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:
Pakistan
Name of designated national authority:
Farrah Mazhar
Title of designated national authority:
Deputy Director
Institution of the designated national authority:
Ministry of National Health Services, Regulations & coordination
Email:
sectionpmdc@gmail.com,WHOGlobalCode@who.int,jalala@who.int
Telephone number :
+923365300143
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
Tibb Ayurvedic and Homoeopathy is concern, it has no preliminary setup. 1. Specific to Doctors, Dentists, Nurses, Pharmacists
[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
Tibb Ayurvedic and Homoeopathy is concern, it has no preliminary setup. Govt of Pak may have collaboration with neibouring counties for Tibb Ayurvedic and homoeopathy. 1. Yes, specifically for Doctors, Dentists, Nurses, Pharmacists but not for Health Personnels related to Traditional & Contemporary Medicine (Tibb, Homeopathy, Ayurvedic).
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
1. Analysis if HRH snapshot is annually developed which helps in planning and forecasting 2. Analysis if data of regulatory bodies like Pakistan Medical & Dental Council (PMDC) or Pakistan Nursing & Midwifery Council (PNMC) is done to look at the production capacity and need required for the country
Aligning domestic health and care workforce education with health system needs
3. Currently curricula of doctors, nurses and midwives is currently being revised to meet the domestic needs 4. Training annual of LHW has also been revised based on recently developed Essential Package of Health Services (EPHS) for community and PHC level
Improving quality of education and health personnel in alignment with service delivery needs
3. Rules and regulations for quality standards revised in 2024 for doctors, nurses and midwives
Creating employment opportunities aligned with population health needs
Managing international recruitment of health personnel
3. Rules and regulations for quality standards revised in 2024 for doctors, nurses and midwives 4. No measure taken 5. The bureau of immigrations and overseas employment organization has signed MOUs with various countries for safeguarding int. recruitment of health personal.
Improving management of health personnel
Specific provisions on health personnel regulation and recruitment during emergencies
1. Available. Only evoke during emergencies like hitting HR on short-term contract, multi-tasking of health personals.
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
1. Many Nursing Institutes are established in Rural/ Underserved areas
Student intake from rural/underserved areas and communities
2. Quota for under developed areas, e.g., GB, AJK, Southern Punjab, rural Sindh
Scholarships and subsidies for education
3. Scholarship and education n by universities to the students
Relevant topics/curricula in education and/or professional development programmes
4. CPD programs available for doctors, nurses and midwives, on job personal, and faculty development
(Re)orientation of education programmes towards primary health care
5. Introduction of Family Physician practice course
Others
[Q2x2x2x1]
2.2.2.1 Regulation Measure
Scholarships and education subsidies with return of service agreements
1. Acquire Bond is filled for people who acquire foreign education
Mandatory service agreements with health personnel that are not related to scholarships or education subsidies
Enhanced scope of practice of existing health personnel
Task sharing between different professions
Provisions for pathways to enter new or specialised practice after rural service
Yes, In Province Punjab extra points/ marks are given to Doctors/ Dentists worked in periphery/ Basic health Units (BHUs) for residency
Others
[Q2x2x3x1]
2.2.3.1 Incentives Measure
Additional financial reimbursement
Education opportunities
2. Quota for under developed areas, e.g., GB, AJK, Southern Punjab, rural Sindh
Opportunities for career advancement or professional growth
3. Provincial quota in Federal Jobs
Professional recognition
4. Professional recognition
Social recognition
Opportunity for pathways to permanent residency and/or citizenship for international health personnel
Others
1. Hard area allowance, professional allowance is given in Balochistan Province
[Q2x2x4x1]
2.2.4.1 Support Measure
Decent and safe working conditions
1. Work place harassment bill
Decent and safe living conditions
1. Partial – Residentials facilities available in health facilities in few places
Distance learning/e-learning opportunities
1. Available
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.
1. Training workshops/sessions are conducted for all professionals
2. Health Risk Allowance available
[Q3x1]
Are there specific policies and/or laws that guide international recruitment, migration and integration of foreign-trained health personnel in your country?
