National Reporting Instrument 2018
Background
[iBG]
Adopted in 2010 at the 63rd World Health Assembly (WHA Res 63.16), the WHO Global Code of Practice on the International Recruitment of Health Personnel (“the Code”) seeks to strengthen the understanding and ethical management of international health personnel recruitment through improved data, information, and international cooperation.
Article 7 of the Code encourages WHO Member States to exchange information on the international recruitment and migration of health personnel. The WHO Director General is additionally mandated to report to the World Health Assembly every 3 years. WHO Member States completed the 2nd Round of National Reporting on Code implementation in March 2016. The WHO Director General reported progress on implementation to the 69th World Health Assembly in May 2016 (A 69/37 and A 69/37 Add.1). During the 2nd Round of National Reporting, seventy-four countries submitted complete national reports: an increase in over 30% from the first round, with improvement in the quality and the geographic diversity of reporting.
The National Reporting Instrument (NRI) is a country-based, self-assessment tool for information exchange and Code monitoring. The NRI enables WHO to collect and share current evidence and information on the international recruitment and migration of health personnel. The NRI (2018) has been considerably shortened, while retaining key elements. It now comprises 18 questions. The common use of the instrument will promote improved comparability of data and regularity of information flows. The findings from the 3rd Round of National Reporting are to be presented at the 72nd World Health Assembly, in May 2019.
The deadline for submitting reports is 15 August 2018.
Should technical difficulties prevent national authorities from filling in the online questionnaire, it is also possible to download the NRI via the link: http://www.who.int/hrh/migration/code/code_nri/en/. Please complete the NRI and submit it, electronically or in hard copy, to the following address:
Health Workforce Department
Universal Health Coverage and Health Systems
World Health Organization
20 Avenue Appia, 1211 Geneva 27
Switzerland
hrhinfo@who.int
The data and information collected through the National Reporting Instrument will be made publicly available via the WHO web-site following the proceedings of the 72nd World Health Assembly. The quantitative data collected will be updated on and available through the National Health Workforce Accounts online platform (http://www.who.int/hrh/statistics/nhwa/en/).
Article 7 of the Code encourages WHO Member States to exchange information on the international recruitment and migration of health personnel. The WHO Director General is additionally mandated to report to the World Health Assembly every 3 years. WHO Member States completed the 2nd Round of National Reporting on Code implementation in March 2016. The WHO Director General reported progress on implementation to the 69th World Health Assembly in May 2016 (A 69/37 and A 69/37 Add.1). During the 2nd Round of National Reporting, seventy-four countries submitted complete national reports: an increase in over 30% from the first round, with improvement in the quality and the geographic diversity of reporting.
The National Reporting Instrument (NRI) is a country-based, self-assessment tool for information exchange and Code monitoring. The NRI enables WHO to collect and share current evidence and information on the international recruitment and migration of health personnel. The NRI (2018) has been considerably shortened, while retaining key elements. It now comprises 18 questions. The common use of the instrument will promote improved comparability of data and regularity of information flows. The findings from the 3rd Round of National Reporting are to be presented at the 72nd World Health Assembly, in May 2019.
The deadline for submitting reports is 15 August 2018.
Should technical difficulties prevent national authorities from filling in the online questionnaire, it is also possible to download the NRI via the link: http://www.who.int/hrh/migration/code/code_nri/en/. Please complete the NRI and submit it, electronically or in hard copy, to the following address:
Health Workforce Department
Universal Health Coverage and Health Systems
World Health Organization
20 Avenue Appia, 1211 Geneva 27
Switzerland
hrhinfo@who.int
The data and information collected through the National Reporting Instrument will be made publicly available via the WHO web-site following the proceedings of the 72nd World Health Assembly. The quantitative data collected will be updated on and available through the National Health Workforce Accounts online platform (http://www.who.int/hrh/statistics/nhwa/en/).
