National Reporting Instrument 2024
Background
[INFOxNRI1]
National Reporting instrument 2024
[BGxINT]
Background
Adopted in 2010 at the 63rd World Health Assembly (WHA Res 63.16), the WHO Global Code of Practice on the International Recruitment of Health Personnel (“the Code”) seeks to strengthen the understanding and ethical management of international health personnel recruitment through improved data, information, and international cooperation.
Article 7 of the Code encourages WHO Member States to exchange information on the international recruitment and migration of health personnel. The WHO Director General is mandated to report to the World Health Assembly every 3 years.
WHO Member States completed the 4th round of national reporting in May 2022. The WHO Director General reported progress on implementation to the 75th World Health Assembly in May 2022 (A75/14). The report on the fourth round highlighted the need to assess implications of health personnel emigration in the context of additional vulnerabilities brought about by the COVID-19 pandemic. For this purpose, the Expert Advisory Group on the relevance and effectiveness of the Code (A 73/9) was reconvened. Following the recommendations of the Expert Advisory Group, the Secretariat has published the WHO health workforce support and safeguards list 2023.
The National Reporting Instrument (NRI) is a country-based, self-assessment tool for information exchange and Code monitoring. The NRI enables WHO to collect and share current evidence and information on the international recruitment and migration of health personnel. The findings from the 5th round of national reporting will be presented to the Executive Board (EB156) in January 2025 in preparation for the 78th World Health Assembly.
The deadline for submitting reports is 31 August 2024.
Article 9 of the Code mandates the WHO Director General to periodically report to the World Health Assembly on the review of the Code’s effectiveness in achieving its stated objectives and suggestions for its improvement. In 2024 a Member-State led expert advisory group will be convened for the third review of the Code’s relevance and effectiveness. The final report of the review will be presented to the 78th World Health Assembly.
For any queries or clarifications on filling in the online questionnaire please contact us at WHOGlobalCode@who.int.
What is the WHO Global Code of Practice?
Disclaimer: The data and information collected through the National Reporting Instrument will be made publicly available via the NRI database (https://www.who.int/teams/health-workforce/migration/practice/reports-database) following the proceedings of the 78th World Health Assembly. The quantitative data will be used to inform the National Health Workforce Accounts data portal (http://www.apps.who.int/nhwaportal/).
Adopted in 2010 at the 63rd World Health Assembly (WHA Res 63.16), the WHO Global Code of Practice on the International Recruitment of Health Personnel (“the Code”) seeks to strengthen the understanding and ethical management of international health personnel recruitment through improved data, information, and international cooperation.
Article 7 of the Code encourages WHO Member States to exchange information on the international recruitment and migration of health personnel. The WHO Director General is mandated to report to the World Health Assembly every 3 years.
WHO Member States completed the 4th round of national reporting in May 2022. The WHO Director General reported progress on implementation to the 75th World Health Assembly in May 2022 (A75/14). The report on the fourth round highlighted the need to assess implications of health personnel emigration in the context of additional vulnerabilities brought about by the COVID-19 pandemic. For this purpose, the Expert Advisory Group on the relevance and effectiveness of the Code (A 73/9) was reconvened. Following the recommendations of the Expert Advisory Group, the Secretariat has published the WHO health workforce support and safeguards list 2023.
The National Reporting Instrument (NRI) is a country-based, self-assessment tool for information exchange and Code monitoring. The NRI enables WHO to collect and share current evidence and information on the international recruitment and migration of health personnel. The findings from the 5th round of national reporting will be presented to the Executive Board (EB156) in January 2025 in preparation for the 78th World Health Assembly.
The deadline for submitting reports is 31 August 2024.
Article 9 of the Code mandates the WHO Director General to periodically report to the World Health Assembly on the review of the Code’s effectiveness in achieving its stated objectives and suggestions for its improvement. In 2024 a Member-State led expert advisory group will be convened for the third review of the Code’s relevance and effectiveness. The final report of the review will be presented to the 78th World Health Assembly.
For any queries or clarifications on filling in the online questionnaire please contact us at WHOGlobalCode@who.int.
What is the WHO Global Code of Practice?
Disclaimer: The data and information collected through the National Reporting Instrument will be made publicly available via the NRI database (https://www.who.int/teams/health-workforce/migration/practice/reports-database) following the proceedings of the 78th World Health Assembly. The quantitative data will be used to inform the National Health Workforce Accounts data portal (http://www.apps.who.int/nhwaportal/).
Disclaimer
[INFOxNRI2]
National Reporting instrument 2024
[disclaim]
Disclaimer
[1] Note: Case-based facility data collection as that in the WHO Global Bum Registry does not require WHO Member State approval.
