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African Population Studies
Union for African Population Studies
ISSN: 0850-5780
Vol. 9, Num. 1, 1994
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African Population Studies/Etude de la Population Africaine, Vol. 9, April/avril
1994
BRAIN
DRAIN FROM AFRICAN STATES:
EMPIRICAL EVIDENCE AND POLICY IMPLICATIONS
T. O. FADAYOMI
Code Number: ep94006
"As yet, the African
governments have had little concern about brain drain. Within the next decade,
however, the high-level manpower situation is likely to undergo substantial
change. First, the supply of new talents is likely to increase more rapidly
than expected because of the very high rate of growth of enrollments in the
universities. Secondly, the net annual increase in effective demand for high
level African manpower will decrease sharply as soon as most of the expatriates
are replaced. As a consequence of increasing supply and decreasing effective
demand, African countries may find themselves with a staggering surplus of
educated people seeking high-level and high-paying jobs, which will not be
available." --Frederick H. Harbison
Introduction
Harbison's prognosis
of the brain-drain situation in Africa dates from the late 1960s, but it
is as relevant today as it was then, a few years after most the sub-Saharan
African countries attained nationhood. Prior to independence, these nations
were almost wholly dependent upon the more advanced countries for highly
skilled personnel. Countries like Nigeria, Ghana, Sierra Leone, and Gambia
looked to Britain for strategic high-level personnel, while Benin, Togo,
Ivory Coast, Guinea, and Senegal received skilled expatriates from France,
due mainly to the colonial linkage and the economic hegemony of the metropolitan
countries. During this period, it was commonplace to find expatriates holding
high positions in these African states. In effect, the African countries
were the beneficiaries of brain drain from the metropolis.
After the attainment
of political independence in the early 1960s, the brain-drain situation in
African states vis-à-vis the metropolitan countries started to change.
One of the earliest gains of independence was the replacement, albeit gradual,
of expatriates with Africans in most countries. In some cases, expatriates
were retained longer for the purpose of training their African subordinates
for the position they were to vacate. During this initial period of independence,
outmigration of high-level African personnel was negligible since high-level
positions in public-sector employment were relatively abundant and were attractive
in terms of salaries and other perquisites. (Although this was largely limited
to a few assignments of high-level African personnel by international agencies
seeking to fill quota positions.) While the situation continued to encourage
dependence on critical skills supplied by expatriates through technical assistance
programmes of the developed nations, it also generated a growing urge for
self-sufficiency in the supply of high-level personnel to match the aspirations
and stated goals of political independence in the new African nations.
Well after independence,
one of the reverberating slogans of development remained the clamour for
educational expansion, especially for positions in the basic and applied
sciences, engineering, and medicine that hitherto were provided by expatriates.
This meant an upsurge in enrollment, both in local higher educational institutions
and in foreign institutions, through national scholarship awards and foreign
aid to students. Table 1 compares the commitment to educational expansion
in sub-Saharan Africa to other regions since the 1960s, when most of the
African countries attained political independence. In almost all regions,
irrespective of economic performance levels, education budgets experienced
substantial increase.
As more and more
Africans went overseas to study, as either private or sponsored students,
the issue of brain drain began to arise. Many students either remained abroad
or returned there after a brief stay in the home country. The phenomenon
first attracted attention in the developed nations that were usually the
destination of these newly skilled migrants, as well as among the international
community.
Discussion in
the remainder of this paper will focus on the nature and causes of brain
drain from African countries (especially from the sub-Saharan region), types
and cases of brain drain, the interpretation of empirical findings, and,
finally, remedial measures for addressing the brain drain, taking into account
the international dimension.
The nature
and causes of the problem
Brain drain is
a special kind of migration that occurs when a country that faces shortages
in the supply of certain critical skills experiences the emigration of persons
with such skills. Brain drain can therefore have serious adverse effects
on the productive capacity of the affected country. Usually, the direction
of brain drain is from Third World countries to the developed countries of
Western Europe and North America. Brain drain from the sub-Saharan African
states is often towards the developed nations where such skills are normally
acquired through formal education and training. The recipient countries are
mainly the United States, Canada, the United Kingdom, and France. While countries
like the United Kingdom and France had colonial linkages with various sub-Saharan
African states, newer metropolitan powers like the United States may have
not only strong economic ties but also linguistic compatibility with these
nations. Hence factors such as colonial heritage and cultural and economic
ties underlie brain drain from sub-Saharan African countries to the developed
countries.
