Summaries of contributions
Gerald Chan, Royal College of Obstetricians and Gynaecologists International Office (comprising the RCOG, the Liverpool School of Tropical Medicine and the Liverpool Associates in Tropical Health), London, United Kingdom
RCOG IO supports Article 3. It agrees with the need to establish ethically-driven recruitment practices between Member States so that competitive opportunities are provided without resulting in the ‘brain-drain’ of talent in under-resourced countries.
It may be useful to examine how recruitment shortages can be managed in under-resourced countries.
It is the RCOG IO’s firm belief that many UK doctors going on overseas electives to under-resourced countries do so to gain the clinical experience and because they have a real desire to help improve conditions in these countries.
The recruitment of doctors into these posts should long continue and arrangements should be made so that these doctors have the ability to undertake such overseas work.
To ensure added-value for under-resourced countries working in partnership with international healthcare organisations, the RCOG IO recommends that the professional bodies, membership associations and medical teaching institutions have the experience and networks to assist in capacity building.
Knowledge sharing and information exchange are important to the development of healthcare services in under-resourced countries. An emphasis on medical education and training can help alleviate workforce shortages and improve recruitment within these countries.
Secretariat of the Pacific Human Resources for Health Alliance (PHRHA) in consultation with the focal points in Pacific island countries
We support this initiative, which is very much in line with initiatives recently undertaken at the request of the Pacific Ministers of Health.
We would like to suggest the following re-ordering to the flow of Article 3: 1, 6, 7, 2, 3, 4, 5, 9, 8, 10
Under 4.9 add “continuing education” programmes for migrant health workers for safe and up-to-date practice.
Under Article 6 it would be good to include something about return migration and the recognition of these returning health workers.
The collection of information about the regulatory requirements of each Member State would be a useful addition to 8.2.
We suggest there needs to be a section on how Member States will signify recognition/adoption/observance of the code.
We are pleased to see that the Code of Practice acknowledges under article 10 that additional guidelines on practices and procedures to assist in making the code more effective. Our experiences with the Pacific Code of Practice for recruitment of health workers (endorsed by the Pacific Forum Leaders in October 2007) identify this as an area where additional work can be undertaken. For example: what additional measures can small islands countries take in order to attract staff for key areas of work especially when the remuneration package is not so attractive.