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:
Germany
Name of designated national authority:
Barbara Lübben
Title of designated national authority:
Federal Ministry of Health
Institution of the designated national authority:
Federal Ministry of Health
Email:
anderseny@who.int,riginao@who.int,WHOCode@bmg.bund.de,Barbara.Luebben@bmg.bund.de,z23@bmg.bund.de,WHOGlobalCode@who.int
Telephone number :
+49 30184411674, +49 30184411820
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 German government has launched various measures and legislative projects to counter the existing and increasing shortage of skilled workers in the healthcare sector in Germany. Measures taken by the Federal Ministry of Health: - “Fair Recruitment Care Germany” state seal of approval for quality assurance of private, ethical and fair recruitment nationally and internationally - is developing into a brand, quality seal agencies are market leaders, - Refinancing option for recruitment costs in the Care Support and Relief Act (Pflegeunterstützungs- und -entlastungsgesetz), - Legal simplification and acceleration of recognition procedures, - Pilot projects for faster integration, language acquisition and recognition in Germany and abroad: - INGA - integrated adaptation course to accelerate professional and linguistic integration, - GSP - Global Skills Partnerships for adaptation abroad. - Supporting the integration of skilled workers in the company and improving their prospects of staying.
[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 Federal Government established the “Skilled Labour Strategie” to tackle the challenge of skilled labour shortages. The skilled labour strategy aims to support companies and businesses in attracting and retaining qualified skilled workers with various measures. To this end, the five most important fields of action have been identified: 1. Modern training, 2. Targeted further training, 3. Increasing labour potential and labour force participation, 4. Improving the quality and culture of work, and 5. Modern immigration policy and sustainable labour market integration The federal government's skilled labour strategy, which covers all sectors and regions, is just the starting point and framework. It will continue with a closer look at the individual professions, sectors and other relevant topics. The federal government is already looking forward to the valuable input that the various stakeholders will contribute to this project. The Federal Government is aware of the fact that the shortage of skilled workers in the healthcare sector is a phenomenon that can be observed in many western industrialized countries. The associated competition for international nursing staff will increase in intensity in the coming years. This makes it all the more important that recruitment takes place in a fair, ethical and sustainable manner. In Germany, this is guaranteed by the “Fair Recruitment Care Germany” state seal of approval, which is a unique selling point worldwide and contributes to a significant strengthening of Germany as an immigration country.
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
The Federal Ministry of Health is planning to introduce a nationwide HWF monitoring and forecasting tool this year that can be used to inform planning in the medium term. On the basis of a skilled worker strategy of the Federal Government, the Federal Ministry of Health is currently working on measures to improve the skilled labour situation for the health and care sector. The aim is to meet the special needs in this area in various fields of action to secure, strengthen and expand personnel.
Aligning domestic health and care workforce education with health system needs
The legislator is currently planning to implement a law to strengthen the competencies of nursing staff in order to ensure care in the future. In addition, the legislator is planning to create a new APN job profile in order to meet future care requirements. A law has already come into force according to which the academic training of nursing staff is promoted by a training allowance.
Improving quality of education and health personnel in alignment with service delivery needs
The legislator is currently planning to implement a law to strengthen the competencies of active and future nursing staff in order to ensure care in the future.
Creating employment opportunities aligned with population health needs
Cf. the answer to the previous question
Managing international recruitment of health personnel
- The International Placement Services of the Federal Employment Agency and the GIZ place qualified skilled workers with companies in Germany as part of a joint program. The project is based on placement agreements concluded between the Federal Employment Agency and the employment services of the partner countries. - “Fair Recruitment Care Germany” state seal of approval for quality assurance of private, ethical and fair recruitment nationally and internationally - is developing into a brand, quality seal agencies are market leaders, - Refinancing option for recruitment costs in the Care Support and Relief Act (Pflegeunterstützungs- und -entlastungsgesetz), - Legal simplification and acceleration of recognition procedures, - Pilot projects for faster integration, language acquisition and recognition in Germany and abroad: - INGA - integrated adaptation course to accelerate professional and linguistic integration, - GSP - Global Skills Partnerships for adaptation abroad. - Supporting the integration of skilled workers in the company and improving their prospects of staying.
Improving management of health personnel
The federal ministry of health is examining right now which measures are necessary to implement in this field.
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
Student intake from rural/underserved areas and communities
Scholarships and subsidies for education
The salary gap between the training salary and the assistant salary, if an assistant qualifies as a skilled worker, can be financed.
Relevant topics/curricula in education and/or professional development programmes
(Re)orientation of education programmes towards primary health care
The legislator plans to expand the qualifications to Master's levels for care workers in order to improve primary care.
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
The legislator is planning to transfer medical skills to certain groups of nurses who are already in the profession.
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
Education opportunities
Nurses have various further training opportunities at their disposal, which are also funded by the employer in line with the needs in the facilities.
Opportunities for career advancement or professional growth
In the last legislative periods, the support of continuing education and training was significantly extended by the amendments introduced with the Skills Development Opportunities Act (Qualifizierungschancengesetz) and the Work of Tomorrow Act (Arbeit-von-morgen-Gesetz). In 2023 the Act to Strengthen the Promotion of Vocational Training and Skills (Gesetz zur Stärkung der Aus- und Weiterbildungsförderung) introduced further improvements to the general framework and conditions of support. The promotion of continuing vocational education and training provides the Federal Employment Agency with a broad range of funding tools for unemployed persons and employees. Support options include, for example, covering continuing education costs (such as costs for training courses, travelling expenses, costs of accommodation and board, childcare costs) or providing wage subsidies for employers.
