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:
Republic of Moldova
Name of designated national authority:
Sergiu Otgon
Title of designated national authority:
Doctor specialist, Master of Public Health
Institution of the designated national authority:
National Agency for Public Health
Email:
riginao@who.int,sergiu.otgon@ms.md,WHOGlobalCode@who.int
Telephone number :
+37379840453
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 migration of the population is a major issue for the country and the health and care sector has been affected by it as well. Republic of Moldova have always been a source country of healthcare professionals. Due to economic and socio-politic instability, the intention to leave have always been high in the healthcare workforce. Although overall numbers oh healthcare personnel in the country remain relatively stable, it is clear that the younger generations are not willing to choose healthcare sector as their professional career, and those who opt to study healthcare in the country are mostly considering migrating and working abroad. In recent years, a significative increase of financial incentives and overall wages in the healthcare sector have been achieved, along with several non-financial incentives for healthcare graduates (energy bill compensation, duty travel expenses covered, preferential mortgage rates) put in place and very much appreciated by the community. The overall numbers of scholarships and budget funded programs in the healthcare education have been increased and aim to be accesible for more students.
[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?
No, this is not a problem in my country
Due to economic and socio-politic conditions, Republic of Moldova is not considered as a migration destination for most international health and care personnel. Low levels of remuneration (salaries) compared to european countries, regional geo-political instability (conflict in Ukraine) and language barriers (english/french/german/italian are not usually used in the country as a communication language) are limiting the potential of international recruitment of healthcare personnel for Republic of Moldova. Although, in 2023, the country started the EU accension process and this could lead in the future to a change in current status of the international recruitment of labour force, including in the healthcare sector, with the country, most probably, attracting more international labour force (including healthcare professionals).
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
There is no mathematical formula or forecasting digital system in place in the country at the moment. All forecasting is based on the data trends and approximations made by authorities based on past data.
Aligning domestic health and care workforce education with health system needs
There is a permanent update of the curriculum in all healthcare education institutions, meant to align the education system with real-life needs of the healthcare sector.
Improving quality of education and health personnel in alignment with service delivery needs
There is always a dialog between the healthcare education institutions, Ministy of Health and other health authorities with the healthcare providers (both public and private) about the current and future needs of the healthcare education system in the country.
Creating employment opportunities aligned with population health needs
The Ministy of Health is revising on an yearly basis the full time equivalent positions for all specialisations in healthcare in all public healthcare institutions, which is enabling to increase or decrease the FTE positions for each specialisation in teach institution in the country. This is based on the actual and projected number of the population and their health needs.
Managing international recruitment of health personnel
The Ministry of Health is the main authority responsible for international recruitment of healthcare personnel policies.
Improving management of health personnel
Ministry of Health has a separate Department responsible for healthcare personnel management, which is very active and align current policies and regulations with the healthcare professionals' needs and the overall healthcare sector's needs.
Specific provisions on health personnel regulation and recruitment during emergencies
Ministry of Health is the authority and has legal rights to install specific regulations during (public health) 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
Two health education institutions (1 University and 1 College) are based in the capital city and 4 (Colleges) are placed in other regions of the country.
Student intake from rural/underserved areas and communities
Each year there are separate quotas for students from rural, underserved areas and foreigners, to access health and care education.
Scholarships and subsidies for education
Each year there are sholarships and subsidies in all healthcare education institutions. The total number of budget funded programs (including scolarships) is decided by the Government on an yearly basis.
Relevant topics/curricula in education and/or professional development programmes
All levels of education (ISCED-11) in healthcare are available and accesible for healthcare workforce.
(Re)orientation of education programmes towards primary health care
Primary health care sector is a national priority for healthcare authorities.
Others
[Q2x2x2x1]
2.2.2.1 Regulation Measure
Scholarships and education subsidies with return of service agreements
All health professionals that benefited from scholarships or their studies were financed by the state budget are mandatory to complete 3 to 5 years of work in the healthcare institutions indicated by the Ministry of Health (based on the healthcare sector needs and declared open vacancies). This is mostly actual for rural and underserved areas.
