National Reporting Instrument 2015

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Section: Background

Hide [S01] Monitoring progress on the implementation of Code – Second round reporting (2015-2016)

On May 21, 2010 the WHO Global Code of Practice on the International Recruitment of Health Personnel (the “Code”) was adopted by the 193 Member States of the World Health Organization. The Code encourages information exchange on issues related to health personnel and health systems in the context of migration, and suggests regular reporting every three years on measures taken to implement the Code. The reporting process is an integral component of the effective implementation of the voluntary principles and practices recommended by the Code.


A self-assessment tool for countries second-round reporting


To monitor the progress made in implementing the Code, and in accordance with the request of the World Health Assembly (Resolution WHA63.16), a national self-assessment tool was created for Member States. 

You have been nominated as Designated National Authority (DNA) to respond to the updated national reporting instrument (NRI) via this web-based data interface.



Disclaimer: 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 World Health Assembly, May 2016. 


Please proceed usnig 'Next' button

 
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Contact details

Hide [G1Q00001] Name of Member State
El Salvador
Hide [G1Q00002] Contact information of DNA
Full name of institution
Ministerio de Salud de El Salvador
Name of contact officer
María Angela Elías Marroquín
Title of contact officer
Directora de Desarrollo de Recursos Humanos
Mailing address
Calle Arce #827, San Salvador, El Salvador
Telephone number
503 22057202
Fax number
503 22057226
Email address
melias@salud.gob.sv
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Section 01: Qualitative information (1-4)

Hide [S11] 1)      In your country, do equally qualified and experienced migrant health personnel enjoy the same legal rights and responsibilities as the domestically trained health workforce in terms of employment and conditions of work?
Yes
Hide [S12] 2)   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:
2.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
2.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
2.c) Migrant health personnel enjoy the same opportunities as the domestically trained health workforce to strengthen their professional education, qualifications and career progression
2.d) Other mechanism, please provide details if possible:
Other
Hide [S13] 3)  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.
El 98% del personal está contratado por Ley de Salarios o contrato con Fondos de Gobierno, ello garantiza a los nacionales y extranjeros que están en forma legal en el país, seguridad laboral, los contratos precarios por política de estado son mínimos, lo cual esta mandatado desde el Plan de Gobierno, además el MInisterio de Trabajo y Previsión Social vigila las vinculaciones laborales de los trabajadores, los únicos extranjeros que no se contratan con salarios son los médicos especialisas en formación en los hospitales escuela, que tienen beca pero no remuneración. Además cada profesional tiene un numero del órgano regulador de las profesiones, que le permite ejercer de forma legal en el país.
Hide [S14] 4)  Please submit any other comments or information you wish to provide regarding difficulties faced by your health personnel working outside your country and any measures that have been taken or are planned in your country to ensure their fair recruitment and employment practices.
Para personal Salvadoreño que trabaja fuera del país, hay largos procesos legales y pruebas a las que se deben someter ara poder ejercer sus profesiones, además el manejo del idioma que es una barrera en el caso de EEUU y Canadá. Muchos tienen contratos que no van acorde a su profesión
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Section 01: Qualitative information (5-12)

Hide [S15] 5)  Has your country or its sub-national governments entered into bilateral, regional or multilateral agreements or arrangements addressing the international recruitment of health personnel?
No
Hide [S15b] If 'No', please proceed using 'Next' button at the bottom of the screen.
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Section 01: Qualitative information (5-12) contd.

