back i says you have to listen and then to reveal its secret thoughts. january 12 on dw, 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 names that of keta. and i'm and i was looking off to you today. the shame of my life, 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 any one 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. it takes 2 to 3 hours just to get to the next patient, the orders use 3 or nothing, misquote. 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, clear 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. find them you know that you're here. so bear with me. lynn glen, are you feeling a bit better today but before? no. as 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 milliliter bottle is for the 100 by 100 x

it contains okay, when you are meeting you'll feel better afterwards. i don't mean much. well, during the infusion, he tells his patient about his concern. the region is undergoing major changes, it's on a new quote. number coordinator dean met during the summer months for the sound of the roof from inside of wordpress shipping. you know, just to get them for so many people have left albania to one 3rd. so it's most of us supplement and we 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 tell them does attend, that they're all looking for a better life. landlord. forgot to pay here is too low too. and so another familial,

to push, and they want a better life for their families, and especially for their children. for youth, much me there for media, for, for me to motion 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 will have to do some things as one disciplined things can't stay like this one. this all the best plan, the he's in 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 isn't now is 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 t 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 or 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 in the sector provides the foundation for its business model. you frontier your in your aust. i'm teaching and the inpatient in today's exercise . like your spouse 1st will help me prepare for an exam and gemini the course. participants are learning bedside manners in german and my name is i said, 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 trash snyder. my name's joe kit, and i'm the ness looking off to you today. we have a few. as always, hyman pain. sense. okay, now, where is this exactly how much it hurt us 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 tom can. thanks please give a 100 vancouver or even person. where do you feel that as soon as they have the spot had these, she has reached a b, 2 level in german, you know, preparing for the practical part here on central travel to germany,

to take the exam and get her license. and the tense 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? mendoza. i think that you introduced yourself well on the treatment and the way she spoke to the patient. what good the type of course, there's the language is, you know, my last piece on the georgia, we have to improve to avoid having problems with my, with patients in germany and they're still in oklahoma. so i'm just going to see what's going on in the business that's in the kaya completed a master's in health care management into your runa and is a qualified nurse of the all of them to do

a german hospital has already offered her a permanent post. and its cardiac surgery unit. but the contract hinges on her passing her exams in a few months time in german. as she has to learn a lot of specialized vocabulary. especially foster preparations for the b 2 language tests for health care works. i guess. we need that for the examinations. uh, it's a 3 month course. gives you out the rest in what kind of cultural anna could you briefly present the topic for us? why again, dementia is to generate to brain disease. at 1st, short term memory is affected courtside 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. 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 an electrically. 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. you would have to happen to make a stay, especially as of course it can't go on like this all at your most of the

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 one or the other from the thoughts sits in the way. i love the beautiful natural surroundings here in the mountains. this little military air, the food, the water, we not tune up. i'm very happy here. medium to a farm perched 400 meters up a hillside is home to his last patient of the day. 6 yes,

this of how are you able to for the waiting to hear dr. my, you all well yes, course no, no. is patient is celebrating her 90 as birth date today as many happy returns. i wish you another 100 years. i wish you the same the split nearer good mother, no menu of the god watch over you. you will be there for me as long as i live. it's less than a 2nd to assume deposit dogwill 2nd step, assembled you on from the most important thing is that we take your vital signs of blood pressure, heart rate of parents, temperature. yep. and so when it's temperature, well they say less than as long as my mother is alive. hey, look up to her better than anyone else should go there. so i've english 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, fit a 2 in attendance, and one is it for me, the nearest the general practitioner is far away. young man here are especially likely to leave 2 of the grandsons have been living in germany for years now. so this kind of through this call up, no, one of my sons is an electrical engineer. kid mc other is a health care worker, like who knows to some fun, 3 level. yes. there comes that my buddy's work in germany young purpose and it makes us time to live with that with our children here today to see the big teaching me doing from job tickets for 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 live here. know blow it out. the that's right is a toast. holidays and thank you. may god protect you all was for the disney is awesome. to do that, i'll take the glass from her doctor, have some cake. that's really the board. so the most, the, to the things last of you the right it so that during this thought it was quite where there are no people. there's no gross. me why?