[2] The world health report 2013: research for universal coverage. Geneva: World Health Organization; 2013 (http://apps.who.int/iris/bitstream/10665/85761/2/9789240690837_eng.pdf)
[3] WHO statement on public disclosure of clinical trial results: Geneva: World Health Organization; 2015 (http://www.who.int/ictrp/results/en/, accessed 21 February 2018).
For more information on WHO Data Policy kindly refer to http://www.who.int/publishing/datapolicy/en/
[1] Note: Case-based facility data collection as that in the WHO Global Bum Registry does not require WHO Member State approval.
[2] The world health report 2013: research for universal coverage. Geneva: World Health Organization; 2013 (http://apps.who.int/iris/bitstream/10665/85761/2/9789240690837_eng.pdf)
[3] WHO statement on public disclosure of clinical trial results: Geneva: World Health Organization; 2015 (http://www.who.int/ictrp/results/en/, accessed 21 February 2018).
For more information on WHO Data Policy kindly refer to http://www.who.int/publishing/datapolicy/en/
I have read and understood the WHO policy on the use and sharing of data collected by WHO in Member States outside the context of public health emergencies
Contact Details
[INFOxNRI3]
National Reporting instrument 2024
[CI]
Contact Details
Name of Member State:
Slovakia
Name of designated national authority:
Miloslava Kovacova
Title of designated national authority:
prof.PhDr..Mgr. Monika Jankechova,PhD.
Institution of the designated national authority:
The Ministry of Health of the Slovak Republic
Email:
riginao@who.int,miloslava.kovacova@health.gov.sk,WHOGlobalCode@who.int
Telephone number :
++421 2 593 76 160, ++421 2 593 73 571
Contemporary issues
[INFOxNRI4]
National Reporting instrument 2024
[NRIxI]
The questions marked * are mandatory. The system will not allow submission until all mandatory questions are answered.
[INFOx1]
Contemporary issues on health personnel migration and mobility
[Q1x1]
In the past 3 years, has the issue of international recruitment of health personnel been a concern for your country?
Yes, and there has been no change in the intensity
Measures aimed at stabilizing health professionals and increasing their interest in the practice of the healthcare profession in Slovakia: - financial support through the education support fund (provision of loans and financial assistance to university students), - providing of scholarships for secondary school students preparing for healthcare occupations with the highest shortage, - increasing of salaries of health professionals, - measures targeted at making medical specialization studies more attractive, - increasing the number of students in medical faculties, - increasing the number of students admitted to the 1st year of healthcare study programs at secondary healthcare schools, - improvement of working conditions for healthcare professionals (investments in the reconstruction and improvement of the material and technical equipment of hospitals), - financing of residency studies - missing medical specialists, - financial support for young medical specialists after completing their studies to set up their own practices, - strengthening the competencies of health professionals, - recruitment allowance from health care providers (employers), - cooperation with local authorities in publishing vacancies for doctors - graduates of residency studies, - the optimization of the hospital network and the reform of the network of universal outpatient care providers are being prepared.
[Q1x2]
In the past 3 years, has the issue of international reliance on health personnel (international recruitment of health personnel to meet domestic needs) been a concern for your country?
Yes, and there has been no change in the intensity
Problems such as: the aging of the population, the negative development of the number and age structure of some health professions, the departure of health professionals (including graduates) abroad, the length of study required to prepare for performance of health professions, raises the question of: whether to seek a solution in the form of active international recruitment of health professionals or in the search for ways to facilitate the entry of health workers from third countries into the Slovak health system. In connection with the COVID-19 pandemic, regarding to lack of health professionals the Slovak Republic introduced and is applying the institute of "temporary professional internship" (possibility to work under supervision without completely recognition qualification) for health professionals (for nationals of third countries with recognized proof of education according to special regulations), including the necessary training and language courses for the purpose of integration these health workers to the labour market.
Health Personnel Education
[INFOxNRI5]
National Reporting instrument 2024
[INFOx2]
Health personnel education, employment and health system sustainability
[Q2]
Is your country taking measures to educate, employ and retain a health and care workforce that is appropriate for the specific conditions of your country, including areas of greatest need?
Yes
[Q2x1]
Please check all items that apply from the list below:
2.1 Measures taken to ensure the sustainability of the health and care workforce
2.2 Measures taken to address the geographical mal-distribution and retention of health and care workers*
2.3 Other relevant measures taken to educate, employ and retain a health and care workforce that is appropriate for the specific conditions of your country
[Q2x1x1]
2.1.1 Measures taken to ensure the sustainability of the health and care workforce
Forecasting future health and care workforce requirements to inform planning
Collection and analysis of data obtained - through National Health Information Centre (which maintains registers of healthcare professionals, collects and processes data obtained through statistical surveys in the health sector, primarily from employers and professional chambers), - from the Ministry of education, research, development and youth of the Slovak Republic.