Hide [S17] 7) If your country or its sub-national governments entered into bilateral, regional or multilateral agreements, do those take account of the needs of developing countries and countries with economies in transition?
No
Hide [S19] 9)  Does your country strive to meet its health personnel needs with its domestically trained health personnel, notably 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
Hide [S110]

10)  If “Yes”,  use Table B below to indicate the top 3 measures in place :

Table B – measures taken to educate, retain and sustain the health workforce

Measure Type Description
10.a) Planificación Estrategica de Recursos Humanos Se ha realizado desde el 2009 un intenso proceso de planificación de recursos humanos para implementar el modelo de atención en salud, basado en la familia y la comunidad, y el modelo de gestión en redes, además se han definido las especialidades críticas a ser formadas en el sistema, y la planificación estratégica de médicos y enfermeras hasta 2030
10.b) Aumento de la Contratación de personal multidisciplinario para zonas rurales, se ha cubierto hasta el 2014 con el 50% de la brecha de recursos humanos en el Ministerio de Salud, se ha contratado mas de 7000 mil recursos en la gestión actual
10.c) Procesos intensivos de educación permanente para los trabajadores estrategicos del Sistema Formación en Atención Primaria de Salud, al 100% de equipos de salud familiar, formación de especialistas en cursos cortos para mejorar sus competencias, programa de becas al exterior y pasantías internas que mejoren las competencias y el nivel de resolución del personal.
Hide [S111] 11)  Has your country adopted measures to address the geographical mal-distribution of health workers and to support their retention in underserved areas?
Yes
Hide [S112]

12) If “Yes”,  use Table C below to indicate the top 3 measures in place :

Table C – measures taken to address the geographical mal-distribution of health workers

Measure Type Description
12.a) Monitoreo de la meta de recursos humanos de proporción de personal urbano y rural Se ha mejorado la relación de la distribución de los recursos humanos, pasando del 6% en lo rural al 26% en la medición del 2012.
12.b) Contratación de recursos humanos para las zonas rurales Se conforman equipos comunitarios de salud familiar y especializados, que han sido distribuidos en los municipios mas pobres y con menos acceso a la salud
12.c) Mejoramiento de la infraestructura sanitaria se ha pasado del 2009 que tenía 360 establecimientos de salud a 813 en el 2014, ubicando Unidades Comunitarias en las Zonas Rurales, donde están los Equipos Comunitarios
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Section 01: Qualitative information (13-17)

Hide [S113] 13)  Does your country have any (government and/or non-government) programs or institutions undertaking research in health personnel migration?
Yes
Hide [S114]

14) Please use Table D below to provide the contact details for these research programs or institutions

Table D Detailed information on research programs or institutions assessing health personnel migration 

Name of Program or Institution Name of contact person Contact details Web-link (if available)
14.1 Ministerio de salud María Angela Elias Directora de Desarrollo de RH http://rrhh.salud.gob.sv/
14.2 Organización Panamericana de la Salud Mónica Padilla Asesora Subregional de Recursos Humanos http://www.observatoriorh.org/centro
14.3
14.4
14.5
14.6
14.7
Hide [S115] 15) Has your country established a database of laws and regulations related to international health personnel recruitment and migration and, as appropriate, information related to their implementation?
No
Hide [S116] 16)  Does your country have any mechanism(s) or entity(ies) to maintain statistical records of health personnel whose first qualification was obtained overseas?
Yes
Hide [S1161]

16.1)  Please use Table E below to provide the contact details of each entity.

 

Table E Contact details of mechanism(s) or entity(ies) maintaining  statistical records of health personnel whose first qualification was obtained overseas

Name of mechanism or entity Contact details Web-link (if available)
16.1 a) MINISTERIO DE SALUD EVELYN DE NIETO ND
16.1 b) CONSEJO SUPERIOR DE SALUD PUBLICA PEDRO ROSALIO ND
16.1 c) DIRECCION GENERAL DE EDUCACIÓN SUPERIOR JOSE FRANCISCO MARROQUIN ND
16.1 d)
16.1 e)
16.1 f)
16.1 g)
Hide [S1162]

16.2) For the entity named in Q(16.1) please use Table F below to specify whether the information gathered include the following:

Table F Description of the statistical information available on the internationally recruited health personnel

Hide [S1162col1] 16.2)
Hide [S1162col2]

Entity


Hide [S1162col3] Occupation category


Hide [S1162col4] Country of first qualification


Hide [S1162col5] Year of first recruitment


Hide [S1162col6] Age


Hide [S1162col7] Sex

Hide [S1162aa] Entity 1
Hide [S1162a] Entity
MINISTERIO DE SALUD
Hide [S1162b]