Professional recognition
Social recognition
Opportunity for pathways to permanent residency and/or citizenship for international health personnel
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.
The project “Good working conditions in care to reconcile care, family and career” (Gute Arbeitsbedingungen in der Pflege zur Vereinbarkeit von Pflege, Familie und Beruf) supports nursing institutions to improve working conditions for their employees. The legislator has set up the funding programme, which includes offers – such as coaching – to improve the compatibility subsidized. In addition, the care Support and Relief Act (Pflegeunterstützungs- und -entlastungsgesetz), operational cancellation concepts such as Springer Pools can be financed regularly.
[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
In general, recognition of foreign qualifications can be regarded of one pathway of sustainable integration into the German labour market. For professions in the health sector, the recognition procedures are mandatory. The WHO first identified a critical shortage of healthcare personnel (especially physicians, nurses, and health care workers) in several countries in 2006 and recommended not to actively recruit from these countries. With Section 38 of the Employment Regulation (Beschäftigungsverordnung) and the recruitment ban stipulated therein, the so-called WHO list was made binding in Germany as Annex 1 to Section 38 Beschäftigungsverordnung. It prohibits recruitment of healthcare personnel from these countries, unless the Federal Employment Agency carries out the recruitment. The Federal Employment Agency pursues any intentional or negligent violation of this recruitment prohibition as an administrative offense (Section 404, paragraph 2, no. 9, paragraph 3, Sozialgesetzbuch III). The recently introduced Section 22a of the Employment Regulation allows access to the labour market for assistants in nursing. This means that people with less than three years of vocational training in nursing – or training recognised as less than three years – are able to work in the health and care sector. As a TCN, you must apply for a residence permit before taking up employment as a nursing assistant. This will be issued if the Federal Employment Agency has approved your employment in accordance with Section 22a of the Employment Regulation.
Law/policy 2
In April 2012 the Federal Recognition Act came into force and readjusted the regulation of recognition of foreign qualifications. The aim was to facilitate recognition and make Germany more attractive to qualified immigrants. It comprises the Professional Qualifications Assessment Act (Gesetz über die Feststellung der Gleichwertigkeit von Berufsqualifikationen ) and amendments to the sectoral laws under legislation relating to specific occupations (esp. health professions). The inherent equivalence assessment enables skilled workers to make their foreign qualifications transparent, to develop prospects for occupational development and thus also to guard against unequal treatment
Law/policy 3
Gesetz zur Sicherung der Qualität der Gewinnung von Pflegekräften aus dem Ausland - Law on ensuring the quality of the recruitment of nursing staff from abroad. Since 2021, the “Fair Recruitment Care Germany” state seal of approval has been issued on the basis of this law. The "Fair Recruitment Care Germany" state seal of approval defines requirements for the transparent, fair and sustainable placement of nursing staff from third countries with nursing and healthcare companies in Germany. Companies, mostly private recruitment agencies but also healthcare and nursing facilities that recruit internationally without the involvement of an agency, voluntarily and verifiably commit to ethical recruitment and placement practices. The requirements include, for example, the employer pays principle, transparency and sustainability.
[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
https://www.anerkennung-in-deutschland.de/html/de/index.php
[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
The Federal Ministry of Health provided a programme for private international recruitment.
Components were:
(1) support for quick entry into Germany - provided by the German state Agency DeFa
(2) speed up Professional Recognition in Germany by training-on the job combined with a professional German Language coaching - provided by the Germany public agency KDA
(3) Integration-Management, Individual Mentoring - support for employers is provided by KDA
(4) Global Skills Partnerships in Nursing Education managed by GIZ, Germany´s national Agency for international cooperation
(5) "Fair Recruitment Care Germany" state seal of approval to ensure high quality recruitment in accordance to WHO Code of Conduct
[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.
The International Placement Services of the Federal Employment Agency and the GIZ place qualified skilled workers with companies in Germany as part of a joint program. The project is based on placement agreements concluded between the Federal Employment Agency and the employment services of the partner countries. German Law has implementend a state seal of approval for private recruitment of nursing Professionals based on the WHO Code of Conduct: "Faire Anwerbung Pflege Deutschland - Fair Recruitment Care Germany" Germany´s national mandatory ban of private recruitment in countries with critical shortage of health professionals has been updated according to the new country list Global Skills Partnerships with regard to nursing education are developed as direct cooperations between German and foreign universities.
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.
Provision of information for skilled workers from abroad (also in the healthcare sector) on “Make it in Germany.de” as an exemplary source.
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.
Germany´s Federal Empolyment Agency ensures compliance of bilateral government to government recruitment agreements with WHO and other international agreements.
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.
German Law has implementend a state seal of approval for private recruitment of nursing Professionals based on the WHO Code of Conduct: "Faire Anwerbung Pflege Deutschland - Fair Recruitment Care Germany".
5.5a Promotion of the Code among private recruitment agencies.
German Law has implementend a state seal of approval for private recruitment of nursing Professionals based on the WHO Code of Conduct: "Faire Anwerbung Pflege Deutschland - Fair Recruitment Care Germany".
5.5b Domestic legislation or policy requiring ethical practice of private recruitment agencies, as consistent with the principles and articles of the Code.
Law on ensuring the quality of the recruitment of nursing staff from abroad. The WHO first identified a critical shortage of healthcare personnel (especially physicians, nurses, and health care workers) in several countries in 2006 and recommended not to actively recruit from these countries. With Section 38 of the Employment Regulation (Beschäftigungsverordnung) and the recruitment ban stipulated therein, the so-called WHO list was made binding in Germany as Annex 1 to Section 38 Beschäftigungsverordnung. It prohibits recruitment of healthcare personnel from these countries, unless the Federal Employment Agency carries out the recruitment. The Federal Employment Agency pursues any intentional or negligent violation of this recruitment prohibition as an administrative offense (Section 404, paragraph 2, no. 9, paragraph 3, Sozialgesetzbuch III). Gesetz zur Sicherung der Qualität der Gewinnung von Pflegekräften aus dem Ausland - Law on ensuring the quality of the recruitment of nursing staff from abroad.
