Cameroon: Between 95 and 2005, 46% of medical Doctors and 19 % of Nurses emigrated. Shame on Biya's Regime! Shame!
The International Organization for Migration (IOM) has just released its 2009 report on Migration in Cameroon titled Migration au Cameroun : Profil National 2009. Among the key findings are the following:
- In 2000, 17 per cent of the Cameroonian population with a higher education emigrated;
- During the 1995–2005 period, 46 per cent of Cameroonian doctors and 19 per cent of nurses emigrated to selected countries;
- According to the World Bank, the amount of remittances from Cameroonian migrants was estimated at USD 103 million in 2005, that is, 2.5 per cent of official development aid;
- The amount of funds transferred is constantly increasing. Estimated at USD 11 million in 2000, it rose to USD 103 million in 2004 and USD 167 million in 2008. This amount represents 0.8 per cent of the country’s gross domestic product.
Find below an English version of the Executive summary of the Report which is in French:
Executive Summary (Excerpts)
Cameroonian
emigrants were estimated at 170,363 in 2007. France – with 38,530
migrants – is the preferred destination of Cameroonians, followed by
Gabon (30,216), Nigeria (16,980) and the United States (12,835) (DRC,
2007). According to the partial data compiled by the African Affairs
Directorate of the Ministry of External Relations of Cameroon, between
250,000 and 300,000 Cameroonians lived in the Gulf of Guinea States
between 2000 and 2004, essentially because they belong to the same
ethnic groups and geographical area (Chouala, 2004).
The majority are long-term migrants given that 40 per cent reside in their country of emigration for over ten years, and 16 per cent for a period of five to ten years (OECD, 2008).
Compared with other countries of the Central African subregion experiencing unrest (Central African Republic, Chad, Democratic Republic of the Congo), Cameroon does not have many refugees. They were estimated at 11,833 in 2007. Concerning asylum-seekers, after reaching a peak of 6,289 in 2003, their number progressively declined during the following years to around 2,933 in 2008, mainly in Europe (Belgium, France, Germany, the Netherlands, Switzerland) (UNHCR, 2009).
Cameroon has a significant number of highly skilled emigrants. In 2000, 17 per cent of the Cameroonian population with a higher education emigrated (Docquier and Marfouk, 2005). During the 1995–2005 period, 46 per cent of Cameroonian doctors and 19 per cent of nurses emigrated to selected countries (Clemens and Pettersson, 2007). According to the Cameroon Medical Association, 4,200 Cameroonian doctors, mostly specialists, are working abroad. Only 800, that is 1 for 10,000 to 20,000 inhabitants, are left in the cities, with 1 for 40,000 to 50,000 in the distressed areas. It is believed that 20,000 African nurses and doctors emigrate to countries of the north every year (Pigeaud, 2007).
Factors leading to migration
Migration in
Cameroon can be explained by several factors that deter potential
immigrants and reduce migration flows into Cameroon, and cause the
departure of Cameroonians. Indeed, like most developing countries,
Cameroon has been experiencing development difficulties since the 1980s
due to poverty, economic crisis, soaring population growth, external
debt burden, the poorly controlled urbanization of cities and
adjustment policies that are often not suited to the national
situation. The analysis of poverty indicators shows a 55 per cent
incidence of poverty among the population in 2007, which is far from
the objective of 25 per cent that the State is expected to achieve by
2015 (INS, ECAM III, 2007).
Cameroon has average human development, with a human development index ranging between 0.500 and 0.779 (UNDP, 2004 and 2006). These various reasons explain the new migration trends of the rural populations towards the cities, from the cities to countries of the subregion and finally to other continents, mainly Europe, with the key objective of migrants being to improve their living conditions.