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Disclaimer
[disclaim]
For more information on WHO Data Policy kindly refer to http://www.who.int/publishing/datapolicy/en/
For more information on WHO Data Policy kindly refer to http://www.who.int/publishing/datapolicy/en/
I have read and understood the WHO policy on the use and sharing of data collected by WHO in Member States outside the context of public health emergencies
Designated National Authority Contact Details
[q01a]
Name of Member State:
El Salvador
[q01b]
Contact information:
Full name of institution:
Ministerio de Salud de El Salvador
Name of designated national authority:
Maria Angela Elias Marroquin
Title of designated national authority:
Directora de Desarrollo de Recursos Humanos
Telephone number:
+50378246790 y 503 22057226
Email:
angelamery2002@gmail.com
Implementation of the Code
[q1]
1. Has your country taken steps to implement the Code?
Yes
[q2]
2. To describe the steps taken to implement the Code, please tick all items that may apply from the list below
2.a Actions have been taken to communicate and share information across sectors on the international recruitment and migration of health personnel, as well as to publicize the Code, among relevant ministries, departments and agencies, nationally and/or sub-nationally.
El ha compartido y es una línea de trabajo en la Comisión Intersectorial de Recursos Humanos, conformada por 19 instituciones. Se ha conformado la sub comisión de migración en la que participan delegados del Ministerio de Trabajo, Salud, Educación y Relaciones Exteriores
2.b Measures have been taken or are being considered to introduce changes to laws or policies consistent with the recommendations of the Code.
Se realizó análisis del Código y siendo la recomendación legal se incluyera en sistemas de información, y en la medición de metas de RH 2010, 2013 y 2015
2.c Records are maintained on all recruiters authorized by competent authorities to operate within their jurisdiction.
2.d Good practices, as called for by the Code, are encouraged and promoted among recruitment agencies.
No tenemos registro de agencias de contratación, por tanto se desconoce, hay algunas organizaciones que sub contratan personal médico y de enfermería pero sin registro de las mismas
2.e Measures have been taken to consult stakeholders in decision-making processes and/or involve them in activities related to the international recruitment of health personnel.
2.f Other steps:
[q3]
3. Is there specific support you require to strengthen implementation of the Code?
3.a Support to strengthen data and information
Desarrollo de un robusto sistema de información integral de RH, módulo de planificación
3.b Support for policy dialogue and development
3.c Support for the development of bilateral agreements
Impulsar acuerdos desde los organismos regionales, ejm Secretaría del Consejo de Ministros de Centro América y RD
3.d Other areas of support:
Data on International Health Personnel Recruitment & Migration
[iq4]
Improving the availability and international comparability of data is essential to understanding and addressing the global dynamic of health worker migration.
[q4]
4. Does your country have any mechanism(s) or entity(ies) to maintain statistical records of foreign-born and foreign-trained health personnel?
No
[iQ5]
For the latest year available, consistent with the National Health Workforce Accounts (NHWA) Indicators 1-07 and 1-08, please provide information on the total stock of health personnel in your country (preferably the active workforce), disaggregated by the country of training (foreign-trained) and the country of birth (foreign-born). Please consult with your NHWA focal point, if available, to ensure that data reported below is consistent with NHWA reporting.