These factors
operate at two levels to encourage brain drain from African states. First
of all, they encourage governments to send their citizens to the recipient
countries to acquire education and professional expertise that fit into their
colonial institutions. Secondly, the yearning to study abroad among African
students is facilitated by their familiarity with the language and culture
of the metropolitan countries.
The factors that
perpetuate international brain drain are akin to those that account for internal
brain drain and rural-urban migration. Thus international migration of high-level
personnel is usually explained by the general push-pull model of labour mobility,
wherein the individual's decision to migrate or relocate from one place to
another is influenced by a combination of economic, social and political
factors, greater emphasis being placed on the economic factors of employment
and higher material benefits. In this framework, push factors combine with
pull factors in a complex manner to determine who migrates.
In sub-Saharan
Africa, the desire to acquire a high-level skill or education that is either
not available or inadequately developed in one's own country may encourage
an individual to seek such opportunities in the developed countries, after
which he or she subsequently decides to stay abroad -- not simply because
jobs are not available at home but for a wide variety of other reasons: in
the home country, underemployment, overproduction of acquired skills, limited
job opportunities and mobility, poor working facilities, comparatively low
salaries and wages, and discriminatory evaluation of foreign qualifications
and diplomas, limited promotional opportunities, and ethnicity of origin;
and, in the developed countries, higher salaries, greater job mobility, opportunities
for professional growth, large research grants, fewer bureaucratic frustrations
and higher living standards. Table 2 summarizes these factors of international
migration of skilled personnel in the sub-Saharan region. Where the negative
factors outweigh the positive factors of remaining or returning to one's
home country, skilled personnel are likely to stay abroad or emigrate.
Generally, it
can be surmised that it is the comparison (real or imagined) of the highly
trained individual's situation in his or her country of origin with the prevailing
situation of persons of similar qualifications and skills in the country
of destination that enters into the decision. The interplay of these factors
will be highlighted through an examination of the types and cases of brain
drain.
Diagrams 1
Types and cases
The phenomenon
of brain drain from sub-Saharan Africa since the 1960s can be broken down
into the following typology:
- The foreign-trained
student completing studies with a relevant post awaiting him or her in
the home country is persuaded that he or she could have neither personal
nor
professional satisfaction given the limited opportunities in the field
of expertise and thus does not return home.
- As a result
of frustration at home and job contacts abroad, returnees work in the
home country for a while before migrating back to the developed countries
where
they obtained their diplomas.
- High-level
personnel refuse to stay in the home country but leave for another developing
country, either after completing studies or shortly after arrival in
the home country.
According to a
study conducted among Nigerians in the United States in the 1960s, non-returning
foreign-trained students were distributed throughout eight different fields
of specialization: agriculture, education, engineering, humanities, medical
and paramedical fields, natural sciences, physical sciences and mathematics,
and social sciences. Respondents were selected mainly from cities along the
eastern coast of the United States. They were mainly young male graduates
under 35 years of age. Most claimed to be the oldest siblings in their families
of orientation and had accepted responsibilities of financial assistance
to their parents as well as to younger brothers and sisters living in the
home country. Slightly less than a half were either married or engaged to
be married.
When the occupational
status of these non-returning graduates was examined, it was found that about
5 percent were working as university professors; 32.6 percent and 20.9 percent
respectively worked for private research organizations or industries, as
engineers, architects, technicians, physicians, chemists, or medical researchers;
and 41.8 percent were classified as self-employed, in such varied fields
as medicine, architecture, radio, accounting, public administration, commerce,
and social work.
Information was
sought about current and previous income. All without exception had experienced
sharp increases in income as a result of higher wages in the United States.
As for financial support for their education in the United States, only 10.2
percent stated that their education had been financed by their parents. Scholarships
from home or abroad, but largely from U.S. sources, had supported 48.6 percent.
28.6 percent had financed their own education, and 14.4 percent did not indicate
their source of sponsorship.
