and is on a diplomatic tour of the middle east to try and contain the warrant gossip. and with that, you're up to date on the news close up next looks at how albania is losing health workers. believe to work in countries such as germany or wages are higher, the bees do full fund via do gravitational waves squeeze out body. how do i the drums by the way, to feed and what's the perfect kid for approx side? find the on says get with dw signs on the picked up channels. these young health care workers are learning german in albania. they're hoping to go into work in germany,

and german hospitals and care homes are keen to recruit them. good morning, fire schneider. my name's etiquette and i'm and i was looking off to you today. the shame of my career is my biggest dream. i hope i'll get lots of opportunities to specialize on you specifically. but how mania has a shortage of health care workers, especially in rural areas. hardly anyone wants to stay and work under difficult conditions for low wages. sort of down for some of the main problem is the big distance from door to door. that takes 2 to 3 hours just to get to the next patient, the orders use 3 or nothing. this for the fact that so many young people are leaving is a major problem. the elderly in particular depend on regular care, the,

the, the, it's the start of a long day test player to high and his wife are packing food he can take with him. the nurse will be on the go for up to 10 hours. looking after his patients, he won't be able to buy food on the road. would you like more? it's enough. albania is one of the poorest countries in europe. the 36 year old lives in a sparsely populated, mountainous region and the north close to the border with comfortable many houses

are not served by paved roads. his patience lived kilometers a part of the health care worker visits, all of them on foot. and so it said that if i had a car, it'd be better for me and my patients, but i'd be able to reach them more quickly. let me help would arrive faster. but test toyota can't afford to buy the off road vehicle. he need from his low wages. and so instead, she covers 20 to 30 kilometers on foot each day. oh hello, how are you? fine, thanks and you know it's very well today. yes. to find them, you know that you hear that as of what media? lynn lynn, are you feeling a bit better today?

but before i know the 84 year old has an infection at the moment. cast toyota is visiting her every day to give her medication for so many leads as a small 100 milliliters bottle is for the antibiotics. it contains. okay. when you are meeting you'll feel better afterwards. i don't remind me of during the infusion he tells his patient about his concern the region is undergoing major changes. that's on a new quote. for no book cormier dean met during the summer for the

sound of the roof from inside and they're pretty shipping. you know, just with them for so many people have left albania, but this one for so it's most of us have left me kind of especially the young people. so i bought the 33 young men in the last few months alone. and i will go to pay it from my district and don't see it. i've had them. does it tell me that they're all looking for a better life? landlord's video games and forgot to pay here is too low too. and so now they're familiar with depression. they want a better life for their families, and especially for their children free. it's much more therefore, media for, for me to more from the health care workers in particular are packing up and going. they can earn more money in germany and other western european countries. only a handful want to stay on the schedule to get well soon. land that the flow have to do some things as one

disciplined things can't stay like this one. this all the best plan, the, the, all the best of both a lot of youtube, of some people that are still as to it's difficult because the nearest medical center is and now it's drive away. we're happy that castro can come here. he's such a big help and it's a 2 hour walk now from here to his next patient. test to it has a degree in nursing and is employed by the state. here is $450.00 zeros a month. the houses here are scattered across the landscape. the nearest small settlement is 30 kilometers away. castillo looks after the elderly gibbs vaccinations and provides

1st aid for major and minor injuries. the albanians capital to rhonda is the jumping off point for many in search of a better life. elsewhere in europe, the 22 year old i was kept kaya also plans to leave this year. as a german company in toronto offers courses for qualified health care workers from albania. it also finds employment for them, and does the paper work. the training is paid for by german hospitals and care homes. germany's skill shortage and the sector provides the foundation for its business model.

you frontier your in your aust. i'm preaching an inpatient in today's exercise. the goose class 1st will help me prepare for an exam in germany. the course participants are learning bedside manners in german and my name by side bruised, ribs on the right to show the i to get this. the only complaint is paid. i'm in time with the facts the morning. the trial schneider, my name's joe keta and i'm the nest looking off to you today. we have a few as a, as always time and pain sense. okay, now where is this exactly how much it hurt is here by my ribs. okay. okay. i understand. on a scale of one to 10, how strongly do you say the pain is about 6. okay. okay. yeah. if you could,

i take your cost please. yeah, yes of course. um can, thanks please give a 100 vancouver in person there. do you feel better soon as soon as they have the spot her be she has reached the b 2 level in german under no preparing for the practical part here on central travel to germany to take the exam, then get her license on the 10th answer. i can book the best get well soon file schneider and i know i'm leaving the room. okay. it's time to try to push it to like my phone and what mistakes did she make a membership. i think that you introduced yourself well the, the treatment and the way she spoke to the patient with good that type of course

there's the language is you know, mind as the so i made you launch, it would have to improve to avoid having problems with my with patients of germany and you're still in oklahoma, so i'm just getting to see what's going on in the business that's in the kaya completed a master's in health care management in toronto, and is a qualified nurse to a german hospital has already offered her a permanent post and it's cardiac surgery unit. but the contract hinges on her passing her exams and a few months times in german. i see that she has to learn a lot of specialized vocabulary slash, especially false, its preparation for the b 2 language tests, the healthcare works flakiness. we need that for the examinations. uh, it's a 3 month course. gives you out the rest and what tonic control i know,

