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The global health and care worker compact

Evidence base and policy considerations

Bibliographic Data

ID21881700
AuthorsEric Friedman (0000-0003-2438-8049, Georgetown University), Eric A Friedman, Robert Bickford (Georgetown University), Charles Bjork (Georgetown University), James Campbell (0000-0003-2565-1427, World Health Organization), Giorgio Cometto (0000-0003-3725-6192, World Health Organization), Alexandra Finch (Georgetown University), Catherine Kane (0009-0006-2179-9378, World Health Organization), Sarah Wetter (Georgetown University), Lawrence O Gostin (0000-0001-5286-4044, Georgetown University, corresponding author), Lawrence Gostin
Year2023
Volume8
Issue7
Pagese012337
Publication date2023-07-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueBMJ Global Health (JOURNAL)
Journal identifiersISSN: 2059-7908 • E-ISSN: 2059-7908
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/bmjgh-2023-012337
PMID37491107
OpenAlexW4385237556
LanguageEN
Citations received2
References cited4

BACKGROUND: During the COVID-19 pandemic, and recognising the sacrifice of health and care workers alongside discrimination, violence, poor working conditions and other violations of their rights, health and safety, in 2021 the World Health Assembly requested WHO to develop a global health and care worker compact, building on existing normative documentation, to provide guidance to 'protect health and care workers and safeguard their rights'. METHODS: A review of existing international law and other normative documents was conducted. We manually searched five main sets of international instruments: (1) International Labour Organization conventions and recommendations; (2) WHO documents; (3) United Nations (UN) human rights treaties and related documents; (4) UN Security Council and General Assembly resolutions and (5) the Geneva Conventions and Additional Protocols. We included only legal or other normative documents with a global or regional focus directly addressing or relevant to health and care workers or workers overall. RESULTS: More than 70 documents met our search criteria. Collectively, they fell into four domains, within which we identified 10 distinct areas: (1) preventing harm, encompassing (A) occupational hazards, (B) violence and harassment and (C) attacks in situations of fragility, conflict and violence; (2) inclusivity, encompassing (A) non-discrimination and equality; (3) providing support, encompassing (A) fair and equitable remuneration, (B) social protection and (C) enabling work environments and (4) safeguarding rights, encompassing (A) freedom of association and collective bargaining and (B) whistle-blower protections and freedom from retaliation. DISCUSSION: A robust legal and policy framework exists for supporting health and care workers and safeguarding their rights. Specific human rights, the right to health overall, and other binding and non-binding legal documents provide firm grounding for the compact.However, these existing commitments are not being fully met. Implementing the compact will require more effective governance mechanisms and new policies, in partnership with health and care workers themselves

Business · Harm · Health care · Human rights · Normative · Political science · Public relations · Safeguarding · Sociology · COVID-19 and Mental Health · Infection Control and Ventilation · Law · Medicine · Nursing · Workplace Violence and Bullying

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Unique citing works2
Citations per year1
Citation span2024 - 2026 (3)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 2
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