Hostname: page-component-cd9895bd7-mkpzs Total loading time: 0 Render date: 2024-12-23T08:07:26.907Z Has data issue: false hasContentIssue false

Health professionals in Kenya: strategies to expand reach and reduce brain drain of psychiatric nurses and psychiatrists

Published online by Cambridge University Press:  02 January 2018

Sharon Brownie
Affiliation:
School of Nursing and Midwifery, Aga Khan University, East Africa, email [email protected] Griffith University, Australia Green Templeton College, Oxford University, UK
Elizabeth Oywer
Affiliation:
Mathari National Teaching and Referral Hospital, Nairobi, Kenya
Rights & Permissions [Opens in a new window]

Extract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

This paper highlights the extent of the brain drain in relation to human resources for health (HRH) that is currently challenging Kenya, and suggests strategies that have the potential to change current working environments and improve HRH retention rates. Governments in partnership with health professional bodies and regulators could improve the working conditions for psychiatrists and mental health nurses: by promoting career choices in mental health; by providing accessible professional development opportunities; and by easing workload pressures by expanding service reach through thoughtfully planned and delivered task-shifting to primary care. While these strategies have the potential to make a significant difference, the evidence suggests a brain drain will continue as long as working conditions remain sub-optimal and global HRH shortages persist.

Type
Thematic Paper
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © Royal College of Psychiatrists 2016

References

Chankova, S., Muchiri, S. & Kombe, G. (2009) Health workforce attrition in the public sector in Kenya: a look at the reasons. Human Resources for Health, 7, 58.CrossRefGoogle Scholar
Jenkins, R., Kiima, D., Njenga, F., et al (2010) Integration of mental health into primary care in Kenya. World Psychiatry, 9, 118120.CrossRefGoogle ScholarPubMed
Jenkins, R., Othieno, C., Okeyo, S., et al (2013) Short structured general mental health in service training programme in Kenya improves patient health and social outcomes but not detection of mental health problems – a pragmatic cluster randomised controlled trial. International Journal of Mental Health Systems, 7, 25.Google Scholar
Kenya Ministry of Health & Nursing Council of Kenya (2012) Kenya Nursing Workforce Report. The Status of Nursing in Kenya. Kenya Ministry of Health. Available at http://www.health.go.ke/wp-content/uploads/2015/09/Kenya%20Nursing%20Workforce%20Report.pdf (accessed June 2016).Google Scholar
Kiima, D. & Jenkins, R. (2010) Mental health policy in Kenya – an integrated approach to scaling up equitable care for poor populations. International Journal of Mental Health Systems, 4, 18.Google Scholar
Kirigia, J., Akpa Gbary, L. M., Nyoni, J., et al (2006) The cost of health professionals brain drain in Kenya. BMC Health Services Research, 6, 89.Google Scholar
Likupe, G. (2013) The skills and brain drain; what nurses say. Journal of Clinical Nursing, 22, 13721381.Google Scholar
Muraguri, M. (2015) Stop brain drain in health sector, Kenya urged. Standard Digital, 7 September.Google Scholar
Odhiambo, G. O. (2013) Academic brain drain: impact and implications for public higher education quality in Kenya. Research in Comparative and International Education, 8, 510523.CrossRefGoogle Scholar
Ojakaa, D., Olango, S. & Jarvis, J. (2014) Factors affecting motivation and retention of primary health care workers in three disparate regions in Kenya. Human Resources for Health, 12, 113.CrossRefGoogle ScholarPubMed
Otieno, D. (2016) Overwork leading to burn-out among Kenya's nurses. Daily Nation, 15 May.Google Scholar
Oywer, E. (2011) Health Care Models Guiding Mental Health Policy in Kenya. Master of Arts in Health Studies, University of South Africa.Google Scholar
Patel, V. & Saxena, S. (2014) Transforming lives, enhancing communities – innovations in global mental health. New England Journal of Medicine, 370, 498501.Google Scholar
Yonga, P. O., Muchiri, H. M. & Onyino, A. W. (2012) Perceptions of medical brain drain among young doctors in Kenya: a cross-sectional survey. Lancet, 380 (suppl. 2), S22.CrossRefGoogle Scholar
Submit a response

eLetters

No eLetters have been published for this article.