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Stats: 2924 Members, 6363 topics. Date: April 20, 2018, 09:32:20 AM

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* Articles / Task-shifting policy:Will Nigeria’s Community Health Workers also raise the dead by katty: Today at 08:14:34 AM
At 6.40 am, 4-year-old Abdul is rushed into the primary health center (PHC) by his mother and some concerned family members. Abdul’s breathing is labored and fast and he is very pale.

His mother says his condition worsened over night, but they had to travel a long distance from Angwa Kacikin to reach this primary healthcare centre (PHC). A ‘nurse’ in their community has been giving Abdul some injections for some days now, but his condition has not improved.

Mr Uthman, the community health extension worker (CHEW) on night duty has admitted Abdul and has given him intravenous fluids with IV hydrocortisone.

At 10.40am when I stop at this clinic for one of my routine visits, my community health officer (CHO) friend asks me to practise being a doctor for once and go with her to review a patient. The patient was Abdul and he was dead when I saw him, with the IV line still leaking Vitamin B-complex flavored fluid into his small still body.

My provisional diagnosis would be congestive cardiac failure from severe anaemia. The severe anaemia would be a result of the malaria he had which may have been poorly treated.

All of this is inconclusive, I agree, but the event vividly illustrated a strain that existed already in this primary healthcare center and in several other PHCs and health posts found in rural, hard-to-reach communities. There are no doctors. There are no midwives. There are no nurses. And community health extension workers are being made to carry a burden greater than the capacity of training they have received in schools or in-service.

This grossly inadequate staffing condition is a nation-wide plague. There is a general scarcity of health workers, but the scarcity is more pronounced among the higher cadres of health workers.

The premise of the task-shifting policy (signed August 2014) then is this, there are more community health workers available, and somehow, since they are already performing some of the traditional tasks of the doctors and midwives, then they can be capacitated to do more.

This policy is fantastic. It has the potential to solve some of the most pressing human resource for health challenges immediately and right where it matters the most – within the rural communities.

However, first things first. These health workers must receive thorough skills-based training to perform their new tasks successfully. They must be capacitated with the knowledge and supportive supervision to carry out the work. After all, it took a minimum of 6 months of a skills-based, hands-on approach to learn to rapidly recognize congestive cardiac failure and other emergent paediatric conditions in medical training.

As noted in the task-shifting policy, there is some ‘task-shifting’ already, but these forays by untrained CHEWs have been marked by mismanagement of cases and poor outcomes.

It is then not enough to sign the policy into law, or to adopt at the state level with a party and a round of applause. If the implications of the policy were to be fully accepted and understood, there must be concurrent changes in curricula for training our community health extension workers, with sufficient on-the-job continuous training and supportive supervision systems put in place.

Otherwise, the only thing we would have successfully shifted is the place of death for Nigerians in the rural areas – they would still die but in the hospitals, and from mismanagement.

 by Adetola Oladimeji
Health News
* News / "We Have no Business Meddling in Nurses' Demands" - Zimbabwe Doctors by katty: Today at 08:03:18 AM
“We acknoledge nurses as colleagues, but we have no business meddling in their issues with the employer. They have a different association which knows their welfare better than us...."

The Zimbabwe Hospital Doctors Association (ZHDA) has distanced itself from the ongoing nurses’ strike. The association in a statement said:

“We acknoledge nurses as colleagues, but we have no business meddling in their issues with the employer. They have a different association which knows their welfare better than us. Having said that, any statements suggesting that ZHDA is involved in the current strike are entirely false, and any party saying otherwise is saying so in their own capacity independent of Zimbabwean doctors,”
* News / Unemployed and Retired Nurses Rush to Zimbabwe Hospitals for Employment by katty: Today at 07:56:49 AM
DESPERATE retired and unemployed graduate nurses yesterday thronged various public hospitals throughout the country to register for recruitment after the government this week fired all striking nurses following a deadlock in salary negotiations.

