berlin, 17-18 september 2010, health justice - worldwide! international recruitment of hrh: an...

Berlin , 17-18 September 2010, Health justice - worldwide! Berlin , 17-18 September 2010, Health justice - worldwide!

International recruitment of HRH: International recruitment of HRH: An ethical approach - An ethical approach -

Remco van de PasRemco van de Pas

Wemos foundation, The Netherlands Wemos foundation, The Netherlands

On behalf of the Medicus Mundi International On behalf of the Medicus Mundi International network network


Trends in health workforce Trends in health workforce mobility mobility

• Context: global health workforce shortage 4.3 million health personnel

• Mobility is diverse • International mobility of health professionals is

increasing to OECD countries • Demographic changes and increased health care needs

will increase HCW demand • International migration contributes for 12% to health

workforce shortage in African countries (OECD, 2000)


International migration of health International migration of health care workers care workers

““The migration of highly educated and trained The migration of highly educated and trained health personnel from countries with health health personnel from countries with health systems in crisis is increasing, further systems in crisis is increasing, further weakening the health systems of the weakening the health systems of the countries of origin.”countries of origin.”

(Report by WHO secretariat to WHA63)(Report by WHO secretariat to WHA63)


Proportion (%) of foreign- trained or foreign Proportion (%) of foreign- trained or foreign

doctors in selected OECD countries (2008)doctors in selected OECD countries (2008)


Proportion (%) of foreign- trained or foreign Proportion (%) of foreign- trained or foreign

nurses in selected OECD countries (2008)nurses in selected OECD countries (2008)


WHO global code of practice on the WHO global code of practice on the

international recruitment of health personnel international recruitment of health personnel

WHA 63.13 The Code of Practice (CoP)WHA 63.13 The Code of Practice (CoP)

• The WHO CoP on the International The WHO CoP on the International Recruitment of Health Personnel promotes Recruitment of Health Personnel promotes the equitable balance of the interests of the equitable balance of the interests of health workers, source countries and health workers, source countries and destination countries, from a rights-based destination countries, from a rights-based perspective..perspective..

•




• ……while placing particular emphasis on while placing particular emphasis on mitigating the negative effects of the mitigating the negative effects of the international migration of health workers international migration of health workers on countries experiencing health workforce on countries experiencing health workforce crises.crises.

•




• At its core,the CoP is a voluntary set of At its core,the CoP is a voluntary set of “principles, standards and practices” that “principles, standards and practices” that Member States and non‐State actors are Member States and non‐State actors are encouraged to employ to take a proactive encouraged to employ to take a proactive stance to reduce if not eliminate the negative stance to reduce if not eliminate the negative impact of health worker migration.impact of health worker migration.




• The CoP provides guidance and The CoP provides guidance and responsibilities for state and non-state actors responsibilities for state and non-state actors with regard to recruiting health personnel, with regard to recruiting health personnel, particularly from developing countries, and particularly from developing countries, and promotes specific strategies for health promotes specific strategies for health systems strengthening.systems strengthening.




Preamble1. Objectives2. Nature and scope 3. Guiding principles 4. Responsibilities, rights & recruitment5. Health workforce development and health systems sustainability 6. Data gathering and research 7. Information exchange8. Implementation of the code9. Monitoring and institutional arrangements 10.Partnerships, technical collaboration and financial support


Implementation of the CoP and Implementation of the CoP and the role of civil society the role of civil society

1. Contributing to implementation and monitoring

framework developped by WHO2. Translation CoP and awareness raising at national level3. Creation of multisectoral HRH network and possible

observatory 4. Stakeholder analysis and dialogue facilitation 5. Data-collection, research and monitoring6. development of bilateral or multilateral legalisation and

agreements7. To address wider issues on health system governance,

SDH and macro- economic strategies that are root causes for health worker migration


The Dutch HRH alliance The Dutch HRH alliance

• Multi-sectoral: NGOs, proffessional associations, labour

unions, research institute, governmental departments • Focus on policies in Netherlands AND in development

countries via collaborating institutions • Facilitating dialogue and policy development• Research and assessment related to HCW mobility• Awareness raising and communication to health

workers and media on global HCW maldistribution• Cooperation with networks in other countries



Questions and discussion Questions and discussion



For more information:For more information:

www.wemos.nl

www.medicusmundi.orgwww.medicusmundi.org

[email protected] .nl

berlin, 17-18 september 2010, health justice - worldwide! international recruitment of hrh: an...

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