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Decent Work and Employment

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Decent Work and Employment

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This is the official post test for MMC CAHS CON's NCM118 Decent Work and Employment using ILO C149, SoWN 2025 and Philippine Labor and Employment Plan (2023-2028).

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Decent Work and EmploymentOnline version

This is the official post test for MMC CAHS CON's NCM118 Decent Work and Employment using ILO C149, SoWN 2025 and Philippine Labor and Employment Plan (2023-2028).

by Mikko A Solo
1

Nursing is currently ranked as the #1 college degree for employment in 2026 . There is exceptionally low Unemployment rate of and an Underemployment rate of only . An example of which is when a Registered Nurse in the Philippines works as a retail Pharmacy clerk , 15 hours a week when they need 40 hours to pay bills in California is categorized as .

However , the " paradox " exists where some countries have unemployed nurses due to a lack of sector capacity to hire them despite unmet health needs .

With a massive push for Filipino nurses to " go global " in 2026 , SDG 8 . and 8 . 8 advocate for protecting the rights of these migrants to ensure they aren't exploited in foreign healthcare systems .

2

HRH Distribution is the biggest hurdle despite progress made . The global stock of nurses is 29 . 8 M in 2023 ( vs 27 . 9M in 2018 ) . However , of the world ? s nurses are found in countries representing only of the world ? s population . HICs , which represent only 17% of the population , host of the world ? s nursing population and there has been a difference between the density of nurses in HICs versus low - income countries ( LICs ) .

As of 2025 , the global nursing workforce shortage has improved slightly to 5 . 8 million , down from 6 . 2 million in 2020 . However , the WHO projects a persistent shortfall of 4 . 5 to 4 . 8 million nurses and by 2030 . Nursing profession should constitute 59% of the Overall Human Resources for Health ( HRHs ) but is only as of 2023 .

3

Most responding countries ( 82% ) reported having a or equivalent position , but their roles in nursing workforce management and health policy and planning are . 66% of responding countries reported the existence of development programmes for nurses , these were reported in only 25% of LICs .

Approximately of the global nursing workforce is expected to retire within the next 10 years . In high - income countries , the situation is more acute , with one - third of today's nursing workforce reaching retirement age by .

4

One in every nurses currently practices in a country other than where they were born or trained 23% in high - income countries . The distribution of - born nurses indicates continued international and migration . has the highest proportion of foreign - born nurses .

Implications :
Low - income countries are graduating nurses at a faster pace but lack the domestic investment to employ and them . While High - income countries are over - reliant on international migration to fill the gaps left by their workforce .

Approaches to mitigate negative impacts of migration :
Migration are Temporary , work abroad with the eventual goal of returning home . On the other hand , Workers are Long - term emigrants who live abroad but remain involved in supporting their home country's health system .

5

The global median entry - level wage of nurses in 2023 was per month ( $9 , 288 per annum ) in 82 countries , with significant differences by WHO region and by income group . Wages adjusted for purchasing power parity ( PPP ) indicated that the Median wages in HICs were twice as high as in UMICs , and times as high as in LICs . and MER have the highest median entry wages ; and the WHO African Region and have the lowest .

The differences in wages and PPP , coupled with a gender pay gap , creates powerful economic incentives for migration while perpetuating gender inequity in the profession .

can lead to a subconscious bias where are perceived as more " authoritative " or " - ready , " leading to quicker raises and promotions is known as Glass Effect that perpetuates gender pay gap .

6

The Report acts as a critical toolkit for strengthening the nursing profession by driving evidence - based , aiming for health systems .

The remains the only international dedicated specifically to the rights and working conditions of nursing personnel .

is a customized roadmap that identifies a country's specific labor and outlines how the ILO will provide technical and financial assistance to meet them .

7

The concept was introduced by the International Labour Organization ( ILO ) through Director - General Juan Somavía ? s Report to the 87th Session of the International Labour Conference in . It emerged as a response to , emphasizing that work is not just about survival , but about human . Decent Work isn't just " having a job . " It is defined by four strategic pillars :

Employment Creation : Access to stable , employment .
at Work : Freedom from discrimination and the right to organize ( e . g . , nursing ) .
Social : Workplace safety , health insurance , and .
Social : Nurses having a " seat at the " in hospital policy and healthcare .

