WP 4 Workshop
Applicability of the WHO Global Code of Practice on
the International Recruitment of Health Personnel
Experience of the Republic of Moldova
on Bilateral Agreements
Lisbon, 16th June 2014
Dr. Eugenia Berzan
MoH, Republic of Moldova
Republic of Moldova is a
Collaborating Partner of the EU
Joint Action on Health Workforce
Planning and Forecasting
being represented by the
- Ministry of Health
- and subordinated National
Center on Health Management
that hosts the
South-eastern Europe Regional
Health Development Center on
Human Resources for Health
(SEE Observatory on HRH)
Country Profile
 Republic of Moldova is located
in South-Eastern Europe
 Area -33,843 km2
 Population (2012): 3,559
million (http://www.statistica.md/)
 Rural population (% of total
population-/2012)- up to 58%
 GDP (2012): US $ 7,253 billion
(http://data.worldbank.org/country/moldova )
 GDP per capita in PPP terms
(2012): US $3,368
(http://data.worldbank.org/indicator/NY.GDP.PCAP.
PP.CD)
 Poverty rate (2012) - 16.6 %
(http://www.worldbank.org/en/country/moldova/
overview
 Human Development Index
(2012) – 0,66
(http://hdr.undp.org/sites/default/files/CountryProfiles/MDA.pdf)
 Gender Inequality Index
(2012) – 0,303
(http://hdr.undp.org/sites/default/files/CountryProfiles/MDA.pdf)
Defining Some Indicators on Human Resources for Health
Physicians per 100 000 population
EU (2011)
-345,8
Republic of
Moldova (2012)
- 282,62
Source: WHO/Europe, European HFA Database
Family Doctors (General Practitioners)
per 100 000 population
EU (2011)
-79,65
Republic of
Moldova (2012)
- 52,17
Source: WHO/Europe, European HFA Database
Nurses per 100 000 population
EU (2011)
-835,91
Republic of
Moldova (2012)
- 641,86
Source: WHO/Europe, European HFA Database
WHO Global Code of Practice
on the International Recruitment of Health Personnel
Bilateral Agreements in the
WHO Global Code
“Member States should use the Code
as a guide when entering into
bilateral, and/or regional and/or
multilateral agreements, to promote
international
cooperation
and
coordination
of
international
recruitment of health personnel. Such
arrangements should take into
account the needs of developing
countries
and
countries
with
economies in transition through the
adoption of appropriate measures…”
( WHO Code of Practice, Article 5.2 )
WHO Global Code of Practice
on the International Recruitment of Health Personnel
Commitment assumed at the National Level to implement the WHO Global
Code of Practice with reference to Bilateral Agreements
One of the Government of the Republic of Moldova Action
Plan 2013-2014 provisions stipulates:
“to intensify bilateral dialogue with States where exist
the presence of the largest Moldovan Diaspora populations,
signing bilateral agreements in the field of social protection of
migrants, as well as health, education, labor migration etc. ”
Attending High Level Events
The delegation of the Republic of
Moldova, attested the intention of country
to pursue the signing of bilateral
agreements in the field of health personnel
migration, via formal negotiations –
agreements that have as objectives:
WHO Policy Dialogue on International Health Workforce Mobility and
Recruitment Challenges, Amsterdam, The Netherlands, 2-3 May 2013
Third Global Forum on Human Resources for Health,
10-13 November 2013, Recife, Brazil
• facilitation of a process for recognition
of professional qualifications;
• promotion of circular migration;
• integration of migrant health personnel
in source and destination country
Health Systems;
• transfer of skills, knowledge and
technology;
• ethical recruitment of migrant health
personnel.
Sub regional TAIEX Workshop on
"Harmonization and Mutual Recognition of Health Professionals' Qualifications in Europe”
Chisinau, 18-19 June 2013
o Being organized, under the auspices of the
SEEHN Presidency of the Republic of Moldova,
the event was attended by over 50 experts and
participants from Austria, Bulgaria, Estonia,
Romania and Slovenia, as well as all the SouthEastern Europe Health Network (SEEHN)
countries.
o Highlighting the key significance of the
European Commission Directive 2005/36/EC
on the recognition of professional qualifications
(that came into force in 2007 and being amended
several times)
o And providing a better insight into the legal and
practical aspects of its implementation in the EU
Members States and the current state of play in
the countries of the SEEHN.
