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:
Belgium
Name of designated national authority:
Dirk Ramaekers
Title of designated national authority:
Chair of the Executive Committee
Institution of the designated national authority:
Federal Public Service Health
Email:
riginao@who.int,ibri@health.fgov.be,WHOGlobalCode@who.int
Telephone number :
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 it is increasing in intensity
The workforce shortage gave rise to different initiatives: task shifting, change of scope of practice, digitalization … But also to an increasing awareness of the importance of mobility. Fortunately, warnings to avoid a brain drain abroad were expressed and the search for a win-win relationship takes place. Patient representatives asked to guarantee sufficient language knowledge to guarantee communication and patient rights.
[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 it is increasing in intensity
The workforce shortage gave rise to different initiatives: task shifting, change of scope of practice, digitalization … But also to an increasing awareness of the importance of mobility. Fortunately, warnings to avoid a brain drain abroad were expressed and the search for a win-win relationship takes place. Patient representatives asked to guarantee sufficient language knowledge to guarantee communication and patient rights.
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
Important investment in planning the workforce takes place for years (statistics, commissions to make predictions needs and supply and analyse the stats)
Aligning domestic health and care workforce education with health system needs
Creating new professions: an assistent nurse to support nurses; assistants to support medical practices, creating profession of advanced practice nurse …
Improving quality of education and health personnel in alignment with service delivery needs
The education programs and training programs of the new professions.
Creating employment opportunities aligned with population health needs
Creating new professions: an assistent nurse to support nurses; assistants to support medical practices, creating profession of advanced practice nurse …
Managing international recruitment of health personnel
Studying modification of procedures for foreign students (third countries) in order to guarantee flexibility,
Improving management of health personnel
Development of rules for interdisciplinary collaboration to facilitate expansion of scope of practice for different professions
Specific provisions on health personnel regulation and recruitment during emergencies
Some measures (eg expansion of scope of practice) introduced during the covid crisis, were maintained (eg vaccination and pharmacists)
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
Student intake from rural/underserved areas and communities
Scholarships and subsidies for education
Relevant topics/curricula in education and/or professional development programmes
(Re)orientation of education programmes towards primary health care
This evolution took place years ago. Nowadays more medical students choose primary care as their preferential orientation
Others
[Q2x2x2x1]
2.2.2.1 Regulation Measure
Scholarships and education subsidies with return of service agreements
Mandatory service agreements with health personnel that are not related to scholarships or education subsidies
Enhanced scope of practice of existing health personnel
Belgium is a small country, some rural areas are more severily confronted with shortages. But the expansion of scope of practice of different professions was primarily introduced to confront shortages in general.
Task sharing between different professions
Belgium is a small country, some rural areas are more severily confronted with shortages. But the expansion of scope of practice of different professions was primarily introduced to confront shortages in general.
Provisions for pathways to enter new or specialised practice after rural service
Others
[Q2x2x3x1]
2.2.3.1 Incentives Measure
Additional financial reimbursement
- Incentive bonuses and additional travel allowances for GPs in training in a general practice located in a rural or urban area suffering from a shortage of GPs, - Additional allowances for GPs in training who provide additional on-call duty on a voluntary basis in a rural or urban area suffering from a shortage of GPs
Education opportunities
Opportunities for career advancement or professional growth
Introduction of the advanced practice nurse + more generally, implementation of a care/apprenticeship ladder in nursing care.
Professional recognition
Social recognition
Opportunity for pathways to permanent residency and/or citizenship for international health personnel
Others
[Q2x2x4x1]
2.2.4.1 Support Measure
Decent and safe working conditions
See 2.3
Decent and safe living conditions
Distance learning/e-learning opportunities
Others
[Q2x3x1]
2.3.1 Please describe - Other relevant measures taken to educate, employ and retain a health and care workforce that is appropriate for the specific conditions of your country.
