1. Moving the ethical hiring of health workers forward
Useful tools for the implementation of the Code: the strategy and the report draft guidelines
Moving the ethical hiring of health workers forward
Madrid, 17th June 2011
Acknowledge chairs – Viroj Tangcharoensathien, Thailand and Mary Wakefield, USA
Viroj's energetic and tireless chairing of last year's group ensured that the Code saw light of day
US govt support vital to our work
One year after the Code came into force, we want to discuss some of the opportunities and challenges to implementing and monitoring the Code.
I'll start by telling you what we are doing at WHO – then look forward to hearing your views and experiences.
Pascal Zurn
Department of Human Resources for Health
World Health Organization
Geneva, Switzerland

2. World Health Assembly Resolution
In 2004, the World Health Assembly Resolution "WHA 57.19" on International Migration of Health Personnel requested the Director General "to develop, in consultation with Member States and all relevant partners, a code of practice on the international recruitment of health personnel…. ".

3. The WHO Global Code of Practice on the International Recruitment of Health Personnel, adopted by the 63rd World Health Assembly 21 May 2010
The adoption of the WHO Global Code of Practice on the International Recruitment of Health Personnel by the Sixty-third World Health Assembly in May 2010 was a milestone.
The first time that a voluntary code had been developed under WHO auspices in 30 years.
And a landmark agreement as to how to tackle many of the concerns about international health workforce migration and the global health workforce crisis.

4. WHO Code of Practice on the International Recruitment of Health Personnel
Preamble
Article 1: Objectives
Article 2: Nature and scope
Article 3: Guiding principles
Article 4: Responsibilities, rights and recruitment practices
Article 5: Health workforce development and health systems sustainability
Article 6: Data gathering and research
Article 7: Information exchange
Article 8: Implementation of the Code
Article 9: Monitoring and institutional arrangements
Article 10: Partnerships, technical cooperation, and financial support 4

5. Implementation strategy
The WHO Code: An implementation strategy by the WHO Secretariat has been developed
Since last May, we have been working out how best to build on the Code to support countries in implementing it. The suggested strategy has four pillars:
communication and advocacy,
development of guidelines
partnerships,
resource mobilization.

6. Implementation strategy
Support at regional and country level
Partnerships
Development of guidelines for monitoring implementation of the Code
Resource
mobilisation
Communication and advocacy
Since last May, we have been working out how best to build on the Code to support countries in implementing it. The suggested strategy has four pillars:
communication and advocacy,
development of guidelines
partnerships,
resource mobilization.

7. Communication and advocacy
Raising awareness through:
Publication of the WHO Code
Publication of a user’s guide
Development of the WHO website
Presentations on the Code at international meetings
The first category of activities is communication and advocacy.
WHO is publicizing and disseminating the Code and related information through various documents such as the User's guide in a handy pocket format
Some Member States have already translated the Code into their national languages – Norway, Thailand.
Presentations at the 2nd Global HRH Forum in Bangkok, January 2011, Launch of the retention guidelines in Johannesburg, September 2010, ICN Conference in Malta, May 2011, etc.

8. Guidelines for monitoring the implementation
"to rapidly develop, in consultation with Member States, guidelines for minimum data set, information exchange and reporting on the implementation of the WHO Global Code"

9. Timeline for the development of the guidelines
2010
2011
June
September
November
October
OECD/WHO Technical
Workshop on monitoring of HRH migration
Proposal to present revised draft guidelines at regional meetings
OECD Health Data Correspondent meeting to discuss draft guidelines for MDS
July
Presentation of the Code
implementation strategy to the office of the WHO Director-General
May
Mars
October
Technical Briefing at WHA64
Web based public hearing
December
WHO Expert Meeting to discuss draft guidelines: . Minimum Data Set (MDS)
. Information exchange
. Reporting on the implementation on the Code
Publication of the guidelines
Planning phase
Formulation of draft guidelines
Consultation and validation

10. Designated National Authority
"For purposes of international communication, each Member State should, as appropriate, designate a national authority responsible for the exchange of information regarding health personnel migration and the implementation of the Code. Member States so designating such an authority, should inform WHO." (Art 7.3)
48 countries have so far reported their National Authority
Philippines
Finland
Yemen
Chile
Cameroon
Republic of Korea
Georgia
Albania
Colombia
Ghana
Singapore
Hungary
Austria
El Salvador
Kenya
Saudi Arabia
Latvia
Belarus
Guatemala
Mauritania
Monaco
Belgium
Nicaragua
Mauritius
Netherlands
Cyprus
Paraguay
Namibia
Portugal
Czech Republic
Oman
Rwanda
Myanmar
Estonia
Qatar
Swaziland

11. Timeline for monitoring implementation
2012
2013
2015
2016
2018
2019
Reports of Member States to the WHO secretariat
Report of WHO Director General to the World Health Assembly
NB Reporting is not an end in itself, but a critical component of implementation
The first reports of the Member States to the WHO Secretariat are due by mid-2012, and every three years thereafter.
These will provide the basis for the report of the Director-General to the World Health Assembly in 2013, and every three years thereafter.
Reports will be used in the following ways:
To implement and update the Code
Used in Director general reports as per Article 9
Published for the purposes of information sharing
Depending on resources available, other uses may be found

12. Partnerships
Building on the successful partnerships from the development of the Code
Successful implementation will depend on strong partnerships with Member States, other international organizations, professional organizations, NGOs and other relevant stakeholders

13. Resource mobilization
The current level of resources available to WHO for the implementation of the Code is insufficient in terms of staff and activities.
Current annual needs stand at around US$ 5 million, distributed between HQ and the 6 regional offices as follows:

14. For more information