Manjula Luthria World Bank - World Health Organization · 9/13/2014  · Manjula Luthria World Bank...

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Manjula LuthriaWorld Bank

Four questions to ponder

1. Why do we care about mobility?

2. Why do we frame in terms of losers rather than winners?

3. Is there a more constructive narrative?

4. How do we get there?

1. Why do we care about mobility?

Imminent

Desirable

Has costs associated with it

The high skilled travel far

High skilled Immigrant concentration

Immigrants in the tertiary educated labor force in destination countries (%)

[0,1](1,5](5,10](10,20](20,30](30,55]No data

Note: DIOCE 2000

2. Why do we frame in terms of losers

rather than winners?

• Taking away jobs from natives? Robbing poor countries of their brains?

Mis-measurement issues: South African Doctors in the US

TRAINED IN SOUTH AFRICA

818

6

1,002

290 254

92

181 Born in another African Country

Born in theUnited States

Born in the rest of the world

Trained in another African Country

Trained in the United States

Trained in the rest of the world

BORN IN SOUTH AFRICA

20% of total49% of total 31% of total

TOTAL: 2,642

Long-term Impacts of Migration - Endogenous EducationMalaysia – School attendance among natives increased with immigration of foreign workers

0%

2%

4%

6%

8%

10%

12%

30%

40%

50%

60%

70%

80%

1990 1996 2000 2004 2009

% of 15-19 Natives

in School

% of Migrants in Labor Force

Rich countries are more attractive to skilled migrants

3. What’s a more constructive narrative?

Link mobility to prosperity to training

Bring winners to the table ex ante

Focus on building human capital and human development as an outcome

Skills shortages are global, let’s augment global supply

In the care industry, GENDER issues are central

4. How do we get there?

Bilateral transparent arrangements between countries

Consistent with WHO code – which needs clarification now

Small managed pilots to start testing concept of win-win

Cooperation among international actors to facilitate and create best practice models