- Social agreements are regularly concluded with stakeholders in the sector to support retention and attractiveness
- Financial support for the deployment of a new employee or additional working hours aimed at supporting the implementation of qualitative measures to improve working conditions in the care sector (work-life balance, career, trainings, etc).
- Funding of initiatives in aggression management and/or projects focused on team coaching and leadership processes
- People who have jobs outside the healthcare system can start a new career in healthcare being paid full time during their training to become a nurse or a nursing assistant
- Reevaluation of the remuneration of various healthcare practitioners: indexation of the fees of dentists, physiotherapists, speech therapists, midwives and doctors (with particular reevaluation for specialized doctors in shortage), better paid on-call duty for general practitioners, new (more stable) remuneration system "New Deal" for general practitioners.
[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
Loi relative à l’exercice des professions de santé, coordonnée le 10 mai 2015 (Moniteur Belge 18 juin 2015)
Law/policy 2
Besluit van de Vlaamse Regering van 23 december 2022 over de erkenning van de beroepskwalificaties voor de gezondheidsberoepen die verworven zijn in een andere lidstaat van de Europese Unie dan België, de Europese beroepskaart en de erkenning op basis van een andere opleiding dan de opleidingen, vermeld in artikel 101/2 van de wet betreffende de uitoefening van de gezondheidszorgberoepen, gecoördineerd op 10 mei 2015, waarvoor noch de richtlijn, vermeld in artikel 103, 3°, van de voormelde wet, noch artikel 145, § 1, van de voormelde wet geldt (Belgisch Staatsblad 5/05/2023)
Law/policy 3
Arrêté du Gouvernement de la Communauté française du 18 octobre 2017 fixant la procédure relative à la reconnaissance des qualifications professionnelles des professions de soins de santé acquises dans un Etat membre de l'Union européenne autre que la Belgique (Moniteur Belge 12.12.2017, 2ième édition)
[Q3x2]
Are there any policies and/or provision for international telehealth services in your country through health personnel based abroad?
Yes
[Q3x2x1]
Please describe
Transposition of the e commerce directive (EU)
[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
https://www.health.belgium.be/en/e-services/visa-foreign-diploma
[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
Collaboration between federal and regional authorities
[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.
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.
Specific publications of the ‘planning commission” SPF Santé Publique are distributed at different levels.
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.
The advisory councils have a regulated advisory competence on requests from foreign professionals
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.
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.
Art 146 Loi relative à l’exercice des professions de santé, coordonnée le 10 mai 2015, MB 18 juin 2015. Possibility of clinical training in Belgium for a limited duration with a flexible procedure. The obligatory interuniversity agreement plans return of the professional to the third country.
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?
Yes
[Q6x1xA]
Please use the table below to describe each of the active bilateral, regional or multilateral agreements or arrangements:
| a. Title of Agreement | b. Type of Agreement | |
|---|---|---|
| Agreement 1 | GPS (Global Skills Partnership Soins) | 1 |
| Agreement 2 | ||
| Agreement 3 | ||
| Agreement 4 | ||
| Agreement 5 | ||
| Agreement 6 | ||
| Agreement 7 | ||
| Agreement 8 | ||
| Agreement 9 | ||
| Agreement 10 | ||
| Agreement 11 | ||
| Agreement 12 | ||
| Agreement 13 | ||
| Agreement 14 | ||
| Agreement 15 |
Government Agreements - 6.1 A
[INFOxNRI7]
National Reporting instrument 2024
[Q6x1xAx1]
c. Countries involved
GPS (Global Skills Partnership Soins)
BEL,MAR
[Q6x1xAx2]
d. Coverage
GPS (Global Skills Partnership Soins)
