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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