5.5c Public or private certification of ethical practice for private recruitment agencies.
Licensing of private recruitment for the "Fair Recruitment Care Germany" state seal of approval.
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 | Placement Agreement for skilled workers | 1 |
| Agreement 2 | Placement Agreement for skilled workers | 1 |
| Agreement 3 | Placement Agreement for skilled workers | 3 |
| Agreement 4 | Placement Agreement for skilled workers | 3 |
| Agreement 5 | Placement Agreement for skilled workers | 1 |
| Agreement 6 | Placement Agreement for skilled workers | 1 |
| Agreement 7 | Placement Agreement for skilled workers | 1 |
| Agreement 8 | Placement Agreement for skilled workers | 1 |
| Agreement 9 | Placement Agreement for skilled workers | 1 |
| Agreement 10 | Placement Agreement for skilled workers | 1 |
| Agreement 11 | ||
| Agreement 12 | ||
| Agreement 13 | ||
| Agreement 14 | ||
| Agreement 15 |
Government Agreements - 6.1 A
[INFOxNRI7]
National Reporting instrument 2024
[Q6x1xAx1]
c. Countries involved
Placement Agreement for skilled workers
BIH
Placement Agreement for skilled workers
BRA
Placement Agreement for skilled workers
IND
Placement Agreement for skilled workers
IND
Placement Agreement for skilled workers
IDN
Placement Agreement for skilled workers
JOR
Placement Agreement for skilled workers
COL
Placement Agreement for skilled workers
MEX
Placement Agreement for skilled workers
PHL
Placement Agreement for skilled workers
TUN
[Q6x1xAx2]
d. Coverage
Placement Agreement for skilled workers
National
Placement Agreement for skilled workers
National
Placement Agreement for skilled workers
Sub-national
Placement Agreement for skilled workers
Sub-national
Placement Agreement for skilled workers
National
Placement Agreement for skilled workers
National
Placement Agreement for skilled workers
National
Placement Agreement for skilled workers
National
Placement Agreement for skilled workers
National
Placement Agreement for skilled workers
National
[Q6x1xAx2x]
Please enter the names of the subnational units (states, provinces, etc) which are involved in this agreement
Placement Agreement for skilled workers
Placement Agreement for skilled workers
Placement Agreement for skilled workers
Kerala
Placement Agreement for skilled workers
Telangana
Placement Agreement for skilled workers
Placement Agreement for skilled workers
Placement Agreement for skilled workers
Placement Agreement for skilled workers
Placement Agreement for skilled workers
Placement Agreement for skilled workers
[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 | |
|---|---|---|---|---|---|---|---|---|
| Placement Agreement for skilled workers | 1 | 1 | 1 | |||||
| Placement Agreement for skilled workers | 1 | 1 | 1 | |||||
| Placement Agreement for skilled workers | 1 | 1 | 1 | |||||
| Placement Agreement for skilled workers | 1 | 1 | 1 | |||||
| Placement Agreement for skilled workers | 1 | 1 | 1 | |||||
| Placement Agreement for skilled workers | 1 | 1 | 1 | |||||
| Placement Agreement for skilled workers | 1 | 1 | 1 | |||||
| Placement Agreement for skilled workers | 1 | 1 | 1 | |||||
| Placement Agreement for skilled workers | 1 | 1 | 1 | |||||
| Placement Agreement for skilled workers | 1 | 1 | 1 | |||||
[Q6x1xAx4]
f. Categories of Health Personnel (check all that apply)
| Doctors | Nurses | Midwives | Dentists | Pharmacists | Other occupations | |
|---|---|---|---|---|---|---|
| Placement Agreement for skilled workers | 1 | |||||
| Placement Agreement for skilled workers | 1 | |||||
| Placement Agreement for skilled workers | 1 | |||||
| Placement Agreement for skilled workers | 1 | |||||
| Placement Agreement for skilled workers | 1 | |||||
| Placement Agreement for skilled workers | 1 | |||||
| Placement Agreement for skilled workers | 1 | |||||
| Placement Agreement for skilled workers | 1 | |||||
| Placement Agreement for skilled workers | 1 | |||||
| Placement Agreement for skilled workers | 1 | |||||
[Q6x1xAx5]
g. Validity period
| Start Year | End Year | |
|---|---|---|
| Placement Agreement for skilled workers | 04/2013 | unlimited |
| Placement Agreement for skilled workers | 06/2022 | unlimited |
| Placement Agreement for skilled workers | 12/2021 | 09/2026 |
| Placement Agreement for skilled workers | 11/2023 | unlimited |
| Placement Agreement for skilled workers | 07/2021 | unlimited |
| Placement Agreement for skilled workers | 05/2022 | unlimited |
| Placement Agreement for skilled workers | 06/2022 | unlimited |
| Placement Agreement for skilled workers | 12/2021 | unlimited |
| Placement Agreement for skilled workers | 03/2013 | unlimited |
| Placement Agreement for skilled workers | 07/2013 | unlimited |
[Q6x1xAx6]
h. Signatory of the agreement from your country
Placement Agreement for skilled workers
Others:
Placement Agreement for skilled workers
Others:
Placement Agreement for skilled workers
Others:
Placement Agreement for skilled workers
Others:
Placement Agreement for skilled workers
Others:
Placement Agreement for skilled workers
Others:
Placement Agreement for skilled workers
Others:
Placement Agreement for skilled workers
Others:
Placement Agreement for skilled workers
Others:
Placement Agreement for skilled workers
Others:
[Q6x1xAx6xoth]
If other signatory of the agreement from your country(Please specify:)
Placement Agreement for skilled workers
Federal Employment Agency of Germany (BA)
Placement Agreement for skilled workers
Federal Employment Agency of Germany (BA)
Placement Agreement for skilled workers
Federal Employment Agency of Germany (BA)
Placement Agreement for skilled workers
Federal Employment Agency of Germany (BA)
Placement Agreement for skilled workers
Federal Employment Agency of Germany (BA)
Placement Agreement for skilled workers
Federal Employment Agency of Germany (BA)
Placement Agreement for skilled workers
Federal Employment Agency of Germany (BA)
Placement Agreement for skilled workers
Federal Employment Agency of Germany (BA)
Placement Agreement for skilled workers
Federal Employment Agency of Germany (BA)
Placement Agreement for skilled workers
Federal Employment Agency of Germany (BA)
[Q6x1xAx6x1]
If Ministry of Health is not a signatory, did the Ministry of Health participate in the development of the agreement?