Aligning domestic health and care workforce education with health system needs
Cooperation with the Ministry of education, research, development and youth of the Slovak Republic and higher territorial units. Increasing the number of students, cooperation with the higher territorial units (municipalities), and the Ministry of education, research, development and youth of the Slovak Republic in the field of “revision” of study programs (content of education - undergraduate and postgraduate), “shortening” of study (some specializations). Rebuilding the further education of health professionals - to reflect on the current needs. Rebuilding the process of recognition of documents on further education of health professionals obtained outside the territory of the Slovak Republic by shortening the deadlines for processing the application.
Improving quality of education and health personnel in alignment with service delivery needs
In cooperation with the Ministry of education, research, development and youth of the Slovak Republic, higher territorial units, employers, schools, universities and professional chambers.
Creating employment opportunities aligned with population health needs
In cooperation with the higher territorial units, employers, health insurance companies and professional chambers.
Managing international recruitment of health personnel
Improving management of health personnel
In cooperation with the higher territorial units, employers, health insurance companies and professional chambers.
Specific provisions on health personnel regulation and recruitment during emergencies
Others
[Q2x2x1]
Check all that apply for Measures taken to address the geographical mal-distribution and retention of health and care workers
2.2.1 Education
2.2.2 Regulation
2.2.3 Incentives
2.2.4 Support
[Q2x2x1x1]
2.2.1.1 Education Measure
Education institutions based in rural/underserved areas
Education institutions (Secondary Health schools, Universities) are located in all regions. The location of Secondary Health school is focused on availability for students in all regions.
Student intake from rural/underserved areas and communities
The students from rural/underserved areas and communities have the same rights as students form urban localities. There is no positive discrimination.
Scholarships and subsidies for education
Providing of incentive scholarships from the state budger for secondary school students preparing for healthcare occupations with the highest shortage. (Act No. 61/2015 Coll. on vocational education and training and on the amendment of certain laws as amended) Financial support through the education support fund (provision of loans and financial assistance to university students). (Act No. 396/2012 Coll. on the Education Support Fund as amended) Scholarships provided by future employers (health care providers) to students of universities and secondary medical schools.
Relevant topics/curricula in education and/or professional development programmes
(Re)orientation of education programmes towards primary health care
Others
[Q2x2x2x1]
2.2.2.1 Regulation Measure
Scholarships and education subsidies with return of service agreements
Financial support through the education support fund (provision of loans and financial assistance to university students). Act No. 396/2012 Coll. on the Education Support Fund as amended Scholarships provided by future employers (health care providers) to students of universities and secondary medical schools.
Mandatory service agreements with health personnel that are not related to scholarships or education subsidies
Enhanced scope of practice of existing health personnel
Task sharing between different professions
Provisions for pathways to enter new or specialised practice after rural service
Others
[Q2x2x3x1]
2.2.3.1 Incentives Measure
Additional financial reimbursement
Support from higher territorial unites, cities and municipalities for graduates of residency studies in general medicine or paediatrics in opening their ambulancies (premises, material and technical equipment of the ambulance), in providing accommodation for doctors and their families, employment of family members, etc.
Education opportunities
Further education of healthcare professionals is governed by special regulations. Act No. 578/2004 Coll. on health care providers, health workers, professional organizations in the health sector and on amendments to certain laws as amended
Opportunities for career advancement or professional growth
Possibilities and conditions for career growth are part of the personnel policy of every employer/healthcare provider. The terms of employment are agreed in the relevant collective agreements.
Professional recognition
Measures taken with the aim of stabilizing health professionals are simultaneously aimed at improving their professional recognition and social status.
Social recognition
Measures taken to improve the working conditions of the health profession, including remuneration, took into account the need to improve professional recognition and and social recognition.
