Expat doctors deserting Maldives

“We’ve lost five expat doctors in the internal medicine department in the last four months,” said Dr Ibrahim Shiham. “Only one has been replaced, and from an island so not a new recruit.”

Foreign medical staff are vital to the country’s health services and comprise 85 per cent of the country’s doctors, according to Shiham, most of whom come from India with some from Nepal and Pakistan.

Many are showing reluctance to renew their contracts, Shiham claimed, because the latest round of cuts to government salaries have added to the uncertainty that followed the efforts to standardise civil servant renumeration in January.
“What actually happened was a lot of pay scales were streamlined, and doctors’ basic salary, including allowances, was ultimately down 30 to 40 per cent. So what [the government] did was invent another allowance to take it to the original break-even level. But the extra allowance has no legal standing, and in theory doctor’s salaries got a major decrease.”