The same study
also examined returnees -- individuals who had received at least one professional
or academic credential, returned home, and later migrated to United States
to seek employment or study or both. All of these were males and were generally
much older than the non-returning graduates (50 percent were 35 years of
age and above). A higher proportion (60.1 percent) also reported that they
were either fully or partially responsible for the upkeep of aged parents
and/or younger siblings. These returnees did not differ much from non-returnees
in occupational profile or in the sharp increase in income due to higher
wages in United States. As for the source of educational financing, none
had been sponsored by parents. 16.7 percent financed their own education,
5.6 percent had received scholarships, and 5.6 percent did not disclose how
they had been supported. The remaining 72.1 percent received financial aid
from U.S. sources.
The other type
of brain drain that has come to our attention as a result of its magnitude
and recurring incidence in recent times is the migration of African skilled
personnel to other developing countries. This involves persons who, after
receiving high-level education both overseas and at home, either refuse to
stay in their home country or stay there only for a while before emigrating
in search of better employment opportunities and higher remuneration. Among
this group, one can identify West African nationals who have migrated to
countries such as Nigeria and Ivory Coast since the mid-1970s. These became
the destinations of high-level personnel from neighbouring countries as a
result of short-lived prosperity arising from increased prices for oil and
agricultural produce respectively. Nationals of Gambia, Sierra Leone, Liberia,
and Ghana with high-level skills in engineering, applied science, medicine,
and so on migrated to Nigeria from home countries where the impact of inflation
and recession had been considerable. In Ivory Coast, highly trained migrants
came from places like Upper Volta (Burkina Faso), Senegal, Mali, and Guinea.
The tragedy of
development in the latter countries since the late 1960s is reflected in
low per capita income, limited access to basic social services, malnutrition,
high mortality rates, and so on. The economic crisis that which plagues them
is especially evident in agriculture, their major source of development funds.
Not only has export crop production stagnated, but the increase in agricultural
production registered during the 1960s was wiped out by a decline of similar
proportions in the 1970s. This deterioration in agriculture and other resources
led to a widespread balance of payment crisis in the 1970s and thus generated
much inflation and a significant downward trend in real earnings. For high-level
personnel of these countries who had hitherto enjoyed most of the fruits
of earlier high rates of economic growth and development, there was ample
opportunity to exploit their professional expertise and contacts in more
prosperous countries like Nigeria and Ivory Coast.
Ironically, Nigeria's
oil-driven prosperity came to a halt towards the beginning of the 1980s.
As a result, the country began to experience an outflow of highly skilled
personnel to Saudi Arabia and similar oil-rich Arab countries. About half
of Nigeria's orthopaedic doctors and 23 of its airline pilots emigrated in
the 1980s to Saudi Arabia, Guinea, Libya, and the United States. Furthermore,
over 250 doctors in general practice were lost through this process of human
resource export.
Interpretation
of the phenomenon
As noted earlier,
the literature on brain drain in recent years has documented several reasons
for permanent or temporary emigration of high-level personnel from their
home countries to foreign lands, presumably to those developed countries
where they received their high level skills and education. Their acquired
educational status at time of interview, based on reported previous and current
educational and occupational attainment, is usually the inertia that encourages
either unwillingness to return to country of origin or a desire to remain
in the country where education was obtained. This circumstance would have
been avoidable if the recipients of foreign education and skills had not
had a ready market for skills such as engineering, medicine, or the applied
sciences in the countries where such skills were acquired. It is also obvious
from the previous and current social characteristics of the migrant that
higher economic rewards for skills as well as the long period of exposure
-- depending on the duration of education -- to social and cultural life
in foreign lands predispose him or her to choose between this foreign experience
and the expected (in the case of non-returning graduates) or the experienced
(in the case of a returnee or an intra-African migrant) difficulties in making
necessary adjustments to social and cultural life at home.
After the attainment
of high-level skills and education, one of the reasons usually adduced for
remaining outside the home country is the inadequacy of opportunities for
career advancement. In this context, emigrants often state reasons such as
rigidity of government employment systems, power of entrenched civil servants,
lack of research funds, professional isolation, prejudice based on ethnic
or tribal affiliation, discrimination against foreign diplomas and certificates,
and competition with nationals of foreign countries where skills and training
were acquired. For non-returning graduates, these reasons can be very subjective
and are often based on experiences prior to departure from the home country.
This could be attributed to the fact that most did not continue to maintain
regular contact with the home country regarding changes that might have taken
place in employment opportunities and conditions for their professions and
education at home during their sojourn abroad. Most tended to rely upon informal
communication channels such as friends and relatives -- not only on family
matters but also on political and social issues and job opportunities.