Yes
[Q3x1x1]
Please provide further information in the box below:
Law/policy 1
The Regulatory bodies like PM&DC laws, PN&MC, Allied Health Professional Council (AHPC) constituted under statute https://pmdc.pk/ https://pnmc.gov.pk/ https://ahpc.org.pk/index.html
Law/policy 2
The Regulatory bodies like Pakistan Council for Pharmacy (PCP) constituted under statute https://pcpisb.gov.pk/
Law/policy 3
The Regulatory bodies like National Council for Homeopathy, National Council for Tibb (NCT) constituted under statute https://www.nct.gov.pk/ https://nchpakistan.gov.pk/
[Q3x2]
Are there any policies and/or provision for international telehealth services in your country through health personnel based abroad?
Yes
[Q3x2x1]
Please describe
National Digital Health Policy approved in Inter Ministerial Health & Population Council (IMH&PC) and has provision of telemedicine. Provincial strategies will be formulated.
[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://beoe.gov.pk/
[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
Yes (requested Bureau of Emigration & Overseas Employment (BE&OE) and Overseas Employment Corporation (OEC), ministry of Overseas Pakistani & Human Resource Development (OP & HRD).
[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.
Yes. Changes in PMDC & PNMC rules and laws taken
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.
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.
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.
o Yes (requested Bureau of Emigration & Overseas Employment (BE&OE) and Overseas Employment Corporation (OEC), ministry of Overseas Pakistani & Human Resource Development (OP & HRD).
5.5 Good practices, as called for by the Code, are encouraged and promoted among private recruitment agencies.
o Bureau of Statics
5.5a Promotion of the Code among private recruitment agencies.
5.5b Domestic legislation or policy requiring ethical practice of private recruitment agencies, as consistent with the principles and articles of the Code.
5.5b https://beoe.gov.pk/legal-framework
5.5c Public or private certification of ethical practice for private recruitment agencies.
5.5c Bureau of Statics https://www.pbs.gov.pk/
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 | Technical Employment Field of labour | 1 |
| Agreement 2 | Recruitment of Pakistani Workers | 1 |
| Agreement 3 | Labor market expansion, Employment facilitation, Migration, exchange of information Technical education | 1 |
| Agreement 4 | Exchange of information, Studies in area of labor | 1 |
| Agreement 5 | Specified Skilled workers | 1 |
| Agreement 6 | ||
| Agreement 7 | ||
| Agreement 8 | ||
| Agreement 9 | ||
| Agreement 10 | ||
| Agreement 11 | ||
| Agreement 12 | ||
| Agreement 13 | ||
| Agreement 14 | ||
| Agreement 15 |
Government Agreements - 6.1 A
[INFOxNRI7]
National Reporting instrument 2024
[Q6x1xAx1]
c. Countries involved
Technical Employment Field of labour
KWT
Recruitment of Pakistani Workers
MYS
Labor market expansion, Employment facilitation, Migration, exchange of information Technical education
ROU
Exchange of information, Studies in area of labor
ARE
Specified Skilled workers
JPN
[Q6x1xAx2]
d. Coverage
Technical Employment Field of labour
National
Recruitment of Pakistani Workers
National
Labor market expansion, Employment facilitation, Migration, exchange of information Technical education
National
Exchange of information, Studies in area of labor
National
Specified Skilled workers
National
[Q6x1xAx3]
e. Main focus of agreement (check all that apply)
| Education and training | Health cooperation | Promotion of circular migration | Philanthropy or technical support | Qualification recognition | Recruitment of health personnel | Trade in services | Others | |
|---|---|---|---|---|---|---|---|---|
| Technical Employment Field of labour | 1 | 1 | ||||||
| Recruitment of Pakistani Workers | 1 | |||||||
| Labor market expansion, Employment facilitation, Migration, exchange of information Technical education | 1 | 1 | 1 | |||||
| Exchange of information, Studies in area of labor | 1 | 1 | ||||||
| Specified Skilled workers | 1 | |||||||
[Q6x1xAx4]
f. Categories of Health Personnel (check all that apply)
| Doctors | Nurses | Midwives | Dentists | Pharmacists | Other occupations | |
|---|---|---|---|---|---|---|
| Technical Employment Field of labour | 1 | |||||
| Recruitment of Pakistani Workers | 1 | |||||
| Labor market expansion, Employment facilitation, Migration, exchange of information Technical education | 1 | |||||
| Exchange of information, Studies in area of labor | 1 | |||||
| Specified Skilled workers | 1 | |||||
[Q6x1xAx4xoth]
Please specify category of health personnel:
Technical Employment Field of labour
Recruitment of Pakistani Workers
Labor market expansion, Employment facilitation, Migration, exchange of information Technical education
Exchange of information, Studies in area of labor
Specified Skilled workers
