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monitoring of the who global code of practice on the international ...

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8. Acti<strong>on</strong> to implement <str<strong>on</strong>g>the</str<strong>on</strong>g> Code<br />

The DOH is <str<strong>on</strong>g>the</str<strong>on</strong>g> identified nati<strong>on</strong>al authority to resp<strong>on</strong>d to how <str<strong>on</strong>g>the</str<strong>on</strong>g> Codehas been<br />

implemented in <str<strong>on</strong>g>the</str<strong>on</strong>g> Philippines. Relevant to implementati<strong>on</strong> are <str<strong>on</strong>g>the</str<strong>on</strong>g> Philippine internati<strong>on</strong>al<br />

legal instruments, namely: <str<strong>on</strong>g>the</str<strong>on</strong>g> ASEAN MRAs, PJEPA and MASEAN.In <str<strong>on</strong>g>the</str<strong>on</strong>g> view <str<strong>on</strong>g>of</str<strong>on</strong>g> government<br />

agencies in <str<strong>on</strong>g>the</str<strong>on</strong>g> HRH Network Philippines, Philippine laws and policies tend to be<br />

c<strong>on</strong>flictingwith <str<strong>on</strong>g>the</str<strong>on</strong>g> provisi<strong>on</strong>s <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> WHO Code.<br />

Hospitals c<strong>on</strong>sidered some <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g>ir <str<strong>on</strong>g>practice</str<strong>on</strong>g>s as aligned with <str<strong>on</strong>g>the</str<strong>on</strong>g> provisi<strong>on</strong>s <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g>Code.<br />

Private hospitals follow and harm<strong>on</strong>ize <str<strong>on</strong>g>the</str<strong>on</strong>g> DOH and DOLE requirements in <str<strong>on</strong>g>the</str<strong>on</strong>g> operati<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

hospitals, while public hospitals follow those <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> CSC.<br />

Pr<str<strong>on</strong>g>of</str<strong>on</strong>g>essi<strong>on</strong>al associati<strong>on</strong>s attributed <str<strong>on</strong>g>the</str<strong>on</strong>g>ir awareness <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> Code to this current DOH-­‐ and-­‐<br />

ILO initiativeto m<strong>on</strong>itor <str<strong>on</strong>g>the</str<strong>on</strong>g>Code through multistakeholders c<strong>on</strong>sultati<strong>on</strong>s.Prior to this, <str<strong>on</strong>g>the</str<strong>on</strong>g>y<br />

had limited awareness <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> Code.<br />

The implementati<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> POEA regulati<strong>on</strong>s and <str<strong>on</strong>g>the</str<strong>on</strong>g> Migrant Workers Act are relevant to <str<strong>on</strong>g>the</str<strong>on</strong>g><br />

implementati<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g>Code, according to <str<strong>on</strong>g>the</str<strong>on</strong>g> recruitment agencies group. They c<strong>on</strong>sidered<br />

<str<strong>on</strong>g>the</str<strong>on</strong>g>DOH-­‐and-­‐ILO initiated multistakeholder process as a step to m<strong>on</strong>itor <str<strong>on</strong>g>the</str<strong>on</strong>g> Philippine<br />

implementati<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g>Code.<br />

Am<strong>on</strong>g <str<strong>on</strong>g>the</str<strong>on</strong>g> trade uni<strong>on</strong>s’s, <str<strong>on</strong>g>the</str<strong>on</strong>g>re is very limited awareness <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> Code. They have not<br />

observed <str<strong>on</strong>g>the</str<strong>on</strong>g> Code being discussed in universities, in technical vocati<strong>on</strong>al schools, nei<str<strong>on</strong>g>the</str<strong>on</strong>g>r is<br />

<str<strong>on</strong>g>the</str<strong>on</strong>g> Code referred to in <str<strong>on</strong>g>the</str<strong>on</strong>g> PDOS and PEOS, undertaken respectively by <str<strong>on</strong>g>the</str<strong>on</strong>g> OWWA and<br />

POEA.<br />

9. Steps taken to implement <str<strong>on</strong>g>the</str<strong>on</strong>g> Code<br />

In general, <str<strong>on</strong>g>the</str<strong>on</strong>g> stakeholders observed <str<strong>on</strong>g>the</str<strong>on</strong>g> WHO Code’s implementati<strong>on</strong> in <str<strong>on</strong>g>the</str<strong>on</strong>g> Philippines in<br />

terms <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> steps below listed in <str<strong>on</strong>g>the</str<strong>on</strong>g> WHO <str<strong>on</strong>g>m<strong>on</strong>itoring</str<strong>on</strong>g> instrument:<br />

• (9.a) Acti<strong>on</strong>s have been taken to communicate and share informati<strong>on</strong> across<br />

stakeholders <strong>on</strong> health worker recruitment and migrati<strong>on</strong> issues, as well as <str<strong>on</strong>g>the</str<strong>on</strong>g><br />

Code, am<strong>on</strong>g relevant ministries, departments and agencies, nati<strong>on</strong>ally and sub-­‐<br />

nati<strong>on</strong>ally<br />

• (9.b) Measures have been taken to involve all stakeholders in any decisi<strong>on</strong> making<br />

processes involving health pers<strong>on</strong>nel migrati<strong>on</strong> and internati<strong>on</strong>al recruitment.<br />

• (9.c) Acti<strong>on</strong>s are being c<strong>on</strong>sidered to introduce changes to laws or policies <strong>on</strong> <str<strong>on</strong>g>the</str<strong>on</strong>g><br />

internati<strong>on</strong>al recruitment <str<strong>on</strong>g>of</str<strong>on</strong>g> health pers<strong>on</strong>nel.<br />

Not all bilateral agreements c<strong>on</strong>tainprovisi<strong>on</strong>s <strong>on</strong> HRH. Am<strong>on</strong>g HRH Network Philippines<br />

members, <str<strong>on</strong>g>the</str<strong>on</strong>g> DOH is deemed <str<strong>on</strong>g>the</str<strong>on</strong>g> appropriate agency to resp<strong>on</strong>d to how <str<strong>on</strong>g>the</str<strong>on</strong>g> Code has been<br />

implemented, while o<str<strong>on</strong>g>the</str<strong>on</strong>g>r government agencies have authority with regard to<str<strong>on</strong>g>the</str<strong>on</strong>g><br />

internati<strong>on</strong>al recruitment <str<strong>on</strong>g>of</str<strong>on</strong>g> health pers<strong>on</strong>nel.<br />

Hospitals have <str<strong>on</strong>g>practice</str<strong>on</strong>g>s relevant to <str<strong>on</strong>g>the</str<strong>on</strong>g> implementati<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> Code covering items 9a to 9c<br />

in <str<strong>on</strong>g>the</str<strong>on</strong>g> <str<strong>on</strong>g>m<strong>on</strong>itoring</str<strong>on</strong>g> instrument, which are compliant with <str<strong>on</strong>g>the</str<strong>on</strong>g> PRC and CSC requirements. In<br />

<str<strong>on</strong>g>the</str<strong>on</strong>g> case <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> Philippine Heart Center (PHC), a specialty government hospital, has<br />

interacted with recruitment agencies to develop exchange arrangements for <str<strong>on</strong>g>the</str<strong>on</strong>g>ir nurses’<br />

13

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