As for returnees
to developed and developing countries, the fact that they remained in their
home countries to work for a period of time before migrating indicates that
they either were unable to cope with the social, cultural, and/or work situation
in their home countries or preferred to remain outside having weighed the
comparative advantages of staying abroad.
One of the characteristics
of both non-returnees and returnees is the source of educational finance
while studying abroad. The Nigerian case study shows that a higher proportion
financed their education mainly from their own resources and through foreign
donors. While loyalty to professional opportunities and goals, better remuneration
in the country of destination, and difficulties in adjusting to social and
cultural conditions at home may exert pressure to remain outside the home
country, personal and induced loyalties to one's own country also exert a
powerful force towards returning home. It can thus be inferred that the extent
to which the nation invests directly in the education and skill acquisition
of citizens studying abroad will strongly affect their enthusiasm to return
to that country to contribute to its development after the completion of
studies.
Measures
for stemming the outflow of high-level personnel
"It is a paradox
of today's world that the underdeveloped nations that have the greatest need
to use engineers, scientists, doctors and other professionals to help them
along the road of economic and social development are not using them effectively
and are, in fact, losing many of their best educated young men to
the developed societies." --Frederick H. Harbison
One of the important
reasons for this phenomenon, as highlighted by the educational and occupational
characteristics of highly trained emigrants is the integration of African
countries into the international market in professional and scientific skills.
One indicator of this integration is the extent to which a country sends
its students to train abroad.
Table 2 shows
that the number of students in United Kingdom and United States per 100,000
population from Nigeria, Kenya and Ghana is quantitatively large. As soon
as these students complete their training, they at the same time possess
internationally negotiable qualifications which are usually in high demand
in the economically advanced countries, at least in times of economic boom.
A major policy
response to this condition would be educational development in the home countries
of these emigrants. This would necessitate the expansion of training institutions
for students who now must migrate to acquire the same type of training. In
this regard, it is noteworthy that all sub-Saharan African countries have
been engaging in rapid educational expansion since the attainment of political
independence. In most cases, this effort has led to attempts at developing
training programmes that are equivalent to those available in metropolitan
countries.
According to a
recent survey carried out in West and Central African countries concerning
their high-level personnel supply and training, most countries surveyed have
nearly achieved self-sufficiency in high-level personnel requirements in
the liberal arts and humanities, while less than 60 percent of required high-level
personnel were obtained in other critical disciplines such as finance, physical
sciences, human sciences and technology, as of 1986. While the sources for
meeting national requirements in the humanities and liberal arts are local
institutions of higher learning, high-level personnel requirements in the
sciences and technology in all countries except Nigeria, Ghana and Cameroon
were still being met through foreign institutions. This was especially the
case for Zaire, the Republic of Congo, Rwanda, Burundi and the Central African
Republic. The foreign sources of acquisition of these critical skills are
usually the metropolitan countries and their allies in Western Europe and
North America. The former Soviet Union joined these countries much later
to become another major foreign source of high-level personnel in the sciences
and technology.
In the English-speaking
sub-Saharan African countries, until recently, British qualifications were
more important than local qualifications in financial and commercial professions
like accountancy and insurance. In other fields as well, very few local qualifications
have been recognized as fully equivalent to their British counterparts. And,
of course, many of the local qualifications which have not actually achieved
international negotiability have been modeled upon British patterns and are
aspiring to full negotiability. In some cases, attempts to fundamentally
reform elitist personnel training strategies originally implanted by the
British have been vehemently opposed, despite growing realization by politicians
and planners of the need to eliminate to some extent the highly artificial
distinction between foreign and local qualifications.
A related issue
is the tying of job descriptions and the content and length of training to
the prevailing standards of the international market. The net effect of this
requirement is a tendency among aspirants to higher education and professional
qualification to seek opportunities for professional advancement and recognition
in metropolitan countries where they are also exposed to higher remuneration
and better conditions of work.
It is hoped that
the regional convention on the recognition of studies, certificates, and
diplomas in higher education in Africa will help further the training and
retention of high-level personnel in Africa, through encouraging the exchange
of teachers, researchers, and students whose integration into the life of
their countries will be easier on their return. Although it has been recognized
that many sub-Saharan African countries have progressed considerably in their
educational expansion programme, personnel remain in short supply in most
professional fields.
