National Reporting Instrument 2024
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/).
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/
Contact Details
Contemporary issues
For example: • In December 2023, the federal government adopted a strategic action plan to combat the shortage of skilled workers in Austria and established a strategy committee for international skilled workers at the Federal Minister of Labor and Economy. Representatives of various federal ministries and institutions are members of the strategy committee in order to increase closer cooperation between the relevant bodies. The Federal Ministry of Social Affairs, Health, Care and Consumer Protection (BMSGPK) is in charge of setting up a database for foreign qualifications in the care sector at federal level to serve as a contact point for standardized information in official procedures. Additionally, with regard to the recruitment of nursing and healthcare professionals, the BMSGPK is in charge of developing Austrian guidelines based on the WHO Global Code of Practice on the International Recruitment of Health Personnel (see here: https://www.bundeskanzleramt.gv.at/medien/ministerraete/ministerraete-seit-dezember-2021/ulb-79a-1-dez.html). • On behalf of the Federal Ministry of Social Affairs, Health, Care and Consumer Protection the new website "www.nursinginaustria.at"; was developed and went online in May 2024. The website serves as a central point of contact for nurses who have completed their training abroad (EU/EEA or third country) and would like to work as a nursing assistant level 1 and level 2 or as a nurse in Austria in the future. The website also serves as a central point of contact for those bodies (federal states/universities of applied sciences) that carry out nostrifications.
Several recent studies show that the number of health personnel in need is expected to be increasing in the next years and various solutions are being considered in this context. For example: • According to a recent study initiated by the Austrian Federal Ministry of Social Affairs, Health, Care and Consumer Protection almost 17,000 additional nurses will be required by 2030 (over 12,000 in full-time equivalents) to maintain nurse-patient-ratios. By 2050, almost 77,000 additional nurses will be needed (or just under 57,000 in full-time equivalents) (see here: https://jasmin.goeg.at/id/eprint/3378). • There are similar forecast studies for medical technical professions (physiotherapist, biomedical analyst, radiological technologist, dietitian, occupational therapist, logopaedist) (see here: https://jasmin.goeg.at/id/eprint/1789) and for midwives (see here: https://jasmin.goeg.at/id/eprint/3281). • There are also several forecast studies on the (sub-)national development of the supply of doctors until 2030 with focus on general practitioners (e.g. see here: https://jasmin.goeg.at/id/eprint/197).
Health Personnel Education
Check all items that apply from the list below:
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.
processes and/or involve them in activities related to the international recruitment of health personnel.
personnel authorized by competent authorities to operate within their jurisdiction.
Government Agreements
a. Title of Agreement | b. Type of Agreement | |
---|---|---|
Agreement 1 | Agreement between the Austrian Federal Government and the Government of the Republic of India on a comprehensive migration and mobility partnership | 1 |
Agreement 2 | Memorandum of Understanding between the Government of the Republik of Austria and the Government of the Republic of the Philippines on the Recruitment of Professionals and Skilled Workers | 1 |
Agreement 3 | Memorandum of Understanding between the Government of the Republik of Austria and the Government of the Republic of Indonesia on the Recruitment of Professionals and Skilled Workers | 1 |
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
Education and training | Health cooperation | Promotion of circular migration | Philanthropy or technical support | Qualification recognition | Recruitment of health personnel | Trade in services | Others | |
---|---|---|---|---|---|---|---|---|
Agreement between the Austrian Federal Government and the Government of the Republic of India on a comprehensive migration and mobility partnership | 1 | 1 | ||||||
Memorandum of Understanding between the Government of the Republik of Austria and the Government of the Republic of the Philippines on the Recruitment of Professionals and Skilled Workers | 1 | 1 | ||||||
Memorandum of Understanding between the Government of the Republik of Austria and the Government of the Republic of Indonesia on the Recruitment of Professionals and Skilled Workers | 1 | 1 | ||||||
Doctors | Nurses | Midwives | Dentists | Pharmacists | Other occupations | |
---|---|---|---|---|---|---|
Agreement between the Austrian Federal Government and the Government of the Republic of India on a comprehensive migration and mobility partnership | 1 | |||||
Memorandum of Understanding between the Government of the Republik of Austria and the Government of the Republic of the Philippines on the Recruitment of Professionals and Skilled Workers | 1 | |||||
Memorandum of Understanding between the Government of the Republik of Austria and the Government of the Republic of Indonesia on the Recruitment of Professionals and Skilled Workers | 1 | |||||