Mandatory service agreements with health personnel that are not related to scholarships or education subsidies
All health professionals that benefited from scholarships or their studies were financed by the state budget are mandatory to complete 3 to 5 years of work in the healthcare institutions indicated by the Ministry of Health (based on the healthcare sector needs and declared open vacancies). This is mostly actual for rural and underserved areas.
Enhanced scope of practice of existing health personnel
The task-sharing and task-shifting principles are put in place in the healthcare system, but not through a national regulatory norm or law.
Task sharing between different professions
Task sharing is common place among healthcare professionals, although no legal acts or regulations specifically describe this as mandatory.
Provisions for pathways to enter new or specialised practice after rural service
After the completion of the mandatory 3 to 5 years of work in a healthcare institution chosen by the Ministry of Health, every healthcare professional is free to choose his career pathway (rural/urbal, specialisation, public/private) based on the open vacancies.
Others
[Q2x2x3x1]
2.2.3.1 Incentives Measure
Additional financial reimbursement
Any early career professional can benefit from additional financial incentives from authorities (a minimum of 6000 euro) if he/she opts to work at least 3 years in a health institution from rural, remote or underserved area.
Education opportunities
Every healthcare professional has the possibillity to access any of the available education opportunties in the country (based on the ISCED-11 level regulations)..
Opportunities for career advancement or professional growth
Every healthcare professional is free to advance in career and achive professional growth.
Professional recognition
Every Diploma in healthcare education issued in the country is recognized in all and every healthcare institution of the country.
Social recognition
Healthcare sector remain with high levels of social recognition throuout the years.
Opportunity for pathways to permanent residency and/or citizenship for international health personnel
Any international healthcare professional has the opportunity to apply for permanent residency and/or citizenship in the Republic of Moldova.
Others
[Q2x2x4x1]
2.2.4.1 Support Measure
Decent and safe working conditions
There is a constant improvement of working conditions in the healthcare sector, mostly based on the Ministry of Health's initiatives and support.
Decent and safe living conditions
Overall improvement of living conditions was obtained mostly based on the country's overall socio-economic indicators' improvement.
Distance learning/e-learning opportunities
Starting with 2020's, all major health education institutions developed and implemented several e-learning platforms. They are available and east to use for healthcare professionals in the country.
Others
[Q3x1]
Are there specific policies and/or laws that guide international recruitment, migration and integration of foreign-trained health personnel in your country?
Yes
[Q3x1x1]
Please provide further information in the box below:
Law/policy 1
Ministry of Health Order nr.603/2023 (https://ms.gov.md/wp-content/uploads/2023/07/Ordin-MS-Echivalare-studii-postuniversitaere-nr-603-03.07.2023.pdf)
Law/policy 2
Law nr.411/1995 (https://www.legis.md/cautare/getResults?doc_id=142787&lang=ro#)
Law/policy 3
Law nr.264/2005 (https://www.legis.md/cautare/getResults?doc_id=141904&lang=ro#)
[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://ms.gov.md/cariera/resurse-umane-in-sanatate/
[Q3x3x2]
Please upload any format of documentation that provides such information (e.g. pdf, excel, word)
Upload document:
Upload document:
No comment
No comment
No comment
[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
1. Ministry of Health, Department of policies in healthcare personnel management - for monitoring International healthcare personnel that work in the country,
2. CIMR - Cabinetul Instructiv-Metodic Republican - A separate institution responsible for 1) monitoring the intention to leave of healthcare personnel citizens of the country.
[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.
All planned changes in national laws and regulations are carefully verified by the State authorities in order to be aligned with the EU acquis.
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.
The National Public Health Agency was choosen to host the Designated Nationnal Authority (DNA) for the NRI 2018, 2021, 2024.
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.
Every important and essential policy in healthcare, norms and regulations, undergo a carefull examination by all relevant national stakeholders in health.
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.
There are no private recruitment agencies for health personnel authorized by competent authorities in the Republic of Moldova jurisdiction.
5.5 Good practices, as called for by the Code, are encouraged and promoted among private recruitment agencies.
5.5a Promotion of the Code among private recruitment agencies.
