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. 


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Contact details

Hide [G1Q00001] Name of Member State
Belize
Hide [G1Q00002] Contact information of DNA
Full name of institution
Policy Analysis and Planning Unit, Ministry of Health- Belize
Name of contact officer
Shanna Tun Broomfield
Title of contact officer
Health Planner, human Resource Focal Point
Mailing address
Policy Analysis and Planning Unit/ Project Management Unit, 6-8 Trinity Boulevard, Belmopan, Cayo District, Belize Central America
Telephone number
(501) 822-0992
Fax number
(501) 822-0994
Email address
stun@health.gov.bz
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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:
Cuban brigade and Nigerian TAC Force are the main migrate workers in Belize. Logistical issues and work performances are overseen by the Regional Health Managers, Administrative officer of Foreign Affairs and the Director of Health Services for Nursing to ensure that the conditions stated in the bilateral agreements are upheld.
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.
According to the legislative standards of the country, all migrant workers not apart of the bilateral agreements, must obtain a legal permit to work in Belize. Thereafter, all credentials and permits must be submitted to the Ministry of HEalth for employment in the Public Healthcare system for screening. All recommended applicants (having proper professional and educational credentials applicable to the position) are submitted to the ministry of Public service and Ministry of Finance for further verification according to the Terms of References of the position. CARICOM applicants must possess a CSME certification for employment according to the CARICOM agreement.
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.
Recruitment agencies solicit healthcare workers to venture to other countries. However, the experiences are not always pleasant. Some strict conditions may apply to limit the worker to be bonded to the agency and not be free to move to other available place of work.
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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?
Yes
Hide [S16i]

Please use Table A below to describe these bilateral, regional or multilateral agreements or arrangements:

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

Hide [S16] 6)
Hide [S16a]

Type of Agreement

Hide [S16b] Countries Involved

Hide [S16c]

Coverage

Hide [S16d] Validity period
(from–to)
Hide [S16e]

Categories of Skilled Health Personnel 

Doctors
Nurses
Midwives
Nurses/Midwives*
Dentists
Pharmacists
Other (include details as necessary)
Other
Hide [S16f]

Please attach a documentation  file if possible

 

Hide [S16g] Please provide a web-link if possible
Hide [S16i1] Agreement 1
Hide [S16i1a]

Type of Agreement

Bilateral
Hide [S16i1b] Countries Involved
Cuba Belize
Hide [S16i1c] Coverage
National
Hide [S16i1d] Validity period 
(from–to)
2 years
Hide [S16i1e]

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 [S16i1f]

Please attach a documentation  file if possible

(In case of multiple documents, please create one single zip file for upload)

2013 CUBAN BRIGADE IN BELIZE
No comment
Hide [S16i1g] Please provide a web-link if possible
Hide [S16i2] Agreement 2
Hide [S16i2a]

Type of Agreement

Bilateral
Hide [S16i2b] Countries Involved
Nigeria Belize
Hide [S16i2c] Coverage
National
Hide [S16i2d] Validity period 
(from–to)
2 years
Hide [S16i2e]

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 [S16i2f]

Please attach a documentation  file if possible

(In case of multiple documents, please create one single zip file for upload)

Nigerian TAC Agreement
Nigerian and Belize Health Workforce
Hide [S16i2g] Please provide a web-link if possible
Hide [S16i3] Agreement 3
Hide [S16i3a]

Type of Agreement

Hide [S16i3b] Countries Involved

Hide [S16i3c] Coverage
Hide [S16i3d] Validity period 
(from–to)
Hide [S16i3e]

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 [S16i3f]

Please attach a documentation  file if possible

(In case of multiple documents, please create one single zip file for upload)

Hide [S16i3g] Please provide a web-link if possible
Hide [S16i4] Agreement 4
Hide [S16i4a]

Type of Agreement

Hide [S16i4b] Countries Involved

Hide [S16i4c] Coverage
Hide [S16i4d] Validity period 
(from–to)
Hide [S16i4e]

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 [S16i4f]

Please attach a documentation  file if possible

(In case of multiple documents, please create one single zip file for upload)

Hide [S16i4g] Please provide a web-link if possible
Hide [S16i5] Agreement 5
Hide [S16i5a]

Type of Agreement

Hide [S16i5b] Countries Involved

Hide [S16i5c] Coverage
Hide [S16i5d] Validity period 
(from–to)
Hide [S16i5e]

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 [S16i5f]