Placement Agreement for skilled workers
No
Placement Agreement for skilled workers
No
Placement Agreement for skilled workers
No
Placement Agreement for skilled workers
No
Placement Agreement for skilled workers
No
Placement Agreement for skilled workers
No
Placement Agreement for skilled workers
No
Placement Agreement for skilled workers
No
Placement Agreement for skilled workers
No
Placement Agreement for skilled workers
No
[Q6x1xAx7]
i. Signatory of the agreement from the partner country (ies)
Placement Agreement for skilled workers
Others:
Placement Agreement for skilled workers
Others:
Placement Agreement for skilled workers
Others:
Placement Agreement for skilled workers
Others:
Placement Agreement for skilled workers
Others:
Placement Agreement for skilled workers
Ministry of Labour
Placement Agreement for skilled workers
Others:
Placement Agreement for skilled workers
Others:
Placement Agreement for skilled workers
Others:
Placement Agreement for skilled workers
Others:
[Q6x1xAx7xoth]
If other signatory of the agreement from your country(Please specify:)
Placement Agreement for skilled workers
Labor and Employment Agency of Bosnia and Herzegovina (ARZ BiH)
Placement Agreement for skilled workers
COFEN
Placement Agreement for skilled workers
Norka Roots
Placement Agreement for skilled workers
TOMCOM
Placement Agreement for skilled workers
Indonesian Migration Workers Protection Board (IMWPB)
Placement Agreement for skilled workers
Placement Agreement for skilled workers
Unidad del Servicio Público de Empleo (Association of National Employment Services of the Republic of Colombia)
Placement Agreement for skilled workers
Servicio Nacional de Empleo (SNE)
Placement Agreement for skilled workers
POEA - Philippine Overseas Employment Administration
Placement Agreement for skilled workers
L'agence Nationale pour l'Emploi et le Travail Independant (ANETI)
[Q6x1xAx7x1]
If Ministry of Health is not a signatory, did the Ministry of Health participate in the development of the agreement?
Placement Agreement for skilled workers
No
Placement Agreement for skilled workers
No
Placement Agreement for skilled workers
No
Placement Agreement for skilled workers
No
Placement Agreement for skilled workers
No
Placement Agreement for skilled workers
No
Placement Agreement for skilled workers
No
Placement Agreement for skilled workers
No
Placement Agreement for skilled workers
No
Placement Agreement for skilled workers
No
[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)?
Placement Agreement for skilled workers
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)
Placement Agreement for skilled workers
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)
Placement Agreement for skilled workers
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)
Placement Agreement for skilled workers
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)
Placement Agreement for skilled workers
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)
Placement Agreement for skilled workers
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)
Placement Agreement for skilled workers
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)
Placement Agreement for skilled workers
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)
Placement Agreement for skilled workers
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)
Placement Agreement for skilled workers
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:
Placement Agreement for skilled workers
- Collecting work experience & additional qualification - Supporting network for knowledge exchange
Placement Agreement for skilled workers
- Collecting work experience & additional qualification - Supporting network for knowledge exchange
Placement Agreement for skilled workers
- Collecting work experience & additional qualification - Supporting network for knowledge exchange
Placement Agreement for skilled workers
- Collecting work experience & additional qualification - Supporting network for knowledge exchange
Placement Agreement for skilled workers
- Collecting work experience & additional qualification - Supporting network for knowledge exchange
Placement Agreement for skilled workers
- Collecting work experience & additional qualification - Supporting network for knowledge exchange
Placement Agreement for skilled workers
- Collecting work experience & additional qualification - Supporting network for knowledge exchange
Placement Agreement for skilled workers
- Collecting work experience & additional qualification - Supporting network for knowledge exchange
Placement Agreement for skilled workers
- Collecting work experience & additional qualification - Supporting network for knowledge exchange
Placement Agreement for skilled workers
- Collecting work experience & additional qualification - Supporting network for knowledge exchange
[Q6x1xAx8x2]
j.ii. Does the agreement include elements on health worker rights and welfare?
Placement Agreement for skilled workers
Yes
Placement Agreement for skilled workers
Yes
Placement Agreement for skilled workers
Yes
Placement Agreement for skilled workers
Yes
Placement Agreement for skilled workers
Yes
Placement Agreement for skilled workers
Yes
Placement Agreement for skilled workers
Yes
Placement Agreement for skilled workers
Yes
Placement Agreement for skilled workers
Yes
Placement Agreement for skilled workers
Yes
[Q6x1xAx8x2x]
Please explain:
Placement Agreement for skilled workers
Mandatory Labour Market Admission in Germany guarantees equal working conditions; Every person who works in Germany is a mandatory member of the social insurance system, which includes, for example, membership of a health insurance fund, unemployment insurance, pension insurance.
