Global
Affairs

Worldwide engagement to serve the global healthcare workforce

Healthcare is global because health issues like pandemics, climate change, healthcare access, and chronic diseases are transnational, thereby driving international collaboration and policy coordination aimed at solving shared challenges and improving healthcare access worldwide.

TruMerit aims to bring our unique perspectives and focus to the forefront of these global alliances, emphasizing our convening power and our capacity to generate research, thought leadership, and advocacy to encourage worldwide investment in a future-ready global healthcare workforce.

We intend to be a global partner of choice that can be counted on to bring forth our ideas and experiences in support of healthcare workforce development solutions. These will include global standards and frameworks for specialty certifications that will open career pathways for healthcare workers, regardless of where they choose to work.

Our work

Verification and recognition of qualifications

For nearly fifty years, TruMerit has served global health systems and supported patient safety by validating the education, skills, and job-readiness of foreign-educated nurses and other healthcare workers seeking education or entry to practice in their country of choice through credential assessment. We support authoritative bodies across health sectors in making informed decisions about the professional status of their candidates by providing reliable credential verification and assessment data – useful tools in determining candidate eligibility according to the respective standards for academic admission, immigration, licensure, or professional practice.

As the world seeks new strategies to address ongoing health workforce shortages, TruMerit recognizes the need for streamlined, trustworthy systems for validating the credentials of migrant health professionals. By leveraging data-driven tools, comparability frameworks, and competency-based certifications, countries can accelerate recognition processes, safeguard against fraud, and maintain high standards for care. Other vital innovations include testing tools for foreign-educated nationals, enabling the assessment and benchmarking of nursing competencies before migration.

Read more about this approach in the context of the European Union: Verifying and Benchmarking Non-EU Nursing Qualifications Against EU Standards: Advanced tools and support mechanisms

Global certifications

TruMerit advances global certifications as practical tools to support a trusted and mobile health workforce. Our frameworks establish clear, internationally relevant benchmarks that help stakeholders’ readiness for practice while maintaining high standards of care across diverse systems. Through our global affairs work, we engage governments, regulators, international organizations, and professional bodies to promote awareness, understanding, and appropriate use of these certifications.

We focus on building partnerships that ensure global certifications complement national systems and respond to real workforce needs. This includes engagement with regional organizations, professional associations, and public authorities exploring approaches to strengthen transparency, comparability, and trust in qualifications. TruMerit remains committed to enhance confidence in credentials, enable informed decision-making, and expand access to opportunity without compromising quality in local contexts.

Our efforts are closely aligned with our broader portfolio:

Ethical recruitment

With rising demand for health professionals across the globe and a marked increase in migration to fill gaps in the healthcare workforce, it is imperative that migrating health professionals are recruited fairly, ethically, and with transparency for employment across borders. Their professional journey should be free of coercive practices, undue financial burdens, and discrimination as they bring their education and experience to health systems in need.

The Alliance for Ethical International Recruitment Practices

To address concerns about the treatment of foreign-educated healthcare professionals by international recruitment and staffing firms, TruMerit worked with other stakeholders to establish the Health Care Code for Ethical International Recruitment and Employment Practices and the Alliance for Ethical International Recruitment Practices, with an independent Advisory Board, to oversee the implementation of the Code and Certified Ethical Recruiter (CER) program. Through ongoing commitment and rigor, the Alliance Code and Certification has become the global industry standard for ensuring fair treatment for migrating workers and maintaining accountability in the recruitment process.

Bilateral Agreements

Ensuring ethical international healthcare recruitment also requires engagement at the government level. Bilateral agreements between countries can strengthen protections for health personnel while helping ensure that receiving countries contribute to, and support, the health systems of origin countries.

Read more on the use of bilateral agreements in the space of health worker migration: Bilateral agreements on health worker migration and mobility (WHO, OECD, and ILO)

Sustainable Development Goals

TruMerit’s global affairs work is grounded in a strong commitment to the United Nations Sustainable Development Goals. While our core focus is on strengthening the global health workforce, we recognize that health outcomes are deeply interconnected with broader social, economic, and development priorities. Our work directly contributes to advancing health and well-being, but it also supports progress across multiple goals, including quality education, decent work and economic growth, reduced inequalities, and partnerships for sustainable development.

