Presentation on theme: "Moving the ethical hiring of health workers forward"— Presentation transcript:
1Moving the ethical hiring of health workers forward Useful tools for the implementation of the Code: the strategy and the report draft guidelinesMoving the ethical hiring of health workers forwardMadrid, 17th June 2011Acknowledge chairs – Viroj Tangcharoensathien, Thailand and Mary Wakefield, USAViroj's energetic and tireless chairing of last year's group ensured that the Code saw light of dayUS govt support vital to our workOne year after the Code came into force, we want to discuss some of the opportunities and challenges to implementing and monitoring the Code.I'll start by telling you what we are doing at WHO – then look forward to hearing your views and experiences.Pascal ZurnDepartment of Human Resources for HealthWorld Health OrganizationGeneva, Switzerland
2World Health Assembly Resolution In 2004, the World Health Assembly Resolution "WHA 57.19" on International Migration of Health Personnel requested the Director General "to develop, in consultation with Member States and all relevant partners, a code of practice on the international recruitment of health personnel…. ".
3The WHO Global Code of Practice on the International Recruitment of Health Personnel, adopted by the 63rd World Health Assembly 21 May 2010The adoption of the WHO Global Code of Practice on the International Recruitment of Health Personnel by the Sixty-third World Health Assembly in May 2010 was a milestone.The first time that a voluntary code had been developed under WHO auspices in 30 years.And a landmark agreement as to how to tackle many of the concerns about international health workforce migration and the global health workforce crisis.
4WHO Code of Practice on the International Recruitment of Health Personnel PreambleArticle 1: ObjectivesArticle 2: Nature and scopeArticle 3: Guiding principlesArticle 4: Responsibilities, rights and recruitment practicesArticle 5: Health workforce development and health systems sustainabilityArticle 6: Data gathering and researchArticle 7: Information exchangeArticle 8: Implementation of the CodeArticle 9: Monitoring and institutional arrangementsArticle 10: Partnerships, technical cooperation, and financial support4
5Implementation strategy The WHO Code: An implementation strategy by the WHO Secretariat has been developedSince last May, we have been working out how best to build on the Code to support countries in implementing it. The suggested strategy has four pillars:communication and advocacy,development of guidelinespartnerships,resource mobilization.
6Implementation strategy Support at regional and country levelPartnershipsDevelopment of guidelines for monitoring implementation of the CodeResourcemobilisationCommunication and advocacySince last May, we have been working out how best to build on the Code to support countries in implementing it. The suggested strategy has four pillars:communication and advocacy,development of guidelinespartnerships,resource mobilization.
7Communication and advocacy Raising awareness through:Publication of the WHO CodePublication of a user’s guideDevelopment of the WHO websitePresentations on the Code at international meetingsThe first category of activities is communication and advocacy.WHO is publicizing and disseminating the Code and related information through various documents such as the User's guide in a handy pocket formatSome Member States have already translated the Code into their national languages – Norway, Thailand.Presentations at the 2nd Global HRH Forum in Bangkok, January 2011, Launch of the retention guidelines in Johannesburg, September 2010, ICN Conference in Malta, May 2011, etc.
8Guidelines for monitoring the implementation "to rapidly develop, in consultation with Member States, guidelines for minimum data set, information exchange and reporting on the implementation of the WHO Global Code"
9Timeline for the development of the guidelines 20102011JuneSeptemberNovemberOctoberOECD/WHO TechnicalWorkshop on monitoring of HRH migrationProposal to present revised draft guidelines at regional meetingsOECD Health Data Correspondent meeting to discuss draft guidelines for MDSJulyPresentation of the Codeimplementation strategy to the office of the WHO Director-GeneralMayMarsOctoberTechnical Briefing at WHA64Web based public hearingDecemberWHO Expert Meeting to discuss draft guidelines: . Minimum Data Set (MDS). Information exchange. Reporting on the implementation on the CodePublication of the guidelinesPlanning phaseFormulation of draft guidelinesConsultation and validation
10Designated National Authority "For purposes of international communication, each Member State should, as appropriate, designate a national authority responsible for the exchange of information regarding health personnel migration and the implementation of the Code. Member States so designating such an authority, should inform WHO." (Art 7.3)48 countries have so far reported their National AuthorityPhilippinesFinlandYemenChileCameroonRepublic of KoreaGeorgiaAlbaniaColombiaGhanaSingaporeHungaryAustriaEl SalvadorKenyaSaudi ArabiaLatviaBelarusGuatemalaMauritaniaMonacoBelgiumNicaraguaMauritiusNetherlandsCyprusParaguayNamibiaPortugalCzech RepublicOmanRwandaMyanmarEstoniaQatarSwaziland
11Timeline for monitoring implementation 201220132015201620182019Reports of Member States to the WHO secretariatReport of WHO Director General to the World Health AssemblyNB Reporting is not an end in itself, but a critical component of implementationThe first reports of the Member States to the WHO Secretariat are due by mid-2012, and every three years thereafter.These will provide the basis for the report of the Director-General to the World Health Assembly in 2013, and every three years thereafter.Reports will be used in the following ways:To implement and update the CodeUsed in Director general reports as per Article 9Published for the purposes of information sharingDepending on resources available, other uses may be found
12PartnershipsBuilding on the successful partnerships from the development of the CodeSuccessful implementation will depend on strong partnerships with Member States, other international organizations, professional organizations, NGOs and other relevant stakeholders
13Resource mobilization The current level of resources available to WHO for the implementation of the Code is insufficient in terms of staff and activities.Current annual needs stand at around US$ 5 million, distributed between HQ and the 6 regional offices as follows: