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
Nigeria
[G1Q00002]
Contact information of DNA
Full name of institution
FEDERAL MINISTRY OF HEALTH
Name of contact officer
DR. UKO ANTHONY UDOH
Title of contact officer
ASSISTANT CHIEF HEALTH RESEARCH OFFICER (HUMAN RESOURCES FOR HEALTH)
Mailing address
DEPARTMENT OF HEALTH PLANNING, RESEARCH AND STATISTICS, 11TH FLOOR, FEDERAL SECRETARIAT, AHMADU BELLO WAY, MAITAMA, P.M.B. 083, GARKI, ABUJA
Telephone number
07062242010
Fax number
NIL
Email address
UKOUDOH631@ROCKETMAIL.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?
Yes
[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
[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.
[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.
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?
No
[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) | PRESERVICE TRAINING | UP TO FIRST DEGREE PROGRAMMES FOR DOCTORS, NURSES, PHARMACISTS, ETC. |
| 10.b) | IN-SERVICE TRAINING | POST GRADUATE PROGRAMME FOR DOCTORS, NURSES, PHARMACIS AND MEDICAL LABORATORY SCIENTISTS |
| 10.c) | CONTINUOUS PROFESSIONAL DEVELOPMENT TRAINING | DOCTORS FOR EXAMPLE MUST MEET AT LEAST 20 UNITS PER YEAR |
[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) | MSS SCHEME FOR PRIMARY HEALTH CARE | ALL TIERS OF GOVERNMENT (FEDERAL, STATE, LOCAL GOVERNMENT) CONTRIBUTE PAYMENT OF HEALTH WORKERS IN THE COMMUNITY |
| 12.b) | PROVISION OF INCENTIVE | THROUGH PROVISION OF RURAL ALLOWANCE |
| 12.c) | MOTIVATION | HIGHER PAY FOR HEALTH WORKERS |
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?
Yes
[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) | MEDICAL AND DENTAL COUNCIL OF NIGERIA | MEDICAL AND DENTAL COUNCIL HOUSE, OFF PRINCE AND PRINCESS ESTATE, ABUJA | wwwmdcn.gov.ng |
| 17.1 b) | |||
| 17.1 c) | |||
| 17.1 d) | |||
| 17.1 e) | |||
| 17.1 f) | |||
| 17.1 g) |
[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
[S1172col1]
17.2)
[S1172col2]
Entity
[S1172col3]
Occupation category
[S1172col4]
Country of first qualification
[S1172col5]
Year of first recruitment
[S1172col6]
Age
[S1172col7]
Sex
[S1172aa]
Entity 1
[S1172a]
Entity
MEDICAL AND DENTAL COUNCIL OF NIGERIA
[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
[S1172c]
Country of first qualification
Yes
[S1172d]
Year of first recruitment
Yes
[S1172e]
Age
Yes
[S1172f]
Sex
Yes
[S1172bb]
Entity 2
[S1172a2]
Entity
MEDICAL AND DENTAL COUNCIL OF NIGERIA
[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
[S1172c2]
Country of first qualification
Yes
[S1172d2]
Year of first recruitment
Yes
[S1172e2]
Age
Yes
[S1172f2]
Sex
Yes
[S1172cc]
Entity 3
[S1172a3]
Entity
MEDIAL AND DENTAL COUNCIL OF NIGERIA
[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
[S1172c3]
Country of first qualification
Yes
[S1172d3]
Year of first recruitment
Yes
[S1172e3]
Age
Yes
[S1172f3]
Sex
Yes
[S1172dd]
Entity 4
[S1172a4]
Entity
MEDICAL AND DENTAL COUNCIL OF NIGERIA
[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
[S1172c4]
Country of first qualification
Yes
[S1172d4]
Year of first recruitment
Yes
[S1172e4]
Age
Yes
[S1172f4]
Sex
Yes
[S1172ee]
Entity 5
[S1172a5]
Entity
MEDICAL AND DENTAL COUNCIL OF NIGERIA
[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
[S1172c5]
Country of first qualification
Yes
[S1172d5]
Year of first recruitment
Yes
[S1172e5]
Age
Yes
[S1172f5]
Sex
Yes
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?
Yes
[S1181]
18.1) Please submit any other comments or information you wish to provide regarding question:
Assessent was made in August before Nigeria reported on its first code of practice. This was when a Uganda based NGO (ACHEST)visited Nigeria. The Permanent Secretary approved that ACHEST should work closely with the National Data Authority in Calabar, Cross River State for Pilot implementation of the Code of Practice. The meeting hosted over 30 participants from across the State including those from Health Training Institutions, Acadamia, Government Agencies and Parastatals and Implementing Partners.