Placement Agreement for skilled workers
Mandatory Labour Market Admission in Germany guarantees equal working conditions; Every person who works in Germany is a mandatory member of the social insurance system, which includes, for example, membership of a health insurance fund, unemployment insurance, pension insurance.
Placement Agreement for skilled workers
Mandatory Labour Market Admission in Germany guarantees equal working conditions; Every person who works in Germany is a mandatory member of the social insurance system, which includes, for example, membership of a health insurance fund, unemployment insurance, pension insurance.
Placement Agreement for skilled workers
Mandatory Labour Market Admission in Germany guarantees equal working conditions; Every person who works in Germany is a mandatory member of the social insurance system, which includes, for example, membership of a health insurance fund, unemployment insurance, pension insurance.
Placement Agreement for skilled workers
Mandatory Labour Market Admission in Germany guarantees equal working conditions; Every person who works in Germany is a mandatory member of the social insurance system, which includes, for example, membership of a health insurance fund, unemployment insurance, pension insurance.
Placement Agreement for skilled workers
Mandatory Labour Market Admission in Germany guarantees equal working conditions; Every person who works in Germany is a mandatory member of the social insurance system, which includes, for example, membership of a health insurance fund, unemployment insurance, pension insurance.
Placement Agreement for skilled workers
Mandatory Labour Market Admission in Germany guarantees equal working conditions; Every person who works in Germany is a mandatory member of the social insurance system, which includes, for example, membership of a health insurance fund, unemployment insurance, pension insurance.
Placement Agreement for skilled workers
Mandatory Labour Market Admission in Germany guarantees equal working conditions; Every person who works in Germany is a mandatory member of the social insurance system, which includes, for example, membership of a health insurance fund, unemployment insurance, pension insurance.
Placement Agreement for skilled workers
Mandatory Labour Market Admission in Germany guarantees equal working conditions; Every person who works in Germany is a mandatory member of the social insurance system, which includes, for example, membership of a health insurance fund, unemployment insurance, pension insurance.
Placement Agreement for skilled workers
Mandatory Labour Market Admission in Germany guarantees equal working conditions; Every person who works in Germany is a mandatory member of the social insurance system, which includes, for example, membership of a health insurance fund, unemployment insurance, pension insurance.
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?
Placement Agreement for skilled workers
Yes
Placement Agreement for skilled workers
Yes
Placement Agreement for skilled workers
Yes
Placement Agreement for skilled workers
Yes
Placement Agreement for skilled workers
Yes
Placement Agreement for skilled workers
Yes
Placement Agreement for skilled workers
Yes
Placement Agreement for skilled workers
Yes
Placement Agreement for skilled workers
Yes
Placement Agreement for skilled workers
Yes
[Q6x1xBx1x1]
| Start year of implementation: | |
|---|---|
| Placement Agreement for skilled workers | 2013 |
| Placement Agreement for skilled workers | 2022 |
| Placement Agreement for skilled workers | 2021 |
| Placement Agreement for skilled workers | 2023 |
| Placement Agreement for skilled workers | 2021 |
| Placement Agreement for skilled workers | 2022 |
| Placement Agreement for skilled workers | 2022 |
| Placement Agreement for skilled workers | 2021 |
| Placement Agreement for skilled workers | 2013 |
| Placement Agreement for skilled workers | 2013 |
[Q6x1xBx2a]
How many health personnel have left or entered your country through this agreement since its implementation?
Agreement: Placement Agreement for skilled workers
Agreement: Placement Agreement for skilled workers
| Number of personnel | |
|---|---|
| Doctors | |
| Nurses | |
| Midwives | |
| Dentists | |
| Pharmacists | |
[Q6x1xBx2b]
How many health personnel have left or entered your country through this agreement since its implementation?
Agreement: Placement Agreement for skilled workers
Agreement: Placement Agreement for skilled workers
| Number of personnel | |
|---|---|
| Doctors | |
| Nurses | |
| Midwives | |
| Dentists | |
| Pharmacists | |
[Q6x1xBx2c]
How many health personnel have left or entered your country through this agreement since its implementation?
Agreement: Placement Agreement for skilled workers
Agreement: Placement Agreement for skilled workers
| Number of personnel | |
|---|---|
| Doctors | |
| Nurses | |
| Midwives | |
| Dentists | |
| Pharmacists | |
[Q6x1xBx2d]
How many health personnel have left or entered your country through this agreement since its implementation?
Agreement: Placement Agreement for skilled workers
Agreement: Placement Agreement for skilled workers
| Number of personnel | |
|---|---|
| Doctors | |
| Nurses | |
| Midwives | |
| Dentists | |
| Pharmacists | |
[Q6x1xBx2e]
How many health personnel have left or entered your country through this agreement since its implementation?
Agreement: Placement Agreement for skilled workers
Agreement: Placement Agreement for skilled workers
| Number of personnel | |
|---|---|
| Doctors | |
| Nurses | |
| Midwives | |
| Dentists | |
| Pharmacists | |
[Q6x1xBx2f]
How many health personnel have left or entered your country through this agreement since its implementation?
Agreement: Placement Agreement for skilled workers
Agreement: Placement Agreement for skilled workers
| Number of personnel | |
|---|---|
| Doctors | |
| Nurses | |
| Midwives | |
| Dentists | |
| Pharmacists | |
[Q6x1xBx2g]
How many health personnel have left or entered your country through this agreement since its implementation?
