Abstract
Objective: The purpose of this study was to investigate the emigration intentions of South African senior chiropractic
students upon graduation, emphasizing motivations and considerations guiding migration decisions.
Methods: A cross-sectional, quantitative, and exploratory approach was employed, utilizing an anonymous and
adapted online survey administered to chiropractic students at 2 South African institutions (n = 177) between March 15
and May 19, 2021. Data were analyzed using frequencies, descriptions, and cross-tabulations to identify trends and
interrelationships related to students’ intentions to emigrate postqualification.
Results: Findings indicate that 75.5% of South African chiropractic senior students intend to emigrate. Motivations
for emigration include improved quality of life and seeking of opportunities. Economic instability in South Africa (SA)
(82.7%) and concern for the National Health Insurance implementation (57.7%) serve as a significant push factor,
whereas economic stability abroad (85.7%) emerged as a key pull factor. Preferred emigration destinations are
primarily developed countries with established chiropractic communities.
Conclusion: High emigration intentions among students were driven by diverse push factors in SA, including
economic decline, socio-political climates, and safety concerns, contrasting with pull factors abroad, such as better
opportunities, living conditions, and economic stability. Concerns regarding healthcare reforms, particularly the
National Health Insurance, are also highlighted. Destinations in order of preference such as the United Kingdom,
Canada, and Australia offer valuable insights for policy interventions. Understanding these dynamics is crucial for
developing effective retention strategies and addressing socio-economic challenges. (J Chiropr Humanit 2024;31;8-19)