Bulawayo’s Mpilo Central Hospital clinical director Solwayo Ngwenya said the recruitment exercise was progressing well.

“Recruitment to fill the gap of about 150 to 200 nurses who were discharged from their duties has started and unemployed nurses are rushing to register. Tomorrow (today) we will be taking experienced nurses and midwives from the retired ones,” he said.

This came as the situation at most public hospitals remained dire, with skeleton staff which comprised student nurses and medical staff seconded by the military attending only critical cases with most patients being turned away.

At Harare and Parirenyatwa hospitals, some critical departments such as paediatric casualty and intensive care units were closed.

Rusape district medical officer Tendai Lincon Nyafesa said the nurse aides and general hands were getting overwhelmed and showing signs of fatigue.

Zimbabwe Nurses’ Association (Zina) president Simangaliso Mafa insisted that the nurses would continue on strike until the government has addressed their grievances.

“There are no changes from the previous update,” he said.

Zimbabwe Human Rights Commission (ZHRC) chairperson Elasto Mugwadi said the commission had dispatched its officers to various hospital to assess the impact of the strike.

“We have got officers who have been on the ground and we should be issuing a statement tomorrow (today). We are also attempting to engage government,” he said.

Source : Newsday
* News / Lead Nurse Africa, LASUTH Hold First International Nursing Conference in Lagos by katty: Today at 07:33:40 AM
The conference is geared at raising transformational nursing leaders to play leading role in line with the SDGs objectives.

As part of its contribution towards achieving the Sustainable Development Goal (SDG) of good health and wellbeing by 2030 alongside other Africa countries, Lead Nurse Africa International Foundation in collaboration with the Lagos State University Teaching Hospital (LASUTH) holds first International Nursing conference.

President, Lead Nurse Africa International, Collins Ogbolo, said the conference is aimed at modelling transformational leaders to change the narrative of nursing in Nigeria and Africa.

Ogbolo at a press briefing added that adaptations from the conference, which holds from April 25 to 28, will assist the nation bridge the huge gap in the health sector, especially for people in rural areas that have little or no access to quality health care.

Leveraging on the numerical value of nurses in health sector, he stressed that they have the potential to overcome the nation’s health challenges as nurses’ interaction plays a huge role in the success of patients’ recovery.

Charging the government and private firms to support nurses, he said it is practically impossible for Africa to have a sufficient healthcare without investing in nurse, because what was provided is not sufficient for the 21st century nurse to thrive.

“Because capacity building is very important for nurses to perform optimally, the conference is geared at raising transformational leaders to play leading role in line with the SDGs objectives.

“Nurses are large social and medical factor to influencing healthcare practise for the society. The conference will bring together nurses from hospitals, schools and administrative levels to ensure that right knowledge is impacted.”

This is just the beginning for us because there are plans to continue,” Ogbolo added. He said the right model for nursing practise and research must be established, while capacity for development and achieving the SDGs should be adopted.

In his words: “Nigeria must prioritise nurses’ care and capacity building. We need transformational nursing leaders in the sector. Bringing leaders from Africa and outside will allow us share experience and make informed decision on how to achieve the SDGs.

“Today, students finish nursing school early, hence, they retire early. Instead of just retiring, they can help areas that lack access to quality healthcare.”Meanwhile, Family Health Director of the Foundation, Julie Mogbo said the collaboration is seen as a means to an end and promised that follow up will be done to implement policis adopted at the conference.

“The health sector cannot function in isolation. Nurses will change the tide to influence others and change the narrative. We include practitioners from both private and public to reach the grassroots.

“Our monitoring and evaluation team are up to the task as we set standard for practise in the Africa context for change. We admit that it is a continuous process and we will not relent until we empower nurses to make impact, for the benefit of the public.
* Free Nursing Books / Re: Download lippincott nclex, Saunders NCLEX, Med-Surg Textbooks etc in PDF Free by anogar: Today at 05:59:35 AM
can I please be emailed these as well?
* News / Gombe College Of Nursing, Midwifery 75% Completed – Commissioner by katty: April 19, 2018, 10:25:56 PM
The Gombe State Government on Thursday says the College of Nursing and Midwifery at Dukku currently under construction has reached 75 per cent completion.

