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

Sudan

Hide [G1Q00002] Contact information of DNA

Full name of institution

The National Human Resources for Health Observatory-NHRHO

Name of contact officer

Dr. Amel Abdu Abdalla Gesmalla

Title of contact officer

The Director of NHRHO

Mailing address

ElBaladia and Abdalla Nour crossroad, Khartoum, Sudan

Telephone number

+249 9 129 10 253

Fax number

Email address

amolabdou@yahoo.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.

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.

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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

Sudan and Libya

Hide [S16i1c] Coverage

National

Hide [S16i1d] Validity period
(from–to)

5 yrs

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

Hide [S16i2] Agreement 2

Hide [S16i2a]

Type of Agreement

Bilateral

Hide [S16i2b] Countries Involved

Sudan and Kindom of Suadi Arabia [not finalized yet]

Hide [S16i2c] Coverage

National

Hide [S16i2d] Validity period
(from–to)

5 yrs

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

Labrotary Technicians

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)	The Unified List of Specialist [incentive Package Initiative]	it is an initiative led by the MOH and supported by the President to return the specialized doctors at the rural and remote areas with provision of well defined incentive package
10.b)	Establishment of the Academy of Health Sciences [AHS] with its state branches	The AHS was established to support filling the gap in the allied health personnel and by establishing branches at the state level facilitate the provision of the needed categories from within the state and return them at their state
10.c)	-	-

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)	The Unified List of Specialist [incentive Package Initiative]	it is an initiative led by the MOH and supported by the President to return the specialized doctors at the rural and remote areas with provision of well defined incentive package which alsoexpected to play a major role in correcting the mal-distributionin
12.b)	Establishment of the Academy of Health Sciences [AHS] with its state branches	as mentioned above it also help in addressing the mal-distribution of the allied health personnel at the state level
12.c)	provision of postgraduate training chances at the Sudan Medical Specialization Board [SMSB] to the states	To give the state certain chances for postgraduate training at SMSB and the Public Health Institute [PHI] with the condition of having those candidates to sign contract to go back and work at those states for specific period of time

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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	The National HRH Observatory	Dr. Ayat Abu-Agla	ayat.abuagla@yahoo.co.uk	www.hrhobservatory.sd
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?

Yes

Hide [S1151] 15.1) Please provide details of the database reference or a web-link:

A data base was established within the National HRH Observatory in collaboration with the relevent HRH stakeholders and it will be a web based data soon and accessable to all researchers and decision-makers.

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?

Hide [S117b] If 'No', please proceed using 'Next' button at the bottom of the screen.

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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:

The National HRH Observatory is leading study to assess the implementation of the code of practice at the country including the issues hinder its propoer implementation and the challenges ... The results of the study will be available soon through the observatory web site.

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 voluntary nature of the code	WHO to support the agreements [bilateral, multilateral] to facilitate its proper implementation mean while we proposed rediscussing the voluntary nature of the code at the WHO assembly!
21.b)	The impact and influence of the Recurriting Agencies	Establishing a national regulation to guide their work as part of the bilateral agreements that are expected to governance the whole process of recurritment
21.c)	Having a comprehensive data about the international recuritment of the Sudanese HWF	To build Migration data-base at the NHRHO in collaboration with the concerned stakeholers [e.g. SSWA]

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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.

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:

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.