8

Depending on the stakeholders that are included , three forms of Social Dialogue can be identified :
: government , employers and workers ( or their representatives )
shaping Labour and ensuring a representation of all parties .

: without government involvement often focused on - issues and agreements .

Inclusion of other organizations : representatives of young people , women , the unemployed , and other vulnerable groups .

9

The Collective Bargaining is a process of negotiation between an employer ( or group of employers ) and a group of employees ? typically represented by a to determine the terms and conditions of employment .

The end goal of this process is a legally binding Collective Bargaining ( CBA ) , which serves as the " law " between the parties for a set period

Follows this process : ( 1 ) , ( 2 ) , ( 3 ) Tentative , ( 4 ) , and finally , ( 5 )

10

The ILO is the only UN agency , bringing together Governments , Employers , and . One of its key functions is to conduct extensive on a wide array of labour and social issues . This research informs the development of international labour standards , provides evidence - based policy , and enhances understanding of the dynamics of the world of work which includes :

: An annual flagship report analyzing global employment trends and social issues .
Report : A report examining wage developments around the world .
Report : In - depth studies on specific topics
Working papers and policy briefs : publications
databases : Comprehensive data on labor markets and social indicators .

11

The ILO Convention C149 ( Nursing Personnel Convention , ) remains the only international treaty dedicated specifically to the rights and working conditions of nursing personnel . Healthcare leaders and labor unions frequently cite these specific articles from C149 in current :

( Art . 6 ) : Ensures nurses receive working hours , rest , and holidays at least equal to other workers in their country .

( Art . 2 ) : Demands pay that is " likely to attract and retain " staff ? a major talking point in recent global nursing strikes .

: It prevents the use of nursing students as " substitute labor " during clinical rotations , ensuring their presence in hospitals remains educational .

12

1 . : Identify gaps in the labor market ( e . g . , high nurse migration or lack of clinical safety ) and Analyze socio - economic data and legal frameworks .

2 . : Engage key players : Government + Employers + Workers ( Nursing Unions ) in a Social Dialogue . The goal is to ensure " buy - in " from the people actually doing the work .

3 . & Results Matrix : Select 3 ? 4 strategic goals . Define clear Outcomes ( what we want ) and Outputs ( what we will do ) with measurable targets .

4 . & Assurance : The plan must be provable and aligned with UN Sustainable Development Goals ( SDGs ) .

5 . Formal & : Acts as a formal " Social Contract " signed by all tripartite partners and the ILO .

6 . & : The " Action Phase " where funding is pooled to launch programs like upskilling , graduate facilities , or revising safety laws .

7 . , & Reporting ( M&E ) : A steering committee meets twice a year to track progress . Finally , an independent audit determines what worked to guide the next cycle .

13

Costa Rica : Integration of digital health & into standard nursing practice to boost productivity and reduce .

South Africa : Focus on and safety ; addressing workplace violence and ensuring " decent work " principles to keep nurses in the sector .

Philippines : QA and Training ( e . g . , QARM framework ) to ensure global standards are met locally , preventing " . "

Ethiopia : A projected growth in nursing staff by 2030 ; focus on basic ( Vocational Training ) and Health Extension Workers .

14

AND : Employment where the employee performs activities usually necessary or desirable in the usual business of the employer .
- : Employment with a specific start and end date agreed upon at the time of hiring .
- : Employment where the duration is tied to the completion of a specific project or undertaking .
: Employment where the work to be performed is only for a specific time of year .

15

Further develop roles to increase access to high - quality health services .

Address - related bias , including equitable and competitive wages .

Harness the potential of and technologies to meet population and health system needs .

Empower nurses to contribute to the through education , advocacy , climate conscious practice in health settings and leadership .

Provide tailored support for nursing education and employment and working conditions in fragile , - affected and settings .

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