Start Year | End Year | |
---|---|---|
Agreement between the Austrian Federal Government and the Government of the Republic of India on a comprehensive migration and mobility partnership | 2023 | no end year defined |
Memorandum of Understanding between the Government of the Republik of Austria and the Government of the Republic of the Philippines on the Recruitment of Professionals and Skilled Workers | 2023 | effective for five years and will be automatically extended for a similar period unless suspended or cancelled |
Memorandum of Understanding between the Government of the Republik of Austria and the Government of the Republic of Indonesia on the Recruitment of Professionals and Skilled Workers | 2024 | effective for five years and will be automatically extended for a similar period unless suspended or cancelled |
benefit the health system of my country and partner country(ies)
benefit the health system of my country and partner country(ies)
benefit the health system of my country and partner country(ies)
Government Agreements - 6.1 B
Start year of implementation: | |
---|---|
Agreement between the Austrian Federal Government and the Government of the Republic of India on a comprehensive migration and mobility partnership | 2023 |
Memorandum of Understanding between the Government of the Republik of Austria and the Government of the Republic of the Philippines on the Recruitment of Professionals and Skilled Workers | 2023 |
Memorandum of Understanding between the Government of the Republik of Austria and the Government of the Republic of Indonesia on the Recruitment of Professionals and Skilled Workers | 2024 |
Agreement: Agreement between the Austrian Federal Government and the Government of the Republic of India on a comprehensive migration and mobility partnership
Number of personnel | |
---|---|
Doctors | |
Nurses | |
Midwives | |
Dentists | |
Pharmacists | |
not specified | Since the agreement has only been signed in 2023, this question cannot be answered at present. |
Agreement: Memorandum of Understanding between the Government of the Republik of Austria and the Government of the Republic of the Philippines on the Recruitment of Professionals and Skilled Workers
Number of personnel | |
---|---|
Doctors | |
Nurses | |
Midwives | |
Dentists | |
Pharmacists | |
not specified | Since the Memorandum of Unterstanding has only been signed in 2023, this question cannot be answered at present. |
Agreement: Memorandum of Understanding between the Government of the Republik of Austria and the Government of the Republic of Indonesia on the Recruitment of Professionals and Skilled Workers
Number of personnel | |
---|---|
Doctors | |
Nurses | |
Midwives | |
Dentists | |
Pharmacists | |
not specified | Since the Memorandum of Unterstanding has only been signed in 2024, this question cannot be answered at present. |
Upload document(s) | |
---|---|
Agreement between the Austrian Federal Government and the Government of the Republic of India on a comprehensive migration and mobility partnership | |
Memorandum of Understanding between the Government of the Republik of Austria and the Government of the Republic of the Philippines on the Recruitment of Professionals and Skilled Workers | |
Memorandum of Understanding between the Government of the Republik of Austria and the Government of the Republic of Indonesia on the Recruitment of Professionals and Skilled Workers | |
Responsibilities, rights and recruitment practices
Please check all items that apply from the list below:
Please check all items that apply from the list below:
International migration
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 | 0 | 0 | 0 | 0 | There are currently no systematic records on the entrance modality of health professionals from abroad. | |
Nurses | 0 | 0 | 0 | 0 | ||
Midwives | 0 | 0 | 0 | 0 | ||
Dentists | 0 | 0 | 0 | 0 | ||
Pharmacists | 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 | ||
Other occupations | 0 | 0 | 0 | 0 |
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 | 0 | 0 | 0 | 0 | There are currently no systematic records on how health professionals leave the country to work abroad. | |
Nurses | 0 | 0 | 0 | 0 | ||
Midwives | 0 | 0 | 0 | 0 | ||
Dentists | 0 | 0 | 0 | 0 | ||
Pharmacists | 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 | ||
Other occupations | 0 | 0 | 0 | 0 |
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.
Inflow and outflow of health personnel
Doctors | Nurses | Midwives | Dentists | Pharmacists | Remarks | |
---|---|---|---|---|---|---|
2021 | 207 | 762 | 18 | |||
2022 | 253 | 774 | 15 | 55 | ||
2023 | 280 | 1016 | 22 | 28 | ||
Data Source (e.g. Regulatory authority, immigration records, work permits, etc.) | Austrian Medical Chamber: The official register "Ärzteliste" | Austrian health professions register | Österreichisches Hebammengremium (mid-wives) | Austrian Dental Chamber | no data available |
Doctors | Nurses | Midwives | Dentists | Pharmacists | Remarks | |
---|---|---|---|---|---|---|
2021 | 5 | |||||
2022 | 3 | |||||
2023 | 2 | |||||
Data Source (e.g. letters of good standing, emigration records, government to government agreements etc.) | no data available | no data available | Österreichisches Hebammengremium (mid-wives) | no data available | no data available |
Stock of health personnel
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).