Specified Skilled workers
[Q6x1xAx5]
g. Validity period
| Start Year | End Year | |
|---|---|---|
| Technical Employment Field of labour | not reported | not reported |
| Recruitment of Pakistani Workers | not reported | not reported |
| Labor market expansion, Employment facilitation, Migration, exchange of information Technical education | not reported | not reported |
| Exchange of information, Studies in area of labor | not reported | not reported |
| Specified Skilled workers | not reported | not reported |
[Q6x1xAx6]
h. Signatory of the agreement from your country
Technical Employment Field of labour
Others:
Recruitment of Pakistani Workers
Others:
Labor market expansion, Employment facilitation, Migration, exchange of information Technical education
Others:
Exchange of information, Studies in area of labor
Others:
Specified Skilled workers
Others:
[Q6x1xAx6xoth]
If other signatory of the agreement from your country(Please specify:)
Technical Employment Field of labour
Minister of State for Labor Manpower & Pakistani abroad
Recruitment of Pakistani Workers
Minister for Labour, manpower and overseas Pakistan
Labor market expansion, Employment facilitation, Migration, exchange of information Technical education
Secretary Ministry of Overseas Pakistanis and Human Resources Development
Exchange of information, Studies in area of labor
Acting Permanent Representative of Pakistan to United Nations, Geneva
Specified Skilled workers
Ministry of overseas Pakistani and Human Resources Development of Pakistan
[Q6x1xAx6x1]
If Ministry of Health is not a signatory, did the Ministry of Health participate in the development of the agreement?
Technical Employment Field of labour
Yes
Recruitment of Pakistani Workers
Yes
Labor market expansion, Employment facilitation, Migration, exchange of information Technical education
Yes
Exchange of information, Studies in area of labor
Yes
Specified Skilled workers
Yes
[Q6x1xAx7]
i. Signatory of the agreement from the partner country (ies)
Technical Employment Field of labour
Ministry of Labour
Recruitment of Pakistani Workers
Others:
Labor market expansion, Employment facilitation, Migration, exchange of information Technical education
Others:
Exchange of information, Studies in area of labor
Others:
Specified Skilled workers
Others:
[Q6x1xAx7xoth]
If other signatory of the agreement from your country(Please specify:)
Technical Employment Field of labour
Recruitment of Pakistani Workers
Ministry of Human Resources
Labor market expansion, Employment facilitation, Migration, exchange of information Technical education
to be determined by the Romanian government
Exchange of information, Studies in area of labor
Minister of Human Resources and Emiratization
Specified Skilled workers
Ministry of Justice
[Q6x1xAx7x1]
If Ministry of Health is not a signatory, did the Ministry of Health participate in the development of the agreement?
Technical Employment Field of labour
Don’t Know
Recruitment of Pakistani Workers
Don’t Know
Labor market expansion, Employment facilitation, Migration, exchange of information Technical education
Don’t Know
Exchange of information, Studies in area of labor
Don’t Know
Specified Skilled workers
Don’t Know
[Q6x1xAx8]
j. Content of agreement
[Q6x1xAx8x1]
j.i. Does the agreement include elements to benefit the health system of your country and the partner country(ies)?
Technical Employment Field of labour
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)
Recruitment of Pakistani 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)
Labor market expansion, Employment facilitation, Migration, exchange of information Technical education
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)
Exchange of information, Studies in area of labor
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)
Specified 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:
Technical Employment Field of labour
not reported
Recruitment of Pakistani Workers
not reported
Labor market expansion, Employment facilitation, Migration, exchange of information Technical education
not reported
Exchange of information, Studies in area of labor
not reported
Specified Skilled workers
not reported
[Q6x1xAx8x2]
j.ii. Does the agreement include elements on health worker rights and welfare?
Technical Employment Field of labour
Yes
Recruitment of Pakistani Workers
Yes
Labor market expansion, Employment facilitation, Migration, exchange of information Technical education
Yes
Exchange of information, Studies in area of labor
Yes
Specified Skilled workers
Yes
[Q6x1xAx8x2x]
Please explain:
Technical Employment Field of labour
not reported
Recruitment of Pakistani Workers
not reported
Labor market expansion, Employment facilitation, Migration, exchange of information Technical education
not reported
Exchange of information, Studies in area of labor
not reported
Specified Skilled workers
not reported
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?
