Summaries of contributions
Gisela Becker, Canadian Association of Midwives
The Canadian Association of Midwives would like to comment in two areas:
- The code does not appear to address jurisdiction-specific professional registration requirements and processes to determine eligibility for licensure in destination countries. As these may affect migrating health professionals’ ability to migrate and practice internationally, we believe the code may need to include further reference to registration and licensure issues.
- The code places considerable emphasis on recognizing and supporting the rights of health professionals to migrate and receive fair treatment in destination countries. We believe the code should more explicitly acknowledge the adverse effects that migration may have on the quality of health care in source countries whose health workforce is vulnerable or depleted, and further address the need for ethical recruitment principles and practices in this regard.
Päivi Kaartamo, Marjukka Vallimies-Patomäki, Ministry of Social Affairs and Health, Finland
Note: The below is excerpted from a longer document whose details will be duly considered as the draft goes to revision.
Article 5 is of key importance at country level, recommending bilateral and multilateral agreements concerning international recruitment, and listing a number of means to mitigate the potentially negative impact of international recruitment on the countries of origin.
Member States should establish comprehensive national strategies in order to promote the sufficiency of the workforce including the employment of existing immigrants (Article 6). The code should also emphasize the importance of national interventions focused on the integration of the immigrants and their families in the destination country (4.5-4.7, 4.9). These interventions cover for example sufficient opportunities to learn languages needed, further education and training required for authorization as well as development of multicultural working environments.
The emphasis on data gathering, information exchange and monitoring of the code (Articles 7, 8, 10) are well in compliance with the national interests of developing health care and deserve special attention. The role of WHO in the field of research and development of reliable monitoring systems as well as dissemination and benchmarking of related information should also be defined. In addition, development of quality recommendations or classification for recruitment agencies would be very beneficial international collaboration.