Medical Clearance Expectation

WHAT TO EXPECT DURING THE MEDICAL EXAMINATION FOR MEDICAL CLEARANCE

(1). Medical examination for medical clearance of UN staff members is done to ensure as far as possible that candidates are physically
and mentally fit
to perform the functions for which they have been selected without risk to their own health and safety or the health and safety
of others.

(2). In this respect pre-employment entry medical clearance is conducted for new recruits while periodic clearance is to ensure staff members
remain healthy during their employment by the organization. Please note MEDICAL EXAMINATION at JMS for medical clearance clearance is conducted only for drivers, security officers and 

( 3). All staff members working at the clinic have the ethical responsibility to observe medical confidentiality. Medical information is therefore
not communicated to non- medical staff. The terms fit or unfit are used when communicating with the recruiting HR officers and no other
details are provided. The following diagnostic tests are conducted during the medical examination:

( i) Blood or serum analysis for: - hemogram, hematocrit, erythrocyte count, ESR, leucocyte count and differential count –: fasting blood sugar
and cholesterol, uric acid and either urea or creatinine.
( ii) Urine testing for glucose, protein, and microscopic examination
( iii)Resting electrocardiogram (ECG) where applicable
( iv) Full size chest X- ray where applicable

(4). Appointment to see the examining doctor is assigned once the above tests are done. The candidate fills the MS.2 form on the part which
indicates his/her personal profile and the medical history as well as the family medical history. The MS.2 form and the diagnostic test results
are placed in the candidate’s file.

(5). The doctor conducts a physical and mental examination in a systematic manner and documents his findings. He/she then discusses the
results of the diagnostic tests mentioned above and their health implications with the candidate. If the doctor makes a significant observation
with relation to the candidate’s medical/family history as well as his examination findings, this is communicated to the candidate at the same
sitting and he/she is free to ask questions.

( 6).The duty station, travel requirements, job demands, geographical location, availability of appropriate medical facilities, presence of
infectious or contagious diseases or uncontrolled chronic illness in the candidate are some of the key factors which determine the candidate’s
health fitness status.

( 7). The doctor is charged with the responsibility to make professional clinical conclusions and advise the candidate.
(i) Medical clearance may be approved immediately if no health limitation is detected.

(ii) Recommendation to see a specialist for further evaluation may be made and communicated to the candidate by the examining doctor

(iii) The candidate may be advised to do a repeat test to ascertain some laboratory test results which appear non conclusive or a confirmatory
test may be recommended before an important diagnosis is made. This happens with relation to certain diseases like diabetes or hypertension
or thyroid related illnesses .

(iv) Candidates who are found to have risks of developing certain diseases are advised concerning the preventive measures such as lifestyle and
dietary modification to avert their development. The doctor may choose to advise treatment for these illnesses as part of preventive measure
depending on the assessed risk level.

(v) Elevated blood cholesterol levels and obesity confers risks to developing heart, kidney diseases, certain cancers, stroke, hypertension or
diabetes. Lifestyle changes to control these risks are some of the key advice given by the doctor.

(vi) While we emphasize on the importance of reducing these health risks, we also advise on avoiding any associated anxiety. Adapting a
relaxed stress free approach will enhance the body’s ability to undertake these preventive measures more effectively.

(vii) If the doctor detects a condition which requires urgent medical attention, he/ she will advise the candidate to go for treatment while the
medical clearance remains pending till the disease condition is controlled. This situation may arise in any setting since many chronic diseases
affect the body systems without causing any symptoms at all. Such illnesses are only picked during routine examination.

( 8) The current WHO guidelines recommend that all clinicians discuss the benefits of HIV testing with their clients which include the
scientifically proven better outcomes when treatment with ARVs is started early. The JMS clinic strives to improve their quality of care for their
clients by observing these guidelines. It should however be noted that HIV testing is never mandatory and that there is the option to decline the
test.

Staff members are encouraged to access ST/AI/2005/12 for detailed administrative information on UN Medical clearances and
examinations.