Technical Employment Field of labour
Yes
Recruitment of Pakistani Workers
Yes
Labor market expansion, Employment facilitation, Migration, exchange of information Technical education
Yes
Exchange of information, Studies in area of labor
Yes
Specified Skilled workers
Yes
[Q6x1xBx1x1]
| Start year of implementation: | |
|---|---|
| Technical Employment Field of labour | 0 |
| Recruitment of Pakistani Workers | 0 |
| Labor market expansion, Employment facilitation, Migration, exchange of information Technical education | 0 |
| Exchange of information, Studies in area of labor | 0 |
| Specified Skilled workers | 0 |
[Q6x1xBx2a]
How many health personnel have left or entered your country through this agreement since its implementation?
Agreement: Technical Employment Field of labour
Agreement: Technical Employment Field of labour
| Number of personnel | |
|---|---|
| Doctors | not reported |
| Nurses | |
| Midwives | |
| Dentists | |
| Pharmacists | |
[Q6x1xBx2b]
How many health personnel have left or entered your country through this agreement since its implementation?
Agreement: Recruitment of Pakistani Workers
Agreement: Recruitment of Pakistani Workers
| Number of personnel | |
|---|---|
| Doctors | |
| Nurses | not reported |
| Midwives | |
| Dentists | |
| Pharmacists | |
[Q6x1xBx2c]
How many health personnel have left or entered your country through this agreement since its implementation?
Agreement: Labor market expansion, Employment facilitation, Migration, exchange of information Technical education
Agreement: Labor market expansion, Employment facilitation, Migration, exchange of information Technical education
| Number of personnel | |
|---|---|
| Doctors | |
| Nurses | |
| Midwives | not reported |
| Dentists | |
| Pharmacists | |
[Q6x1xBx2d]
How many health personnel have left or entered your country through this agreement since its implementation?
Agreement: Exchange of information, Studies in area of labor
Agreement: Exchange of information, Studies in area of labor
| Number of personnel | |
|---|---|
| Doctors | |
| Nurses | |
| Midwives | |
| Dentists | not reported |
| Pharmacists | |
[Q6x1xBx2e]
How many health personnel have left or entered your country through this agreement since its implementation?
Agreement: Specified Skilled workers
Agreement: Specified Skilled workers
| Number of personnel | |
|---|---|
| Doctors | |
| Nurses | |
| Midwives | |
| Dentists | |
| Pharmacists | |
| Specified Skilled workers | not reported |
[Q6x1xBx3]
Please explain if and how has the health system of your country benefitted from the agreement.
Technical Employment Field of labour
not reported
Recruitment of Pakistani Workers
not reported
Labor market expansion, Employment facilitation, Migration, exchange of information Technical education
not reported
Exchange of information, Studies in area of labor
not reported
Specified Skilled workers
not reported
[Q6x1xBx4]
Please describe if and how the health system of other country(ies) has benefitted from the agreement.
Technical Employment Field of labour
not reported
Recruitment of Pakistani Workers
not reported
Labor market expansion, Employment facilitation, Migration, exchange of information Technical education
not reported
Exchange of information, Studies in area of labor
not reported
Specified Skilled workers
not reported
[Q6x1xBx5]
Please explain if and how the provisions on health workers rights and welfare were implemented.
Technical Employment Field of labour
not reported
Recruitment of Pakistani Workers
not reported
Labor market expansion, Employment facilitation, Migration, exchange of information Technical education
not reported
Exchange of information, Studies in area of labor
not reported
Specified Skilled workers
not reported
[Q6x1xBx6]
Please provide any other relevant information on the agreement (e.g., context, positive elements, gaps and lessons learnt).
