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
Romania
Hide [G1Q00002] Contact information of DNA
Full name of institution
National Institute of Public Health
Name of contact officer
Adriana Galan
Title of contact officer
Mrs
Mailing address
1-3 Dr Leonte, 050463 Bucharest
Telephone number
+40787523791
Fax number
4021 3123426
Email address
adriana.galan@insp.gov.ro
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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.

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.
If for physicians, recruitment and employment practices are clear and obeying each national regulations, for nurses the situation is not so clear. There are private recruitment companies that are hiring Romanian nurses for lower level of qualification (usually home care).
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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
Romania and Rep. of Moldova
Hide [S16i1c] Coverage
National
Hide [S16i1d] Validity period 
(from–to)
from 2011
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)

Hide [S16i1g] Please provide a web-link if possible
http://lege5.ro/Gratuit/geztsobvgm/legea-nr-291-2010-pentru-ratificarea-protocolului-semnat-la-chisinau-la-26-august-2010-de-amendare-a-acordului-dintre-guvernul-romaniei-si-guvernul-republicii-moldova-privind-recunoasterea-reciproca-a
Hide [S16i2] Agreement 2
Hide [S16i2a]

Type of Agreement

Hide [S16i2b] Countries Involved

Hide [S16i2c] Coverage
Hide [S16i2d] Validity period 
(from–to)
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)

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:
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) high number of positions for applicants to the Medical Univeristies in Romania on average, 3500 students graduates each year
10.b) a scholarship for the MDs enrolled in a specialty training program this financial incentive intended to retain the young MDs in Romania was introduced since January 2014.
10.c) very high number of graduates from the nursing colleges These private colleges are covering the need for nurses export.
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) there are some incentives to attract general practitioners to work in deprived/remote areas a point premium is allocated by the Natioanal Health Insurance Fund to physicians who choose to practice in deprived/remote areas
12.b) local public authorities were involved in employing the community health workers since 2010, local authorities have taken over the community nurses and roma health mediators
12.c) community teams were trained to work together to overcome the shortage of MDs and nurses this is an ongoing project with grants from Norway
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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 Centrul pentru Politici si Servicii de Sanatate Dana Farcasanu dfarcasanu@cpss.ro http://www.cpss.ro/en.html
14.2
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?
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) Ministry of Health nimere@ms.ro www.ms.ro
17.1 b) Romanian College of Physicians marius.litu@cmr.ro www.cmr.ro
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
Ministry of Health
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

No
Hide [S1172e] Age
No
Hide [S1172f] Sex
Yes
Hide [S1172bb] Entity 2
Hide [S1172a2] Entity
College of Physicians
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

Yes
Hide [S1172d2] Year of first recruitment

Yes
Hide [S1172e2] Age
Yes
Hide [S1172f2] Sex
Yes
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:

It was done only through a project "Health Workers for and All for Health Workers"
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:
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) The Code is not properly promoted, consequently it is not very well known by the main stakeholders Sustained information campaigns.
21.b) Low capacity of the health system to monitor the migration of the health workers Improve and integrate the existing systems.
21.c) Lack of a sectorial strategic document where the principles of the Code could be included Development and adoption of such a strategy/action plan.
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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

No comment
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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.