Berlin, September 2010, Health justice - worldwide! International recruitment of HRH: An ethical approach - Remco van de Pas Wemos foundation, The Netherlands On behalf of the Medicus Mundi International network

Berlin, September 2010, Health justice - worldwide! International recruitment of HRH: An ethical approach -

Berlin, September 2010, Health justice - worldwide! Trends in health workforce 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)

Berlin, September 2010, Health justice - worldwide! International migration of health care workers “The migration of highly educated and trained health personnel from countries with health systems in crisis is increasing, further weakening the health systems of the countries of origin.” (Report by WHO secretariat to WHA63)

Berlin, September 2010, Health justice - worldwide! Proportion (%) of foreign- trained or foreign doctors in selected OECD countries (2008)

Berlin, September 2010, Health justice - worldwide! Proportion (%) of foreign- trained or foreign nurses in selected OECD countries (2008)

Berlin, September 2010, Health justice - worldwide! WHO global code of practice on the international recruitment of health personnel WHA The Code of Practice (CoP) The WHO CoP on the International Recruitment of Health Personnel promotes the equitable balance of the interests of health workers, source countries and destination countries, from a rights-based perspective..The WHO CoP on the International Recruitment of Health Personnel promotes the equitable balance of the interests of health workers, source countries and destination countries, from a rights-based perspective..

Berlin, September 2010, Health justice - worldwide! WHO global code of practice on the international recruitment of health personnel …while placing particular emphasis on mitigating the negative effects of the international migration of health workers on countries experiencing health workforce crises.…while placing particular emphasis on mitigating the negative effects of the international migration of health workers on countries experiencing health workforce crises.

Berlin, September 2010, Health justice - worldwide! WHO global code of practice on the international recruitment of health personnel At its core,the CoP is a voluntary set of “principles, standards and practices” that Member States and non ‐ State actors are encouraged to employ to take a proactive stance to reduce if not eliminate the negative impact of health worker migration.At its core,the CoP is a voluntary set of “principles, standards and practices” that Member States and non ‐ State actors are encouraged to employ to take a proactive stance to reduce if not eliminate the negative impact of health worker migration.

Berlin, September 2010, Health justice - worldwide! WHO global code of practice on the international recruitment of health personnel The CoP provides guidance and responsibilities for state and non-state actors with regard to recruiting health personnel, particularly from developing countries, and promotes specific strategies for health systems strengthening.The CoP provides guidance and responsibilities for state and non-state actors with regard to recruiting health personnel, particularly from developing countries, and promotes specific strategies for health systems strengthening.

Berlin, September 2010, Health justice - worldwide! WHO global code of practice on the international recruitment of health personnel Preamble 1. Objectives 2. Nature and scope 3. Guiding principles 4. Responsibilities, rights & recruitment 5. Health workforce development and health systems sustainability 6. Data gathering and research 7. Information exchange 8. Implementation of the code 9. Monitoring and institutional arrangements 10.Partnerships, technical collaboration and financial support

Berlin, September 2010, Health justice - worldwide! Implementation of the CoP and the role of civil society 1. Contributing to implementation and monitoring framework developped by WHO 2. Translation CoP and awareness raising at national level 3. Creation of multisectoral HRH network and possible observatory 4. Stakeholder analysis and dialogue facilitation 5. Data-collection, research and monitoring 6. development of bilateral or multilateral legalisation and agreements 7. To address wider issues on health system governance, SDH and macro- economic strategies that are root causes for health worker migration

Berlin, September 2010, Health justice - worldwide! 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

Berlin, September 2010, Health justice - worldwide! International recruitment of HRH: An ethical approach - Questions and discussion

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