[q5x1]
5. Data on the stock of health personnel, disaggregated by country of training and birth
5.1 Consolidated stock of health personnel
5.1 Consolidated stock of health personnel
| Total | Domestically Trained | Foreign Trained | Unknown Place of Training | National Born | Foreign Born | Source* | Additional Comments# | |
|---|---|---|---|---|---|---|---|---|
| Medical Doctors | 8189 | 8144 | 976 | 7213 | ND | 45 | Base de datos del sistema de Información de servicio social, Ministerio de Salud | Este dato corresponde e los médicos de toda categoría empleados en el sistema nacional de salud, el registro de la Junta de Vigilancia de la Profesión Médica tiene inscritos a 2017 un total de 17,697, registro que no tiene depuración. NO necesariamente los graduados extranjeros están trabajando, este dato se lleva desde el año 2010 a la fecha, no datos previos |
| Nurses | 5087 | 5079 | 8 | nd | nd | 11 | Sistema de Información de las Unidades de recursos Humanos del Sistema Nacional de Salud | Incluye unicamente enfermeras profesionales que trabajan en el Sistema Nacional de Salud, están registradas en la Junta de Vigilancia Médica un total de 14,529, solo personal profesionales |
| Midwives | 160 | 160 | dn | nd | nd | nd | Sistema de Información de las Unidades de recursos Humanos del Sistema Nacional de Salud | Licenciadas en Materno Infantil |
| Dentists | 882 | 873 | 9 | nd | nd | 9 | Sistema de Información de las Unidades de recursos Humanos del Sistema Nacional de Salud | Doctores en Odontología están registrados 5570 |
| Pharmacists | 660 | nd | nd | nd | nd | nd | Sistema de Información de las Unidades de recursos Humanos del Sistema Nacional de Salud | Licenciados en Química y Farmacia, registrados en le Junta de vigilancia de Química y Farmacia son 3523 |
[iq5x2]
5.2 Country of training for foreign-trained health personnel
Please provide detailed data on foreign-trained health personnel by their country of training, as consistent with NHWA Indicator 1-08. This information can be provided by one of the following two options:
Please provide detailed data on foreign-trained health personnel by their country of training, as consistent with NHWA Indicator 1-08. This information can be provided by one of the following two options:
FORMADOS EN EL EXTRANJERO
DATOS DE 2010 A 2017
[q5x2x2]
Option B: Uploading any format of documentation providing such information (e.g. pdf, excel, word).
Please upload file
CONSOLIDADOS PROF FORMADOS EXTRANJERO
DATOS DE 2010 A 2017
datos de trabajadores activos en el sistema nacional de salud
FUERZA LABORAL EMPLEADA EN EL SISTEMA Pu00daBLICO
[Q5fn]
*e.g. professional register, census data, national survey, other
#e.g. active stock, cumulative stock, public employees only etc.
#e.g. active stock, cumulative stock, public employees only etc.
Partnerships, Technical Collaboration and Financial Support 1/2
[q6]
6. Has your country provided technical or financial assistance to one or more WHO Member States, particularly developing countries, or other stakeholders to support the implementation of the Code?
6.a Specific support for implementation of the Code
6.b Support for health system strengthening
Se ha compartido la experiencia de El Salvador en la Comisión Técnica de RH de Centro America y RD, además se mantiene participación activa en la Red Iberoamericana Ministerial de Trabajadores de la Salud, aportando también para la declaración de sistemas de información aprobada para la RIMPS por el Consejo de MInistros, Veracruz dic 2014
6.c Support for health personnel development
6.d Other areas of support:
[q7]
7. Has your country received technical or financial assistance from one or more WHO Member States, the WHO secretariat, or other stakeholders to support the implementation of the Code?
7.a Specific support for implementation of the Code
7.b Support for health system strengthening
El monitoreo del Código ha sido colocada como una acción del Plan de Desarrollo de RH de CA y RD, además se han realizado variso estudios como parte de la Región, coordinados por la Dra. Mónica Padilla, Asesora Sub Regional de RH, hasta 2016. Estudios disponibles en 1. Estudio de movilidad de profesionales de la salud http://www.mpdc.es/mapas/mapas/otrosdocumentos/documentos/informe_experiencia_flujos_final/ 2. Análisis comparado de sistemas de información de CA y RD http://www.mpdc.es/mapas/mapas/otrosdocumentos/documentos/informe_anal_comparado_SISInfCA/ 3. Análisis sistemático de los análisis de flujos migratorios en Ca y RD http://www.mpdc.es/mapas/mapas/otrosdocumentos/documentos/11_Informe_ExperienciaFlujos_final.pdf
7.c Support for health personnel development
7.d Other areas of support:
Partnerships, Technical Collaboration and Financial Support 2/2
[q8]
8. Has your country or its sub-national governments entered into bilateral, multilateral, or regional agreements and/or arrangements to promote international cooperation and coordination in relation to the international recruitment and migration of health personnel?
