s10198-013-0465-4

Cite this article as:
Asongu, S.A. Eur J Health Econ (2014) 15: 187. doi:10.1007/s10198-013-0465-4


This article examines three relevant hypotheses on the effect of health worker migration on human development and economic prosperity (at the macro- and micro-levels) in Africa. Owing to the lack of relevant data on health human resource (HHR) migration for the continent, the subject matter has remained empirically void over the last decades despite the acute concern about health professional emigration. Using quantile regression, the following findings have been established. (1) The effect of HHR emigration is positive (negative) at low (high) levels of economic growth. (2) HHR emigration improves (mitigates) human development (GDP per capita growth) in low (high) quantiles of the distribution. (3) Specific differences in effects are found in top quantiles of human development and low quantiles of GDP per capita growth where the physician (nurse) emigration elasticities of development are positive (negative) and negative (positive), respectively. As a policy implication, blanket health-worker emigration control policies are unlikely to succeed across countries with different levels of human development and economic prosperity. Hence, the policies should be contingent on the prevailing levels of development and tailored differently across the most and least developed African countries.


Welfare Health Human capital Migration 

JEL Classification

D60 F22 I10 J24 O15 

Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  1. 1.HEC-Management SchoolUniversity of LiègeLiègeBelgium

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