Opportunity for pathways to permanent residency and/or citizenship for international health personnel
The employment of foreigners in the Slovak Republic is regulated by legislation. Act No. 578/2004 Coll. on health care providers, health workers, professional organizations in the health sector and on amendments to certain laws as amended Act No. 311/2001 Coll. Labor Code as amended Act No. 404/2011 Coll. on the residence of foreigners and on the amendment of certain laws, as amended Act No. 480/2002 Coll. on asylum and on the amendment of certain laws, as amended Labour Mobility of Foreigners – Information for foreigners (entry and residence, employment, housing, education, living condition, integration, contacts, documents) available on web page Ministry of Labour, Social Affairs and Family of the Slovak Republic. https://www.employment.gov.sk/en/information-foreigners/entry-residence/ https://www.employment.gov.sk/en/information-foreigners/employment/ https://www.employment.gov.sk/en/information-foreigners/integration-foreigners-slovakia/
Others
[Q2x2x4x1]
2.2.4.1 Support Measure
Decent and safe working conditions
The performance of the medical profession is governed by special regulations. Employment conditions are agreed in more detail in collective agreements. Act No. 578/2004 Coll. on health care providers, health workers, professional organizations in the health sector and on amendments to certain laws as amended Act No. 311/2001 Coll. Labor Code as amended Act No. 124/2006 Coll. on safety and health protection at work and on amendments to certain laws as amended Act No. 125/2006 Coll. on labor inspection and on amendments to Act no. 82/2005 Coll. on illegal work and illegal employment and on amendments to certain laws as amended
Decent and safe living conditions
Employment conditions, rights and obligations of employees and employers, including the labour protection and employer's social policy, are regulated by the Labor Code. (Working conditions and living conditions of employees, Employees‟ catering, Education of employees, Securing for employee upon temporary incapacity to work, in old age and employment upon return to work, Employee with health disability, Working conditions of women and men caring for children, Arrangement of working time, Maternity leave and parental leave, Breaks for breast-feeding, Working conditions for adolescent employees, Prohibition of overtime work, night work and work stand-by, Work prohibited to adolescent employees, Medical preventative examination in relation to work).
Distance learning/e-learning opportunities
Others
[Q3x1]
Are there specific policies and/or laws that guide international recruitment, migration and integration of foreign-trained health personnel in your country?
Yes
[Q3x1x1]
Please provide further information in the box below:
Law/policy 1
The employment of foreigners in the Slovak Republic is regulated by legislation. Act No. 578/2004 Coll. on health care providers, health workers, professional organizations in the health sector and on amendments to certain laws as amended Act No. 311/2001 Coll. Labor Code as amended Act No. 404/2011 Coll. on the residence of foreigners and on the amendment of certain laws, as amended Act No. 480/2002 Coll. on asylum and on the amendment of certain laws, as amended
Law/policy 2
Labour Mobility of Foreigners – Information for foreigners (entry and residence, employment, housing, education, living condition, integration, contacts, documents) available on web page Ministry of Labour, Social Affairs and Family of the Slovak Republic. https://www.employment.gov.sk/en/information-foreigners/entry-residence/ https://www.employment.gov.sk/en/information-foreigners/employment/ https://www.employment.gov.sk/en/information-foreigners/integration-foreigners-slovakia/
Law/policy 3
[Q3x2]
Are there any policies and/or provision for international telehealth services in your country through health personnel based abroad?
No
[Q3x3]
Has your country established a database or compilation of laws and regulations related to international health personnel recruitment and migration and, as appropriate, information related to their implementation?
Yes
[Q3x3x1]
Please provide a web-link
Act No. 311/2001 Coll. Labor Code as amended Act No. 5/2004 Coll. on employment services and on amendments to certain laws, as amended https://www.upsvr.gov.sk/sluzby-zamestnanosti/nestatne-sluzby-zamestnanosti.html?page_id=13024 https://www.upsvr.gov.sk/sluzby-zamestnanosti/nestatne-sluzby-zamestnanosti/sprostredkovanie-zamestnania-za-uhradu.html?page_id=13025 https://www.upsvr.gov.sk/sluzby-zamestnanosti/foreign-citizens.html?page_id=272197 https://www.mic.iom.sk/sk/praca/zamestnavanie-cudzincov-na-slovensku.html
[Q3x3x2]
Please upload any format of documentation that provides such information (e.g. pdf, excel, word)
Upload document:
Upload document:
[Q4]
Recognizing the role of other government entities, does the Ministry of Health have mechanisms (e.g. policies, processes, unit) to monitor and coordinate across sectors on issues related to the international recruitment and migration of health personnel?
Yes
[Q4x1]
Please describe
Policies aimed at the international recruitment and migration of healthcare workers are adopted and monitored at the level of the Government of the Slovak Republic.
During the COVID - 19 crisis the Ministry of Health asked the health professionals from Slovakia working in other countries for help and for returning home to Slovak hospitals.
Slovakia received temporary medical staff help from other member states.
[Q5]
Please describe the steps taken by your country to implement the following Code recommendations.
Check all items that apply from the list below:
Check all items that apply from the list below:
5.1 Measures have been taken or are being considered to introduce changes to laws or policies on health personnel consistent with the recommendations of the Code.
Competence and performance of health profession, education of health professionals, individual and collective labor relations, including compensation, collective bargaining, the principle of equal treatment and non-discrimination, labor inspection, employment of third country nationals, recruitment reward, prohibition of illegal work and illegal employment, control of illegal work is primarily regulated by the laws. Legislation is consistent with the recommendations of the Code. Hospitals as well as other health care facilities are mainly recruiting healthcare workers independently.