Let us examine,
for example, the situation in medical care presented in Table 3. Irrespective
of the level of social and economic development in sub-Saharan Africa, health
indicators such as population per physician or medical nurse show very high
ratios of inadequacy, which are considerably worse for the rural communities
where the majority live.
In addition to
the necessity of expanding training institutions in relevant professions,
it is imperative for those countries that have not done so to identify and
develop such professions to meet local needs rather than to emphasize international
comparability, which is a major factor in the emigration of medical manpower
from home countries.
Most of the reasons
why possessors of high-level skills who could have added to the personnel
stock in their home countries prefer to remain abroad have been highlighted.
Some if not all of these are amenable to appropriate policies. In the case
of non-returning graduates, their educational and occupational opportunities
were limited at the time they left home. At the time of completion of their
training and education, their familiarity with the changing conditions of
employment and the general social situation in their countries may not be
sufficient and accurate. One of the fundamental reasons is that they are
likely to be in contact with friends and relatives whose knowledge of the
employment opportunities for these graduates willing to return may be limited.
In this circumstance, the governments of sub-Saharan African countries should
evolve and establish relevant institutions to close the communication gap
between graduates in foreign lands willing to return and the opportunities
that exist for them to gain employment at home. Public and private employers,
including multi-national corporations, should be encouraged to disseminate
information on job vacancies to students abroad, while the government should
continue to maintain contacts with students in foreign institutions as to
the relevance of their course of study to the nation's manpower requirements
in the short and long term. It is also essential for each country to collect
regular statistics on their nationals studying or working abroad, especially
in disciplines critical to the nation's development.
It has already
been stated that most emigrants and returnees financed their education from
their own resources and from foreign sources in the form of scholarships,
assistantships, and fellowships. This is further confirmed by our survey,
in which nearly 80 percent of nationals of African countries trained in foreign
countries are financed through assistance given by the host countries (see
Appendix, Table A-1). Since this type of aid is not likely to be reciprocated
by recipient countries that in most cases do not have identical facilities
for the training of personnel from the economically advanced countries, it
is likely to induce the loyalty of emigrants towards the donor countries,
especially if the conditions for employing their acquired skills are more
favourable in these countries than in their home countries. A national response
to the situation should be a deliberate effort on the part of African countries
to financially assist their citizens in acquiring critical skills abroad
in order to enlist their commitment to national service.
Another issue
pertinent to the stemming of brain drain from Africa is the need to accommodate
the career aspirations of emigrants. Most of them, according to the case
studies presented, worked for universities, research institutes, and private
research organizations in the developed countries. Such institutions exist
in the home countries but are yet to be adequately developed. Efforts should
be made so that more fields of study and training become available in home-country
institutions so that would-be emigrants may attain the self-improvement and
fulfillment that they now find in more developed societies. This could be
achieved through selective support of research grants and fellowships for
those researchers whose field of study and training are on the nation's priority
list.
At present, however,
we observe that domestic economic policies in the form of structural adjustment
programmes have stimulated the urge for highly skilled African nationals
to emigrate to destinations where they can earn better income and have better
opportunities for professional accomplishment. This is due to the unprecedented
depreciation of the national currencies, which has led to a sharp decline
in real wages and the standard of living. Since brain drain constitutes a
leakage of skills from the economy and often a loss of critical personnel
resources with concomitant financial and economic losses, policies should
be designed to minimize it.
Other reasons
given for staying back after the completion of studies and training, such
as socio-cultural maladjustment after arriving in their home countries, may
be exaggeration on the part of graduates unwilling to return to country of
origin. An appeal to their nationalism is not out of place, since the migrant
may often forget that the emergence of a viable strategy for development
also depends on leadership, especially in politics and administration. This
in itself depends in some degree on the proportion of highly educated people
in the population. Their continued absence from their home countries will
continue to deny the nation its quota for development and eventually slow
the process of change that is often responsible for the social discontent
experienced by them.
Conclusions
Until recently,
most sub-Saharan African countries expressed little concern about brain drain.
What has been responsible for this phenomenon was their continued dependence
on foreign sources for the supply of skilled manpower. Despite post-independence
efforts at replacing high-level foreign personnel with local ones, many sub-Saharan
African countries appear to have become accustomed to their traditional dependence
on "rented" foreign skills in critical areas of development, to such an extent
that a feelings of loss or inadequacy of local replacements seem not to attract
serious attention.