5.5b Domestic legislation or policy requiring ethical practice of private recruitment agencies, as consistent with the principles and articles of the Code.
5.5c Public or private certification of ethical practice for private recruitment agencies.
5.5d Others
5.6 None of the above
Government Agreements
[INFOxNRI6]
National Reporting instrument 2024
[INFOx3]
Government-to-Government agreements on migration or mobility of health personnel
[Q6]
Has your country or sub-national governments entered into any bilateral, multilateral, or regional agreements and/or arrangements with respect to the international recruitment and/or mobility of health personnel?
Yes
[Q6x1xA]
Please use the table below to describe each of the active bilateral, regional or multilateral agreements or arrangements:
| a. Title of Agreement | b. Type of Agreement | |
|---|---|---|
| Agreement 1 | Agreement between MoH of Moldova and MoH of Romania on healthcare sector development | 1 |
| Agreement 2 | Protocol between MoH of Moldova and China on human resources in health development | 1 |
| Agreement 3 | Agreement between Moldova and Bulgaria on the reglementation of migration | 1 |
| Agreement 4 | Protocol and agreement between Moh of Moldova and MoH of Russia on the human resources in health development | 1 |
| Agreement 5 | ||
| Agreement 6 | ||
| Agreement 7 | ||
| Agreement 8 | ||
| Agreement 9 | ||
| Agreement 10 | ||
| Agreement 11 | ||
| Agreement 12 | ||
| Agreement 13 | ||
| Agreement 14 | ||
| Agreement 15 |
Government Agreements - 6.1 A
[INFOxNRI7]
National Reporting instrument 2024
[Q6x1xAx1]
c. Countries involved
Agreement between MoH of Moldova and MoH of Romania on healthcare sector development
ROU
Protocol between MoH of Moldova and China on human resources in health development
CHN
Agreement between Moldova and Bulgaria on the reglementation of migration
BGR
Protocol and agreement between Moh of Moldova and MoH of Russia on the human resources in health development
RUS
[Q6x1xAx2]
d. Coverage
Agreement between MoH of Moldova and MoH of Romania on healthcare sector development
National
Protocol between MoH of Moldova and China on human resources in health development
National
Agreement between Moldova and Bulgaria on the reglementation of migration
National
Protocol and agreement between Moh of Moldova and MoH of Russia on the human resources in health development
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 | |
|---|---|---|---|---|---|---|---|---|
| Agreement between MoH of Moldova and MoH of Romania on healthcare sector development | 1 | 1 | 1 | 1 | ||||
| Protocol between MoH of Moldova and China on human resources in health development | 1 | 1 | 1 | |||||
| Agreement between Moldova and Bulgaria on the reglementation of migration | 1 | |||||||
| Protocol and agreement between Moh of Moldova and MoH of Russia on the human resources in health development | 1 | 1 | 1 | |||||
[Q6x1xAx4]
f. Categories of Health Personnel (check all that apply)
| Doctors | Nurses | Midwives | Dentists | Pharmacists | Other occupations | |
|---|---|---|---|---|---|---|
| Agreement between MoH of Moldova and MoH of Romania on healthcare sector development | 1 | 1 | 1 | 1 | 1 | |
| Protocol between MoH of Moldova and China on human resources in health development | 1 | 1 | 1 | 1 | 1 | |
| Agreement between Moldova and Bulgaria on the reglementation of migration | 1 | 1 | 1 | 1 | 1 | |
| Protocol and agreement between Moh of Moldova and MoH of Russia on the human resources in health development | 1 | 1 | 1 | 1 | 1 | |
[Q6x1xAx5]
g. Validity period
| Start Year | End Year | |
|---|---|---|
| Agreement between MoH of Moldova and MoH of Romania on healthcare sector development | 2011 | 2030 |
| Protocol between MoH of Moldova and China on human resources in health development | 2003 | 2030 |
| Agreement between Moldova and Bulgaria on the reglementation of migration | 2018 | 2030 |
| Protocol and agreement between Moh of Moldova and MoH of Russia on the human resources in health development | 2003 | 2030 |
[Q6x1xAx6]
h. Signatory of the agreement from your country
Agreement between MoH of Moldova and MoH of Romania on healthcare sector development
Ministry of Health
Protocol between MoH of Moldova and China on human resources in health development
Ministry of Health
Agreement between Moldova and Bulgaria on the reglementation of migration
Ministry of Health
Protocol and agreement between Moh of Moldova and MoH of Russia on the human resources in health development
Ministry of Health
[Q6x1xAx7]
i. Signatory of the agreement from the partner country (ies)
Agreement between MoH of Moldova and MoH of Romania on healthcare sector development
Ministry of Health
Protocol between MoH of Moldova and China on human resources in health development
Ministry of Health
Agreement between Moldova and Bulgaria on the reglementation of migration
Ministry of Labour
Protocol and agreement between Moh of Moldova and MoH of Russia on the human resources in health development
Ministry of Health
[Q6x1xAx7x1]
If Ministry of Health is not a signatory, did the Ministry of Health participate in the development of the agreement?
