Useful tools for the implementation of the
Code: the strategy and the report draft
guidelines
Moving the ethical hiring of health workers forward
Madrid, 17th June 2011
Pascal Zurn
Department of Human Resources for Health
World Health Organization
Geneva, Switzerland
World 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…. ".
2 | WHO Global Code of Practice on the International Recruitment of Health Personnel
|
The WHO Global Code of Practice
on the International Recruitment of Health Personnel,
adopted by the 63rd World Health Assembly
21 May 2010
3 | WHO Global Code of Practice on the International Recruitment of Health Personnel
|
WHO Code of Practice on the International
Recruitment of Health Personnel
 Preamble
 Article 1: Objectives
 Article 2: Nature and scope
 Article 3: Guiding principles
 Article 4: Responsibilities, rights and recruitment practices
 Article 5: Health workforce development and health systems sustainability
 Article 6: Data gathering and research
 Article 7: Information exchange
 Article 8: Implementation of the Code
 Article 9: Monitoring and institutional arrangements
 Article 10: Partnerships, technical cooperation, and financial support
4 | WHO Global Code of Practice on the International Recruitment of Health Personnel
|
Implementation strategy
The WHO Code:
An implementation strategy
by the WHO Secretariat has
been developed
5 | WHO Global Code of Practice on the International Recruitment of Health Personnel
|
Implementation strategy
Communication
and advocacy
Resource
mobilisation
Development of
guidelines for
monitoring
implementation
of the Code
Support at
regional and
country level
Partnerships
6 | WHO Global Code of Practice on the International Recruitment of Health Personnel
|
Communication and advocacy
 Raising awareness through:
– Publication of the WHO Code
– Publication of a user’s guide
– Development of the WHO website
– Presentations on the Code at international
meetings
7 | WHO Global Code of Practice on the International Recruitment of Health Personnel
|
Guidelines 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"
8 | WHO Global Code of Practice on the International Recruitment of Health Personnel
|
• Web based public hearing
9 | WHO Global Code of Practice on the International Recruitment of Health Personnel
Publication of
the guidelines
Consultation and validation
Formulation of draft guidelines
|
December
May
Mars
Technical Briefing at WHA64
WHO Expert Meeting to discuss draft guidelines:
. Minimum Data Set (MDS)
. Information exchange
. Reporting on the implementation on the Code
Planning phase
October
November
Presentation of the Code
implementation strategy to
the office of the WHO
Director-General
Proposal to present revised
draft guidelines at regional
meetings
OECD Health Data
Correspondent meeting to discuss
draft guidelines for MDS
October
July
June
OECD/WHO Technical
Workshop on monitoring
of HRH migration
September
Timeline for the development of the guidelines
Designated 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 Authority
Albania
Democratic
Republic of the
Cameroon Congo
Guatemala
Mauritania
Netherlands
Portugal
Saudi Arabia
Angola
Chile
El Salvador
Hungary
Mauritius
Nicaragua
Qatar
Singapore
Armenia
Colombia
Estonia
Kenya
Mexico
Oman
Republic of Korea
Sudan
Austria
Congo
Finland
Latvia
Monaco
Paraguay
Russian Federation
Swaziland
Belarus
Cyprus
Georgia
Lithuania
Myanmar
Philippines
Rwanda
Thailand
Belgium
Czech
Republic
Ghana
Maldives
Namibia
Poland
Saint Vincent and the
Grenadines
Uganda
Yemen
10 | WHO Global Code of Practice on the International Recruitment of Health Personnel
|
Timeline for monitoring implementation
2012
2013
2015
2016
2018
2019
Reports of
Member States
to the WHO
secretariat
Report of WHO
Director General
to the World
Health Assembly
Reports of
Member States
to the WHO
secretariat
Report of WHO
Director General
to the World
Health Assembly
Reports of
Member States
to the WHO
secretariat
Report of WHO
Director General
to the World
Health Assembly
11 | WHO Global Code of Practice on the International Recruitment of Health Personnel
|
Partnerships
 Building on the successful partnerships from the development of the
Code
 Successful implementation will depend on strong partnerships with
Member States, other international organizations, professional
organizations, NGOs and other relevant stakeholders
12 | WHO Global Code of Practice on the International Recruitment of Health Personnel
|
Resource 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:
Implementation
at regional and
country level
45%
Staff
Requirements
31%
Communication
and advocacy
13%
13 | WHO Global Code of Practice on the International Recruitment of Health Personnel
|
Guidelines
11%
For more information
http://www.who.int/hrh/migration/code/practice/en/index.html
14 | WHO Global Code of Practice on the International Recruitment of Health Personnel
|