perform investigations proactively in the post-injury situation of migrant
workers suffering occupational accidents in order to ensure that migrant
workers can receive institutional guarantees.
Protecting the Labor Rights of Healthcare Professionals
189. School Nursing Personnel
Pursuant to Article 7 of the School Health Act, “Schools at the senior high
school or lower level with less than 40 sections shall have one nurse on staff;
schools with more than 40 classes shall have at least two nurses on staff.”
However, regarding the recruitment of school nursing personnel, there are still
schools with more than 40 classes employing only one school nurse or health
worker. There are also cases where nursing personnel are assigned to
concurrently handle personnel or accounting jobs, which is not in compliance
with the current regulations, and the school health and nursing-related services
can be negatively affected by this.
190. Public Health Center with Insufficient Healthcare Personnel, and Excessive
Workload for Health Personnel
(1) Various public health and preventive health care programs launched by the
MOHW are mostly assigned to the personnel at the public health centers
working on the front lines of service to the public. According to the Public
Health Center Organization Charter Reference Standard and the Public Health
Center Employee Allocation Reference Standard announced by the MOHW
in 2000, duties and workforce allocation ratio for public health centers are
specified. Nevertheless, each public health center has not employed sufficient
employees, and in total they have less than 68% of the required employee
numbers. The number of nursing personnel and maternity nurses in some
public health centers is fewer than the required basic number of 6 employees.
In addition, many vacancies for nursing personnel assigned by the Ministry to
the public health centers are not filled. While the population of Taiwan has
increased and aged, the MOHW has launched new services one after another
in recent years. So the services provided by the public health centers have
increased but the workforce has not been adjusted properly; the number of
people serviced by each nurse at public health centers continues to increase.
As of the end of 2018, the average number of people serviced by each of 92
public health centers has exceeded 10,000, and among these there are 12
public health centers that have serviced more than 20,000 people, generally
public health centers centralized in the urban areas. The maximum number of
people serviced at one center reached 48,702 people, much higher than the
number of 5,000 people recommended by the American Nurses Association.
However, on the grounds of local self-governance the MOHW fails to urge the
local governments to expand the workforce in public health centers, and it has
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