Agreement between MoH of Moldova and MoH of Romania on healthcare sector development
Protocol between MoH of Moldova and China on human resources in health development
Agreement between Moldova and Bulgaria on the reglementation of migration
No
Protocol and agreement between Moh of Moldova and MoH of Russia on the human resources in health development
[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)?
Agreement between MoH of Moldova and MoH of Romania on healthcare sector development
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)
Protocol between MoH of Moldova and China on human resources in health development
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)
Agreement between Moldova and Bulgaria on the reglementation of migration
No, does not contain
elements to benefit the health system of either country
elements to benefit the health system of either country
Protocol and agreement between Moh of Moldova and MoH of Russia on the human resources in health development
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:
Agreement between MoH of Moldova and MoH of Romania on healthcare sector development
Bilateral cooperation, information exchange, technical expertize and support, study visits, expert missions.
Protocol between MoH of Moldova and China on human resources in health development
Promote bilateral migration of healthcare professionals.
Agreement between Moldova and Bulgaria on the reglementation of migration
Protocol and agreement between Moh of Moldova and MoH of Russia on the human resources in health development
Promote bilateral migration of healthcare professionals for studies and professional development.
[Q6x1xAx8x2]
j.ii. Does the agreement include elements on health worker rights and welfare?
Agreement between MoH of Moldova and MoH of Romania on healthcare sector development
Yes
Protocol between MoH of Moldova and China on human resources in health development
No
Agreement between Moldova and Bulgaria on the reglementation of migration
Yes
Protocol and agreement between Moh of Moldova and MoH of Russia on the human resources in health development
No
[Q6x1xAx8x2x]
Please explain:
Agreement between MoH of Moldova and MoH of Romania on healthcare sector development
Promote developing of the policies focused on the healthcare personnel development.
Protocol between MoH of Moldova and China on human resources in health development
Agreement between Moldova and Bulgaria on the reglementation of migration
It states that any worker from outside the country shoul benefit from the same treatment and rights as local workers in the same position.
Protocol and agreement between Moh of Moldova and MoH of Russia on the human resources in health development
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?
Agreement between MoH of Moldova and MoH of Romania on healthcare sector development
Yes
Protocol between MoH of Moldova and China on human resources in health development
Yes
Agreement between Moldova and Bulgaria on the reglementation of migration
Yes
Protocol and agreement between Moh of Moldova and MoH of Russia on the human resources in health development
Yes
[Q6x1xBx1x1]
| Start year of implementation: | |
|---|---|
| Agreement between MoH of Moldova and MoH of Romania on healthcare sector development | 2011 |
| Protocol between MoH of Moldova and China on human resources in health development | 2003 |
| Agreement between Moldova and Bulgaria on the reglementation of migration | 2018 |
| Protocol and agreement between Moh of Moldova and MoH of Russia on the human resources in health development | 2003 |
[Q6x1xBx2a]
How many health personnel have left or entered your country through this agreement since its implementation?
