Barbados

The 2005 Barbados HIV/AIDS Service Provision Assessment (Barbados HSPA) survey report provides baseline information on the capacity of the formal public health sector in Barbados to provide both basic and advanced level HIV and AIDS services and the availability of recordkeeping systems for monitoring HIV and AIDS care and support. Within the Caribbean region, there is a concern for the recent training of health professionals who provide HIV and AIDS services, for health worker attitudes towards people living with HIV (PLHIV) and for patient movement within the region. The Barbados HSPA captured information on these region-specific indicators in addition to the standard HSPA indicators.

Whilst the issue of international migration of health workers is sometimes presented as a one-way linear ‘brain drain,’ the dynamics of international mobility, migration and recruitment of health workers are complex. Against this complex backdrop, the main objectives of this paper, drawing from the terms of reference, are: to examine trends in the inflow of health workers to the UK; to examine the methods used in the international recruitment of health workers to the UK; to report on the Department of Health Code of Practice; to provide case studies in the impact of outflow of health workers from developed countries (Ghana and Barbados); and to discuss the international policy context of health workers recruitment and migration and identify current knowledge gaps for future research.