National
[Q6x1xAx3]
e. Main focus of agreement (check all that apply)
| Education and training | Health cooperation | Promotion of circular migration | Philanthropy or technical support | Qualification recognition | Recruitment of health personnel | Trade in services | Others | |
|---|---|---|---|---|---|---|---|---|
| GPS (Global Skills Partnership Soins) | 1 | |||||||
[Q6x1xAx4]
f. Categories of Health Personnel (check all that apply)
| Doctors | Nurses | Midwives | Dentists | Pharmacists | Other occupations | |
|---|---|---|---|---|---|---|
| GPS (Global Skills Partnership Soins) | 1 | |||||
[Q6x1xAx4xoth]
Please specify category of health personnel:
GPS (Global Skills Partnership Soins)
An MoU will be concluded between the different institutional actors involved in implementation (perhaps between ANAPEC and FOREM/VDAB but it is still being considered whether operational actors from the health sector will/should be involved
[Q6x1xAx5]
g. Validity period
| Start Year | End Year | |
|---|---|---|
| GPS (Global Skills Partnership Soins) | TBC (foreseen starting date june 2025) | TBC |
[Q6x1xAx6]
h. Signatory of the agreement from your country
GPS (Global Skills Partnership Soins)
Others:
[Q6x1xAx6xoth]
If other signatory of the agreement from your country(Please specify:)
GPS (Global Skills Partnership Soins)
TBC
[Q6x1xAx6x1]
If Ministry of Health is not a signatory, did the Ministry of Health participate in the development of the agreement?
GPS (Global Skills Partnership Soins)
Yes
[Q6x1xAx7]
i. Signatory of the agreement from the partner country (ies)
GPS (Global Skills Partnership Soins)
Others:
[Q6x1xAx7xoth]
If other signatory of the agreement from your country(Please specify:)
GPS (Global Skills Partnership Soins)
TBC
[Q6x1xAx7x1]
If Ministry of Health is not a signatory, did the Ministry of Health participate in the development of the agreement?
GPS (Global Skills Partnership Soins)
Don’t Know
[Q6x1xAx8]
j. Content of agreement
[Q6x1xAx8x1]
j.i. Does the agreement include elements to benefit the health system of your country and the partner country(ies)?
GPS (Global Skills Partnership Soins)
Yes, has elements to
benefit the health system of my country and partner country(ies)
benefit the health system of my country and partner country(ies)
[Q6x1xAx8x1x]
Please explain:
GPS (Global Skills Partnership Soins)
Implementation of the GSP approach focusing on the education and training in Morocco to respond to the need of het Moroccan labour market in the care and pharma sector. Belgium and Morocco will have an operational arrangement for the care and pharma sector, in the framework of an EU-funded project on the training and mobility of medium-skilled personnel (assistant polyvalents, aides soignant.e.s, techniciens pharma). The pilot project will aim at training around 150 individuals of which roughly 1/3 might accede to international labour mobility. The project foresees at first a feasibility study. In case de arrangement will be assessed as mutually beneficial, it will start june 2025.
[Q6x1xAx8x2]
j.ii. Does the agreement include elements on health worker rights and welfare?
GPS (Global Skills Partnership Soins)
Yes
[Q6x1xAx8x2x]
Please explain:
GPS (Global Skills Partnership Soins)
It encompasses worker's rights
Government Agreements - 6.1 B
[INFOxNRI8]
National Reporting instrument 2024
[Q6x1xB]
Please use the table below to describe the implementation of each of the active bilateral, regional or multilateral agreements or arrangements
[Q6x1xBx1]
Has the agreement been implemented?
GPS (Global Skills Partnership Soins)
No
[Q6x1xBx7xfile1]
[Q6x1xBx7xfile2]
[Q6x1xBx7xfile3]
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[Q6x1xBx7xfile5]
[Q6x1xBx7xfile6]
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[Q6x1xBx7xfile8]
[Q6x1xBx7xfile9]
[Q6x1xBx7xfile10]
[Q6x1xBx7xfile11]
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[Q6x1xBx7xfile15]
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.
Labor law protects all workers and imposes to give sufficient information
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.