Agreement: Agreement between MoH of Moldova and MoH of Romania on healthcare sector development
Agreement: Agreement between MoH of Moldova and MoH of Romania on healthcare sector development
| Number of personnel | |
|---|---|
| Doctors | Data not available |
| Nurses | Data not available |
| Midwives | Data not available |
| Dentists | Data not available |
| Pharmacists | Data not available |
[Q6x1xBx2b]
How many health personnel have left or entered your country through this agreement since its implementation?
Agreement: Protocol between MoH of Moldova and China on human resources in health development
Agreement: Protocol between MoH of Moldova and China on human resources in health development
| Number of personnel | |
|---|---|
| Doctors | Data not available |
| Nurses | Data not available |
| Midwives | Data not available |
| Dentists | Data not available |
| Pharmacists | Data not available |
[Q6x1xBx2c]
How many health personnel have left or entered your country through this agreement since its implementation?
Agreement: Agreement between Moldova and Bulgaria on the reglementation of migration
Agreement: Agreement between Moldova and Bulgaria on the reglementation of migration
| Number of personnel | |
|---|---|
| Doctors | Data not available |
| Nurses | Data not available |
| Midwives | Data not available |
| Dentists | Data not available |
| Pharmacists | Data not available |
[Q6x1xBx2d]
How many health personnel have left or entered your country through this agreement since its implementation?
Agreement: Protocol and agreement between Moh of Moldova and MoH of Russia on the human resources in health development
Agreement: Protocol and agreement between Moh of Moldova and MoH of Russia on the human resources in health development
| Number of personnel | |
|---|---|
| Doctors | Data not available |
| Nurses | Data not available |
| Midwives | Data not available |
| Dentists | Data not available |
| Pharmacists | Data not available |
[Q6x1xBx3]
Please explain if and how has the health system of your country benefitted from the agreement.
Agreement between MoH of Moldova and MoH of Romania on healthcare sector development
Facilitated access to experts, technical support, knowledge exchange
Protocol between MoH of Moldova and China on human resources in health development
Facilitated knowledge exchange and healthcare professionals circular mobility
Agreement between Moldova and Bulgaria on the reglementation of migration
Protocol and agreement between Moh of Moldova and MoH of Russia on the human resources in health development
Facilitated healthcare professionals circular mobility
[Q6x1xBx4]
Please describe if and how the health system of other country(ies) has benefitted from the agreement.
Agreement between MoH of Moldova and MoH of Romania on healthcare sector development
Facilitated access to experts, technical support, knowledge exchange
Protocol between MoH of Moldova and China on human resources in health development
Facilitated knowledge exchange and healthcare professionals circular mobility
Agreement between Moldova and Bulgaria on the reglementation of migration
Protocol and agreement between Moh of Moldova and MoH of Russia on the human resources in health development
Facilitated healthcare professionals circular mobility
[Q6x1xBx5]
Please explain if and how the provisions on health workers rights and welfare were implemented.
Agreement between MoH of Moldova and MoH of Romania on healthcare sector development
It was one of the first legal acts to mention that workers from both countries should benefit from the same rights as local workers.
Protocol between MoH of Moldova and China on human resources in health development
Agreement between Moldova and Bulgaria on the reglementation of migration
It was one of the first high level legal acts to mention that workers from both countries should benefit from the same rights as local workers.
Protocol and agreement between Moh of Moldova and MoH of Russia on the human resources in health development
[Q6x1xBx6]
Please provide any other relevant information on the agreement (e.g., context, positive elements, gaps and lessons learnt).
Agreement between MoH of Moldova and MoH of Romania on healthcare sector development
Facilitated collaboration in the health sector between neighboring countries
Protocol between MoH of Moldova and China on human resources in health development
Facilitated bilateral healthcare professionals' mobility
Agreement between Moldova and Bulgaria on the reglementation of migration
The document focus on all workers rights, not only healthcare professionals' rights
Protocol and agreement between Moh of Moldova and MoH of Russia on the human resources in health development
Facilitated collaboration in the healthcare professionals' education.
