The Planet Well being Organization (WHO) released currently an updated WHO well being workforce help and safeguards list 2023, identifying 55 nations as vulnerable for availability of well being workers expected to obtain the UN Sustainable Improvement Purpose target for universal well being coverage (UHC) by 2030.
The influence of COVID-19 and widespread disruptions to well being solutions has resulted in a fast acceleration in the international recruitment of well being workers. For nations losing well being personnel to international migration, this could negatively influence on well being systems and hinder their progress towards reaching UHC and well being safety.
Of the 55 nations, 37 are in the WHO African area, eight in the Western Pacific area, six in the Eastern Mediterranean area, 3 in the South-East Asia area and one particular is in the Americas.Eight nations have been newly added to the WHO well being workforce help and safeguards list 2023 considering that its original publication in 2020.
“Well being workers are the backbone of each well being technique, and however 55 nations with some of the world’s most fragile well being systems do not have sufficient and quite a few are losing their well being workers to international migration,” mentioned Dr Tedros Adhanom Ghebreyesus, WHO Director-Common. “WHO is functioning with these nations to help them to strengthen their well being workforce, and we get in touch with on all nations to respect the provisions in the WHO well being workforce help and safeguards list.” The list need to be utilised to inform advocacy, policy dialogue at all levels and financing efforts in help of well being workforce education and employment in these nations.
The nations integrated in the WHO well being workforce help and safeguards list 2023 have a UHC service coverage index beneath 55 and well being workforce density beneath the worldwide median: 49 healthcare physicians, nursing and midwifery personnel per ten 000 individuals. These nations demand priority help for well being workforce improvement and well being technique strengthening, along with extra safeguards that limit active international recruitment.
The WHO well being workforce help and safeguard list 2023 does not prohibit international recruitment, but recommends that government-to-government well being worker migration agreements:
- be informed by well being labour market place evaluation and the adoption of measures to guarantee sufficient provide of well being workers in the supply nations
- engage Ministries of Well being in the negotiation and implementation of agreements and
- specify the well being technique positive aspects of the arrangement to each supply and location nations.
WHO also recommends that these safeguards be extended to all low- and middle-revenue nations.
Implementation of the WHO International code of practice on the international recruitment of well being personnel (WHO International Code) can guarantee that international movement of well being workers is ethically managed, supports the rights and welfare of migrant well being workers and maintains well being service delivery objectives.
The 2023 update is informed by the report of the WHO Specialist Advisory Group on the Relevance and Effectiveness of the WHO International Code. WHO will update the list each 3 years, with the subsequent update scheduled for publication in 2026.
This problem will be discussed at the upcoming Fifth International Forum on Human Sources for Well being, which will examine the expected policy options, investments, and multi-sectoral partnerships to address well being and care workforce challenges to advance well being systems towards the attainment of UHC and well being safety. The outcomes of the Forum will inform the United Nations Common Assembly’s Higher-Level Meeting on UHC in September 2023.