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:
Costa Rica
Name of designated national authority:
Gloriana Mora Cascante and Vera Leiva Carvajal
Title of designated national authority:
Institution of the designated national authority:
Ministerio de Salud
Email:
gloriana.mora@misalud.go.cr,vera.leiva@misalud.go.cr,WHOGlobalCode@who.int,cavalcaana@paho.org
Telephone number :
Contemporary issues
[INFOxNRI4]
National Reporting instrument 2024
[NRIxI]
The questions marked * are mandatory. The system will not allow submission until all mandatory questions are answered.
[INFOx1]
Contemporary issues on health personnel migration and mobility
[Q1x1]
In the past 3 years, has the issue of international recruitment of health personnel been a concern for your country?
Yes, and it is increasing in intensity
Descripción del problema Costa Rica ha experimentado un aumento en la migración de personal de salud en los últimos años, lo que ha generado preocupación sobre la disponibilidad de profesionales capacitados en el sistema de salud nacional Medidas adoptadas para solucionarlo: El gobierno y las instituciones de salud podrían estar implementando políticas y programas para abordar este problema, como mejorar las condiciones laborales y los incentivos para retener al personal de salud, así como fortalecer la formación y educación de nuevos profesionales en el país.
[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
En el país existe una sobreoferta de profesionales generalistas en diversas áreas de la salud, por lo que el país no depende de recurso humano internacional para atender las necesidades internas
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
Recoleccion de data para el establecimiento de lineas basales de profesionales sanitarios
Aligning domestic health and care workforce education with health system needs
Improving quality of education and health personnel in alignment with service delivery needs
Capacitacion en docencia a los docentes universitarios
Creating employment opportunities aligned with population health needs
Managing international recruitment of health personnel
Improving management of health personnel
Implementación de programas de bienestar laboral para el personal sanitario
Specific provisions on health personnel regulation and recruitment during emergencies
Others
[Q2x2x1]
Check all that apply for Measures taken to address the geographical mal-distribution and retention of health and care workers
2.2.1 Education
2.2.2 Regulation
2.2.3 Incentives
2.2.4 Support
[Q2x2x1x1]
2.2.1.1 Education Measure
Education institutions based in rural/underserved areas
Regionalizacion de la formacion en Enfermeria, Psicologia y Nutricion
Student intake from rural/underserved areas and communities
Scholarships and subsidies for education
Relevant topics/curricula in education and/or professional development programmes
(Re)orientation of education programmes towards primary health care
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.
Elaboracion del Plan Nacional de Recursos Humanos en Salud, que incorpora acciones estrategicas sobre formacion, gestion intergral de la fuerza del Trabajo y Regulacion
[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
Normativa Legal Migratoria de la Dirección General de Migración y Extranjería (8487 Ley de Migración y Extranjería)la cual establece los requisitos y procedimientos para la migración de personal extranjero, incluido personal de salud capacitado
Law/policy 2
Law/policy 3
[Q3x2]
Are there any policies and/or provision for international telehealth services in your country through health personnel based abroad?
No
[Q3x3]
Has your country established a database or compilation of laws and regulations related to international health personnel recruitment and migration and, as appropriate, information related to their implementation?
Yes
[Q3x3x1]
Please provide a web-link
https://www.pgrweb.go.cr/scij/Busqueda/Normativa/Normas/nrm_texto_completo.aspx?param1=NRTC&nValor1=1&nValor2=56050&nValor3=79756¶m2=1&strTipM=TC&lResultado=3&strSim=simp
[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?
No
[Q5]
Please describe the steps taken by your country to implement the following Code recommendations.
Check all items that apply from the list below:
Check all items that apply from the list below:
5.1 Measures have been taken or are being considered to introduce changes to laws or policies on health personnel consistent with the recommendations of the Code.
5.2 Actions have been taken to communicate and share information across
sectors on the international recruitment and migration of health personnel, as well as to publicize the Code, among relevant ministries, departments and agencies,
nationally and/or sub-nationally.
sectors on the international recruitment and migration of health personnel, as well as to publicize the Code, among relevant ministries, departments and agencies,
nationally and/or sub-nationally.
Se ha trabajado en la publicación y difusión del Código entre los ministerios, departamentos y agencias pertinentes a nivel nacional.
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.
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?
No
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.