Agreement: Placement Agreement for skilled workers
Agreement: Placement Agreement for skilled workers
| Number of personnel | |
|---|---|
| Doctors | |
| Nurses | |
| Midwives | |
| Dentists | |
| Pharmacists | |
[Q6x1xBx2h]
How many health personnel have left or entered your country through this agreement since its implementation?
Agreement: Placement Agreement for skilled workers
Agreement: Placement Agreement for skilled workers
| Number of personnel | |
|---|---|
| Doctors | |
| Nurses | |
| Midwives | |
| Dentists | |
| Pharmacists | |
[Q6x1xBx2i]
How many health personnel have left or entered your country through this agreement since its implementation?
Agreement: Placement Agreement for skilled workers
Agreement: Placement Agreement for skilled workers
| Number of personnel | |
|---|---|
| Doctors | |
| Nurses | |
| Midwives | |
| Dentists | |
| Pharmacists | |
[Q6x1xBx2j]
How many health personnel have left or entered your country through this agreement since its implementation?
Agreement: Placement Agreement for skilled workers
Agreement: Placement Agreement for skilled workers
| Number of personnel | |
|---|---|
| Doctors | |
| Nurses | |
| Midwives | |
| Dentists | |
| Pharmacists | |
[Q6x1xBx3]
Please explain if and how has the health system of your country benefitted from the agreement.
Placement Agreement for skilled workers
Recruitment of qualified workforce or apprentices in the health sector
Placement Agreement for skilled workers
Recruitment of qualified workforce or apprentices in the health sector
Placement Agreement for skilled workers
Recruitment of qualified workforce or apprentices in the health sector
Placement Agreement for skilled workers
Recruitment of qualified workforce or apprentices in the health sector
Placement Agreement for skilled workers
Recruitment of qualified workforce or apprentices in the health sector
Placement Agreement for skilled workers
Recruitment of qualified workforce or apprentices in the health sector
Placement Agreement for skilled workers
Recruitment of qualified workforce or apprentices in the health sector
Placement Agreement for skilled workers
Recruitment of qualified workforce or apprentices in the health sector
Placement Agreement for skilled workers
Recruitment of qualified workforce or apprentices in the health sector
Placement Agreement for skilled workers
Recruitment of qualified workforce or apprentices in the health sector
[Q6x1xBx4]
Please describe if and how the health system of other country(ies) has benefitted from the agreement.
Placement Agreement for skilled workers
No details from the Federal Employment Agency
Placement Agreement for skilled workers
No details from the Federal Employment Agency
Placement Agreement for skilled workers
No details from the Federal Employment Agency
Placement Agreement for skilled workers
No details from the Federal Employment Agency
Placement Agreement for skilled workers
No details from the Federal Employment Agency
Placement Agreement for skilled workers
No details from the Federal Employment Agency
Placement Agreement for skilled workers
No details from the Federal Employment Agency
Placement Agreement for skilled workers
Global Skills Partnership with Mexico
Placement Agreement for skilled workers
Global Skills Partnership with Philippines
Placement Agreement for skilled workers
No details from the Federal Employment Agency
[Q6x1xBx5]
Please explain if and how the provisions on health workers rights and welfare were implemented.
Placement Agreement for skilled workers
Mandatory Labour Market Admission in Germany guarantees equal working conditions; Every person who works in Germany is a mandatory member of the social insurance system, which includes, for example, membership of a health insurance fund, unemployment insurance, pension insurance
Placement Agreement for skilled workers
Mandatory Labour Market Admission in Germany guarantees equal working conditions; Every person who works in Germany is a mandatory member of the social insurance system, which includes, for example, membership of a health insurance fund, unemployment insurance, pension insurance
Placement Agreement for skilled workers
Mandatory Labour Market Admission in Germany guarantees equal working conditions; Every person who works in Germany is a mandatory member of the social insurance system, which includes, for example, membership of a health insurance fund, unemployment insurance, pension insurance
Placement Agreement for skilled workers
Mandatory Labour Market Admission in Germany guarantees equal working conditions; Every person who works in Germany is a mandatory member of the social insurance system, which includes, for example, membership of a health insurance fund, unemployment insurance, pension insurance
Placement Agreement for skilled workers
Mandatory Labour Market Admission in Germany guarantees equal working conditions; Every person who works in Germany is a mandatory member of the social insurance system, which includes, for example, membership of a health insurance fund, unemployment insurance, pension insurance
Placement Agreement for skilled workers
Mandatory Labour Market Admission in Germany guarantees equal working conditions; Every person who works in Germany is a mandatory member of the social insurance system, which includes, for example, membership of a health insurance fund, unemployment insurance, pension insurance
Placement Agreement for skilled workers
Mandatory Labour Market Admission in Germany guarantees equal working conditions; Every person who works in Germany is a mandatory member of the social insurance system, which includes, for example, membership of a health insurance fund, unemployment insurance, pension insurance
Placement Agreement for skilled workers
Mandatory Labour Market Admission in Germany guarantees equal working conditions; Every person who works in Germany is a mandatory member of the social insurance system, which includes, for example, membership of a health insurance fund, unemployment insurance, pension insurance
Placement Agreement for skilled workers
Mandatory Labour Market Admission in Germany guarantees equal working conditions; Every person who works in Germany is a mandatory member of the social insurance system, which includes, for example, membership of a health insurance fund, unemployment insurance, pension insurance
Placement Agreement for skilled workers
Mandatory Labour Market Admission in Germany guarantees equal working conditions; Every person who works in Germany is a mandatory member of the social insurance system, which includes, for example, membership of a health insurance fund, unemployment insurance, pension insurance
[Q6x1xBx6]
Please provide any other relevant information on the agreement (e.g., context, positive elements, gaps and lessons learnt).