3 Good health and well-being
4 Quality Education
8 Decent work and economic growth
10 Reduced inequalities
17 partnerships for the goals

A key component of this effort is our engagement with the global civil society community through our membership in the Conference of NGOs in Consultative Relationship with the United Nations (CoNGO). Through this platform, we collaborate with a diverse network of non-governmental organizations working across sectors and regions. This engagement enables us to contribute to collective advocacy, share expertise, and support coordinated approaches to advancing the SDGs.

By working alongside other NGOs within CoNGO, we are able to connect health workforce priorities with broader development agendas, ensuring that our contributions are part of a more integrated and inclusive global response. This collective approach strengthens our ability to support sustainable systems, promote equity, and advance shared goals.

Key engagements

International organizations

United Nations

  • Since 2016, TruMerit has been granted consultative status as a non-governmental organization (NGO) with the United Nations by the UN Economic and Social Council (ECOSOC), the central platform for policy dialogue on economic, social, and environmental issues for the UN system. Consultative status allows NGOs to participate in the UN’s work.
  • TruMerit is a Full Member of the Conference of Non-Governmental Organizations in Consultative Relationship with the United Nations (CoNGO), an independent coordinating body for NGOs that have a formal relationship with the UN system through ECOSOC. CoNGO advocates for participation of its 631 members within the UN system.
  • TruMerit’s President and CEO, Dr. Peter Preziosi, serves as president of CoNGO. Dr. Preziosi was elected CoNGO president in October 2025 and will serve until 2029.

World Health Organization

  • TruMerit was a key contributor to the WHO’s State of the World’s Nursing Report, which provided the first comprehensive assessment of global nursing since the COVID-19 pandemic. President and CEO Dr. Peter Preziosi served on the WHO steering committee that helped guide the report’s preparation.
  • In 2024, TruMerit was inducted into the World Rehabilitation Alliance (WRA), the WHO’s global network of stakeholders whose mission is to advocate for the implementation of WHO’s Rehabilitation 2030 initiative. The initiative aims to improve rehabilitation management and investment, build a high-quality rehabilitation workforce and services, and enhance data collection on rehabilitation.

Council on Licensure, Enforcement and Regulation (CLEAR)

TruMerit is an Associate Organizational Member of the Council on Licensure, Enforcement and Regulation (CLEAR). We contribute to the organization’s mission to improve the quality and understanding of regulation in order to enhance public protection through our well-established expertise in credential evaluation and competency assessment.

International nursing

  • TruMerit has partnered with the International Council of Nurses (ICN) to create the Global Nursing Workforce Centre, which addresses the need for a research clearinghouse on nursing workforce data and for research that can be translated into actionable policy recommendations that drive meaningful change.
  • TruMerit is an Associate Member of the European Nursing Council (ENC) collaborating on European nursing policy and advocacy.
  • TruMerit works with the European Specialist Nurses Organisation (ESNO) to contribute our global expertise and perspective on how transparent and standardized accreditation systems empower nurses, enhance career pathways, and ultimately ensure safer and more equitable patient care worldwide.

Recent convenings and events

  • Innovating for Equity: Global Standards and Career Advancement for Health Professions, Parallel event to UN CSW70.
    19 March 2026, New York, NY.
  • Verifying and benchmarking third-country nursing qualifications against EU standards: Advanced tools and support mechanisms expert meeting.
    20 November 2025, Brussels, Belgium.
  • European Specialist Nurses Organization, Health Workforce Forum on retention and the critical importance of accreditation and recognition.
    4 November, Brussels, Belgium.
  • Insights on Federal Health Policy and Workforce Development. Webinar for diaspora organizations, presented by the Global Affairs team.
    30 October 2025, Virtual.

Upcoming

  • World Health Organization, 79th World Health Assembly.
    18-23 May 2026, Geneva, Switzerland.
  • European Specialist Nurses Organization, 8th ESNO Congress.
    4-6 June 2026, Rome, Italy.
  • United Nations, High-Level Political Forum on Sustainable Development (HLPF).
    7-15 July 2026, New York, United States.
  • European Nursing Council, ENC General Assembly Meeting.
    16-17 July 2026, Rome, Italy.