could you briefly present the topic for us? right, again, dementia is to generate to brain disease. at 1st, short term memory is affected the course of conditions, but also on the the hospital and often bug is paying for all kinds of specialized course. it costs them less then to train people as nurses in germany. lessons and at noon, giving the students' time to learn the new vocabulary the . some of them have only studied health care, so they can emigrate easily and legally. the, the german labor market depends on health care workers, from albania, and for young people, it's an attractive prospect to move to germany with the offer of

a permanent job. immigration is normal here, few young people want to remain the last one, i'd like to leave as quickly as possible. and then we'll begin to laura co my. we haven't started on lives here yet. can we tell them we would just students up to now? those so mutual, so it would be that the discounts of future some way that can offer us more for journals. the money is important to this, but so is quality of life is good here. we don't have any security to monitor to, to know, but you need that. for example, if you want to start a family, well this in the instrument, it's not just health care profession and also we're leaving the country. many of the students revising for their exams here in the cafeteria will leave more than 80 percent of young albanians and say they can imagine immigrating. practically, every family now has someone working abroad is not going to tell parents

who i'm sorry for the toughest thing for me. there are no young people here anymore. she's coming for people left. it's a big problem or shock. something extraordinary would have to happen to make a stay specialist. it can't go on like this. me in the mountains near the border with comfortable test toyota. hi uh is on his way to visit his 3rd patient of the day. it's already afternoon the but she can't imagine leaving his home region well know that the other from the thought sits in the way. i love the beautiful natural surroundings here in the mountains. this little military air, the food, the water,

we not to your i'm very happy here. medium to farm perched 400 meters of a hillside is home to his last patient of the day. 6 this of how are you able to hear dr. how are you all? well yes. course. no, no. is patient to celebrating her 90 his birth date today to there's many happy returns. i wish you another 100 years. i wish you the same of the boy and you're a good mother the god watch over you. you will be there for me as long as i live.

it's less than a 2nd to assume as god wills. step for some of you on from the most important thing is that we take your vital signs, blood pressure, heart rate, appearance of temperature, death. and so when it's temperature, well they say less than as long as my mother is alive. hey, look out to her better than anyone else. so got there. so i have any life. and i'm grateful for that. mom is that the family regard category or not just as a qualified nurse, but as a doctor, they rely on his diagnoses, doing attendance, and when is it for me, the nearest, the general practitioner is far away. young man here are especially likely to leave 2 of the grandson's have been living in germany for years now. so this kind of through the school up. no, one of my sons is an electrical engineer kid. the other is

a health care worker like who knows to. so by 3 level yes, there comes that mind that you've worked in germany young purpose and it makes us because our children here to us on to the right time. so yeah, that's a big putting me a door from job tickets to the birthday party starts. once the infusion is over, 2 of the 9 year old sons have travelled from italy with their wives to be here. the older 2 still lived here to blow it out. the people that's right is a toast. the thing you may god protect you all was the

this is awesome to do that. i'll take the glass from her doctor. have some cake. that's really the, is it for almost at the to things last of you the so the 30 just thought it was quite where there are no people. there's no gross me about who what the following next we're getting her by the day because you people are leaving albania. gosh. yeah, most never return all the course. the best way to get really awful. if he left to desk with the the on the 30. yes. the conditions that just to pour to stay as long as you have to approve. everyone has children abroad society as to just to be honest. he has children abroad because he does me too much so mean yeah, you can't do it with the 2. i don't think we live badly here this way from unless

they can well here or 3rd jobs, the insurance unit infrastructure in your pocket. if i start doing it, i do have to nothing would work without the help of the state for the past year. the nonsense, the state does nothing but the 1st build roads and schools to look for some houses. don't even have running water. no folks familiar with the you'll see they take a look at the streets and if they're even too bad for horses, you feel like you've been crazy to buy a new car. yeah. for the, for the not through the, to click on chris or if that the roads or what are most important to us yet. so i'm on their boys in a subsequent element. we could get to sick people faster, then more what's for the process. enjoy the rest of your day. good by the test,

