Summaries of contributions
The Health and Aids Division of the Health, Gender and Civil Society Department, Ministry of Foreign Affairs, the Netherlands
3.2 All Member States have the sovereign right and obligation to develop …”
Change 3.6 to read: “Member States should ensure effective health workforce planning that will preclude their need to recruit migrant health personnel. This should include measures to improve domestic workforce productivity, such as possible through the application of new technologies and stimulating management practices, also enabling part-time work. Policies and measures…”
Add an item to Article 4: “Member States ensure that they will not solicit, directly or indirectly through intermediaries, recruitment of health workers from countries with a negative health workforce migration balance.”
Change 4.8: Member States should regulate and monitor recruiters and employers (public and private) to ensure … free of charge to health workers and act in accordance with this Code of Conduct.
Add an item to Article 11: “Donor funding from Member States to recipient countries should be predictable for on-budget inclusion for a period of at least three years. This should contribute to a fair and just determination of the fiscal space available, possibly for improvements of public service enumerations.”
Association des Professionnels de Santé en Coopération (ASPROCOP)
Edward Miano Munene, Health Rights Advocacy Forum (HERAF), Nairobi, Kenya
While the draft code is strong in many respects, there are several areas for improvement (excerpted):
3.1 is insufficient and does not provide for any accountability on behalf of Member States that choose not to follow these recruitment practices. Mandatory standards are needed to make this code of practice effective, efficient, transparent and accountable.
3.9 must also include both sexual orientation and health status (including HIV status) as further “distinctions” that will be prohibited.
5 should explicitly note that any type of compensation (whether financial, technical, training, etc.) to source countries in a mutually beneficial agreement should be in line with the development priorities and health sector strategies in the source countries.
6 insufficiently addresses the issue of compensation to developing countries whose health workers are recruited internationally. Include a component that requires governments in developing nations to be compensated for the expenses incurred in training health professionals who have been recruited abroad.
8.3 should encourage partnerships and collaboration among health professional associations or unions in both source and destination countries.
9 should explicitly guarantee health workers freedom of association.