CGD survey of African health professionals in the US and Canada

February 28, 2006

Please see the bottom of this page for a preliminary and partial summary of the survey results.

The Center for Global Development (CGD) is conducting an anonymous mail survey of all African-born physicians in North America who are members of the American Medical Association and the Canadian Medical Association, as well as several thousand African-born registered nurses in five US states. The survey will be conducted between May and July 2006.

CGD is an independent, non-profit, non-partisan research institute in Washington, DC. We do academic research on how rich countries' policies can do more to reduce poverty in the developing world. Most of our work, including this survey, is funded by independent philanthropists with no agenda other than supporting high-quality research relevant to policy. Learn more about CGD and its history, mission, and funders.

The purpose of the survey is to better inform academic research about the complex effects of the emigration of African professionals on their countries of origin. Frequently, public discussion of these effects focuses on simple effects, presumed to be negative--African health professionals who live abroad are not spending most of their time providing health care in Africa, whereas the positive effects tend to be ignored. Migrant professionals often send money to their home countries, travel back to their home countries, invest in their home countries, and sometimes move back permanently to their home countries with newly acquired skills and wealth. In this survey we hope to document and measure some of these more complex, positive effects. We thus ask questions about the extent of interaction African-born health professionals abroad have with their countries of origin.

We are conducting this survey purely for academic ends. The questionnaire is completely anonymous. We do not request, nor attempt in any way to obtain, the identity of survey respondents. Our only interest lies in estimating general characteristics of the entire population of African health professionals in North America, as a group.

Who is running the survey

This survey is being conducted by two CGD research staff members: Michael Clemens, PhD, and Gunilla Pettersson. Dr. Clemens is a Research Fellow at the Center. He received his doctorate in economics from Harvard University in 2002 and specializes in the study of economic development and economic history. Access Dr. Clemens' bio and writings. Ms. Pettersson is a Research Assistant at the Center, and holds her master's degree in economics from Oxford University. She has lived and worked in Lesotho and Malawi. If you have any questions about the survey we would be happy to discuss them with you; please get in touch with Ms. Pettersson by email at gpettersson@cgdev.org.

Preliminary results for CGD survey of African physicians and nurses in the US and Canada

These preliminary results are intended for survey participants only and may not be cited. So far we have received 1600 responses to the CGD African-born physician survey and 230 responses to the CGD African-born nurse survey and we are very grateful to all survey participants. Simple averages for select questions from the two surveys for 390 and 124 physician and nurse respondents respectively, for which data have been entered are shown in the tables below. The final results will be published here in September 2006.

AVERAGES FOR SELECT VARIABLES FOR CGD AFRICAN-BORN PHYSICIAN SURVEY
(partial results)

Average annual remittances:   US$4,600
Average year physicians began to live continuously in the U.S.: 1982
Average share of physicians trained at home (i.e. in Africa): 53%
Average share of physicians trained abroad (i.e. outside Africa): 47%
Average share of responses from Sub-Saharan Africa (excluding South Africa): 58%
Average share of responses from North Africa: 29%
Average share of responses from South Africa: 13%
Share of physicians providing medical care in their country of birth during the last 12 months: 8%

Preliminary numbers for 390 survey responses. Not for citation.
Source: CGD survey of African-born physicians in Canada and the United States (2006).

AVERAGES FOR SELECT VARIABLES FOR CGD AFRICAN-BORN NURSE SURVEY
(partial results)

Average annual remittance: US$4,720
Average year nurses began to live continuously in the U.S.: 1990
Average share of nurses trained at home (i.e. Africa): 26%
Average share of nurses trained abroad (i.e. not Africa): 74%
Average share of responses from Sub-Saharan Africa (excluding South Africa): 97.6%
Average share of responses from North Africa: 0.8%
Average share of responses from South Africa: 1.6%
Share of nurses that provided medical care in their country of birth during the last 12 months: 6%

Preliminary numbers for 124 survey responses. Not for citation.
Source: CGD survey of African-born nurses in the United States (2006).