Categories of Skilled Health Personnel (Include all that apply)

* Please use this category only if the information available has no clear separation in reported numbers between the two cadres

Doctors
Nurses
Midwives
Nurses/Midwives*
Dentists
Pharmacists
Other
Hide [S1162c] Country of first qualification
Yes
Hide [S1162d] Year of first recruitment

No
Hide [S1162e] Age
Yes
Hide [S1162f] Sex
Yes
Hide [S1162bb] Entity 2
Hide [S1162a2] Entity
CONSEJO SUPERIOR DE SALUD PUBLICA
Hide [S1162b2]

Categories of Skilled Health Personnel (Include all that apply)

* Please use this category only if the information available has no clear separation in reported numbers between the two cadres

Doctors
Nurses
Midwives
Nurses/Midwives*
Dentists
Pharmacists
Other
Hide [S1162c2] Country of first qualification
Yes
Hide [S1162d2] Year of first recruitment

No
Hide [S1162e2] Age
Yes
Hide [S1162f2] Sex
Hide [S11623] Entity 3
Hide [S1162a3] Entity
MINISTERIO DE EDUCACION
Hide [S1162b3]

Categories of Skilled Health Personnel (Include all that apply)

* Please use this category only if the information available has no clear separation in reported numbers between the two cadres

Doctors
Nurses
Midwives
Nurses/Midwives*
Dentists
Pharmacists
Other
Hide [S1162c3] Country of first qualification
Yes
Hide [S1162d3] Year of first recruitment

No
Hide [S1162e3] Age
Yes
Hide [S1162f3] Sex
Yes
Hide [S1162dd] Entity 4
Hide [S1162a4] Entity

Hide [S1162b4]

Categories of Skilled Health Personnel (Include all that apply)

* Please use this category only if the information available has no clear separation in reported numbers between the two cadres

Doctors
Nurses
Midwives
Nurses/Midwives*
Dentists
Pharmacists
Other
Hide [S1162c4] Country of first qualification
Hide [S116d4] Year of first recruitment

Hide [S1162e4] Age
Hide [S1162f4] Sex
Hide [S1162ee] Entity 5
Hide [S1162a5] Entity

Hide [S1162b5]

Categories of Skilled Health Personnel (Include all that apply)

* Please use this category only if the information available has no clear separation in reported numbers between the two cadres

Doctors
Nurses
Midwives
Nurses/Midwives*
Dentists
Pharmacists
Other
Hide [S1162c5] Country of first qualification
Hide [S1162d5] Year of first recruitment

Hide [S1162e5] Age
Hide [S1162f5] Sex
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Section 01: Qualitative information (13-17) contd.

Hide [S117] 17)  Does your country have any mechanism(s) or entity(ies) to regulate or grant authorization to practice to internationally recruited health personnel and maintain statistical records on them?
Yes
Hide [S1171]

17.1)  Please use Table G below to provide the contact details of each entity.

 

Table G Contact details of mechanism(s) or entity(ies) regulating ot granting  authorization to practice to internationally recruited health personnel

Name of mechanism or entity Contact details Web-link (if available)
17.1 a) MINISTERIO DE TRABAJO Y PREVISIÓN SOCIAL NORA DEL CARMEN LOPEZ LAINES http://www.mtps.gob.sv/
17.1 b)
17.1 c)
17.1 d)
17.1 e)
17.1 f)
17.1 g)
Hide [S1172]

 For the entity named in Q(17.1) please use Table H below to indicate whether the information gathered include the following details:

Table H Description of information available on authorization and regulation of practice of internationally recruited health personnel

Hide [S1172col1] 17.2)
Hide [S1172col2]

Entity


Hide [S1172col3] Occupation category


Hide [S1172col4] Country of first qualification


Hide [S1172col5] Year of first recruitment


Hide [S1172col6] Age


Hide [S1172col7] Sex

Hide [S1172aa] Entity 1
Hide [S1172a] Entity
MINISTERIO DE TRABAJO
Hide [S1172b]

