Summaries of contributions
Ministry of Health, Damascus, Syrian Arab Republic
The protocol is comprehensive; it represents a basis for the final code. The Ministry of Health supports and approves its content. We suggest adding an additional item to the draft code requesting WHO to provide the support required to the Ministries of Health of the Member States in order to create management systems of human resourses that will contribute to the implementation of the content of the protocol.
Jennifer Nyoni, WHO Regional Office for Africa
I think it assumes too much on the mutuality of the benefits especially to the health systems of countries with a health workforce crisis. Therefore I suggest that the second sentence in 3.1 should be qualified to exclude the countries in crisis. I am not convinced that losing their already few workers can make legitimate benefits other than maybe mitigate the negative consequences.
5.3 assumes that the migrant workers return home after working for a few years before their retirement. I think this statement will only apply after the monitoring of this code and not now when many source countries especially in Africa, have not yet put a tab on who is gong where and when and therefore won’t know when they return.
In 10.2, or elsewhere, there should be a phrase that this code is in context of other mechanisms/ issues of migration that WHO is dealing with. Otherwise, without some explanation in the preamble, anyone reading this as a stand alone document may misconstrue this to mean WHO is encouraging health workers to migrate by ‘fighting’ for their cause for a better deal.
The Board of the Nightingale Initiative for Global Health (NIGH)
We recommend a global public awareness campaign be implemented from the beginning to increase the “voluntary” adherence to the code. This campaign should use explicit language to align the WHO code with related professional codes of ethics established by nursing organizations and other health professionals worldwide. Individual stakeholders should be encouraged and supported to take what they have learned and become active advocates. It should target nurses and other affected health care professionals and seek media coverage of how and why this code is necessary and how it is being implemented by all the stakeholders.
It is also necessary to make available ongoing related data to all interested stakeholders in keeping with continuing participation and voluntary adherence to this Code. We recommend:
- the creation of an international mechanism to monitor the implementation of this code by governments and health authorities and to highlight all the movement of nurses and health workers across the world (local and national nursing associations could be enabled for inclusion in this monitoring process); and
- WHO publish, online, all the submissions in this current consultative process.