5.2 Actions have been taken to communicate and share information across
sectors on the international recruitment and migration of health personnel, as well as to publicize the Code, among relevant ministries, departments and agencies,
nationally and/or sub-nationally.
sectors on the international recruitment and migration of health personnel, as well as to publicize the Code, among relevant ministries, departments and agencies,
nationally and/or sub-nationally.
Information on foreign relations and the European Union, including Slovakia's membership in international organizations, including important documents and agreements, is available on the website of the Ministry of Health of the Slovak Republic. Access to all WHO documents, information and activities ensures published link to the WHO website. https://www.health.gov.sk/?zahranicne-vztahy
5.3 Measures have been taken to consult stakeholders in decision-making
processes and/or involve them in activities related to the international recruitment of health personnel.
processes and/or involve them in activities related to the international recruitment of health personnel.
Legislation is consistent with the recommendations of the Code. Relevant stakeholders are always involved in the legislative process.
5.4 Records are maintained on all private recruitment agencies for health
personnel authorized by competent authorities to operate within their jurisdiction.
personnel authorized by competent authorities to operate within their jurisdiction.
Centralization of employment for payment by natural and legal persons is governed by Act no. 5/2004 Coll. on employment services and on amendments to certain laws, as amended. Act No. 311/2001 Coll. Labor Code as amended. The law regulates the obligations of the intermediary, including the obligation to keep records of natural persons to whom he mediated employment for payment. Providers are obliged to provide the Central Office of Labour, Social Affairs and Family with a report on their activities for the past calendar year together with data from the records. The Central Office of Labour, Social Affairs and Family is a state administration body, ensuring the performance of state administration in the areas of social affairs and employment services. (Act No. 453/2003 Coll. on state administration bodies in the field of social affairs, family and employment services and on amendments to certain laws as amended) https://www.upsvr.gov.sk/sluzby-zamestnanosti/nestatne-sluzby-zamestnanosti.html?page_id=13024 https://www.upsvr.gov.sk/sluzby-zamestnanosti/nestatne-sluzby-zamestnanosti/sprostredkovanie-zamestnania-za-uhradu.html?page_id=13025
5.5 Good practices, as called for by the Code, are encouraged and promoted among private recruitment agencies.
5.5a Promotion of the Code among private recruitment agencies.
5.5b Domestic legislation or policy requiring ethical practice of private recruitment agencies, as consistent with the principles and articles of the Code.
5.5c Public or private certification of ethical practice for private recruitment agencies.
5.5d Others
5.6 None of the above
Government Agreements
[INFOxNRI6]
National Reporting instrument 2024
[INFOx3]
Government-to-Government agreements on migration or mobility of health personnel
[Q6]
Has your country or sub-national governments entered into any bilateral, multilateral, or regional agreements and/or arrangements with respect to the international recruitment and/or mobility of health personnel?
No
Responsibilities, rights and recruitment practices
[INFOxNRI9]
National Reporting instrument 2024
[INFOx4]
Responsibilities, rights and recruitment practices
[Q7]
If your country employs/hosts international health personnel to work in the health and care sectors, which legal safeguards and/or other mechanisms are in place for migrant health personnel and to ensure that enjoy the same legal rights and responsibilities as the domestically trained health workforce?
Please check all items that apply from the list below:
Please check all items that apply from the list below:
Migrant health personnel are recruited using mechanisms that allow them to assess the benefits and risk associated with employment positions and to make timely and informed decisions on the employment.
Competence and performance of health profession, education of health professionals, individual and collective labor relations, including compensation, collective bargaining, the principle of equal treatment and non-discrimination, labor inspection, employment of third country nationals, recruitment reward, prohibition of illegal work and illegal employment, control of illegal work is primarily regulated by the laws. Legislation is consistent with the recommendations of the Code. The conditions for the performance of the medical profession in the territory of the Slovak Republic are regulated by Act no. 578/2004 Coll. on health care providers, health workers, professional organizations in the health sector and on amendments to certain laws as amended Employment conditions are governed by the Labor Code and collective agreements, which are compulsorily published in the Central Register of Contracts. Central register of contracts | Centrálny register zmlúv (gov.sk) (government regulation no. 498/2011 Coll., which establishes details on the publication of contracts in the Central Register of Contracts and the requirements for information on concluding a contract)
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.
The conditions for the performance of the medical profession in the territory of the Slovak Republic are regulated by Act no. 578/2004 Coll. on health care providers, health workers, professional organizations in the health sector and on amendments to certain laws as amended. Employment conditions, including renumeration, are also governed by the Labor Code and collective agreements, which are compulsorily published in the Central Register of Contracts.