Technical Employment Field of labour
Recruitment of Pakistani Workers
Labor market expansion, Employment facilitation, Migration, exchange of information Technical education
Exchange of information, Studies in area of labor
Specified Skilled workers
[Q6x1xBx7]
Full text of the agreement and associated documents (implementation plan, progress report, implementation report, evaluation report, etc.)
| Upload document(s) | |
|---|---|
| Technical Employment Field of labour | |
| Recruitment of Pakistani Workers | |
| Labor market expansion, Employment facilitation, Migration, exchange of information Technical education | |
| Exchange of information, Studies in area of labor | |
| Specified Skilled workers | |
[Q6x1xBx7xfile1]
[Q6x1xBx7xfile2]
[Q6x1xBx7xfile3]
[Q6x1xBx7xfile4]
[Q6x1xBx7xfile5]
[Q6x1xBx7xfile6]
[Q6x1xBx7xfile7]
[Q6x1xBx7xfile8]
[Q6x1xBx7xfile9]
[Q6x1xBx7xfile10]
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[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.
employment related clauses are mentioned in contract
Migrant health personnel are hired, promoted and remunerated based on objective criteria such as levels of qualification, years of experience and degrees of professional responsibility on the same basis as the domestically trained health workforce.
employment related clauses are mentioned in contract
Migrant health personnel enjoy the same opportunities as the domestically trained health workforce to strengthen their professional education, qualifications and career progression.
employment related clauses are mentioned in contract
Institutional arrangements are in place to ensure safe migration/ mobility and integration of migrant health personnel.
Measures have been taken to promote circular migration of international health personnel
Other measures (including legal and administrative) for fair recruitment and employment practices of foreign-trained and/or immigrant health personnel (please provide details)
Yes (requested Bureau of Emigration & Overseas Employment (BE&OE) and Overseas Employment Corporation (OEC), ministry of Overseas Pakistani & Human Resource Development (OP & HRD).
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
(Rrequested Bureau of Emigration & Overseas Employment (BE&OE) and Overseas Employment Corporation (OEC), ministry of Overseas Pakistani & Human Resource Development (OP & HRD).
Arrangements for decent employment contracts and working conditions in destination countries
Yes (requested Bureau of Emigration & Overseas Employment (BE&OE) and Overseas Employment Corporation (OEC), ministry of Overseas Pakistani & Human Resource Development (OP & HRD).
Arrangements for safe mobility
Ministry of Interior for safe mobility
Arrangements for return and reintegration to the health labour market in your country
not reported
Arrangements for diaspora engagement to support your country health system
Yaran e Watan initiative was piloted but faced sustainability issues
Other
No measures in place
Not applicable – health personnel from my country are not working abroad
International migration
[INFOxNRI10]
National Reporting instrument 2024
[INFOx5]
International migration and mobility pathways for health personnel
[Q9x1]
9.1 If your country hosts international health personnel to work in the health and care sector, how do they come to your country? (check all that apply)
| Direct (individual) application for education, employment, trade, immigration or entry in country |
Government to government agreements that allow health personnel mobility |
Private recruitment agencies or employer facilitated recruitment |
Private education/ immigration consultancies facilitated mobility |
Other pathways (please specify) | Which pathway is used the most? Please include quantitative data if available. | |
|---|---|---|---|---|---|---|
| Doctors | 1 | 0 | 1 | 1 | No | a) Direct (individual) application for education, employment, trade, immigration or entry in country b) Private recruitment agencies or employer facilitated recruitment c) Private education/immigration consultancies facilitated mobility |
| Nurses | 1 | 0 | 1 | 1 | No | a) Direct (individual) application for education, employment, trade, immigration or entry in country b) Private recruitment agencies or employer facilitated recruitment c) Private education/immigration consultancies facilitated mobility |
| Midwives | 1 | 0 | 1 | 1 | No | a) Direct (individual) application for education, employment, trade, immigration or entry in country b) Private recruitment agencies or employer facilitated recruitment c) Private education/immigration consultancies facilitated mobility |
| Dentists | 1 | 0 | 1 | 1 | No | a) Direct (individual) application for education, employment, trade, immigration or entry in country b) Private recruitment agencies or employer facilitated recruitment c) Private education/immigration consultancies facilitated mobility |