Labor law
Migrant health personnel enjoy the same opportunities as the domestically trained health workforce to strengthen their professional education, qualifications and career progression.
Labor law
Institutional arrangements are in place to ensure safe migration/ mobility and integration of migrant health personnel.
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
Arrangements for diaspora engagement to support your country health system
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 | 1 | 0 | ||
| Nurses | 1 | 0 | 1 | 0 | ||
| Midwives | 1 | 0 | 0 | 0 | ||
| Dentists | 1 | 0 | 1 | 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 | 0 | 0 | ||
| Midwives | 1 | 0 | 0 | 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 |
[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:
Fill in the table below
[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 | 861 | 1954 | 264 | 302 | 179 | For the filtrer: foreign diploma without unknown diploma |
| 2022 | 762 | 1785 | 255 | 300 | 187 | For the filtrer: foreign diploma without unknown diploma |
| 2023 | 903 | 2001 | 270 | 340 | 220 | For the filtrer: foreign diploma without unknown diploma. Previous year = based on recent data |
| Data Source (e.g. Regulatory authority, immigration records, work permits, etc.) | Federal database of health care professionals Extraction used for Annual Statistics and Joint questionnaire | Federal database of health care professionals Extraction used for Annual Statistics and Joint questionnaire | Federal database of health care professionals Extraction used for Annual Statistics and Joint questionnaire | Federal database of health care professionals Extraction used for Annual Statistics and Joint questionnaire | Federal database of health care professionals Extraction used for Annual Statistics and Joint questionnaire |
[Q11xO]
If yes for outflow:
Share data in the NHWA platform (indicator 1-10) through NHWA focal point
[Q11x2]
How many domestically trained health personnel left your country in the past years for temporary or permanent migration (outflow)?
| Doctors | Nurses | Midwives | Dentists | Pharmacists | Remarks | |
|---|---|---|---|---|---|---|
| 2021 | no data available | |||||
| 2022 | no data available | |||||
| 2023 | no data available | |||||
| Data Source (e.g. letters of good standing, emigration records, government to government agreements etc.) | no data available |
[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) | 76427 | 65754 | 9860 | 433 | 9427 | 56511 | 19916 | Federal database of health care professionals Extraction used for Annual Statistics and Joint questionnaire | 2023 | 2 | License to practice |
| Nurses | 232882 | 222218 | 9971 | 273 | 9698 | 195319 | 37563 | Federal database of health care professionals Extraction used for Annual Statistics and Joint questionnaire | 2023 | 2 | Licence to Practice |
| Midwives | 15915 | 15646 | 245 | 8 | 237 | 12769 | 3146 | Federal database of health care professionals Extraction used for Annual Statistics and Joint questionnaire | 2023 | 2 | Licence to Practice |
| Dentists | 13975 | 11497 | 2317 | 69 | 2248 | 9453 | 4522 | Federal database of health care professionals Extraction used for Annual Statistics and Joint questionnaire | 2023 | 2 | Licence to Practice |
| Pharmacists | 24809 | 23971 | 793 | 18 | 775 | 21773 | 3036 | Federal database of health care professionals Extraction used for Annual Statistics and Joint questionnaire | 2023 | 2 | Licence to Practice |
[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 | 9860 | 9971 | 245 | 2317 | 793 |
| Country 1: Top country of training | FRA | FRA | FRA | ROU | FRA |
| Country 1: No. of foreign trained health personnel | 1684 | 2931 | 79 | 667 | 274 |
| Country 2: Top country of training | NLD | ROU | BGR | PRT | ROU |
| Country 2: No. of foreign trained health personnel | 1668 | 2127 | 26 | 168 | 204 |
| Country 3: Top country of training | ROU | NLD | NLD | ESP | ITA |
| Country 3: No. of foreign trained health personnel | 1662 | 986 | 21 | 227 | 86 |
| Country 4: Top country of training | ITA | PRT | ITA | FRA | ESP |
| Country 4: No. of foreign trained health personnel | 1301 | 900 | 20 | 214 | 59 |
| Country 5: Top country of training | DEU | ITA | DEU | NLD | NLD |
