Summaries of contributions
In order to conform with WHO on-line formatting and editorial style, some entries have been subject to minor changes and abbreviation. In such cases, every effort has been made to preserve the original intended meaning of each contribution. The named authors alone are responsible for the views expressed in their contributions.
Carlo V. Resti, Italian Development Cooperation, Addis Abeba, Ethiopia
Note: The following is excerpted from a longer submission.
The proposed code is welcome, provided it is widely endorsed and effective in drawing attention to the unrestrained flow of brains from poor to better-off countries. Will its wide application enforce the rules and guide national legislations or will it just create another of the many “soft laws”?
Also suggest introducing in “guiding principles” a clause to address enforcing the ability/capacity of low-income countries to implement comprehensive HRD strategies (in addition to the sovereign rights and ownership in developing their health policies).
As written, 5.2 is a key issue to improve development partners’ assistance and health governance in the public sector.
Also suggest a clause (perhaps in Article 8) spelling out the need to set sound and functioning compensatory mechanisms between source and destination countries. To achieve this objective, the global health training curricula for western health professionals, more overseas programs from rich countries based on expertise exchange, and global solidarity and long-distance continuing education through scaled-up IT and subsidized training infrastructure expansion will help to improve aid effectiveness in HRD if integrated within the new international health partnership (framework or compact).
Luz Martiza Tennassee, Pan American Health Organization/World Health Organization (PAHO/WHO), Washington, DC
Note: The following is excerpted from a longer submission that included comments on specific clauses, all of which will be duly considered.
We have collected responses to the draft code from across the region and this statement reflects the sum of these contributions, which we strongly endorse.
- Chemical, biological, psychosocial and physical risks interact to significantly undermine the right to health of health personnel, patients and communities.
- Often, health systems and their resources are inadequate to ensure that occupational safety and health standards are met.
- Health systems that provide poor wages that fail to meet basic needs is a significant factor in health personnels’ decision to migrate.
- Opportunities need to be created within countries’ health systems that encourage health personnel to advance their career on the basis of merit and training.
- The role of Occupational Safety and Health Committees is an essential mechanism for ensuring health workers’ health, safety and rights are achieved in the workplace.
- Given the reality of extensive global migration of health workers, it is important that both source and recipient countries develop inclusive national occupational safety and health policies and realize their implementation in the various contexts where health personnel work.