National Reporting Instrument 2015
Section: Background
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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Section 01: Qualitative information (1-4)
Section 01: Qualitative information (5-12)
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
Type of Agreement
Coverage
(from–to)
Categories of Skilled Health Personnel
Please attach a documentation file if possible
Type of Agreement
(from–to)
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
Please attach a documentation file if possible
(In case of multiple documents, please create one single zip file for upload)
Type of Agreement
(from–to)
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
Please attach a documentation file if possible
(In case of multiple documents, please create one single zip file for upload)
Type of Agreement
(from–to)
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
Please attach a documentation file if possible
(In case of multiple documents, please create one single zip file for upload)
Type of Agreement
(from–to)
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
Please attach a documentation file if possible
(In case of multiple documents, please create one single zip file for upload)
Type of Agreement
(from–to)
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
Please attach a documentation file if possible
(In case of multiple documents, please create one single zip file for upload)
Type of Agreement
(from–to)
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
Please attach a documentation file if possible
(In case of multiple documents, please create one single zip file for upload)
Section 01: Qualitative information (5-12) contd.
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) | Programa Mais Médicos | Due to the difficulty of retention and fixation of medical doctors in rural and remote areas the Brazilian Government implemented in 2013 a national Program to start ceasing the inequality and under distribution of medical doctors in the Brazil, including the recruitment of international MDs in the first 3 years of implementation of the Program. For educational purposes all participants in the Project must have eight hours of training in Family and Community Health, as well as, educational modules on the Brazilian Health System. |
10.b) | Projeto Mais Médicos para o Brasil | Emergencial recruitment of medical professionals, established between an individual contract between the Brazilian Health Ministry and physicians graduated in medical school whereas the proportion of medical doctor is equal or above Brazil’s (1.8/ 1000), in accordance with the WHO Global Code, and counting on the possibility to recruit international professionals through international cooperation with the intermediation of the Pan American Health Organization for specific areas of vulnerability. |
10.c) | Expansion of medical schools and medical residencies programs | Up to 2026, the Program has the target to expand the amount of medical schools, specially, in rural and remote areas, facilitating the retention of future national professionals, as well as the universalization of medical residencies, thus undermining the problem of lack of skilled physicians due to the lack of residency programs. |
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) | Projeto Mais Médicos para o Brasil | Emergencial recruitment of medical professionals, established between an individual contract between the Brazilian Health Ministry and physicians graduated in medical school whereas the proportion of medical doctor is equal or above Brazil’s (1.8/ 1000), in accordance with the WHO Global Code, and counting on the possibility to recruit international professionals through international cooperation with the intermediation of the Pan American Health Organization for specific areas of vulnerability. |
12.b) | Creation of Medical Schools most preferably in rural and/ or remote areas | Up to 2026, the Program has the target to expand the amount of medical schools, specially, in rural and remote areas, facilitating the retention of future national professionals, as well as the universalization of medical residencies, thus undermining the problem of lack of skilled physicians due to the lack of residency programs. |
12.c) | Programa de Valorização do Profissional da Atenção Básica | Recruiting of undergraduated phycisians in Brazil by a national policy stablished by the Brazilian Health Ministry where the participants are sent to rural and remote areas to practice followed by a tutor and under a fellowship program that provides educational skills in the Brazilian Unified System |
Section 01: Qualitative information (13-17)
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 | Universidade Federal de Minas Gerais | Sabado Nicolau Girardi | epsm@nescon.medicina.ufmg.br | http://epsm.nescon.medicina.ufmg.br/epsm/ |
14.2 | Faculdade de Ciências Médicas da Santa Casa de São Paulo | Paulo Henrique DAngelo Seixas | paulo.seixas@observarhsp.org.br | http://www.observarhsp.org.br/ |
14.3 | Escola Nacional de Saude Publica- Fundacao Oswaldo Cruz | Maria Helena Machado | machado@ensp.fiocruz.br | |
14.4 | Universidade Estadual do Ceara | Joao Bosco Feitosa do Santos | bosco_feitosa@yahoo.com.br | |
14.5 | Department of Global Health | Deisy de Freitas Lima Ventura | deisyflv@gmail.com | http://www.fsp.usp.br/pos/?cat=29 |
14.6 | Department of Global Health | Mateus Falcao Martins Matos | mmatos@usp.br | http://www.fsp.usp.br/pos/?cat=29 |
14.7 | Universidade de Brasilia | Leonor Maria Pacheco Santos | leopac@unb.br | http://www.unb.br/unidades_academicas/fs |
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) | Secretaria da Gestão do Trabalho e Educação na Saude | +55 61 33152581 | http://maismedicos.saude.gov.br/new/web/app.php/maismedicos/rms |
16.1 b) | Conselho Federal de Medicina | +55 61 34455900 | http://portal.cfm.org.br/index.php?option=com_medicos&Itemid=59 |
16.1 c) | Conselho Federal de Odontologia | +55 61 30334499 | http://cfo.org.br/servicos-e-consultas/profissionais/ |
16.1 d) | Conselho Federal de Enfermagem | +55 61 33295800 | http://www.portalcofen.gov.br/consultapublica |
16.1 e) | Conselho Federal de Psicologia | +55 61 21090100 | http://site.cfp.org.br/cfp/relacoes-internacionais/ |
16.1 f) | Conselho Federal de Fisioterapia e Terapia Ocupacional | +55 61 30353800 | http://www.coffito.org.br/site/ |
16.1 g) | Conselho Federal de Fonoaudiologia | +55 61 33223332 | http://www.fonoaudiologia.org.br/cffa/# |
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
Entity
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
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
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
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
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
Section 01: Qualitative information (13-17) contd.
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) | Secretaria da Gestão do Trabalho e Educação na Saude | +55 61 33152581 | http://maismedicos.saude.gov.br/new/web/app.php/maismedicos/rms |
17.1 b) | Conselho Federal de Medicina | +55 61 34455900 | http://portal.cfm.org.br/index.php?option=com_medicos&Itemid=59 |
17.1 c) | Conselho Federal de Odontologia | +55 61 30334499 | http://cfo.org.br/servicos-e-consultas/profissionais/ |
17.1 d) | Conselho Federal de Enfermagem | +55 61 33295800 | http://www.portalcofen.gov.br/consultapublica |
17.1 e) | Conselho Federal de Psicologia | +55 61 21090100 | http://site.cfp.org.br/cfp/relacoes-internacionais/ |
17.1 f) | Conselho Federal de Fisioterapia e Terapia Ocupacional | +55 61 30353800 | http://www.coffito.org.br/site/ |
17.1 g) | Conselho Federal de Fonoaudiologia | +55 61 33223332 | http://www.fonoaudiologia.org.br/cffa/# |
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
Entity
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
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
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
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
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
Section 01: Qualitative information (18-21)
Main constraints | Possible solution | |
---|---|---|
21.a) | Descentralized Regulamentation of Health Professionals | Up to 2013 the regulation of each profession was performed by third-parties. With the creation of an specific department at the Brazilian Health Ministry points out to a possible and reasonable solution to nationnaly regulate health professions in partnership with each council |
21.b) | n/a | n/a |
21.c) | n/a | n/a |
Section 01: Qualitative information (22-24)
Section 02: Quantitative information - Minimum Data Sets
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