Establishing a Cross-Sector Working Group
At the initiative of the MoH, based on nomination letters presented on behalf of all
national key stakeholders, a Cross-Sector Working Group was established in July
2013, to cooperate in developing and initiating the negotiations on the draft bilateral
framework agreement in the field of health personnel migration, including
representatives of:
-
Ministry of Health
Ministry of Education
Ministry of Labor, Social Protection and Family
Ministry of Foreign Affairs and European Integration
Bureau for Diaspora Relations
National Agency for Employment
Bureau for Migration and Asylum
National Center for Health Management
State University of Medicine and Pharmacy
National College of Medicine and Pharmacy
Draft Bilateral Agreement Development
Negotiation Skills Development
(within technical meetings and workshops held during 2013-2014)
Draft Bilateral Agreement Development
• Draft agreement was developed based on the innovative
comprehensive Model Bilateral Agreement I
(reflected in „Innovations in Cooperation: a guidebook on bilateral agreements to
address health worker migration”, which is strongly correlated to all WHO Code of
Practice provisions)
• Being adjusted by the Cross-Sector Working Group, based on
the Moldovan practice in concluding and implementing bilateral
treaties in the field of labor migration and social protection of
migrants
Draft
Intergovernmental
Framework
Agreement
in the field of
Health Personnel
Migration
(Bilateral Agreements in force on Social Protection of Migrants - with Bulgaria,
Portugal, Romania, Luxembourg, Austria, Estonia, Czech Republic, Belgium)
(Bilateral Agreements in force on Labor Migration - with Russian Federation,
Ukraine, Belarus, Azerbaijan, Italy, Israel)
• And being approved by Government Decision No.936 dated
22 November 2013
(Serves as a basis for starting the dialog on negotiations in the area of migration of
health professionals with Partners from the destination countries of Moldovan health
workers)
Draft Agreement Structure
•Preamble
Draft
Intergovernmental
Framework
Agreement
in the field of Health
Personnel Migration
•Definitions
•Objectives
•Recruitment Standards
•Employment Standards
•Migration and Development
•Implementation and Monitoring
•Dispute Resolution, Entry into
Force, Amendment, Denouncement
The List of Countries to start the Dialog with
 Considering:
•
•
•
the Extended Migration Profile of the Republic of
Moldova
results from the most recent studies of priority
destinations of health professionals migrating from
the Republic of Moldova
and trends in international (especially European)
migration flows
 a number of 19 countries to start the dialog regarding
negotiation of the Draft Intergovernmental Framework
Agreement in the field of Health Personnel Migration
with, were selected, including:
•
•
•
•
•
•
•
•
•
•
Report developed and published in 2012 with
EU and IOM support
Romania
Republic of Italy
Kingdom of Spain
Portuguese Republic
Federal Republic of Germany
State of Israel
French Republic
United Kingdom of Great Britain and Northern Ireland
Republic of Turkey
Republic of Bulgaria etc
 List of countries, to start the dialog with, being as well
approved by Government Decision No.936 dated 22
November 2013
2014 UP TO DATE…
 Prioritization of the List of
Countries to start the negotiations
with on draft agreement during 2014
 Invitations to launch negotiations,
addressed via diplomatic channels to
Partners from:
•
•
•
•
•
Republic of Italy
Kingdom of Spain
Portuguese Republic
Federal Republic of Germany
State of Israel
 The Dialog has recently been started
with Partners from Federal Republic
of Germany on priorities for
cooperation in the field of health
personal migration
Partners for Development Support
In the process of strengthening it's capacity to manage the migration
of health professionals, the Republic of Moldova, has benefited
since 2011 from a significant technical support
provided by WHO Regional Office for Europe & WHO Country Office,
based on valuable financial assistance provided by European Union
within "Better managing the mobility of health professionals
in the Republic of Moldova“ Project
THANK YOU !