En Costa Rica, se implementan procesos de contratación transparentes y equitativos, que garantizan que el personal de salud migrante esté plenamente informado sobre las condiciones laborales y los derechos asociados a sus empleos en el país. Se proporciona acceso a la información necesaria para que puedan evaluar adecuadamente sus opciones laborales y tomar decisiones informadas.
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.
En Costa Rica, se aplican criterios de contratación y promoción transparentes y equitativos para el personal de salud migrante, asegurando que sean evaluados en función de sus habilidades y experiencia, en consonancia con los estándares nacionales de calificación y competencia profesional.
Migrant health personnel enjoy the same opportunities as the domestically trained health workforce to strengthen their professional education, qualifications and career progression.
En Costa Rica, se promueve activamente el desarrollo profesional y la capacitación continua del personal de salud migrante, brindándoles acceso a programas de formación y oportunidades de educación profesional similares a las disponibles para el personal sanitario nacional. Se fomenta la igualdad de oportunidades para su crecimiento y desarrollo dentro del sistema de salud costarricense.
Institutional arrangements are in place to ensure safe migration/ mobility and integration of migrant health personnel.
En Costa Rica, se han establecido acuerdos institucionales para garantizar una migración y movilidad segura, así como la integración adecuada del personal de salud migrante. Estos acuerdos son impulsados por varias entidades gubernamentales y organizaciones relacionadas con la salud, con el objetivo de proteger los derechos y promover la inclusión de los profesionales de la salud migrantes en el sistema de salud del país.
Measures have been taken to promote circular migration of international health personnel
Costa Rica ha implementado políticas y programas destinados a facilitar la migración circular del personal de salud internacional, promoviendo la rotación y el intercambio de profesionales de la salud entre diferentes países y regiones. Estas medidas buscan maximizar el intercambio de conocimientos y experiencias, fortaleciendo así la capacidad y la calidad de los servicios de salud en el ámbito internacional.
Other measures (including legal and administrative) for fair recruitment and employment practices of foreign-trained and/or immigrant health personnel (please provide details)
En Costa Rica, se implementan diversas medidas legales y administrativas para garantizar prácticas justas de contratación y empleo del personal de salud capacitado en el extranjero e inmigrante. Estas medidas incluyen la aplicación de leyes laborales y regulaciones migratorias que protegen los derechos laborales y humanos de los trabajadores extranjeros, así como programas de integración y apoyo social para facilitar su adaptación y bienestar en el país.
No measures in place
Not applicable – does not host/employ foreign health personnel
[Q8]
If health personnel from your country are working abroad in the health and care sectors, please provide information on measures that have been taken or are planned in your country to ensure their fair recruitment and employment; safe migration; return; and diaspora utilization in your country, as well as difficulties encountered.
Please check all items that apply from the list below:
Please check all items that apply from the list below:
Arrangements for fair recruitment
Arrangements for decent employment contracts and working conditions in destination countries
Arrangements for safe mobility
Arrangements for return and reintegration to the health labour market in your country
Arrangements for diaspora engagement to support your country health system
Other
No measures in place
Costa Rica no ha adoptado medidas actualmente
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 | 0 | 0 | ||
| Nurses | 1 | 0 | 0 | 0 | ||
| Midwives | 0 | 0 | 0 | 0 | ||
| Dentists | 1 | 0 | 0 | 0 | ||
| Pharmacists | 1 | 0 | 0 | 0 | ||
| Other occupations | 1 | 0 | 0 | 0 | ||
| Other occupations | 1 | 0 | 0 | 0 | ||
| Other occupations | 1 | 0 | 0 | 0 | ||
| Other occupations | 1 | 0 | 0 | 0 | ||
| Other occupations | 1 | 0 | 0 | 0 |
[Q9x1oth]
Psicologos
Nutricionistas
Microbiologos
Veterinarios
Terapeutas Fisicos
[Q9x2]