No
Health Workforce Development and Health System Sustainability
[q9]
9. Does your country strive to meet its health personnel needs with its domestically trained health personnel, including through measures to educate, retain and sustain a health workforce that is appropriate for the specific conditions of your country, including areas of greatest need?
Yes
[q9x1]
9.1 Measures taken to educate the health workforce
Implementación de procesos de planificación estratégica de RH identificados como crítico, entre ellas especialidades médicas, mesa permanente de autoridades de educación y salud, con participación del Ministerio de Educación.
9.2 Measures taken to retain the health workforce
El 98% del personal de salud tiene una vinculación laboral estable, contratados por Ley de Salarios y hay tres instituciones del Sistema Nacional de Salud que tienen contratos colectivos con sus trabajadores. Se impulsan estrategias definidas en la Política de RH sobre la no contratación de personal en condiciones de trabajo precario. Cumplimiento de los Derechos laborales de los trabajadores, entre ellos prestaciones laborales, escalafón salarial, contratos colectivos, libertad de organización entre otros
9.3 Measures taken to ensure the sustainability* of the health workforce
Aumento en el presupuesto de RH, se ha priorizado en el presupuesto, utilizamos el 71.1 por ciento en personal, forma parte del presupuesto del Estado.
9.4 Measures taken to address the geographical mal-distribution of health workers
Focalización de implementación de la estrategia de Equipos de Familia en los Municipios de mas alta pobreza y donde los indicadores de dotación son mas bajos.
[q10]
10. Are there specific policies and/or laws, across governmental ministries, for internationally recruited and/or foreign-trained health personnel in your country?
Yes
[q10x1]
10.1 Please provide further information in the box below:
El Ministerio de Educación regula desde el 2012 el reconocimiento de Títulos de profesionales de la salud formados en el extranjeros en países que han firmado convenios para dicho reconocimiento.
El Ministerio de Trabajo registra los requisitos para la contratación de personal extranjero, dando prioridad al nacional.
El Órgano Regulador del ejercicio profesional otorga permisos temporales ara ejercer en el país
En la formación de especialistas se generan espacios para formar médicos extranjeros, ej convenio con Belice
[q11]
11. Recognizing the role of other parts of government, does the Ministry of Health have processes (e.g. policies, mechanisms, unit) to monitor and coordinate across sectors on issues related to the international recruitment and migration of health personnel?
Yes
[q11x1]
11.1 Please provide further information in the box below:
Existe la Dirección de Desarrollo de Recursos Humanos del Ministerio de salud, que define y operativiza la Política de Desarrollo de RH, quien coordina su plan de cumplimiento que incluye la migración.
[q12]
12. Has your country established a database or compilation of laws and regulations related to international health personnel recruitment and migration and, as appropriate, information related to their implementation?
Yes
[q12x1]
12.1 Please provide further information in the box below:
Estudio de Flujos migratorios y se ha realizado un repositorio de normas, leyes y reglamentos en el Observatorio de Recursos Humanos. http://www.mpdc.es/mapas/mapas/otrosdocumentos/documentos/informe_experiencia_flujos_final/
[q9x3fn]
*Health workforce sustainability reflects a dynamic national health labour market where health workforce supply best meets current demands and health needs, and where future health needs are anticipated, adaptively met and viably resourced without threatening the performance of health systems in other countries (ref: Working for Health and Growth, Report of the High-Level Commission on Health Employment and Economic Growth, WHO, 2016, available from http://apps.who.int/iris/bitstream/10665/250047/1/9789241511308-eng.pdf?ua=1
).