Placement Agreement for skilled workers
Placement agreements are designed according to the rules of fair migration. Joint committee meetings are held with the countries of origin every year in order to avoid brain drain. If necessary, quotas are agreed to maximise recruitment or recruitment is suspended completely.
Placement Agreement for skilled workers
Placement agreements are designed according to the rules of fair migration. Joint committee meetings are held with the countries of origin every year in order to avoid brain drain. If necessary, quotas are agreed to maximise recruitment or recruitment is suspended completely.
Placement Agreement for skilled workers
Placement agreements are designed according to the rules of fair migration. Joint committee meetings are held with the countries of origin every year in order to avoid brain drain. If necessary, quotas are agreed to maximise recruitment or recruitment is suspended completely.
Placement Agreement for skilled workers
Placement agreements are designed according to the rules of fair migration. Joint committee meetings are held with the countries of origin every year in order to avoid brain drain. If necessary, quotas are agreed to maximise recruitment or recruitment is suspended completely.
Placement Agreement for skilled workers
Placement agreements are designed according to the rules of fair migration. Joint committee meetings are held with the countries of origin every year in order to avoid brain drain. If necessary, quotas are agreed to maximise recruitment or recruitment is suspended completely.
Placement Agreement for skilled workers
Placement agreements are designed according to the rules of fair migration. Joint committee meetings are held with the countries of origin every year in order to avoid brain drain. If necessary, quotas are agreed to maximise recruitment or recruitment is suspended completely.
Placement Agreement for skilled workers
Placement agreements are designed according to the rules of fair migration. Joint committee meetings are held with the countries of origin every year in order to avoid brain drain. If necessary, quotas are agreed to maximise recruitment or recruitment is suspended completely.
Placement Agreement for skilled workers
Placement agreements are designed according to the rules of fair migration. Joint committee meetings are held with the countries of origin every year in order to avoid brain drain. If necessary, quotas are agreed to maximise recruitment or recruitment is suspended completely.
Placement Agreement for skilled workers
Placement agreements are designed according to the rules of fair migration. Joint committee meetings are held with the countries of origin every year in order to avoid brain drain. If necessary, quotas are agreed to maximise recruitment or recruitment is suspended completely.
Placement Agreement for skilled workers
Placement agreements are designed according to the rules of fair migration. Joint committee meetings are held with the countries of origin every year in order to avoid brain drain. If necessary, quotas are agreed to maximise recruitment or recruitment is suspended completely.
[Q6x1xBx7]
Full text of the agreement and associated documents (implementation plan, progress report, implementation report, evaluation report, etc.)
| Upload document(s) | |
|---|---|
| Placement Agreement for skilled workers | |
| Placement Agreement for skilled workers | |
| Placement Agreement for skilled workers | |
| Placement Agreement for skilled workers | |
| Placement Agreement for skilled workers | |
| Placement Agreement for skilled workers | |
| Placement Agreement for skilled workers | |
| Placement Agreement for skilled workers | |
| Placement Agreement for skilled workers | |
| Placement Agreement for skilled workers | |
[Q6x1xBx7xfile1]
[Q6x1xBx7xfile2]
[Q6x1xBx7xfile3]
[Q6x1xBx7xfile4]
[Q6x1xBx7xfile5]
[Q6x1xBx7xfile6]
[Q6x1xBx7xfile7]
[Q6x1xBx7xfile8]
[Q6x1xBx7xfile9]
[Q6x1xBx7xfile10]
[Q6x1xBx7xfile11]
[Q6x1xBx7xfile12]
[Q6x1xBx7xfile13]
[Q6x1xBx7xfile14]
[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.
When recruiting health personnel the Federal Employment Agency orientates itself on the IOM IRIS Ethical Recruitment Standards. For the recruitment of health personnel, the BA has concluded placement agreements with different countries. These placement agreements outline the process and the obligations of the future employee and the employer. In addition, there is a publicly funded counselling service for refugees and migrants from third countries (outside the EU) on social and labour law issues, called “Fair Integration”. The counselling service is available in all federal states and is provided by various organisations. Counselling is offered free of charge, anonymously and in various languages of origin. Counselling topics include labour and social law issues that are directly related to the employment relationship, such as working hours, dismissal, temporary work and many more. The "Fair Recruitment Care Germany" state seal of approval defines requirements for the transparent, fair and sustainable placement of nursing staff from third countries with nursing and healthcare companies in Germany. Companies, mostly private recruitment agencies but also healthcare and nursing facilities that recruit internationally without the involvement of an agency, voluntarily and verifiably commit to ethical recruitment and placement practices. The requirements include, for example, the employer pays principle, transparency and sustainability, including a clear information policy, that allows for a informed decision making.
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.
During the visa process, the Federal Employment Agency examines the equivalence of the working conditions. International health personnel from non-EU countries is only granted admission to the German labour market if the working conditions of the employment are comparable with those of domestic employees. This includes that the remuneration must be in line with local market and industry standards. Health personnel also undergo a recognition procedure in Germany aimed at establishing the equivalence of foreign qualifications and thus an adequate remuneration.
Migrant health personnel enjoy the same opportunities as the domestically trained health workforce to strengthen their professional education, qualifications and career progression.
