title: [Staying and working at home or considering migrating: Survey-based study of African ophthalmologists].
abstract: BACKGROUND
  The shortage of ophthalmologists is a major obstacle in the struggle of fighting preventable blindness in sub-Saharan Africa. However, to date reasons affecting migration of ophthalmologists have not been completely understood.
  
  
  OBJECTIVE
  Evaluation of reasons reported by ophthalmologists for staying in their current work setting/country, of potential reasons for migration as well as of effects of German-African partnerships.
  
  
  METHODS
  In the years 2009-2011 and 2013 participants of continuous medical education courses in Ethiopia, Cameroon and Kenya were interviewed using a standardized questionnaire.
  
  
  RESULTS
  A total of 106 ophthalmologists participated in this survey. In the years 2009/2010 participants were mainly board certified ophthalmologists, while the 2011/2013 surveys were answered mainly by residents. The main reasons for staying in their current region/country were good working conditions, commitment to help/patriotism, possibility of further training, good income and familial ties. Professional development elsewhere and better income abroad were named as the main reasons for considering migration followed by better technical equipment elsewhere and insecurity in the home country.
  
  
  CONCLUSIONS
  Good working conditions and the possibility of further training were named as the top reasons for staying in the current region/country apart from commitment to help and familial ties. Therefore, international cooperation programs aiming at improving training of ophthalmologists and establishing an ophthalmic infrastructure may have a role in promoting ophthalmic care in Africa.
authors.affiliation: Augenklinik der Ludwig-Maximilians-Universität, Mathildenstr. 8, 80336, München, Deutschland, martin.nentwich@med.uni-muenchen.de.
authors.forename: M M
authors.initials: MM
authors.lastname: Nentwich
authors.forename: V
authors.initials: V
authors.lastname: Klauss
authors.forename: F
authors.initials: F
authors.lastname: Wilhelm
mesh_terms: D000328:Adult; D017954:Africa South of the Sahara / Q000453:epidemiology; D000368:Aged; D001291:Attitude of Health Personnel; D002322:Career Mobility; D004641:Emigration and Immigration / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D009885:Ophthalmology / Q000706:statistics & numerical data; D010820:Physicians / Q000523:psychology / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D014940:Work Schedule Tolerance / Q000523:psychology; D000078329:Workforce; D016526:Workload / Q000706:statistics & numerical data*