Migrant health personnel enjoy the same opportunities as the domestically trained health workforce to strengthen their professional education, qualifications and career progression.
The conditions for the performance of the medical profession in the territory of the Slovak Republic are regulated by Act no. 578/2004 Coll. on health care providers, health workers, professional organizations in the health sector and on amendments to certain laws as amended. Employment conditions, are governed by the Labor Code and collective agreements, which are compulsorily published in the Central Register of Contracts.
Institutional arrangements are in place to ensure safe migration/ mobility and integration of migrant health personnel.
The conditions for the performance of the medical profession in the territory of the Slovak Republic are regulated by Act no. 578/2004 Coll. on health care providers, health workers, professional organizations in the health sector and on amendments to certain laws as amended. Employment conditions, are governed by the Labor Code and collective agreements, which are compulsorily published in the Central Register of Contracts.
Measures have been taken to promote circular migration of international health personnel
Other measures (including legal and administrative) for fair recruitment and employment practices of foreign-trained and/or immigrant health personnel (please provide details)
No measures in place
Not applicable – does not host/employ foreign health personnel
[Q8]
If health personnel from your country are working abroad in the health and care sectors, please provide information on measures that have been taken or are planned in your country to ensure their fair recruitment and employment; safe migration; return; and diaspora utilization in your country, as well as difficulties encountered.
Please check all items that apply from the list below:
Please check all items that apply from the list below:
Arrangements for fair recruitment
Arrangements for decent employment contracts and working conditions in destination countries
Arrangements for safe mobility
Arrangements for return and reintegration to the health labour market in your country
The conditions for the performance of the medical profession in the territory of the Slovak Republic are regulated by Act no. 578/2004 Coll. on health care providers, health workers, professional organizations in the health sector and on amendments to certain laws as amended. Employment conditions, are governed by the Labor Code and collective agreements, which are compulsorily published in the Central Register of Contracts.
Arrangements for diaspora engagement to support your country health system
The conditions for the performance of the medical profession in the territory of the Slovak Republic are regulated by Act no. 578/2004 Coll. on health care providers, health workers, professional organizations in the health sector and on amendments to certain laws as amended.
Other
No measures in place
Not applicable – health personnel from my country are not working abroad
International migration
[INFOxNRI10]
National Reporting instrument 2024
[INFOx5]
International migration and mobility pathways for health personnel
[Q9x1]
9.1 If your country hosts international health personnel to work in the health and care sector, how do they come to your country? (check all that apply)
| Direct (individual) application for education, employment, trade, immigration or entry in country |
Government to government agreements that allow health personnel mobility |
Private recruitment agencies or employer facilitated recruitment |
Private education/ immigration consultancies facilitated mobility |
Other pathways (please specify) | Which pathway is used the most? Please include quantitative data if available. | |
|---|---|---|---|---|---|---|
| Doctors | 1 | 0 | 0 | 0 | ||
| Nurses | 1 | 0 | 1 | 0 | ||
| Midwives | 1 | 0 | 1 | 0 | ||
| Dentists | 1 | 0 | 0 | 0 | ||
| Pharmacists | 1 | 0 | 0 | 0 | ||
| Other occupations | 0 | 0 | 0 | 0 | ||
| Other occupations | 0 | 0 | 0 | 0 | ||
| Other occupations | 0 | 0 | 0 | 0 | ||
| Other occupations | 0 | 0 | 0 | 0 | ||
| Other occupations | 0 | 0 | 0 | 0 |
[Q9x1oth]
[Q9x2]
9.2 If health personnel from your country work/study abroad, how do they leave your country?
(check all that apply)
| Direct (individual) application for education, employment, trade, immigration, or entry in the destination country |
Government to government agreements that allow health personnel mobility |
Private recruitment agencies or employer facilitated recruitment |
Private education/ immigration consultancies facilitated mobility |
Other pathways (please specify) | Which pathway is used the most? Please include quantitative data if available. | |
|---|---|---|---|---|---|---|
| Doctors | 1 | 0 | 0 | 0 | ||
| Nurses | 1 | 0 | 1 | 0 | ||
| Midwives | 1 | 0 | 1 | 0 | ||
| Dentists | 1 | 0 | 0 | 0 | ||
| Pharmacists | 1 | 0 | 1 | 0 | ||
| Other occupations | 0 | 0 | 0 | 0 | ||
| Other occupations | 0 | 0 | 0 | 0 | ||
| Other occupations | 0 | 0 | 0 | 0 | ||
| Other occupations | 0 | 0 | 0 | 0 | ||
| Other occupations | 0 | 0 | 0 | 0 |
[Q9x2oth]
Recruitment & migration
[INFOxNRI11]
National Reporting instrument 2024
[INFOx6]
Data on international health personnel recruitment & migration
Improving the availability and international comparability of data is essential to understanding and addressing the global dynamic of health worker migration. Please consult with your NHWA focal point, if available, to ensure that data reported below is consistent with NHWA reporting*.