| Pharmacists | 1 | 0 | 1 | 1 | No | a) Direct (individual) application for education, employment, trade, immigration or entry in country b) Private recruitment agencies or employer facilitated recruitment c) Private education/immigration consultancies facilitated mobility |
| Other occupations | 1 | 0 | 1 | 1 | No | a) Direct (individual) application for education, employment, trade, immigration or entry in country b) Private recruitment agencies or employer facilitated recruitment c) Private education/immigration consultancies facilitated mobility |
| Other occupations | 0 | 0 | 0 | 0 | ||
| Other occupations | 0 | 0 | 0 | 0 | ||
| Other occupations | 0 | 0 | 0 | 0 | ||
| Other occupations | 0 | 0 | 0 | 0 |
[Q9x1oth]
Allied Health Professionals, Tibb (hakeems), Homepopaths
[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 | 0 | 0 | 1 | 1 | No | a) Direct (individual) application for education, employment, trade, immigration, orentry in the destination country b) Private recruitment agencies or employer facilitated recruitment c) Private education/ immigration consultancies facilitated mobility |
| Nurses | 0 | 1 | 1 | 1 | No | a) Direct (individual) application for education, employment, trade, immigration, orentry in the destination country b) Private recruitment agencies or employer facilitated recruitment c) Private education/ immigration consultancies facilitated mobility |
| Midwives | 0 | 0 | 1 | 1 | No | a) Direct (individual) application for education, employment, trade, immigration, orentry in the destination country b) Private recruitment agencies or employer facilitated recruitment c) Private education/ immigration consultancies facilitated mobility |
| Dentists | 0 | 0 | 1 | 1 | No | a) Direct (individual) application for education, employment, trade, immigration, orentry in the destination country b) Private recruitment agencies or employer facilitated recruitment c) Private education/ immigration consultancies facilitated mobility |
| Pharmacists | 0 | 0 | 1 | 1 | No | a) Direct (individual) application for education, employment, trade, immigration, orentry in the destination country b) Private recruitment agencies or employer facilitated recruitment c) Private education/ immigration consultancies facilitated mobility |
| Other occupations | 0 | 0 | 1 | 1 | No | a) Direct (individual) application for education, employment, trade, immigration, orentry in the destination country b) Private recruitment agencies or employer facilitated recruitment c) Private education/ immigration consultancies facilitated mobility |
| Other occupations | 0 | 0 | 0 | 0 | ||
| Other occupations | 0 | 0 | 0 | 0 | ||
| Other occupations | 0 | 0 | 0 | 0 | ||
| Other occupations | 0 | 0 | 0 | 0 |
[Q9x2oth]
Allied Health Professionals, Tibb (hakeems), Homeopaths
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:
Foreign born data is maintained by NADRA and M/o Interior and Foreign trained Health personal data a is maintained by their respective council e.g., PM&DC, PNMC, PCP, UAH
[Q10x2]
Does the record include gender-disaggregated data on the foreign-born and/or foreign-trained health personnel?
Yes
Inflow and outflow of health personnel
[INFOxNRI12]
National Reporting instrument 2024
[INFOx7]
Inflow and outflow of health personnel
[Q11]
Do you have a mechanism to monitor the inflow and outflow of health personnel to/from your country? (check all that apply)
Inflow
Outflow
No
[Q11xI]
If yes for inflow:
Fill in the table below
[Q11x1]
How many foreign-trained or foreign-born health personnel were newly active (temporarily and/or permanently) in your country in the past three years (inflow)?
| Doctors | Nurses | Midwives | Dentists | Pharmacists | Remarks | |
|---|---|---|---|---|---|---|
| 2021 | 1489 | 117 | ||||
| 2022 | 742 | 54 | ||||
| 2023 | 421 | 45 | ||||
| Data Source (e.g. Regulatory authority, immigration records, work permits, etc.) |
[Q11xO]
If yes for outflow:
Fill in the table below
[Q11x2]
How many domestically trained health personnel left your country in the past years for temporary or permanent migration (outflow)?
| Doctors | Nurses | Midwives | Dentists | Pharmacists | Remarks | |
|---|---|---|---|---|---|---|
| 2021 | 4359 | 213 | 1226 | Data provided by the Pharmacy Council Sindh reflects number of registered Pharmacists | ||
| 2022 | 4191 | 210 | 1503 | |||
| 2023 | 4046 | 435 | 1512 | |||
| Data Source (e.g. letters of good standing, emigration records, government to government agreements etc.) |
[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:
Data not available
[Q12x1x1x]
If you have any document with information on stock of active health personnel for your country, their distribution by place of training and place of birth, please upload
[Q12x2]
Please provide data on the top 10 countries of training for foreign-trained health personnel in your country.
