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
Palau
Hide [G1Q00002] Contact information of DNA
Full name of institution
Palau Ministry of Health
Name of contact officer
Marcie Olkeriil
Title of contact officer
Acting Human Resources Administrator
Mailing address
P.O. Box 6-27, Koror, Republic of Palau 96940
Telephone number
(680) 488-6647
Fax number
(680) 488-1211
Email address
marcie.olkeriil@palauhealth.org
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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.
All Public Service employees or Palau National Government employees are recruited based on existing rules and regulations of the Public Service System.
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.
none
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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?
No
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?
No
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) Health Workers Reclassification To attract and retain qualified health workforce
10.b) Continuous Professional Development Initiatives To update and upgrade the skills of existing employees
10.c) Developing Partnerships within the community as well as internationally Available scholarship and fellowship programs, and off-island training opportunities
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) Create a pipeline of qualified health workforce Health Career Pathway at Palau High School; various Health Degree Programs at the Palau Community College
12.b) Developing Partnerships within the community as well as internationally Available scholarship and fellowship programs, and off-island training opportunities
12.c) Health Workers Reclassification To attract and retain qualified health workforce
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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?
No
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:

Bureau of Public Service System Rules & Regulations
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?
Yes
Hide [S1161]

16.1)  Please use Table E below to provide the contact details of each entity.

 

Table E Contact details of mechanism(s) or entity(ies) maintaining  statistical records of health personnel whose first qualification was obtained overseas

Name of mechanism or entity Contact details Web-link (if available)
16.1 a) Board of Health Professions Dr. Gregory Dever
16.1 b)
16.1 c)
16.1 d)
16.1 e)
16.1 f)
16.1 g)
Hide [S1162]

16.2) For the entity named in Q(16.1) please use Table F below to specify whether the information gathered include the following:

Table F Description of the statistical information available on the internationally recruited health personnel

Hide [S1162col1] 16.2)
Hide [S1162col2]

Entity


Hide [S1162col3] Occupation category


Hide [S1162col4] Country of first qualification


Hide [S1162col5] Year of first recruitment


Hide [S1162col6] Age


Hide [S1162col7] Sex

Hide [S1162aa] Entity 1
Hide [S1162a] Entity
Board of Health Professions
Hide [S1162b]

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
Allied Health Workers
Other
Hide [S1162c] Country of first qualification
Yes
Hide [S1162d] Year of first recruitment

Yes
Hide [S1162e] Age
Yes
Hide [S1162f] Sex
Yes
Hide [S1162bb] Entity 2
Hide [S1162a2] Entity

Hide [S1162b2]

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 [S1162c2] Country of first qualification
Hide [S1162d2] Year of first recruitment

Hide [S1162e2] Age
Hide [S1162f2] Sex
Hide [S11623] Entity 3
Hide [S1162a3] Entity

Hide [S1162b3]

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 [S1162c3] Country of first qualification
Hide [S1162d3] Year of first recruitment

Hide [S1162e3] Age
Hide [S1162f3] Sex
Hide [S1162dd] Entity 4
Hide [S1162a4] Entity

Hide [S1162b4]

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 [S1162c4] Country of first qualification
Hide [S116d4] Year of first recruitment

Hide [S1162e4] Age
Hide [S1162f4] Sex
Hide [S1162ee] Entity 5
Hide [S1162a5] Entity

Hide [S1162b5]

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 [S1162c5] Country of first qualification
Hide [S1162d5] Year of first recruitment

Hide [S1162e5] Age
Hide [S1162f5] Sex
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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) Board of Health Profession Dr. Gregory Dever
17.1 b)
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
Board of Health Professions
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)
Allied Health Workers
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

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

Hide [S1172d2] Year of first recruitment

Hide [S1172e2] Age
Hide [S1172f2] Sex
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?
No
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:
The existing Rules & Regulations of the Public Service System is being followed to ensure fair recruitment practices to all applicants, and to ensure equal employment opportunity for all.
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) No constraints in implementing the Code Not applicable
21.b) No constraints in implementing the Code Not applicable
21.c) No constraints in implementing the Code Not applicable
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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
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Section 03: Reporting instrument for other stakeholders (optional)

Hide [S31] Submitted by: 
Marleen Ngirametuker, Designated National Authority Human Resources Administrator
Hide [S32] Contact details:
marleen.ngirametuker@palauhealth.org
Hide [S33] Name of entity submitting the report:
Palau Ministry of Health
Hide [S34] Responsible and/or contact person:
Marleen Ngirametuker
Hide [S35] Mailing address:
P.O. Box 6027
Hide [S36] Telephone number:
(680) 488-6647
Hide [S37] Fax:
(680) 488-1211
Hide [S38] Email:
marleen.ngirametuker@palauhealth.org
Hide [S39] Website URL :
palauhealth.org
Hide [S310] Description of the entity submitting the report:
The Ministry of Health is committed to “healthy communities with access to high quality healthcare services”. The efforts undertaken by the Ministry and its staff focuses on providing comprehensive accessible healthcare services for our patients and community. The Ministry of Health is mandated by the Constitution of the Republic of Palaus government which has the responsibility for health care services. The 23rd Amendment to Article VI requires positive government action to promote “health and social welfare of the citizens through the provision of free or subsidized health care” and the 24th Amendment requires provisions of “free preventive health care for every citizen as prescribed by law.” The Ministry of Health is responsible for implementing action to meet these governmental mandates. According to PNC Title 2, Section 107, “The Ministry of Health shall be responsible for promoting and protecting the public health, providing clinical medical services to the public, operating and managing public medical facilities, and related matters.”
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.
The entity submitting this report is the Ministry of Health, and the interest in international health personnel migration issues that we are currently facing are shortage of qualified health workers today, and is predicted to worsen in the future.