(The list of NHWA focal points is available here. Please find the focal point(s) for your country from the list and consult with them.)
For countries reporting through the WHO-Euro/EuroStat/OECD Joint data collection process, please liaise with the JDC focal point.
[Q10]
Does your country have any mechanism(s) or entity(ies) to maintain statistical records of foreign-born and foreign-trained health personnel?
Yes
[Q10x1]
Where are the records maintained? (check all that apply)
Employment records or work permits
Ministry of health personnel database
Registry of health personnel authorized to practice
Other
[Q10x2]
Does the record include gender-disaggregated data on the foreign-born and/or foreign-trained health personnel?
Yes
Inflow and outflow of health personnel
[INFOxNRI12]
National Reporting instrument 2024
[INFOx7]
Inflow and outflow of health personnel
[Q11]
Do you have a mechanism to monitor the inflow and outflow of health personnel to/from your country? (check all that apply)
Inflow
Outflow
No
[Q11xI]
If yes for inflow:
[Q11x1]
How many foreign-trained or foreign-born health personnel were newly active (temporarily and/or permanently) in your country in the past three years (inflow)?
| Doctors | Nurses | Midwives | Dentists | Pharmacists | Remarks | |
|---|---|---|---|---|---|---|
| 2021 | 58 (C) | 25 (C) | 0 | 68 (FT+FB) | 40 (38FT+2FB) | FT - foreing trained |
| 2022 | 73 (C) | 37 (C) | 2 (C) | 65 (FT+FB) | 30 (28FB + 8 FT) | FB - roreign born |
| 2023 | 151 (C) | 27 (C) | 3 (C) | 71 (FT+FB) | 56 (40FB + 16FT) | C - citizenship |
| Data Source (e.g. Regulatory authority, immigration records, work permits, etc.) | Slovak Medical Chamber | Slovak Chamber of Nurses and Midwives | Slovak Chamber of Nurses and Midwives | Slovak Chamber of Dentists | Slovak Chamber of Pharmacy |
[Q11x3]
If you have any document with information on health worker inflows and outflows for your country, please upload
Stock of health personnel
[INFOxNRI13]
National Reporting instrument 2024
[INFOx8]
Stock of health personnel
[Q12x1]
Consolidated stock on health personnel, disaggregated by place of training and birth
For the latest year available, consistent with the National Health Workforce Accounts (NHWA) Indicators 1-07 and 1-08, please provide information on the total stock of health personnel in your country (preferably the active workforce), disaggregated by the place of training (foreign-trained) and the place of birth (foreign-born).
For the latest year available, consistent with the National Health Workforce Accounts (NHWA) Indicators 1-07 and 1-08, please provide information on the total stock of health personnel in your country (preferably the active workforce), disaggregated by the place of training (foreign-trained) and the place of birth (foreign-born).
[Q12x1a]
Please provide data on the stock of active health personnel in your country by one of the following ways:
Fill in the table below
[Q12x1x1]
| Medical Doctors (generalist + specialists) | 20234 | National health information center | 2022 | Health yearbook SR 2022 | |||||||
| Nurses | 30910 | National health information center | 2022 | Health yearbook SR 2022 | |||||||
| Midwives | 1724 | National health information center | 2022 | Health yearbook SR 2022 | |||||||
| Dentists | 4094 | 3519 | 756 | 533 | 233 | 3663 | 431 | Register of Dentists | 2023 | 1 | |
| Pharmacists | 4633 | 5667 | 345 | 288 | 57 | 5806 | 206 | NCZI + Register of Pharmacists | 2023 | 1 | Health yearbook SR 2022 + register |
[Q12x1x1x]
If you have any document with information on stock of active health personnel for your country, their distribution by place of training and place of birth, please upload
[Q12x2]
Please provide data on the top 10 countries of training for foreign-trained health personnel in your country.