This information can be provided by one of the following two options:
This information can be provided by one of the following two options:
Fill in the table below
[Q12x2x1]
| Doctors | Nurses | Midwives | Dentists | Pharmacists | |
|---|---|---|---|---|---|
| Total foreign trained personnel | |||||
| Country 1: Top country of training | GBR | ||||
| Country 1: No. of foreign trained health personnel | 1861 | ||||
| Country 2: Top country of training | USA | ||||
| Country 2: No. of foreign trained health personnel | 335 | ||||
| Country 3: Top country of training | IRL | ||||
| Country 3: No. of foreign trained health personnel | 333 | ||||
| Country 4: Top country of training | CHN | ||||
| Country 4: No. of foreign trained health personnel | 182 | ||||
| Country 5: Top country of training | OTH | ||||
| Country 5: No. of foreign trained health personnel | 161 | ||||
| Country 6: Top country of training | AUS | ||||
| Country 6: No. of foreign trained health personnel | 73 | ||||
| Country 7: Top country of training | OTH | ||||
| Country 7: No. of foreign trained health personnel | 38 | ||||
| Country 8: Top country of training | SAU | ||||
| Country 8: No. of foreign trained health personnel | 36 | ||||
| Country 9: Top country of training | MYS | ||||
| Country 9: No. of foreign trained health personnel | 26 | ||||
| Country 10: Top country of training | ZAF | ||||
| Country 10: No. of foreign trained health personnel | 14 | ||||
| Source (e.g. professional register, census data, national survey, other) | |||||
| Year of data (Please provide the data of the latest year available) | |||||
| Remarks | Country 5 - European Board, Country 7 - Arab Board |
[Q12x2x1x]
If you have any document with information on the distribution of foreign-trained health personnel for your country by their country of training, please upload
Technical and financial support
[INFOxNRI14]
National Reporting instrument 2024
[INFOx9]
Technical and financial support
[Q13]
Has your country provided technical or financial assistance to any source countries or countries in the WHO health workforce support and safeguards list 2023, or other low- and middle-income countries on health workforce development, health system strengthening, or for implementing other recommendations of the Code (e.g., strengthening data, information and research on health workforce for translation to policies and planning, etc.)
No
[Q14]
Has your country received technical or financial assistance from any WHO Member State or other stakeholders (e.g., development partners, other agencies) for health workforce development, health system strengthening, or for implementing other recommendations of the Code (e.g., strengthening data, information and research on health workforce for translation to policies and planning, etc.)?
Yes
[Q14x]
Please provide additional information below (check all that apply):
Support for health workforce development (planning, education, employment, retention)
Support for other elements for health system strengthening (service delivery; health information systems; health financing; medical products and technology; and health leadership and governance)
Other areas of support:
[Q14x1]
Please specify support for health workforce development (planning, education, employment, retention)
| Supporting country/entity | Type of support (please specify) | |
|---|---|---|
| Japan | Both technical and financial support | |
| UK | Both technical and financial support | |
| USA | Both technical and financial support | |
[Q14x2]
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)
| Supporting country/entity: | Type of support (please specify) | |
|---|---|---|
| Japan | Both technical and financial support | |
| Korea | Both technical and financial support | |
| Kuwait | Both technical and financial support | |
| UK | Both technical and financial support |
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 | |
|---|---|---|
| Lack of data | Coordination between ministry of health and Bureau of employment and overseas organization | |
| Lack of ethical guidelines | SOPs must be available on websites | |
| Lack of awareness of visa policy, rights of residents | mechanism to provide information on rules, regulations and policy |
[Q16]
What support do you require to strengthen implementation of the Code?
Support to strengthen data and information on health personnel
Development of software, training on implementation plan
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.
Not reported
[Q17x2]
Do any articles of the Code need to be updated?
[Q17x3]
Does the process of reporting on Code implementation and the review of the Code relevance and effectiveness need to be updated?
[Q17x4]
Please comment on the WHO health workforce support and safeguards list (e.g. if your country is included in the list, how has that affected you; if your country is reliant on international health personnel, how has the list affected you; if your country is not in the list, how has it affected you)
[Q18]
Submit any other complementary comments or material you may wish to provide regarding the international recruitment and migration of health personnel, as related to implementation of the Code.
Please describe OR Upload (Maximum file size 10 MB)
Please describe OR Upload (Maximum file size 10 MB)
[Q18x1]
Warning
[INFOxNRI16]
National Reporting instrument 2024
[WARN]
You have reached the end of the National Reporting Instrument - 2024. You may go back to any question to update your answers or confirm your entry by clicking ‘Submit’.