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

Ghana

Hide [G1Q00002] Contact information of DNA

Full name of institution

MINISTRY OF HEALTH

Name of contact officer

KWESI ASABIR

Title of contact officer

(PhD)

Mailing address

HUMAN RESOURCE FOR HEALTH DIRECTORATE; MINISTRY OF HEALTH BOX M44ACCRA

Telephone number

+233-20 8211 592/ +233 302 674 393

Fax number

+233 302 674 393

Email address

kwesiasabir@gmail.com

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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.

ARTICLE 16 CLAUSE(2) AND CLAUSE(3) OF THE 1992 CONSTITUTION OF THE REPUBLIC OF GHANA LEGALLY PROTECTS EVERYONE LIVING IN GHANA FROM SLAVERY AND FORCED LABOUR. ARTICLE 17 PROVIDES EQUALITY AND FREEDOM FROM DISCRIMINATION IN GHANA. THERE IS ALSO NATIONAL LABOUR ACT,2003 (ACT 651)PROVIDING FOR FAIR LABOUR 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.

THE MINISTRY OF HEALTH HAS REGULATORY INSTITUTIONS ESTABLISHED BY AN ACT OF PARLIAMENT TO MAINTAIN STANDARDS FOR TRAINING AND PRACTICE OF HEALTH PROFESSIONALS. THEY ALSO ENFORCE BONDS THAT PREVENT HEALTH PROFESSIONALS UNDER BONDS TO LEAVE GHANA. INDEED, AFTER SERVING THE BOND ONE MAY TRAVEL OUTSIDE THE COUNTRY TO WORK. HEALTH TRAINEES ARE MADE TO UNDERGO HOUSEMANSHIP/INTENSHIP/MENTORSHIP NOT LESS THAN ONE YEAR MAKING IT DIFFICULTY FOR THE HEALTH PROFESSIONALS TO LEAVE THE COUNTRY IMMEDIATELY AFTER COMPLETION. SOME OF THE COUNCILS ARE: MEDICAL AND DENTAL COUNCIL; PHARMACY COUNCIL; NURSES AND MIDWIFERY COUNCIL; ALLIED HEALTH COUNCIL TO MENTION A FEW.

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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?

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?

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)	PUBLIC PRIVATE PARTNERSHIP POLICY	PRIVATE HEALTH TRAINING INSTITUITONS ARE ESTABLISHED TO SUPPORT GOVERNMENT EFFORTS TO TRAIN MORE HEALTH PROFESSIONALS
10.b)	ESTABLISHING MORE HEALTH TRAINING INSTITUTIONS	PROGRESSIVE INCREASE IN THE NUMBER OF HEALTH TRAINEES
10.c)	ESTABLISHMENT OF POST GRADUATE TRAINING INSTITUTIONS	GHANA HAS PROVIDED AN OPPORTUNITY FOR MEDICAL OFFICERS, PHARMACIST, NURSES AND MIDWIVES TO UPGRADE TO THE SPECIALIST LEVEL SO THERE IS NO NEED TO TRAVEL OUTSIDE GHANA FOR SPECIALITY PROGRAMME AS IT USE TO BE

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)	ESTABLISHMENT OF NURSING AND MIDWIFERY INSTITUTIONS IN EACH OF THE TEN REGIONS IN GHANA	IT IS EASIER TO RETAIN HEALTH TRAINEES AFTER THEIR SUCCESSFUL COMPLETION
12.b)	STAFFING NORM	ESTABLISHING VACANCIES AT VARIOUS LEVELS OF HEALTHCARE
12.c)	DEPRIVE AREA INCENTIVE AS PART OF CONDITIONS OF SERVICE	PROVISION OF BOTH FINANCIAL AND NON-FINANCIAL INCENTIVE FOR HEALTH PROFESSIONALS WHO ACCEPT POSTINGS TO DEPRIVED AREAS

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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	PUBLIC SERVICE INTERNATIONAL	JANE PILLINGER	+33 4 50 40 1214	www.world-psi.org/migration
14.2	HEALTH SERVICE WORKERS UNION	FRANKLIN OWUSU ANSAH	+233 24 465 2929
14.3	GHANA REGISTERED NURSES ASSOCIATION	KWAKU ASHANTI KROBIA	+233 20 817 3611
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?

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?

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)	NURSES AND MIDWIFERY COUNCIL	FELIX NYANTE	www.nmcgh.org
17.1 b)	MEDICAL AND DENTAL COUNCIL	ELI ATIKPUI	www.mdcghana.org
17.1 c)	PHARMACY COUNCIL	JOSEPH NYOAGBE	www.pharmacycouncilghana.org
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

NURSES AND MIDWIFERY COUNCIL

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

MEDICAL AND DENTAL COUNCIL

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

PHARMACY COUNCIL

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

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:

NATIONAL MIGRATION POLICY HAS BEEN DEVELOPED TO PROVIDE SUPPORT FOR THE IMPLEMENTATION OF THE CODE. THE HEALTH UNIONS AND ASSOCIATIONS HAVE BEEN ENCOURAGED TO COLLABORATE WITH THE MINISTRY OF HEALTH TO IMPLEMENT THE CODE

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)	MIGRANT DATA TRACKING	COLLABORATING WITH IMMIGRATION DEPARTMENT
21.b)	TRACKING OF ILLEGAL RECRUITER	COLLABORATING WITH LABOUR DEPARMENT OF THE MINISTRY OF EMPLOYMENT
21.c)	LACK OF BUDGET TO COORDINATE ACTIVITIES IN RELATION TO IMPLEMENTATION OF THE CODE	ALLOCATION OF BUDGET TO MONITOR IMPLEMENTATION OF THE CODE

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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?

Hide [S123] 23) Does your country receive / requested assistance from one or more countries or other stakeholders to support its implementation of the Code?

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.

A SOFT COPY OF A NATIONAL REPORT ON A RESEARCH CONDUCTED ON QUALITY HEALTHCARE AND WORKERS ON THE MOVE COULD BE ACCESSED ON www.world-psi.org/migration

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.

QUALITY HEALTHCARE AND WORKERS ON THE MOVE

PUBLIC SERVICE INTERNATIONAL AND THE HEALTH SERVICE WORKERS UNION AS WELL AS THE GHANA REGISTERED NURSES ASSOCIATION OF GHANA CONDUCTED THE RESERACH

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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:

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.