The meeting had full backing of the Government of Cross River State, Health Regulatory Bodies at Federal and State level and was endorsed by the Permanent Secretary of Health at the Federal level. The Honourable Minister of Health, Prof. Isaac F. Adewole is expecting ACHEST second round of visit to establish a machinery on Code of Practice in the Pilot State of Cross River in Nigeria.
[S119]
19) Has your country taken any steps to implement the Code?
Yes
[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
[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) | EFFECTIVE COORDINATION OF STAKEHOLDERS ON CODE OF PRACTICE | Funds is necessary for regular meetings and coordination of stakeholders |
| 21.b) | LACK OF ENABLING LAW AND POLICIES RELATED TO INTERNATIONAL CODE OF PRACTICE | Enactment of laws and appropriate policies related to the International Code of Practice |
| 21.c) | PROBLEM OF MAINTAINING REGULAR RECORDS FOR REGULATIONS AND ACCREDITATIONOF RECRUITERS | Provision of Equipment and Development of Tool for data collection and storage |
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?
Yes
[S1231]
23.1) Please provide more information or evidence of agreements or evidence of financial assistance as appropriate:
The Global Health Workforce Alliance promised to assist Nigeria report on the Code of Practice regularly. In view of this ACHEST was apponted as Consultant for Nigeria. ACHEST visited Nigeria in August, 2015 and currently awaiting the HMHs approval for their visit on or before April, 2016. However, no finance has been released for Nigeria to this effect so far
[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.
Nigeria should be assisted to be able to put appropriate policies on Regulations and law of the code of practice. Secondly, there is the need to establish mechanism for appropriate and regular records keeping on the international recruitment of health workers by the Agencies recruiting them
[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:
DR, UKO ANTHONY UDOH
[S32]
Contact details:
FEDERAL MINISTRY OF HEALTH
DEPARTMENT OF HEALTH PLANNING, RESEARCH AND STATISTICS
11TH FLOOR, ROOM 1105,
FEDERAL SECRETARIAT COMPLEX, PHASE 3
AHMADU BELLO WAY, MAITAMA,
FEDERAL CAPITAL TERRITORY, MAITAMA, ABUJA
[S33]
Name of entity submitting the report:
FEDERAL MINISTRY OF HEALTH - NIGERIA
[S34]
Responsible and/or contact person:
DR. UDOH, UKO ANTHONY
[S35]
Mailing address:
FEDERAL MINISTRY OF HEALTH
DEPARTMENT OF HEALTH PLANNING, RESEARCH AND STATISTICS
11TH FLOOR, ROOM 1105,
FEDERAL SECRETARIAT COMPLEX, PHASE 3
AHMADU BELLO WAY, MAITAMA,
FEDERAL CAPITAL TERRITORY, MAITAMA, ABUJA
[S36]
Telephone number:
07062242010
[S37]
Fax:
NIL
[S38]
Email:
UKOUDOH631@ROCKETMAIL.COM
[S39]
Website URL :
[S310]
Description of the entity submitting the report:
FEDERAL MINISTRY OF HEALTH, NIGERIA SUBMITTED THIS REPORT ON BEHALF OF THE FEDERAL GOVERNMENT OF NIGERIA
[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.
NIGERIA IS A SIGNATORY TO THE CODE OF INTERNATIONAL RECRUITMENT OF HEALTH WORKERS. NIGERIA PRODUCED THE LARGEST HEALTH WORKFORCE IN AFRICA BUT UNFORTUNATELY LOST MOST OF ITS HEALTH WORKFORCE TO ATTRITION AND EXTERNAL AND INTERNAL MIGRATION.
NIGERIA CANNOT INFRINGE ON HUMAN RIGHT OF THESE WORKERS TO HAVE THE RIGHT OF THE CHOICE OF JOB AND WHERE TO WORK. THIS GREATLY AFFECT THE HEALTH INDICATORS IN NIGERIA. IN RECOGNISING OF THIS FACT, NIGERIA IS PREPARED TO DIALOGUE WITH OTHER MEMBER COUNTRIES ON THE ENGAGEMENT OF INTERNATIONAL RECRUITMENT OF HEALTH WORKERS IN ACCORDANCE WITH THE CODE OF PRACTICE AND WOULD DO EVERYTHING POSSIBLE TO ENSURE RETAINMENT OF HEALTHWORKERS