[Q6x1xBx7]
Full text of the agreement and associated documents (implementation plan, progress report, implementation report, evaluation report, etc.)
| Upload document(s) | |
|---|---|
| Agreement between MoH of Moldova and MoH of Romania on healthcare sector development | |
| Protocol between MoH of Moldova and China on human resources in health development | |
| Agreement between Moldova and Bulgaria on the reglementation of migration | |
| Protocol and agreement between Moh of Moldova and MoH of Russia on the human resources in health development | |
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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.
All the information regarding the workers' rights is publicly available in different governmental sources
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.
All workers wages and remuneration are leggaly binded to national laws that do not make a difference between local/migrant worker. The pay is based on the job/position occupied.
Migrant health personnel enjoy the same opportunities as the domestically trained health workforce to strengthen their professional education, qualifications and career progression.
National laws and regulations offer the same career oportunities for all workers.
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
Several bilateral agreements promote circular migration of healthcare personnel
Other measures (including legal and administrative) for fair recruitment and employment practices of foreign-trained and/or immigrant health personnel (please provide details)
No measures in place
Not applicable – does not host/employ foreign health personnel
[Q8]
If health personnel from your country are working abroad in the health and care sectors, please provide information on measures that have been taken or are planned in your country to ensure their fair recruitment and employment; safe migration; return; and diaspora utilization in your country, as well as difficulties encountered.
Please check all items that apply from the list below:
Please check all items that apply from the list below:
Arrangements for fair recruitment
Several Ministry of Labour norms and regulations are in place. Several bilateral agreements on wokers' rights are signed between the Republic of Moldova and other countries (main destinations for migration).
Arrangements for decent employment contracts and working conditions in destination countries
Several Ministry of Labour norms and regulations are in place. Several bilateral agreements on wokers' rights are signed between the Republic of Moldova and other countries (main destinations for migration).
Arrangements for safe mobility
Several Ministry of Labour norms and regulations are in place. Several bilateral agreements on wokers' rights are signed between the Republic of Moldova and other countries (main destinations for migration).
Arrangements for return and reintegration to the health labour market in your country
Several Ministry of Labour norms and regulations are in place. Several bilateral agreements on wokers' rights are signed between the Republic of Moldova and other countries (main destinations for migration).
Arrangements for diaspora engagement to support your country health system
Several Ministry of Labour norms and regulations are in place. Several bilateral agreements on wokers' rights are signed between the Republic of Moldova and other countries (main destinations for migration). Ministry of Health has adopted several Orders that promote reintegration oh diaspora in the healthcare sector development.
Other
No measures in place
Not applicable – health personnel from my country are not working abroad
International migration
[INFOxNRI10]
National Reporting instrument 2024
[INFOx5]
International migration and mobility pathways for health personnel
[Q9x1]
9.1 If your country hosts international health personnel to work in the health and care sector, how do they come to your country? (check all that apply)
| Direct (individual) application for education, employment, trade, immigration or entry in country |
Government to government agreements that allow health personnel mobility |
Private recruitment agencies or employer facilitated recruitment |
Private education/ immigration consultancies facilitated mobility |
Other pathways (please specify) | Which pathway is used the most? Please include quantitative data if available. | |
|---|---|---|---|---|---|---|
| Doctors | 1 | 0 | 1 | 0 | Direct | |
| Nurses | 1 | 0 | 1 | 0 | Direct | |
| Midwives | 1 | 0 | 1 | 0 | Direct | |
| Dentists | 1 | 0 | 1 | 0 | Direct | |
| Pharmacists | 1 | 0 | 1 | 0 | Direct | |
| Other occupations | 0 | 0 | 0 | 0 | ||
| Other occupations | 0 | 0 | 0 | 0 | ||
| Other occupations | 0 | 0 | 0 | 0 | ||
| Other occupations | 0 | 0 | 0 | 0 | ||
| Other occupations | 0 | 0 | 0 | 0 |
[Q9x1oth]
[Q9x2]
