Public hearing on the draft guidelines for monitoring the implementation of the WHO Global Code of Practice on the International Recruitment of Health Personnel
21 March to 17 April 2011
Summary of comments received from independent individuals
- The Code incorporates and promotes coercive measures to prevent recruitment of health workers. It should consider/emphasise other alternatives such as incentives, promotion, remuneration practices etc.
- As the WHO considers its guidelines for monitoring compliance with the Code, it should reconsider the sections relating to self-sufficiency and anti-recruitment and strike them from the final version. We urge governments and the WHO to work constructively with the many alternative tools available to improve developing-countries' health outcomes and health systems without the troubling methods of coercion.
- There is too much emphasis on doctors and nurses. The pivotal role played by other healthcare workers such as audiologists, occupational therapists, optometrists, physiotherapists, mid-level workers etc. should also be mentioned.
- The draft looks too overloaded and complicated. It should be less time consuming.
- There are questions about the intention of the Code to limit the recruitment and movement of health personnel and about the ethical implications of the Code. Too controlling and not addressing the wider health system problems.
- Call for strong monitoring system and frameworks to be put in place.
- Need to highlight the problem regarding the loss of health workers in poor countries to international organizations.
- Question of compensation for source countries.