| Country 5: No. of foreign trained health personnel | 549 | 614 | 18 | 151 | 30 |
| Country 6: Top country of training | ESP | ESP | POL | GRC | PRT |
| Country 6: No. of foreign trained health personnel | 436 | 551 | 14 | 109 | 21 |
| Country 7: Top country of training | GRC | POL | LBN | DEU | DEU |
| Country 7: No. of foreign trained health personnel | 425 | 385 | 13 | 81 | 17 |
| Country 8: Top country of training | PRT | DEU | GBR | BGR | POL |
| Country 8: No. of foreign trained health personnel | 168 | 259 | 11 | 81 | 16 |
| Country 9: Top country of training | BGR | LBN | GRC | POL | GBR |
| Country 9: No. of foreign trained health personnel | 140 | 181 | 6 | 73 | 13 |
| Country 10: Top country of training | POL | TUN | HUN | HUN | GRC |
| Country 10: No. of foreign trained health personnel | 120 | 175 | 5 | 65 | 10 |
| Source (e.g. professional register, census data, national survey, other) | Federal database of health care professionals Extraction used for Annual Statistics and Joint questionnaire | Federal database of health care professionals Extraction used for Annual Statistics and Joint questionnaire | Federal database of health care professionals Extraction used for Annual Statistics and Joint questionnaire | Federal database of health care professionals Extraction used for Annual Statistics and Joint questionnaire | Federal database of health care professionals Extraction used for Annual Statistics and Joint questionnaire |
| Year of data (Please provide the data of the latest year available) | 2023 | 2023 | 2023 | 2023 | 2023 |
| Remarks | Would it be possbile to limit this to top 3 or 5 for future reportings |
[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.)
Yes
[Q13x]
Please provide additional information below (check all that apply):
Support for health workforce development (planning, education, employment, retention)
Support for other elements of health system strengthening (service delivery; health information systems; health financing; medical products and technology; and health leadership and governance)
Other areas of support:
[Q13x1]
Please specify support for health workforce development (planning, education, employment, retention)
| Country supported | Type of support (please specify) | |
|---|---|---|
| Mozambique | Training of health workers on provision of SRH services and promote reproductive health | |
| Guinée (Conakry) | Research on retention of health workers | |
[Q13x2]
Please specify support for other elements of health system strengthening (service delivery; health information systems; health financing; medical products and technology; and health leadership and governance)
| Country supported | Type of support (please specify) | |
|---|---|---|
| DR Congo | Appui au système National d’Information Sanitaire (SNIS) du Ministère de la Santé Publique | |
| Benin | Digitalisation et utilisation des données (Health Data) | |
| Uganda | Leveraging strategic Health Financing for Universal Health Coverage | |
| Niger | Health Financing – social protection for health |
[Q13x3]
Please specify other areas of support
| Country supported | Support Area | Type of support | |
|---|---|---|---|
| Senegal | Appui à la relance du secteur pharmaceutique au Sénégal | Technical assistance, funding | |
| Rwanda | Sexual and reproductive Health – district support | Technical assistance, funding | |
[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 | |
|---|---|---|
| a lack of systemized information about the supply and needs for each profession and specialty abroad | Databases and communication | |
[Q16]
What support do you require to strengthen implementation of the Code?
Support to strengthen data and information on health personnel
Support for policy dialogue and development
Support for the development of bilateral/multi-lateral agreements
The interuniversity collaborations are good, but more contact and communication between competent authorities would be interesting
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.
no specific comments
[Q17x2]
Do any articles of the Code need to be updated?
[Q17x3]
Does the process of reporting on Code implementation and the review of the Code relevance and effectiveness need to be updated?
[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’.