9.2 If health personnel from your country work/study abroad, how do they leave your country?
(check all that apply)
| Direct (individual) application for education, employment, trade, immigration, or entry in the destination country |
Government to government agreements that allow health personnel mobility |
Private recruitment agencies or employer facilitated recruitment |
Private education/ immigration consultancies facilitated mobility |
Other pathways (please specify) | Which pathway is used the most? Please include quantitative data if available. | |
|---|---|---|---|---|---|---|
| Doctors | 1 | 0 | 1 | 1 | Direct | |
| Nurses | 1 | 0 | 1 | 1 | Direct | |
| Midwives | 1 | 0 | 1 | 1 | Direct | |
| Dentists | 1 | 0 | 1 | 1 | Direct | |
| Pharmacists | 1 | 0 | 1 | 1 | Direct | |
| Other occupations | 0 | 0 | 0 | 0 | ||
| Other occupations | 0 | 0 | 0 | 0 | ||
| Other occupations | 0 | 0 | 0 | 0 | ||
| Other occupations | 0 | 0 | 0 | 0 | ||
| Other occupations | 0 | 0 | 0 | 0 |
[Q9x2oth]
Recruitment & migration
[INFOxNRI11]
National Reporting instrument 2024
[INFOx6]
Data on international health personnel recruitment & migration
Improving the availability and international comparability of data is essential to understanding and addressing the global dynamic of health worker migration. Please consult with your NHWA focal point, if available, to ensure that data reported below is consistent with NHWA reporting*.
(The list of NHWA focal points is available here. Please find the focal point(s) for your country from the list and consult with them.)
For countries reporting through the WHO-Euro/EuroStat/OECD Joint data collection process, please liaise with the JDC focal point.
[Q10]
Does your country have any mechanism(s) or entity(ies) to maintain statistical records of foreign-born and foreign-trained health personnel?
Yes
[Q10x1]
Where are the records maintained? (check all that apply)
Employment records or work permits
Ministry of health personnel database
Registry of health personnel authorized to practice
Other
[Q10x2]
Does the record include gender-disaggregated data on the foreign-born and/or foreign-trained health personnel?
No
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:
Share data in the NHWA platform through NHWA focal point
[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:
Share data in the NHWA platform through NHWA focal point
[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) | |
|---|---|---|
| WHO - World Health Organisation | Technical support and financial assstance for Human resources in health development, health system strenghtening, leadership and governance | |
| SDC - The Swiss Agency for Development and Cooperation | Technical support and financial assstance for Human resources in health development, health system strenghtening, leadership and governance | |
| WB - World Bank | Technical support and financial assstance for Human resources in health development, health system strenghtening, leadership and governance | |
[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) | |
|---|---|---|
| WHO - World Health Organisation | Technical support and financial assstance for Human resources in health development, health system strenghtening, leadership and governance | |
| SDC - The Swiss Agency for Development and Cooperation | Technical support and financial assstance for Human resources in health development, health system strenghtening, leadership and governance | |
| WB - World Bank | Technical support and financial assstance for Human resources in health development, health system strenghtening, leadership and governance | |
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 | |
|---|---|---|
| Acceptability issues - the population will hardly accept a healthcare professional from other countries to provide treatment in the Republic of Moldova. | Promotion of social integration on international cultures. | |
| Peer to peer possible conflicts due to social/religious beliefs. | Promotion of social integration on international cultures. More team building programmes. | |
| Temporary character of the healthcare's stay in the country could lead to uncertainty about the position in the healthcare provider. | Contracts with specific duration. Mandatory minimum duration of a contract. |
[Q16]
What support do you require to strengthen implementation of the Code?
Support to strengthen data and information on health personnel
There is no data collection, analysis and dissemination tools available for monitoring the international mobility of healthcare personnel in our country.
Support for policy dialogue and development
Better regulatory norms and legislation regarding healthcare professionals' mobility.
Support for the development of bilateral/multi-lateral agreements
There is a need for regulation of international recruiting companies in order for them to operate in the Republic of Moldova.
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.
It was considered and used as an international document with recommendations regarding the international mobility and recruitment of healthcare personnel.
[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)
The Republic of Moldova is not in the WHO safeguard list.
[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’.