Categories of Skilled Health Personnel (Include all that apply)

* Please use this category only if the information available has no clear separation in reported numbers between the two cadres

Doctors
Nurses
Midwives
Nurses/Midwives*
Dentists
Pharmacists
Other (include details as necessary)
Other
Hide [S1172c] Country of first qualification

Yes
Hide [S1172d] Year of first recruitment

Yes
Hide [S1172e] Age
Yes
Hide [S1172f] Sex
Yes
Hide [S1172bb] Entity 2
Hide [S1172a2] Entity

Hide [S1172b2]

Categories of Skilled Health Personnel (Include all that apply)

* Please use this category only if the information available has no clear separation in reported numbers between the two cadres

Doctors
Nurses
Midwives
Nurses/Midwives*
Dentists
Pharmacists
Other (include details as necessary)
Other
Hide [S1172c2] Country of first qualification

Hide [S1172d2] Year of first recruitment

Hide [S1172e2] Age
Hide [S1172f2] Sex
Hide [S1172cc] Entity 3
Hide [S1172a3] Entity

Hide [S1172b3]

Categories of Skilled Health Personnel (Include all that apply)

* Please use this category only if the information available has no clear separation in reported numbers between the two cadres

Doctors
Nurses
Midwives
Nurses/Midwives*
Dentists
Pharmacists
Other (include details as necessary)
Other
Hide [S1172c3] Country of first qualification

Hide [S1172d3] Year of first recruitment

Hide [S1172e3] Age
Hide [S1172f3] Sex
Hide [S1172dd] Entity 4
Hide [S1172a4] Entity

Hide [S1172b4]

Categories of Skilled Health Personnel (Include all that apply)

* Please use this category only if the information available has no clear separation in reported numbers between the two cadres

Doctors
Nurses
Midwives
Nurses/Midwives*
Dentists
Pharmacists
Other (include details as necessary)
Other
Hide [S1172c4] Country of first qualification

Hide [S1172d4] Year of first recruitment

Hide [S1172e4] Age
Hide [S1172f4] Sex
Hide [S1172ee] Entity 5
Hide [S1172a5] Entity

Hide [S1172b5]

Categories of Skilled Health Personnel (Include all that apply)

* Please use this category only if the information available has no clear separation in reported numbers between the two cadres

Doctors
Nurses
Midwives
Nurses/Midwives*
Dentists
Pharmacists
Other (include details as necessary)
Other
Hide [S1172c5] Country of first qualification

Hide [S1172d5] Year of first recruitment

Hide [S1172e5] Age
Hide [S1172f5] Sex
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Section 01: Qualitative information (18-21)

Hide [S118] 18) Has an assessment of what is needed to implement the Code at the national, sub-national and local level been made?
Yes
Hide [S1181] 18.1) Please submit any other comments or information you wish to provide regarding question:

ANALISIS LEGAL EN CONJUNTO MINISTERIO DE SALUD Y MINISTERIO DE TRABAJO
Hide [S119] 19) Has your country taken any steps to implement the Code?
No
Hide [S121] 21) 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
21.a) SISTEMA DE INFORMACIÓN DE PERSONAL QUE MIGRA Conformación de una comisión estatal de instituciones vinculadas al tema, cuya meta es diseñar un sistema de información que refleje los flujos migratorios
21.b) Convenios bilaterales i multilaterales de para mejorar los flujos migratorios en la región Se ha elaborado un estudio sobre flujos migratorios a ser retomandos sus resultados para procesos de convalidacion de titulos en la subregión
21.c) Dificultades financieras para la retension de los trabajadores en las áreas rurales Diseño de un programa local de incentivos
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Section 01: Qualitative information (22-24)

Hide [S122] 22) Has your country provided assistance to one or more Member States or other stakeholders to support their implementation of the Code?
Yes
Hide [S1221] Please provide more information or evidence of agreements or evidence of financial assistance as appropriate:

SE HAN PRESENTADO TANTO EL ANÁLISIS DEL CODIGO COMO EL ESTUDIOS DE FLUJOS MIGRATORIOS EN LA SUBREGIÓN, EN LAS REUNIONES DE LA RED INSTITUCIONAL DE MIGRACIONES DE IBEROAMERICA Y ADEMÁS COMO ARTE DE LA RED SE HA APOYADO AL DECLARACIÓN DE MINISTROS ARA MEJORAR LOS SISTEMAS DE INFORMACIÓN DE LAS MIGRACIONES ACORDADA EN VERACRUZ, MEXICO 2014. PROMOVIDA POR LA RED PUBLICACIÓN DEL ANALISIS LEGAL DE L CODIGO
Hide [S123] 23) Does your country receive / requested assistance from one or more countries or other stakeholders to support its implementation of the Code?
Yes
Hide [S1231] 23.1) Please provide more information or evidence of agreements or evidence of financial assistance as appropriate:

APOYO DE LA SEDE LOCAL DE OPS PARA GENERACIÓN DE EVIDENCIA EN EL TEMA
Hide [S124] 24.1) Please submit any other complementary comments or material you wish to provide regarding the international recruitment and management of migration of the health workforce that would relate to implementation of the Code.
EN LA POLÍTICA NACIONAL DE DESARROLLO DE RECURSOS HUMANOS SE RETOMAN TEMAS RELACIONADOS AL CODIGO,
Hide [S242] 24.2) Please submit any other complementary  material you wish to provide regarding the international recruitment and management of migration of the health workforce that would relate to implementation of the Code.
ANALISIS LEGAL CODIGO
REUNION DE RIMPS
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Section 02: Quantitative information - Minimum Data Sets

Hide [S2]

Questionnaire on Foreign-trained Doctors and Nurses

Please follow the instructions within the spreadsheet to complete the questionnaire.


To download the spreadheet please follow the link: /dataformv6/upload/surveys/378366/docs/Adapted_Template_Workforce%20Migration_2015.xls

 

Hide [S22] Please upload the filled out spreadsheet here
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Section 03: Reporting instrument for other stakeholders (optional)

Hide [S31] Submitted by: 
María Angela Elías Marroquin
Hide [S32] Contact details:
Directora de Desarrollo de Recursos Humanos, Ministerio de Salud
Hide [S33] Name of entity submitting the report:
Ministerio de Salud de El salvador
Hide [S34] Responsible and/or contact person:
María Angela Elias Marroquin
Hide [S35] Mailing address:
calle Arce #827, San Salvador, El Salvador, Centroamerica
Hide [S36] Telephone number:
50322057202
Hide [S37] Fax:
50322057226
Hide [S38] Email:
melias@salud.gob.sv y angelamery2002@gmail.com
Hide [S39] Website URL :
www.salud.gob.sv
Hide [S310] Description of the entity submitting the report:
El MInisterio de Salud, es la instancia rectora del sistema, el cual aun es fragmentado y segmentado, tiene como principal función de acuerdo a la constitución de la República Garantizar la salud de la población salvadoreña y dictar la Política Nacional de Salud, para ello cuenta con una estructura de carácter nacional, con una organización territorial a nivel nacional En el marco de la Política de Estado se ha definido para el quinquenio 2009-2014 y el actual quinquenio 2014-2019, una profunda reforma de salud, que garantice el acceso universal a la salud, la cobertura universal, en el marco del derecho humano a la salud. En ese sentido la Política tiene como unos de sus principales principios la gratuidad del servicio, la transparencia y la participación social.
Hide [S311] Please describe the entity submitting this report and the nature of its involvement or interest in international health personnel migration issues relevant to the Code.
Es una institución de carácter publico, participamos en la encuesta en nuestro carácter de autoridad nacional en salud. El interés es alto, dado que el desarrollo de los recursos humanos es uno de los diez ejes de la Reforma de Salud.