Earth Summit 2002   Migration

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ACTION PLAN:

Migration of Health Workers

 

After sharing experience and context, the group decided to split into three sub-groups, to identify strategic and effective action areas. These were Conceptual Framework, Analysis and Policy. Note: assigned leaders and partners for action plans are still to confirm.

 

1. CONCEPTUAL FRAMEWORK ACTION PLANS

 

1.      IDENTIFICATION

1.1 Definitions of Migration

International; Inter regional; Intra regional; Internal; Invisible.

WHAT:  Define and get agreement on operational definitions AND when migration is it a problem or and opportunity.

WHO:  IOM

PARTNERS: ILO, WHO, World Bank, country representation (public and private sector)

WHEN: MAY 2003 (At the last, remember WHA 55)

 

1.2:  Health Care Workers (HCW)

WHAT: Identify spectrum of skills, which refers to HCW that migrate.

WHO: WHO (Lead agency)

PARTNERS: Stakeholders for a consensus meeting.

WHEN: May 2003.

 

1.3: Stakeholders

WHO: Identify stakeholders: International; National; Government departments; Recruitment agencies; Educational institutions; Professional associations. Each country, ministry of health to co-ordinate.

WHAT: mapping of stakeholders: - who are they, what role do they play?

WHEN: May 2003.

 

2.      LEGAL AND ETHICAL FRAMEWORK

WHAT: Development of legal and ethical tools to guide migration framework.

WHO: ILO, IOM, WHO, WTO.

WHEN: May 2004.

 

3.      NORMATIVE FRAMEWORK:

WHAT: Development of normative framework to guide migration framework.

WHO: WHO

PARTNERS: Selected stakeholders.

WHEN: May 2003.

 

2. ANALYSIS ACTION PLANS

 

PLANS with identified end date

1.      WHAT :Identification of countries organizations and other institutions currently/previously Involved in data/analysis on migration.

WHO:  WHO (6 regions)

PARTNERS:

WHEN: DEC 2002.

 

2.      WHAT: 2.1 Work with countries and others institutions to improve data collection in Healthcare human resources, and 2.2: model healthcare human resources planning to meet priority health care needs (normative framework).

WHO: WHO....

PARTNERS: ILO, key ministries of health, collaborating national/regional global research centres.

WHEN: DEC 2004

 

Plans with no specified end date

3.     WHAT: 3.1 Study causes and impact of migration on health systems of sending countries (demographic, socio-economic, political, etc.), 4.2 study impact of migration management agreements (e.g. Labour protocols, etc) on health sectors of sending and receiving countries (before and after agreement).

WHO: WB, ILO, WHO/IOM, ROCKEFELLER FOUNDATION.

PARTNERS: Collaborating national/global researchers.

WHEN: To be assigned to a leader when confirmed

 

4.     WHAT: 4.1 Study and document implications of government investment in health sector, government civil service policy and local government reform on migration flow (internal and external); 4.2 study and document alternative health care finance policies and schemes on movement of health workers (internal and external)

WHO: WORLD BANK/ WHO.

PARTNERS: Collaborating national/ regional/global researchers.

WHEN: To be assigned to leaders when confirmed.

 

5.     WHAT: Identify, analyse and project medium and long-term financial and human flows of HCW both globally and regionally.

WHO: WHO, ILO, IOM.

PARTNERS: research institutions, World Bank, IMF.

WHEN: To be assigned to leaders when confirmed.

 

6.     WHAT: Explore view of health workers (eg. On causes, issues, return prospects, careers, integration and occupational issues, etc).

WHO: IOM / WHO, Rockefeller Foundation.

WHEN: DENOSA and other professional associations and researchers.

WHEN: To be assigned to leaders when confirmed.

 

7.     WHAT: Identify/analyse key existing international/regional legal instruments (conventions, agreements, etc). Regulatory standards relevant to migration.

WHO: IOM

PARTNERS: WHO, ILO, COMMONWEALTH.

WHEN: To be assigned to leaders when confirmed.

 

 

3. POLICY DEVELOPMENT ACTION PLANS

 

1.     SHARE INFORMATION ON POLICY CHOICES AND LESSONS LEARNED.

WHAT :  1.1 Contract papers and 1.2. Dissemination (publications, web based, W/S training)

WHO: WHO, Rockefeller foundation, Commonwealth Secretariat.

PARTNERS: International organisations.

WHEN: Start at once.

 

2.     ENHANCE NETWORKING OF HR INSTITUTIONS/ INDIVIDUALS AT ALL LEVELS

WHAT: 2.1 Forum (H.R.D.I.; Web based; website; WS/ technical meetings), 2.2 start

collaborative research/ training.

WHO: WHO, Rockefeller Foundation, Commonwealth Secretariat

PARTNERS: International organisations.

WHEN: Start in one year, then continuous.

 

3.     STRENGTHEN CAPACITY ON HRM and R&D AT ALL LEVELS

WHAT: 3.1 Institutionalisation, WHO: Department level or higher, collaborating centres, National HRD Institutes, 3.2 Human: Academic degrees: training module/materials/courses.

WHO: WHO, Rockefeller Foundation, Commonwealth Secretariat.

PARTNERS: National and international academic institutions, research funding agencies: MRC

 

4.     STRENGTHEN AND INVOLVE CIVIL SOCIETY, MEDIA AND PROFESSIONAL ORGANIZATIONS.

WHAT: 4.1 Institutionalisation of CVS, 4.2 Provision of information, 4.3 Networking, 4.4 Training, 4.5 Operate forum.

WHO: Rockefeller Foundation, WHO, Ministries of Health.

 

5.     MULTISECTORIAL/MULTISTAKEHOLDER COLLABORATION AT ALL LEVELS

WHAT: Multisectoral commission on Human Resource development at national, regional, global level with involvement at sending/recipient countries.

WHO: WHO, Ministries of Health.

WHEN: Start in 1-2 years and then continuously.

 

6.     LINK BETWEEN MIGRATION OF HEALTH WORKERS + HEALTH SERVICE DELIVERY.

WHAT: Statement on the link between MHW and the delivery of health services.

WHO: WHO

PARTNERS: Stakeholders and member countries.

WHEN: May 2003

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