Migrant health personnel has the same access to support measures from the Federal Employment Agency as local care workers, if the respective requirements are met. The Federal Ministry of Labour and Social Affairs had launched the funding line „Fair integration“. Fair Integration is a counselling service for all branches in Germany for refugees and migrants from third countries (outside the EU) on social and labour law issues. The counselling service is available in all federal states and is provided by various organisations. Counselling is offered free of charge, anonymously and in various languages of origin. Counselling topics include labour and social law issues that are directly related to the employment relationship, such as working hours, dismissal, temporary work. The offer since 2019 was carried out by temporary counselling projects (funded by European Social fund and national contribution). After 2026 „fair integration“ will become a permanent offer.
Institutional arrangements are in place to ensure safe migration/ mobility and integration of migrant health personnel.
See above: the Federal Employment Agency examines the equivalence of the working conditions of the TCN. Access to integration courses and vocational language courses, especially courses needed for recognition of foreign qualifications in the health care sector. The new “Job-Berufssprachkurse” implemented in January 2024 are very flexible, shorter and consistently geared to the needs of companies and employees in order to facilitate arrival at the new workplace.
Measures have been taken to promote circular migration of international health personnel
GSP – Global Skills Partnership The GSP project supports the qualification of nursing staff from selected third countries for the German nursing labor market. To this end, a directly recognizable nursing qualification will be established in accordance with German requirements, including the necessary technical language skills. Work shadowing and train-the-trainer elements help to promote a sustainable knowledge transfer to the respective country of origin and circular migration.
Other measures (including legal and administrative) for fair recruitment and employment practices of foreign-trained and/or immigrant health personnel (please provide details)
The "Fair Recruitment Care Germany" state seal of approval defines requirements for the transparent, fair and sustainable placement of nursing staff from third countries with nursing and healthcare companies in Germany. Companies, mostly private recruitment agencies but also healthcare and nursing facilities that recruit internationally without the involvement of an agency, voluntarily and verifiably commit to ethical recruitment and placement practices. The requirements include, for example, the employer pays principle, transparency and sustainability. To support a successful integration management, the BMG has set up a toolbox ”Welcome Culture & Integration”, which is available as an aid for companies and is supplemented with advice. https://dkf-kda.de/en/wi-toolbox/
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 advisors at the Customer Center of the International Placement Services inform returnees about their chances and opportunities when looking for a job in the run-up to their return. For example, web tutorials are offered for returnees. With the support of the customer center, you can also register on the job exchange of the Federal Employment Agency to find suitable jobs in Germany, regardless of where you live.
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 | ||||||
| Nurses | ||||||
| Midwives | ||||||
| Dentists | ||||||
| Pharmacists | ||||||
| Other occupations | ||||||
| Other occupations | ||||||
| Other occupations | ||||||
| Other occupations | ||||||
| Other occupations |
[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 | ||||||
| Nurses | ||||||
| Midwives | ||||||
| Dentists | ||||||
| Pharmacists | ||||||
| Other occupations | ||||||
| Other occupations | ||||||
| Other occupations | ||||||
| Other occupations | ||||||
| Other occupations |
[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
[Q10x1x1]
Please specify:
1. Statistical Data on Health Care Professionals with non-German Citizenships - for all foreign citizenships 2. Statistical Data on applications for German License for all non-German countries, in which the education has been passed. 3. Statistical Data on the labour market admission for non-EU migrants for relevant professions.
[Q10x2]
Does the record include gender-disaggregated data on the foreign-born and/or foreign-trained health personnel?
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
[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) | 295217 | 295217 | 243247 | 52670 | Statistical Data on Health Care Professionals with non-German Citizenships - for all foreign citizenships | 2023 | |||||
| Nurses | 1754715 | 1754715 | 1460086 | 294629 | Statistical Data on Health Care Professionals with non-German Citizenships - for all foreign citizenships | 2023 | |||||
| Midwives | 16537 | 16537 | 15199 | 1338 | Statistical Data on Health Care Professionals with non-German Citizenships - for all foreign citizenships | 2023 | |||||
| Dentists | 26237 | 26237 | 22972 | 3265 | Statistical Data on Health Care Professionals with non-German Citizenships - for all foreign citizenships | 2023 | |||||
| Pharmacists | 45228 | 45228 | 41074 | 4154 | Statistical Data on Health Care Professionals with non-German Citizenships - for all foreign citizenships | 2023 |
[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
No comment
[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:
[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
No comment
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) | |
|---|---|---|
| Cameroon, Malawi, Nepal, Niger, Nigeria, Pakistan, Senegal, Sierra Leone, Togo, Zambia | In the bilateral cooperation, the BMZ assists these countries both technically and financially in building and strengthening resilient and sustainable health systems. Activities concerning health workforce aim to increase both the framework conditions (e.g., infrastructure, salaries, working conditions) and the personal capacities (e.g., further education and training) | |
| AU, CEMAC, EAC, ECLAC, ECOWAS | Further, the BMZ supports several regional organisations, which also entail countries on the WHO safeguards list. | |
| GFATM, GAVI, GPEI | The BMZ supports the activities of these multilateral organisations, which also contribute to the strengthening of health systems in countries on the WHO safeguards list. | |
[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) | |
|---|---|---|
| Cameroon, Malawi, Nepal, Niger, Nigeria, Pakistan, Senegal, Sierra Leone, Togo, Zambia | The BMZ also supports partner countries in increasing capacities in digital health, health insurances, local vaccine and pharmaceutical production. | |
[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 | |
|---|---|---|
[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
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.
The Code has made an important contribution to the implementation and dissemination of the “Fair Recruitment Care Germany” state seal of approval. As a result, the ethical and fair recruitment of nursing staff in Germany could be made better known via the state seal. This led to a significant enhancement of Germany as an immigration country.
[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]
No comment
No comment
Warning
[INFOxNRI16]
National Reporting instrument 2024
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