Please attach a documentation  file if possible

(In case of multiple documents, please create one single zip file for upload)

Hide [S16i5g] Please provide a web-link if possible
Hide [S16i6] Agreement 6
Hide [S16i6a]

Type of Agreement

Hide [S16i6b] Countries Involved

Hide [S16i6c] Coverage
Hide [S16i6d] Validity period 
(from–to)
Hide [S16i6e]

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 [S16i6f]

Please attach a documentation  file if possible

(In case of multiple documents, please create one single zip file for upload)

Hide [S16i6g] Please provide a web-link if possible
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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?
Yes
Hide [S18] 8)  If “Yes”, please tick all options of type of support that apply from the list below:
8.a) Training
8.b) Twinning of health care facilities
8.c) Promotion of circular migration
8.d) Retention strategies
8.e) Education programs
8.f) Other mechanism, please provide details if possible:
Training for Technical Skills; Personnel to fill Human Resource gaps
Other
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) UB - Ministry of Health Training of Nurses and Nurse Specialities
10.b) Continuous Education coordinated by each Health Region In house or facility needs that have been identified leads to coordinated training of staff
10.c) Ministry of Public Service provides for allowances and salary upgrades, and training opportunities Some staff are allowed on study leaves with percentage of salary paid; allowances are granted as incentives for various types of nursing and medical staff.
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?
No
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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 PAHO Belize Lara Longsworth
14.2 Ministry of Health Dr. Parks
14.3 PAHO/ FLACSO-CR Ricardo Sol http://www.mpdc.es/mapas/mapas/otrosdocumentos/documentos/11_Informe_ExperienciaFlujos.pdf
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?
No
Hide [S116b] If 'No', please proceed using 'Next' button at the bottom of the screen.
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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) Labour Department http://www.labour.gov.bz/index.php/en/
17.1 b) Ministry of Public Service E-mail: ceo.secretary@mps.gov.bz http://www.mps.gov.bz/
17.1 c) Nurses and Midwives Council of Belize Phone Number: (501) 223-3466 Fax Number: (501) 223-3466 Email address: nsgcouncil@btl.net; nsgcouncil@gmail.com http://www.nursesandmidwivescouncil.com/
17.1 d) Medical and Dental Council of Belize Medical Council of Belize Belize City, Belize C.A. c/o P.O. Box 1872
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
Labour Department
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

No
Hide [S1172d] Year of first recruitment

Yes
Hide [S1172e] Age
Yes
Hide [S1172f] Sex
Yes
Hide [S1172bb] Entity 2
Hide [S1172a2] Entity
Ministry of Public Service
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)
All Public workers
Other
Hide [S1172c2] Country of first qualification

No
Hide [S1172d2] Year of first recruitment

Yes
Hide [S1172e2] Age
Yes
Hide [S1172f2] Sex
Yes
Hide [S1172cc] Entity 3
Hide [S1172a3] Entity
Nurses and Midwives Council of Belize
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

Yes
Hide [S1172d3] Year of first recruitment

Yes
Hide [S1172e3] Age
Yes
Hide [S1172f3] Sex
Yes
Hide [S1172dd] Entity 4
Hide [S1172a4] Entity
Medical and Dental Council of Belize
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

Yes
Hide [S1172d4] Year of first recruitment

Yes
Hide [S1172e4] Age
Yes
Hide [S1172f4] Sex
Yes
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?
No
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) Human Resource coordination being fragmented Improve coordination of regulatory and recruiting organizations
21.b) Poor or no knowledge of the Code Increase discussions about the code and include relevant steps in Human Resource Strategic Plans 2016 and onward
21.c) Areas where the code is applicable has not been identified;a clear recruitment method has not been established Further analysis of the recruiting methods and creating proper steps for recruitment; monitoring and evaluation of created plans
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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?
No
Hide [S123] 23) Does your country receive / requested assistance from one or more countries or other stakeholders to support its implementation of the Code?
No
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.

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.
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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
BELIZE
Doctors and Nurses
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Section 03: Reporting instrument for other stakeholders (optional)

Hide [S31] Submitted by: 

Hide [S32] Contact details:

Hide [S33] Name of entity submitting the report:

Hide [S34] Responsible and/or contact person:

Hide [S35] Mailing address:

Hide [S36] Telephone number:
Hide [S37] Fax:
Hide [S38] Email:
Hide [S39] Website URL :
Hide [S310] Description of the entity submitting the report:

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.