The consequences of migration on Cameroonian society
Migration
in Cameroon has an impact on the national economy. Indeed, the transfer
of funds by Cameroonian emigrants helps fight poverty. According to the
World Bank, the amount of remittances from Cameroonian migrants was
estimated at USD 103 million in 2005, that is 2.5 per cent of official
development aid. The amount of funds transferred is constantly
increasing. Estimated at USD 11 million in 2000, it rose to USD 103
million in 2004 and USD 167 million in 2008. This amount represents 0.8
per cent of the country’s gross domestic product (World Bank, 2009).
Remittances are personalized and used for medical care, school fees, rent payments or the purchase of consumer goods.
These transfers stimulate the country’s economic activity by replacing credit and other financing methods and facilitating the initiation of projects and other income-generating activities. Remittances significantly reduce the foreign exchange losses caused by deficits in the balance of payments.
Cameroonian migration also has an impact on the labour market. The increase in the transfer of funds led to the expansion of the banking system and the multiplication of banks and money transfer companies, thus generating thousands of jobs. For example, since its creation about ten years ago, Express Union, a local financial company, has opened more than 200 agencies around the country and in the subregion. It generates close to 5,020 jobs (interview with an Express Union employer, 2008).
The darker side of emigration is that it leads to brain drain. According to statistics provided by the Organisation for Economic Co-operation and Development, in 2005 Cameroonian migrants in European countries numbered 57,050. Some 42.3 per cent of these are thought to be highly qualified. This phenomenon specifically concerns doctors and academics.
The policy framework and migration management challenges A review of the migration management policy framework in Cameroon has been under way since 2008, with respect to security policy, the transfer of migrant funds, issues concerning diaspora (transfer of skills), return policies, brain drain and the irregular migration phenomenon.
The most recent law within this framework which essentially relates to the regulation of migration flows is Act No. 97/012 of 10 January 1997. It sets the conditions of entry, stay and return of foreigners in Cameroon (Sindjoun, 2004). The priority, for both the new national migration policy and the programmes being drafted, is support for co-development. Cameroon therefore relies on diaspora and its human and financial investment capacity for the country’s development by creating incentives, even though Cameroon is at the initial stages of programmes aimed at mobilizing diaspora.
To date, the effective implementation of decisions taken within the framework of the regulation of migration flows by Cameroon is hindered by a certain number of shortcomings and inconsistencies. These elements contribute to weakening the authorities’ policy framework and encourage the development of individual strategies that enable migrants to move more easily within the national territory delimited by borders that are poorly demarcated and porous (Mbogning, 2004).
These elements are as follows:
- A policy that overly focuses on security aspects:
Other types of problems concerning employment, development and health
are increasingly evident and require solutions. In its new approach,
the migration policy provides that, in addition to security problems,
aspects related to development, diaspora, the transfer of funds, the
youth employment policy, brain drain and co-development should be taken
into consideration.
- The administrative individualism that characterizes the Cameroonian public service and the absence of rigorous coordination:
It is worth noting, however, that Cameroon has an inter-ministerial
working group on migration and development issues. Since the migration
issue is cross-cutting, this committee brings together various
Cameroonian ministries. Each ministry is responsible for identifying
themes relating to migration and sending its contribution to the
Ministry of External Relations, which is responsible for formulating
the new Cameroonian migration policy framework. However, the
Cameroonian system suffers from the fact that ministerial meetings and
inter-ministerial sessions are rarely convened, and from the lack of
permanent inter-ministerial committees on the regulation of migration
flows (Mbogning, 2004).
- The insufficiency of mobilized resources: Indeed, the country does not have enough means for the close supervision of borders.
Data gaps
It was difficult to collect data for
the preparation of this profile because much information did not exist,
or was out of date, lacked precision and was not broken down. The
difference in the definition and calculation method from one study to
another revealed that the statistics provided by different sources, on
the same information, do not correspond. The confidentiality of some
information and its availability also created problems.
There is a need to undertake further studies in order to generate more information, to computerize data collection and to systematize data processing. These problems will be dealt with and solutions found with the advent of greater understanding and political will to facilitate this work.