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Reversing brain-drain

Zulfiquer Ahmed Amin
IN a recent get-together of all my friends who passed from Jhenidah Cadet College, it was like a bolt from the blue when we discovered that only 23 out of 48 of us are now staying in Bangladesh, while the rest have gone abroad. It was the same distressing revelation when we found that 69 out of 136 friends who passed from Dhaka Medical Cbllege have committed their services to another nation.
Trained and skilled people constitute a very scarce resource for poor countries. Losing them sets development back in these countries. In fact, many countries, having lost their best brains to the industrial world, have had to import expensive consultants from abroad.
A country spends its precious resources to educate and train its people. Losing them to developed
countries is a form of reverse foreign assistance, from resource-poor to resource-rich countries.
Brain drain — the emigration of skilled workers that takes away this human ingenuity - is pervasive in most least developed countries (LDCs), and is a serious barrier to using technology to help such nations expand their economies and raise living standards
The work of skilled professionals is a precondition for upgrading the productive structures, and for improving the sophistication of domestic businesses — not to mention improving domestic health and education, which benefits the entire population.
Without enough trained agronomists, biologists, engineers, scientists, doctors, nurses and information and communication technology (ICT) professionals, it is impossible for the LDCs to use technology to promote their products and efficiency — and that
makes it difficult for them to face foreign competitors. Lost human capital, thus, cripples a nation.
Some of the poorest nations on earth, including Haiti, Samoa, Gambia and Somalia, are among those, which have lost more than half of their university-educated professionals, who took jobs abroad. A report in 2004 noted that a million skilled people emigrated from less developed countries out of a total pool of 6.6 million -- which is a loss of 15 per cent.
In a country like Bangladesh, where most of the people are illiterate, advancement in development is at stake. On the other hand, the ones who are educated and capable of contributing towards the growth of the nation prefer to live abroad.
Statistics show that, in Bangladesh, 65 per cent of all newly graduated doctors seek jobs abroad and the country loses 200
doctors from the government sector each year, while there are millions of children suffering from malnutrition and childhood diseases. Moreover, every year thousands of people die due to untreated diseases.
The Organisation for Economic Co-operation and Development recently reported that in 2005 between a quarter to a third of all practising doctors in countries such as the UK, US, Canada and Australia were trained in another country. Rwanda and Burundi lost 19 per cent of their skilled people in 2000, while Tanzania saw 15.8 per cent of its intellectuals move abroad.
Gambia tops the list in Africa: 64.7 pet cent of its educated people left in 2000, followed by Somalia (58.6 per cent), Eritrea (45.8 per cent), Mozambique (42 per cent) and Sierra Leone (41 per cent). India is the world's biggest exporter of doctors. The impact of the brain-drain can be seen in this disturbing statistic: there is one Indian doctor in the Untied States for every 1,325 Americans. However, there is only one Indian doctor in India for over 2,400 Indians.
The causes are often seen in a bi polar model of "pulls" exerted
by the foreign countries and the "push" exerted factors operating in the home countries, in which the differentials between the two determine the decision of the individual who migrates. The push factors are depressing characteristics in the country of origin. On the other hand, pull factors are the attracting features in the destination.
A significant factor is the professional milieu within which an individual has to operate. The political control of professional associations, corruption, and outmoded attitudes and procedures often repeatedly discourage theyoung and aspiring reformer.
The system of higher education is not rooted in local problems, issues and values. Quality and relevance have not yet turned into the criteria for educational planning and development, thus facilitating the upsetting brain-drain.
It is characteristic of brain-drain that the more underdeveloped a country is economically the more it loses by brain-drain, while only developed countries profit from the process. It is stimulated by the lack of an educational system, as well as the absence of a manpower policy in most of the
under-developed countries.
These deficiencies normally hinder the efficient use of those who are qualified, as well as those having talent. As against this, there are the higher living standards and better research and working opportunities of the more developed countries, which provide thousands of possibilities for developing human potential. In addition to these objective economic factors, brain-drain is also kindled by the actually realised intention of the developed countries to acquire intellectual capital free, and as quickly as possible.
The only positive outcome of brain-drain is inflow of remittances. But, in the true sense, the remittances fail to add to development because they are not spent on investment goods but mostly on unproductive purposes --housing, land purchase, transport, repayment of debt — or wasted on conspicuous consumption, or simply saved as insurance and old age pension funds. Thus, they do not contribute effectively to long-term, substantial development of the nation.
The time has come to reverse this devastating phenomenon, before grave, irreversible damage is done to
resource starved poor nations. To begin with, we need to think about why we are failing to keep our brains within our own heads.
We need to focus on addressing rationally the push and pull factors responsible for brain-drain to augment brain-gain instead.
China has adopted an official policy and introduced industry incentives, which are friendly to the expatriates who want to return. The Chinese encouraged their best to acquire valuable expertise abroad, and then wooed them back to set up businesses or work in top government posts.
They have succeeded in creating a professionally stimulating environment to attract students back. Ip a business friendly environment, returnees have founded most of the country’s high-tech companies.
Scientists who have emigrated for whatever reason are recoverable, and can play a part in developing opportunities at home. However, this requires the opening of diverse and creative conduits.
Today’s policy makers, scientists, and economists were yesterday's students. By understanding the situation now, we can shape the future for millions. Tackling
the issue requires efforts at all levels of professionalism. Innovative graduate opportunities and programs can be developed with the help of foreign professionals. This requires political decisions, funding, infrastructure, technical support and knowledge sharing among the international community.
Subsidised education is taking away many opportunities from our poor farmers, hoping to change the face of the nation, but has ended up in dust because of the distressing brain-drain.
This trend can be ended, largely by creating conditions that make pursuit of excellence possible, and by making it promising for an engineer, a doctor, scientist or other professional to find personal and professional fulfillment. We desperately need our brains to be contained in our own heads to maintain a momentum of development.
(1 thankfuiy acknowledge Dr Zan r A Bhuiyan, M.D, Ph D, Staff Scientist i Geneticist. Department of Cinical Genetics University of Amsterdam. The Netherlands, for sharing his bezant ideas by e-mail.)
Dr. Zutnquer Ahmed Arm is a physician, and speoatet in Pub6c Health Administration and Health Economics.