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
Norway
Hide [G1Q00002] Contact information of DNA
Full name of institution
Directorate of Health
Name of contact officer
Otto Christian Rø
Title of contact officer
Senior adviser
Mailing address
POBox 7000 St Olavs plass, 0130 Oslo, Norway
Telephone number
+4799616285
Fax number
+4724163016
Email address
otto.christian.ro@helsedir.no
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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:
White paper No 16 (2010-2011) on governmental funded training programems for ubnskilled migrate health personnell
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.
The Labour Environment Act (2005) is implemnted forall employers and employees regarddless of country of origin of the employees. The WHO code has been translated into Norwegian language and made available to all relevant stakeholders. A Forum administared by the Directorate of Health to be launched in 2015 to share opinions on the implementation of the WHO Code.
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.
Qualifications of Health personnel trained in Norway recognised in foreign countries, at least within the EEA.
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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?
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:
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) Governmental capasity planning The Ministry of Education based financing mechanisms to provide sufficient training capasity in higher education
10.b) County (19) level financing of lower education Governmental and county level funding of vocational training and short term education programmes including health personnel training
10.c) Long term governmental programmes for capacity building within health care services Since 2008 programmes to increase within health personnel in mental care, drug abuse services, minicipal care services based on earmarked governmental funds, in addition to special funds for selected health personnel specialities in need of increased capaicity
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) 199-2012 a governmental quota system for medical doctors A system for annual allocation by the Ministry of Health for number of new positions for medical doctors in hospital and primary health care. From 2012 implmentation of a national medical doctor registry to monitor the situation by regional health autorities (4 regional autorities being owners of public hospital trusts)
12.b) National retention measures Economic and professional incentives by lower taxation and more free time for CME in remote areas
12.c) Desentralisation of education Desentralised education institutions, remote area e-based education and training programmes, telemedicine programmes
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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?
No
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) Statistics Norway, annual publication of health personnel statistics including information of citizenship asne.vigran@ssb.no www.ssb.no
16.1 b) Norwegian Authority of Health Peronnel Registration (SAK), information of country of qualification of applicants for registration as health personnel in Norway (into the national health personnel registry, HPR) magnus.hosoien.vemundstad@sak.no www.sak.no
16.1 c)
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
Statistics Norway
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
No
Hide [S1162d] Year of first recruitment

Yes
Hide [S1162e] Age
Yes
Hide [S1162f] Sex
Yes
Hide [S1162bb] Entity 2
Hide [S1162a2] Entity
Norwegian Authority of Health Personnel Registration
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
Yes
Hide [S11623] Entity 3
Hide [S1162a3] Entity

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
Hide [S1162d3] Year of first recruitment

Hide [S1162e3] Age
Hide [S1162f3] Sex
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) Norwegian Authority of Health Personnel Registration (SAK) magnus.hosoien.vermundstad@sak.no www.sak.no
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
Norwegian Authority of Health Personnel Registration
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)
All health personnel groups
Other
Hide [S1172c] Country of first qualification

Yes
Hide [S1172d] Year of first recruitment

No
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?
No
Hide [S119] 19) Has your country taken any steps to implement the Code?
Yes
Hide [S120] 20) To describe those steps taken to implement the Code, please tick all items that apply from the list below – the box can be ticked even if only some of the elements per step have been applied:
20.a) Actions have been taken to communicate and share information across sectors on health worker recruitment and migration issues, as well as the Code, among relevant ministries, departments and agencies, nationally and sub-nationally
20.b) Measures have been taken to involve all stakeholders in any decision-making processes involving health personnel migration and international recruitment.
20.c) Actions are being considered to introduce changes to laws or policies to bring them into conformity with the recommendations of the Code.
20.d) Records are maintained of all recruiters authorized by competent authorities to operate within their jurisdiction.
20.e) There exists a mechanism for regulation and accreditation of all recruiters authorized by competent authorities to operate within their jurisdiction.
20.f) Good practices are encouraged and promoted among recruitment agencies.
20.g) If Other steps have been taken, please give more details:
WHO Code translation into Norwegian language, creation of a national Forum, an item during the annual steering dialogue between the Minister og Health and the four regional health authorities
Other
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) Lack of domestic trained HRH Increased domestic training capacity (more than 40% of Norewegian medical students being trained abroad)
21.b) No specific regulation of recruitment agencies More involvement with the recruitment sector (through the Forum)
21.c) Lack of information of migration patterns More analysis of national statistics to assess of the HRH situation, more public initiated research in the field
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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:

Some cooperation with Moldovia on the HRH Development. General investment in HRH development through the EEA / Norway Grants within the Public Health initiative (PA27)
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.
The data file will be sent next week separately
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
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Section 03: Reporting instrument for other stakeholders (optional)

Hide [S31] Submitted by: 
Norwegian Directorate og Health
Hide [S32] Contact details:
Arne-Petter Sanne, ars@helsedir.no
Hide [S33] Name of entity submitting the report:
Norwegian Directorate of Health
Hide [S34] Responsible and/or contact person:
Otto Christian Rø
Hide [S35] Mailing address:
Directorate of Health, POBox 7000 St Olavs plass, 0130 Oslo, Norway
Hide [S36] Telephone number:
+4799616285
Hide [S37] Fax:
+4724163016
Hide [S38] Email:
otto.christian.ro@helsedir.no
Hide [S39] Website URL :
Hide [S310] Description of the entity submitting the report:
Subordinate to the Ministry of Health and Care Services
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.
The directorate is a part of the national health authority, being responsible as NRA and the national follow-up of the WHIO Code implementation, In general the directorate is responsible for implementation of national health policy, giving the Ministry of Health and Care Services advice and having a key role on HRH policy implementation in Norway.