3 of the sets off on his 8 kilometer a walk home the the capital t rhonda is a 6 hour drive away. more and more people are moving out of the country into the city. from any it's just a stepping stone for immigration. albania has been hoping to join the european union for a long time now hoping for a better quality of life. to run us, relative affluence largely stems from people who are in there, living abroad. the state health industry is trying to staunch the flow. qualified health professionals are badly needed here at home in the ministry of health. my vis colla is hoping that more money will help persuade well trained young people to state posts

from 2013 to 2020 to pay rose by 63 percent. i'm going to put forward another 7 percent rise in july and that's what we've also doubled the number of places and higher education for nurses and doctors or for mucous ashed weatherford and try me are only 50 percent of train staff currently stay in the countries public health care system there is an effective phenomenon, sort of data, most of the information, the enormous exodus of health care staff. so you're a p and phenomenal and it's problematic and the issue. but i think that our measures will help staunch the flow of medical staff from the country acting like he made the teammate the for so many issues as our country. ok, hi, as home is high up in the mountains, 10 kilometers from the nearest village and only accessible across

a steep path. he lives here with his family, his parents and his brother's family. a cast throughout the day off today. and the sun winding playing the traditional albanian loot the typically with his father is nice place to the be i'm familiar with him if i'm even i'm very happy here with my family and friends in for squint a missile kind of, i mean, of course of course you can earn more money abroad, so that's what to me and others, but i love being here. may not familiar with the as well as keeping these. the family has chickens, pigs, cows, and

a horse to carry loads. almost all of the families here in the mountains have livestock, partly to save money for the time for lunch, with the whole family and the only room with eating most of the food has been grown or produced here in georgia. right? that's true. there's been but a member of this family also works abroad in the u. k. come straight with the wife she is pregnant with her 2nd child. she works as a teacher in the village. his mother, mira is

a midwife and used to bring her doctor's bag when she went to visit. patients on foot says minds usually the feel, the emotion may be often accompanied me on the long walks to visit my patients. school shots, if for you to watch me carefully and learned a lot to admit me by the finding was a tea already knew all the names of the medicines. what is your name? so the dealership, but it wasn't easy sending 3 children to university until you come or because what just saw here. of course you and all the time. i never bought myself a new pair of trousers to save money in way up to 70 percent. like kids who have never let me down on a, you know, come send me a test to get one of the presence of my children is far more important to me than any money from abroad. the

back in toronto has kept to kaya and her husband are making a meal the should i use this nice? yes. okay. what's the cost? is it clean? yep. it's ramadan. the muslim month of fasting. oh, catch it won't eat until after sunset. sunset we often do it like this. no, my wife is fasting. so i'm going to cook something special for her today. and i'm going to see that they but it's got we don't cook every day. it is as long as the suppose me as a trained nurse,

it's easy for her to find work abroad. she hopes mario's can follow her after 6 months. won't that's calculate far. it's all cause i do most come doing one. yes. bad campus before i haven't considered going to germany use of feedback necessary and now i see it as an opportunity. sonya i'm on the 5th. i'm here. so you know, every evening, oh keta, her 3 sisters and her mother make a video call. football. what are you doing right now? yeah, me, mary, is cooking and i'm watching the telling me. oh wow. and so you guys in your how's the course going? be fine. we have to learn a lot. o keta is the last of the 4

sisters to leave the country to earn money abroad. the other 3 are in italy. certainly because question, when the memories were still, it was the most difficult decision of my life because of my parents. they don't because they'll be left alone. no more, they will be sad alone because we're family. and as the youngest child, i'm especially close to my parents in this, i am really worried how it will affect my mom when i go to enjoy. i'm no problem. thanks oh keta and mario is haven't been to germany yet, then. don't know what life is like their bus. they have a lot of dreams for the future. and 5, joe, 2 children, preferably twins, would be fantastic in germany, of course,

major money. so the best solution i have that i'll have advance that worked by that point, a little sizable doing good, like to trying to specialize in surgery. is this a delta or do i have a specific or that's my dream. and i hope that myers will also go for it because he's so good. so maybe he'll be a famous chef and gemini, and 10 years time for me is your caught me for this vehicle. just the while. many albanians are leaving the countryside. the beautiful landscape up the mountain is north, is attracting more and more tourists. the test drilled can hire, has decided to establish a 2nd source of income. his family can only scraped by with his meager pay as

a state health care worker. you know, it was the mountains here inside and out. he speaks english and his training to be a mountain guy. the, on the new season will start in a few days. we're expecting a lot of tourists from germany and austria awesome. we'd like to walk along the old trails. both come sooner because he'd like to offer paid mountain tours alongside his health care work. so he's trying to improve his economic situation with money from foreign tourists. on like many others, she can't imagine leaving out mania is personally to create another kind of hope that the people who have left will come back again. this guy and the students be a couple enjoy not the they come back in the summer to build houses. dear c b s b, maybe they'll come back for good. even it was quite

a or the so either and same to the same way you expect and more different things from life than your parents. i just want to pursue what that's my thoughts or you think your kid is 2 different, risky, irresponsible, reasonable stop in port is not i want my son to become a dr. joe in the clubs. it's time to, to get your generation with a sleep asked and then when generations flash starts. january 14th on

dw says, kind of fun. it feels like therapy, the, the diary and 100 kilometers of rain, forest separation, panama, i'm columbia. it's one of the key migration groups in the world today. how you doing? i'm john, i'm pulling my country are starving. many are dying. it has been a dictatorship for 60 years, and that's why i sold my house and left us a. maybe we have to go one more than half a 1000000 people made the journey in 2023 alone. it may be a tiny step towards the us, but it's by far the hardest. i want a better life for my children and my parents because no they're all i have.