9.2 If health personnel from your country work/study abroad, how do they leave your country?
(check all that apply)
| Direct (individual) application for education, employment, trade, immigration, or entry in the destination country |
Government to government agreements that allow health personnel mobility |
Private recruitment agencies or employer facilitated recruitment |
Private education/ immigration consultancies facilitated mobility |
Other pathways (please specify) | Which pathway is used the most? Please include quantitative data if available. | |
|---|---|---|---|---|---|---|
| Doctors | 1 | 0 | 0 | 0 | ||
| Nurses | 1 | 0 | 0 | 0 | ||
| Midwives | 0 | 0 | 0 | 0 | ||
| Dentists | 1 | 0 | 0 | 0 | ||
| Pharmacists | 1 | 0 | 0 | 0 | ||
| Other occupations | 1 | 0 | 0 | 0 | ||
| Other occupations | 1 | 0 | 0 | 0 | ||
| Other occupations | 1 | 0 | 0 | 0 | ||
| Other occupations | 1 | 0 | 0 | 0 | ||
| Other occupations | 1 | 0 | 0 | 0 |
[Q9x2oth]
Psicologos
Nutricionistas
Microbiologos
Veterinarios
Terapeutas Fisicos
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:
Si, En la actualidad, el Ministerio de Salud, a través de la Dirección de Servicios de Salud y la Unidad de Recursos Humanos en Salud, está dedicando esfuerzos a mejorar el Sistema Nacional de Recursos Humanos en Salud (SINARHUS). Este proceso implica la recopilación de información específica sobre el personal nacido y capacitado en el extranjero, abarcando tres grupos principales: las instituciones formadoras, las empleadoras y los colegios profesionales. Sin embargo, es importante destacar que, aunque se está trabajando en estrecha colaboración con los Colegios Profesionales para obtener estos datos, la información proporcionada puede no ser completamente precisa, ya que estos colegios no siempre cuentan con detalles sobre el origen o la formación internacional de cada profesional.
[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
[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
INDICADORES 1-07 Y 108
iNFORMACION CUENTAS NACIONALES EN SALUD
[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
los 10 principales países de formación
Datos CNPS
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:
[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) | |
|---|---|---|
| La Organizacion Panamericana de la Salud | Nos proporciona asistencia técnica y financiera para fortalecer el sistema de salud y abordar diversas necesidades sanitarias | |
| La SE-COMISCA | Nos proporciona en el tema de Liderazgo y Gobernanza en el tema de Recursos Humanos en Salud | |
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 | |
|---|---|---|
| 1. Falta de recursos y capacidad instituciona: La capacidad de las instituciones gubernamentales encargadas de gestionar la migración puede estar limitada por la falta de recursos humanos, financieros y tecnológicos | Fortalecer la capacidad institucional mediante la asignación de más recursos humanos y financieros, así como la implementación de tecnologías que faciliten la gestión eficiente de la migración | |
| 3. Falta de coordinación y cooperación internacional: La migración es un fenómeno global que requiere una cooperación internacional efectiva para abordar sus desafíos de manera ética. La falta de coordinación entre los países puede dificultar la gestión adecuada de la migración | Fortalecer los mecanismos de coordinación y cooperación internacional, tanto a nivel bilateral como multilateral, para abordar los desafíos de la migración de manera integral y ética. Esto puede incluir la firma y el cumplimiento de acuerdos internacionales, así como la participación en foros y organizaciones internacionales relacionadas con la migración | |
[Q16]
What support do you require to strengthen implementation of the Code?
Support to strengthen data and information on health personnel
Costa Rica podría necesitar apoyo para mejorar la recopilación, el análisis y la gestión de datos relacionados con el personal de salud, tanto a nivel nacional como internacional. Esto incluiría la identificación precisa de las necesidades de personal de salud, el seguimiento de la migración de profesionales de la salud y la evaluación de los impactos de las políticas implementadas.
Support for policy dialogue and development
Es crucial promover un diálogo continuo entre todas las partes interesadas, incluidos los representantes del gobierno, profesionales de la salud, organizaciones internacionales y la sociedad civil. Este diálogo facilitaría el desarrollo de políticas sólidas y basadas en evidencia para abordar los desafíos relacionados con la contratación internacional de personal de salud, alineadas con los principios del Código Mundial de Prácticas de la OMS.
Support for the development of bilateral/multi-lateral agreements
Costa Rica podría beneficiarse del apoyo en la negociación y establecimiento de acuerdos bilaterales o multilaterales con otros países o regiones. Estos acuerdos podrían abordar cuestiones como la migración de personal de salud, la protección de los derechos laborales y la colaboración en materia de formación y retención de profesionales de la salud.
Others
Además de los puntos mencionados, otros tipos de apoyo podrían incluir el fortalecimiento de programas de formación y capacitación para profesionales de la salud locales, el fomento de condiciones laborales atractivas para retener talento nacional,
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.
