National Reporting Instrument 2015
Section: Background
[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
Contact details
[G1Q00001]
Name of Member State
Sao Tome and Principe
[G1Q00002]
Contact information of DNA
Full name of institution
Ministério da Saúde
Name of contact officer
Yonelma Marques Santos Daio
Title of contact officer
Responsável do Departamentos dos Recursos Humanos
Mailing address
Rua Patrice Lumumba Caixa postal 23
Telephone number
00239-2241200
Fax number
00239-inactivo
Email address
Yonelma.daio@gmail.com
Section 01: Qualitative information (1-4)
[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?
No
[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:
The staff of migrant health does not enjoy the same rights as nationals, this because the public procurement law does not allow
Other
[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 law 5/97 of the civil service status does not allow hiring migrant workers. But however we have sought to balance the benefits of these professionals through internal mechanisms to the ministry , this is because there is great need for staff, including medical specialty.
[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.
Normally our immigrant professionals have difficulties in integrating , if they have higher education. Our professionals with higher education are trained outside the country, such as ;Portugal, Brazil, Cape Verde, Russia, Morocco, Spain, Taiwan).
Section 01: Qualitative information (5-12)
[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
[S15b]
If 'No', please proceed using 'Next' button at the bottom of the screen.
Section 01: Qualitative information (5-12) contd.
[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
[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
[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
[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) | Aprovação da Carreira Medica, Técnica e de Enfermagem | Melhoria em termos salariais, possibilidade de progredir na carreira |
| 10.b) | Melhoria das condições de trabalho | Reabilitação de infra-estruturas, aquisição de materias de apoio ao diagnosticos |
| 10.c) | Elaboração do Plano estrategico e sua implementação faseadamente | Fomentar formação continua e repositoção de pessoal |
[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
[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) | Distribuição de pessoal com base na sua residencia | Dispobilização de meios rolantes de distribuição de pessoal nas áreas de saúde |
| 12.b) | Atribuição de prémios para medicos que dispobilizam em permanecer nas áreas de saúde | Dispobilização de transporttes e residencias |
| 12.c) | Trasferencia de pessoal, | Mudança do local de trabalho |
Section 01: Qualitative information (13-17)
[S113]
13) Does your country have any (government and/or non-government) programs or institutions undertaking research in health personnel migration?
No
[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
[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
[S116b]
If 'No', please proceed using 'Next' button at the bottom of the screen.
Section 01: Qualitative information (13-17) contd.
[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?
No
[S117b]
If 'No', please proceed using 'Next' button at the bottom of the screen.
Section 01: Qualitative information (18-21)
[S118]
18) Has an assessment of what is needed to implement the Code at the national, sub-national and local level been made?
No
[S119]
19) Has your country taken any steps to implement the Code?
No
[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) | Tiny existence or nonexistence of immigrant health workers in the country | Making attractive compensatory conditions and the conditions of infrastructure and materials to support the diagnosis |
| 21.b) | Never a need to implement analysis of this code was made | To review the need to code implementation |
| 21.c) | The country has not updated database of health personnel emigrant | The country should update the data base of the migrant staff, and maintain contact with this staff to meet their needs |
Section 01: Qualitative information (22-24)
[S122]
22) Has your country provided assistance to one or more Member States or other stakeholders to support their implementation of the Code?
No
[S123]
23) Does your country receive / requested assistance from one or more countries or other stakeholders to support its implementation of the Code?
No
[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.
[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.
Section 02: Quantitative information - Minimum Data Sets
[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
[S22]
Please upload the filled out spreadsheet here
Section 03: Reporting instrument for other stakeholders (optional)
[S31]
Submitted by:
Yonelma Daio
[S32]
Contact details:
[S33]
Name of entity submitting the report:
Ministério da Saúde
[S34]
Responsible and/or contact person:
Yonelma Daio
[S35]
Mailing address:
Rua Padrice Lumumba Cx postal 23
[S36]
Telephone number:
002392241200
[S37]
Fax:
[S38]
Email:
Yonelma.daio@gmail.com
[S39]
Website URL :
[S310]
Description of the entity submitting the report:
The health system is made up of two levels, district and central. The health districts are similar to the political-administrative division of the country.
The district works with community health workers, aid workers and traditional birth attendants; health clinics run by nurses; and district health centers managed by medical delegate health.
These services are complemented by technical staff training, medical support staff and administrative.
The central level consists mainly of main hospital Dr. Ayres de Menezes and the Ministry of Health. The reference hospital has on its staff other technical experts in addition to the existing staff in the districts toilets. The expert assistance is guaranteed by domestic and foreign experts, who serve essentially the reference Hospital.
These same experts are constantly coverage in the health districts in weekly periodic outpatient and / or fortnightly
[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.