This inertia in
the outlook of these countries is influenced by the internationalist view
of brain drain from developing countries. The internationalists have argued
that brain drain tends to increase the welfare of the emigrants without reducing
the welfare of those left behind. It is assumed that, quantitatively, the
number of personnel from developing countries involved in brain drain is
proportionally small. Thus the argument in fact tends to justify personnel
flows that benefit the rich countries of the world and to ignore the need
to correct this imbalance. While the loss may appear marginal from aggregate
figures, this is not really the case, as Table 3 shows: The average ratio
of doctors to total population in sub-Saharan Africa is scarcely one-tenth
the ratio in the United States or the United Kingdom -- major destinations
of African anglophone migrants. This is evidence that the contribution to
human welfare of a medical doctor, say in Ghana, is greater than in England
or the United States. Similar arguments could be developed for other categories
of professions involved in international migration.
It is argued further
by the internationalists that the developed countries provide the incentive
and ideal environment to develop and exploit available skills from whatever
source while they pass on the end-products of their investments to all nations
which want them as members of one big international community. In this sense
it is assumed that the technological community, the intellectual community,
and the scientific community are one. This argument neglects the fact that
brain drain from developing countries intensifies underdevelopment of their
resources since actual and potential emigration of skilled persons means
simply that fewer people are capable and willing to work on the development
of appropriate technologies and research problems for these countries.
Given the international
dimension of brain drain from sub-Saharan African countries and the covert
support that brain drain receives from the developed nations, mitigative
measures suggested for African countries will not alone suffice unless they
are given support by developed nations that are the usual destinations of
the emigrants. So far, developed nations such as the United States, Canada,
the United Kingdom, and France -- with obvious social and economic hegemony
among the African countries -- have facilitated the continued stay of some
of the trained personnel beyond the time of completion of their education
because of their own preference for these emigrants in those personnel areas
whose output they are in a position to increase for their own national needs.
In this circumstance, the international community should continue to put
pressure on the developed nations to modify the existing laissez-faire policy
on the immigration of professionals from developing countries, especially
in those areas critical to the personnel requirements of these developing
nations.
Table 1. Trends
in Educational Expenditure as Percent of GDP, 1960-1986
Group
of Countries |
Education
Expenditure (% of GDP) |
|
1960 |
1986 |
Least
Developed Countries |
1.5 |
3.3 |
Sub-Saharan
Africa |
2.3 |
3.6 |
Industrial
Countries |
3.7 |
5.2 |
World |
3.5 |
5.0 |
Source: United
Nations Development Program, Human Development Report 1990 (Oxford:
Oxford University Press, 1990), Table 14, page 55.
Table 2. Students
from Selected African Countries in the United States and United Kingdom,
1977-78
Country
of Origin |
Total
Population, 1978 (in thousands, est.) |
Students
in the USA and UK, 1977-78 |
Students
in the USA and UK, per 100,000 population |
Ghana |
10,480 |
2,827 |
27 |
Kenya |
14,340 |
3,065 |
21 |
Nigeria |
66,630 |
20,521 |
31 |
Tanzania |
16,090 |
1,100 |
7 |
Egypt |
38,740 |
2,540 |
7 |
Sudan |
16,540 |
1,247 |
8 |
Sources: British
Council, Statistics of Overseas Students in Britain (various years);
Institute of International Education, Open Doors (various years); UN
Demographic Year Book. Adapted from Paul Bennett and Martin Godfrey, "The
Professions in Africa: Some Interactions Between Local and International
Markets," Development and Change 14(1983), Table 2, page 375.
Table 3. Health-related
Indicators for Various Groups of Countries, 1984
Group
of Countries |
Thousands
of Persons |
|
Per
Doctor |
Per
Nurse |
Least
Developed Countries |
23.3 |
4.7 |
Sub-Saharan
Africa |
24.6 |
2.2 |
Industrial
Countries |
0.5 |
0.1 |
World |
4.0 |
1.6 |
Source: United
Nations Development Program, Human Development Report 1990 (Oxford:
Oxford University Press, 1990, Table 11, page 149.
Appendix
Table 1
REFERENCES
Copyright 1994 - Union for African Population Studies.
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