This information can be provided by one of the following two options:
This information can be provided by one of the following two options:
Fill in the table below
[Q12x2x1]
| Doctors | Nurses | Midwives | Dentists | Pharmacists | |
|---|---|---|---|---|---|
| Total foreign trained personnel | 282 | 89 | 5 | 756 | 345 |
| Country 1: Top country of training | CZE | UKR | UKR | CZE | CZE |
| Country 1: No. of foreign trained health personnel | 27 | 22 | 3 | 550 | 290 |
| Country 2: Top country of training | UKR | CZE | CZE | UKR | UKR |
| Country 2: No. of foreign trained health personnel | 155 | 38 | 2 | 162 | 30 |
| Country 3: Top country of training | POL | RUS | ROU | HUN | |
| Country 3: No. of foreign trained health personnel | 9 | 7 | 13 | 7 | |
| Country 4: Top country of training | HUN | HUN | HUN | ITA | |
| Country 4: No. of foreign trained health personnel | 9 | 3 | 10 | 2 | |
| Country 5: Top country of training | BLR | ROU | POL | SYR | |
| Country 5: No. of foreign trained health personnel | 5 | 4 | 4 | 2 | |
| Country 6: Top country of training | DEU | SRB | BGR | ROU | |
| Country 6: No. of foreign trained health personnel | 2 | 8 | 4 | 2 | |
| Country 7: Top country of training | SRB | AUT | DEU | POL | |
| Country 7: No. of foreign trained health personnel | 4 | 1 | 4 | 2 | |
| Country 8: Top country of training | GRC | POL | AUT | DEU | |
| Country 8: No. of foreign trained health personnel | 2 | 1 | 3 | 2 | |
| Country 9: Top country of training | AFG | MKD | ESP | ||
| Country 9: No. of foreign trained health personnel | 1 | 3 | 1 | ||
| Country 10: Top country of training | ROU | BLR | RUS | RUS | |
| Country 10: No. of foreign trained health personnel | 1 | 1 | 2 | 1 | |
| Source (e.g. professional register, census data, national survey, other) | Slovak Medical Chamber - only newly registered 2021 - 2023 | Slovak Chamber of Nurses and Midwives - only newly registered 2021 - 2023 | Slovak Chamber of Nurses and Midwives - only newly registered 2021 - 2023 | Slovak Chamber of Dentists | Slovak Chamber of Pharmacists |
| Year of data (Please provide the data of the latest year available) | 2023 | 2023 | 2023 | 2023 | 2023 |
| Remarks | total data not available | total data not available | total data not available |
[Q12x2x1x]
If you have any document with information on the distribution of foreign-trained health personnel for your country by their country of training, please upload
Technical and financial support
[INFOxNRI14]
National Reporting instrument 2024
[INFOx9]
Technical and financial support
[Q13]
Has your country provided technical or financial assistance to any source countries or countries in the WHO health workforce support and safeguards list 2023, or other low- and middle-income countries on health workforce development, health system strengthening, or for implementing other recommendations of the Code (e.g., strengthening data, information and research on health workforce for translation to policies and planning, etc.)
No
[Q14]
Has your country received technical or financial assistance from any WHO Member State or other stakeholders (e.g., development partners, other agencies) for health workforce development, health system strengthening, or for implementing other recommendations of the Code (e.g., strengthening data, information and research on health workforce for translation to policies and planning, etc.)?
No
Constraints, Solutions, and Complementary Comments
[INFOxNRI15]
National Reporting instrument 2024
[INFOx10]
Constraints, Solutions, and Complementary Comments
[Q15]
Please list in priority order, the three main constraints to the ethical management of international migration in your country and propose possible solutions:
| Main constraints | Possible solutions/recommendations | |
|---|---|---|
| missing data | changing of rules | |
| missing reporting obligation helath professionals | changing of rules | |
| non-reporting of data to the relevant chambers by health professionalss | changing of rules |
[Q16]
What support do you require to strengthen implementation of the Code?
Support to strengthen data and information on health personnel
changing of rules - missing data
Support for policy dialogue and development
Support for the development of bilateral/multi-lateral agreements
Others
No support required
[Q17]
Considering that the Code is a dynamic document that should be updated as required, please provide reflections from your country on the past 14 years since the resolution on the Code.
[Q17x1]
Please comment on if/how the Code has been useful to your country.
Yes
[Q17x2]
Do any articles of the Code need to be updated?
No
[Q17x3]
Does the process of reporting on Code implementation and the review of the Code relevance and effectiveness need to be updated?
No
[Q17x4]
Please comment on the WHO health workforce support and safeguards list (e.g. if your country is included in the list, how has that affected you; if your country is reliant on international health personnel, how has the list affected you; if your country is not in the list, how has it affected you)
[Q18]
Submit any other complementary comments or material you may wish to provide regarding the international recruitment and migration of health personnel, as related to implementation of the Code.
Please describe OR Upload (Maximum file size 10 MB)
Please describe OR Upload (Maximum file size 10 MB)
[Q18x1]
Warning
[INFOxNRI16]
National Reporting instrument 2024
[WARN]
You have reached the end of the National Reporting Instrument - 2024. You may go back to any question to update your answers or confirm your entry by clicking ‘Submit’.