who, what the following next we're getting her by the day because you people are leaving albania. gosh, if you yeah, most never returned all the of course best. i can really awful if he left to that's good. this is out of the the overtime. the 30. yes. but conditions that just to port to stay as long as you have to approve. everyone has children abroad, a 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, but they have to. i don't think we live badly here this way from unless they're kind of well here or 3rd jobs, the insurance unit infrastructure in your cab. if i stood up, do you have to nothing? what? what does 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 sheet and 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 restore it, but the roads are what are most important to us yet. so i'm on their budget and situated that we could get to sick people faster, then more what's for the process. enjoy the rest of your day. good bye. the test 3 of the sets off on his 8 kilometer a walk home. the the capital to run a 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. the in the ministry of health 5 is colla is hoping that more money will help persuade well trained young people to state posts from past from 2013 to 2020 to pay rose by 63 percent. i'm going to put forward another 7 percent rise in july. we've also doubled the number of places and higher education for nurses and doctors or premier ashley weatherford only 50 percent of

trained staff currently stay in the countries public health care system. there is an effective phenomena sort of data, most of the information, the enormous exodus of health care staff. so your p and phenomenon 1st, it's problematic and the issue. but i think that our measure as well helps dont' the flow of medical stuff from the country, acting like he made the teammate the personalities 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 6 cats throughout the day off today. and these fun winding playing the traditional albanian loot the chip dealing with his father is nice place to the

bell. i'm familiar with him if i'm even, i'm very happy here with my family and friends. simple squint a missile kind of any of us. of course you can earn more money abroad, so that's what's 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. it is

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. custer, that's why she is pregnant with their 2nd child. she works as a teacher in the village. his mother, mira is a midwife and used to bring her doctors back when she went to visit. patients on foot says minds usually the feel, the emotion may be often accompanied me on those long walks to visit my patients. school shots, if for you to watch me carefully and learned a lot to admit me, my new finding was a tea already knew all the names of the medicines. what is your name?

so i'm going to do your service should wasn't easy. sending 3 children to university until you come or what just saw here. of course you and all the time. i never bought myself a new pair of trousers to save money and what you have to remember too, but that quite kids who have never let me down on a, you know, commit to get one of the presence of my children is far more important to me than any money from abroad? the back in toronto. have cats. i tell you that her husband are making a meal the . should i use this nice? yes. okay. is it clean?

yep. it's ramadan. the muslim month of fasting. oh, catch a won't eat until after sunset. on the steps that we often do it like this. uh no, my wife is fasting. so i'm going to cook something special for her today. and i'm gonna see that they but it's got we don't cook every day. if on that you really 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 keta is i do most come doing one? yes. bad campus before i haven't considered going to germany use of feedback. let's see. oh yeah. and so now i see it as an opportunity for sonya we'll see them. yeah

. 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, mary is cooking and i'm watching the telling me. oh wow. and she goes in and we all. how's the course going? be fine. we have to learn a lot oh, 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 mean was, was it was the most difficult decision of my life because of my parents. they don't because they'll be left alone where 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 to enjoy your mental balance due to thanks. oh, keta and mario's haven't been to germany yet. them don't know what life is like their bus, they have a lot of dreams for the future. if i go to children, preferably twins would be fantastic in germany, of course need your money. so the best solution i have that i'll have advanced at work by that point, a low sizable doing good. like to trying to specialize in surgery. this is a delta or do i have a specific or that's my dream. and i hope that myers will also go far look into so good. so maybe he'll be a famous chef and gemini in 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, as attracting more and more tourists. the test realty hi, a 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. he knows the mountains here inside and out. he speaks english and his training to be a mountain guy. the vista, the new season will start in a few days. we are expecting a lot of tourists from germany and austria awesome who like to walk along the old

trails, most consumer. and i think 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 albania is personally to create another kind of hope that the people who have left will come back again. this guy in the students be a couple enjoy. know 3 a. they come back in the summer and to build houses. dear c p a speed may be, they'll come back for good evening. goodbye the vehicle. i started to try to silver. the key is a so good point,

almost all that i ordered for a 120000 rupees. he couldn't believe it. still calming was the solution off to the collapse of cotton production which hit the village of really hard way. now self sufficient and not dependent on others for money. eco india. in 30 minutes on dw, the

w news live from bond at the us or is, is israel to plans of peace with the palestinians. us secretary of state and to me play income was the day the total war on civilians in gaza is too high. and he says, i have nations do won't best have relations with israel. but only when i've passed through how this thing and state are, this is plan also on the program to ecuador sinks into crisis. the president says, these countries are well with drug skaggs after a wave of deadly violence, the storming of a t. v stations on the kidney of police officers. germany suffers travel

counts as a 3 day rail strike.