Responsibilities, Rights and Recruitment Practices
[q13]
13. Which legal safeguards and/or other mechanisms are in place to ensure that migrant health personnel enjoy the same legal rights and responsibilities as the domestically trained health workforce? Please tick all options that apply from the list below:
13.a Migrant health personnel are recruited internationally using mechanisms that allow them to assess the benefits and risk associated with employment positions and to make timely and informed decisions regarding them
13.b Migrant health personnel are hired, promoted and remunerated based on objective criteria such as levels of qualification, years of experience and degrees of professional responsibility on the same basis as the domestically trained health workforce
Anque en una contratación se prioriza una persona nacional, si se contrata tiene los mismos derechos laborales que un trabajador Salvadoreño.
13.c Migrant health personnel enjoy the same opportunities as the domestically trained health workforce to strengthen their professional education, qualifications and career progression
Es sujeto de formación en las mismas condiciones que el personal nacional, al estar contratado
13.d Other mechanisms, please provide details below if possible:
La Asociación de Médicos Graduados en Cuba desarrollo programas de apoyo y capacitación para los Graduados de la Escuela Latinoamericana de Medicina Social de Cuba
[q14]
14. Please submit any other comments or information you wish to provide regarding legal, administrative and other measures that have been taken or are planned in your country to ensure fair recruitment and employment practices of foreign-trained and/or immigrant health personnel.
1. Se ha sistematizado el procedimiento de inscripción del servicio social obligatorio previo a ejercer, http://rrhh.salud.gob.sv/node/135
2. Se establecen espacios de análisis entre el Ministerio de Educación, Salud y el Consejo Superior de Salud Pública, cuando hay graduados como es el caso de los médicos comunitarios de Venezuela cuyo Título no dice Dr. en Medicina, llegando a acuerdos para su reconocimiento y ejercicio profesional
[q15]
15. Please submit any comments or information on policies and practices to support the integration of foreign-trained or immigrant health personnel, as well as difficulties encountered.
Las dificultades se dan con países que no tienen convenios de reconocimiento de títulos que se ven obligados a realizar procesos de incorporación burocráticos con la Universidad Públicas, ya que el País tiene una carrera del Doctorado en Medicina de 8 años.
Discrepancias con el Colegio Médico por la formación de Médicos Salvadoreños en Cuba y Venezuela, generando conflictos sin fundamentos.
[q16]
16. Regarding domestically trained/ emigrant health personnel working outside your country, please submit any comments or information on measures that have been taken or are planned in your country to ensure their fair recruitment and employment practices, as well as difficulties encountered
No tenemos información de Profesionales que migran a otros países, únicamente los que se van a especializar, que de igual manera no sabemos si retornan. Se hizo un estudio en 2012 que demuestra que migra un promedio de 50 profesionales anuales, especialmente a España, EE y Canadá.
Constraints, Solutions, and Complementary Comments
[q17]
17. Please list in priority order, the three main constraints to the implementation of the Code in your country and propose possible solutions:
| Main constraints | Possible solution | |
|---|---|---|
| Falta que se definan mecanismos de implementación del Código | Que la OMS establezca directrices de implementación en conjunto con la OIT | |
| La OIT no cuenta con convenios que regule el personal de salud, a excepción de Enfermería ( 149) limitando el vinculo con los Ministerio de Trabajo | Establecer Alianzas con la OIT para buscar espacios de discusión y convenios a mejore su aplicación | |
| Sistema de Información que registre movilidad de trabajadores | Contribuir con los países para que consolidemos nuestros sistemas de información |
[q18]
18. Please submit any other complementary comments or material you may wish to provide regarding the international recruitment and migration of health personnel, as related to implementation of the Code.
En el proceso de reforma de salud instalado desde el 2009, el TALENTO HUMANO ES UNO DE SUS EJES PRIORITARIOS, CUYOS AVANCES SON SIGNIFICACTIVOS A 9 AÑOS
[q18x1]
Please upload any supporting files
Politica Nacional de RH
Aprobada 2014 El Salvador
resultados de la PNDRH
avances reforma de salud