En Costa Rica, el Código Mundial de Prácticas de la OMS sobre Contratación Internacional de Personal de Salud ha sido una guía importante para abordar los desafíos éticos y prácticos asociados con la migración de personal de salud. A lo largo de los años, Costa Rica ha reconocido la importancia de este marco global y ha trabajado para implementar sus principios en políticas y prácticas relacionadas con la contratación de profesionales de la salud extranjeros.
[Q17x2]
Do any articles of the Code need to be updated?
No
Hasta la fecha, Costa Rica no ha identificado la necesidad de actualizar ningún artículo específico del Código Mundial de Prácticas de la OMS sobre Contratación Internacional de Personal de Salud. Sin embargo, el país sigue monitoreando activamente su implementación para identificar posibles áreas de mejora.
[Q17x3]
Does the process of reporting on Code implementation and the review of the Code relevance and effectiveness need to be updated?
Yes
Costa Rica reconoce la importancia de actualizar periódicamente el proceso de presentación de informes sobre la implementación del Código y la revisión de su relevancia y eficacia. Esto garantizaría que el país esté alineado con las mejores prácticas internacionales y pueda abordar de manera efectiva los desafíos cambiantes relacionados con la contratación internacional de personal de salud. Seria bueno que implementen alguna manera para que nos quede algun respaldo de lo enviado mediante esta herramiento por ej: Descargar en PDF
[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)
Costa Rica no está en la lista de salvaguardias de la OMS, lo que podría enfrentar desafíos en la retención de su propio personal sanitario, ya que estos podrían verse tentados a emigrar a países que ofrecen mejores oportunidades laborales y condiciones de trabajo.
En última instancia, la inclusión o exclusión de Costa Rica en la lista de salvaguardias y apoyo al personal sanitario de la OMS tendría un impacto directo en cómo el país gestiona su fuerza laboral en el sector de la salud y en su capacidad para proporcionar atención médica de calidad a su población
[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)
En relación con la implementación del Código Mundial de Prácticas de la OMS sobre Contratación Internacional de Personal de Salud, en Costa Rica se han observado varios aspectos clave relacionados con el reclutamiento internacional y la migración de personal de salud:
1. Énfasis en la formación y retención de talento local: Costa Rica reconoce la importancia de fortalecer su capacidad interna en el sector de la salud mediante la formación y retención de profesionales locales. Esto incluye políticas y programas que promuevan el acceso a la educación médica, el desarrollo de oportunidades de carrera atractivas y la mejora de las condiciones laborales para los trabajadores de la salud nacionales.
2. Cooperación internacional y solidaridad: Costa Rica ha promovido la cooperación internacional y la solidaridad en el ámbito de la salud, tanto a nivel regional como global. Esto se refleja en su participación en programas de intercambio de personal de salud, colaboración en proyectos de desarrollo de capacidades y apoyo a iniciativas destinadas a mejorar la salud y el bienestar en otros países.
3. Énfasis en la equidad y la ética: Costa Rica se esfuerza por garantizar que las políticas y prácticas relacionadas con el reclutamiento internacional de personal de salud se basen en principios de equidad y ética. Esto implica asegurar que la migración de personal de salud no contribuya a la escasez de profesionales en los países de origen y que se respeten los derechos laborales y humanos de los trabajadores migrantes.
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En general, Costa Rica reconoce la importancia de abordar los desafíos éticos y prácticos asociados con el reclutamiento internacional y la migración de personal de salud en el marco del Código Mundial de Prácticas de la OMS. El país está comprometido a trabajar en colaboración con otras naciones y organizaciones internacionales para promover una migración de personal de salud justa, segura y ética, que contribuya al fortalecimiento de los sistemas de salud tanto a nivel nacional como global.
Costa Rica ha enfrentado desafíos similares a otros países en relación con la implementación del Código Mundial de Prácticas de la OMS sobre Contratación Internacional de Personal de Salud. Si bien el país ha trabajado en fortalecer su capacidad interna en el sector de la salud y promover la cooperación internacional, también reconoce la importancia de abordar los desafíos éticos y prácticos de manera continua. Esto incluye garantizar la equidad y la ética en el reclutamiento internacional de personal de salud y trabajar en colaboración con otras naciones para promover una migración de personal de salud justa y segura.
[Q18x1]
Warning
[INFOxNRI16]
National Reporting instrument 2024
[WARN]
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