Medical Doctors (generalist + specialists) | 41644 | 38517 | 3127 | 568 | 2559 | 36402 | 5242 | Austrian Medical Chamber: The official register "Ärzteliste" | 2023 | 1 | |
Nurses | 111563 | 96305 | 15258 | 4171 | 11087 | 98350 | 13213 | Austrian health professions register | 2023 | 1 | data represent health worker licensed to practice |
Midwives | 2750 | 2360 | 390 | 61 | 329 | 2326 | 424 | Österreichisches Hebammengremium (midwives) | 2024 | 1 | |
Dentists | 5358 | 4031 | 1327 | 214 | 1113 | 3603 | 1755 | Austrian dental chamber ("Zanhärzteliste) | 2024 | 1 | |
Pharmacists | no data available |
This information can be provided by one of the following two options:
Doctors | Nurses | Midwives | Dentists | Pharmacists | |
---|---|---|---|---|---|
Total foreign trained personnel | 3127 | 15258 | 390 | 1327 | |
Country 1: Top country of training | DEU | DEU | DEU | DEU | |
Country 1: No. of foreign trained health personnel | 2096 | 3719 | 159 | 448 | |
Country 2: Top country of training | HUN | SVK | POL | HUN | |
Country 2: No. of foreign trained health personnel | 250 | 2147 | 45 | 236 | |
Country 3: Top country of training | SVK | HUN | SVK | ROU | |
Country 3: No. of foreign trained health personnel | 127 | 1157 | 35 | 150 | |
Country 4: Top country of training | CHE | ROU | IRN | POL | |
Country 4: No. of foreign trained health personnel | 99 | 1060 | 21 | 47 | |
Country 5: Top country of training | CZE | BIH | HUN | SYR | |
Country 5: No. of foreign trained health personnel | 86 | 961 | 21 | 47 | |
Country 6: Top country of training | HRV | POL | CZE | HRV | |
Country 6: No. of foreign trained health personnel | 80 | 800 | 17 | 43 | |
Country 7: Top country of training | ROU | CZE | CHE | SRB | |
Country 7: No. of foreign trained health personnel | 73 | 650 | 16 | 33 | |
Country 8: Top country of training | SVN | PHL | ITA | BGR | |
Country 8: No. of foreign trained health personnel | 71 | 583 | 15 | 30 | |
Country 9: Top country of training | ITA | SRB | BGR | SVK | |
Country 9: No. of foreign trained health personnel | 64 | 551 | 8 | 29 | |
Country 10: Top country of training | BGR | SVN | TUR | CZE | |
Country 10: No. of foreign trained health personnel | 37 | 526 | 6 | 24 | |
Source (e.g. professional register, census data, national survey, other) | Austrian Medical Chamber | Austrian health professions register | Österreichisches Hebammengremium (midwives) | Austrian dental chamber | |
Year of data (Please provide the data of the latest year available) | 2023 | 2023 | 2024 | 2024 | |
Remarks | no data available |
Technical and financial support
Constraints, Solutions, and Complementary Comments
Main constraints | Possible solutions/recommendations | |
---|---|---|
Fragmented responsibilities due to the federal political system in Austria. | • Nationwide statistics (health profession register has started in July 2018); • A Federal Target-Based Governance Agreement was first concluded in 2013 (and has been renewed and extended since then) where key players of the Austrian Health Care System jointly defined financial and health targets together with measures for achieving them (see here: https://www.sozialministerium.at/Themen/Gesundheit/Gesundheitssystem/Gesundheitsreform-(Zielsteuerung-Gesundheit)/Zielsteuerung-Gesundheit---Monitoringberichte.html); • The information on the new website „www.nursinginaustria.at serves the authorities to simplify and standardize the process of recognition and nostrification of nursing professions. The database bundles knowledge and provides information. The aim is to achieve a common perspective in the assessment of foreign training courses, particularly for nurses. | |
A minimum language proficiency for foreign-trained or immigrant health personnel is required in order to be able to work in Austria. This is an important measure in order to ensure high quality care, but it is also a challenge to ensure that nostrification applicants have sufficient knowledge of German. | • International healthcare and nursing staff must be supported in the language acquisition process and referred to the existing offers in Austria at recognized language schools or relevant language courses. • Healthcare and nursing staff from abroad have the opportunity to receive financial support for language examinations (https://www.integrationsfonds.at/themen/foerderungen/). • Employers shall ensure as far as possible that international healthcare and nursing staff are given sufficient time to prepare for and successfully complete the necessary language courses and language examinations. | |
Shortage of health workforce is expected to increase and as a result the pressure on the health care system increases. | • Nationwide development of an extensive range of different measures to support recruitment and retention of healthcare workforce. • In December 2023, the federal government adopted a strategic action plan to combat the shortage of skilled workers in Austria and established a strategy committee for international skilled workers at the Federal Ministry of Labor and Economy. Representatives of various federal ministries and institutions are members of the strategy committee in order to increase closer cooperation between the relevant bodies. |
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