Summaries of contributions
Kathleen Fritsch, WHO Regional Office for the Western Pacific, Manila, Philippines
3.6 Build on "effective health workforce planning" to enhance self-sufficiency in health workforce production and retention to reduce the need to recruit migrant health personnel.
3.7 Specific needs and circumstances of developing countries should be considered in a manner that protects the health and well-being of their populations.
3.8 Following “informational data gathering” add “based on agreed upon health workforce IMS minimum data sets” to enable gathering of essential data.
3.10 Add suggestions regarding collaboration implementation and whether, for example, there should be legislative or regulatory oversight of recruitment agencies.
4.5 Add a section denoting the importance of validation of migrant health worker clinical, cultural and language competencies required for the domestic health workforce in recipient countries.
4.8 How will “free of charge” be guaranteed? Add a clause referencing existing bi-lateral and global trade agreements.
5.2 Potential negative impacts should be specified.
6.2 Needs monitoring and evaluation indicators (very important).
Note: Additional recommendations for articles 4, 7 and 9 were also submitted and will be duly considered.
AFT Healthcare, USA
AFT Healthcare offers the following specific comments (excerpted):
Article 4: Strongly suggest adding: i) healthcare workers who migrate to a foreign country should become employees of the institution for which they are working. ii) include the right of migrant health workers to free association, including the right to join a union. iii) be clear about the unacceptable practices of some recruiters to withhold from migrant healthcare workers visas, passports and other documents.
Article 5: It is clear that there are likely benefits to receiving countries and to health workers who choose to migrate. What is missing is the potential devastation to the health systems in sending countries. Active recruitment should not take place in developing countries that are experiencing health worker shortages of their own.
Article 7: Member States should be required not only to document by job title the number of workers who migrate, but data must be collected on the migrant worker for a period of years.
Article 8: Suggest that WHO publishes a compilation of the data collected by each Member State.