The state’s Commissioner for Health, Dr Kennedy Ishaya, told News Agency of Nigeria in Gombe that contract for the construction of the college was awarded in 2015 at the cost of N2.274 billion.

According to him, the state Governor, Ibrahim Dankwambo, recently inspected the college and gave instruction to the contractor to ensure completion of the project in three months.

The commissioner said when completed, the college would seek full accreditation from National Council of Nursing and Midwifery.

Ishaya said the institution would also have the capacity to admit no fewer than 150 students, noting that “the existing College of Nursing and Midwifery in Gombe can only produce 50 nurses and 50 midwives due to the lack of full accreditation”.

He, however, added that the college might face problem of dearth of lecturers when it finally came onstream, saying state government would seek personnel from both within and outside of the state.

He announced that the General Hospital in Dukku would also be upgraded to improve standards.

Source : Eagle
* News / #JOHESUStrike2018: Patients’ relations beg FG, JOHESU, States to Join Soon by katty: April 19, 2018, 10:06:00 PM
Some relatives of patients in Federal Government hospitals in Lagos State on Thursday appealed to striking health workers to enter into dialogue with the government to resolve contentious issues to avoid deaths.

The relatives spoke at the Lagos University Teaching Hospital (LUTH), Idi-Araba, and Federal Medical Centre (FMC), Ebute Meta, Lagos.
The health workers in Federal Government hospitals under the aegis of the Joint Health Sector Union (JOHESU) began an indefinite strike on Wednesday to press home their demands.

JOHESU embarked on the strike after a 30-day ultimatum to the Federal Government.

The ultimatum began on March 5.

A NAN correspondent who visited the hospitals observed lacked of the usual heavy vehicular and human traffic.

The hospitals’ record sections were empty and no health worker was in sight.

Mrs Rashidat Oshikoya, a trader, who visited her brother on admission in LUTH, told NAN that prolonged JOHESU strike could lead to death of some patients.

“My brother had an accident two weeks ago; that is why he is here.

“Doctors had to discharge patients whose cases are not critical to allow them to handle others.

“The patients, who are discharged untimely, can develop complications that can lead to death,’’ she said.

She appealed to JOHESU and Federal Government to resolve their conflict fast.

A mother of two, who identified herself simply as Mama Ada, told NAN at LUTH that she could not be attended to because of the strike.

Mama Ada said that she brought her daughter, Ada, who had cerebral palsy, to the hospital but could not receive any attention as a doctor told her that he could only attend to emergency cases.

She said that the strike could spell doom for patients.

She appealed to both parties not to allow the strike to linger.

At the FMC, a woman, who pleaded anonymity, told NAN that her daughter was admitted for internal bleeding on Friday but had been discharged because of the strike.

She said that her daughter had yet to fully recover.

The woman said that she would take her daughter to a private hospital.

Mr Adeyinka Adewale, Branch Chairman, Medical and Health Workers Union of Nigeria (MHWUN), LUTH Chapter, said that the strike recorded 100 per cent compliance in LUTH.

He told NAN that no members of JOHESU reported for work at LUTH.

Adewale said that all members of the union withdrew their services, forcing doctors to discharge patients.

“It is an indefinite strike. We will not call it off until the government meets our demands.

“We pray the government listens to us fast so as not to put Nigerians in more hardship,’’ he said.

According to him, if the government fails to meet the demands in the next two weeks, state-owned hospitals will join in the strike in solidarity.

JOHESU is asking for upward adjustment of CONHESS Salary Scale and payment of some arrears.

The union also wants the government to review retirement age of its members from 60 years to 65 years.

It also demands employment of additional health professionals, among other demands.

According to JOHESU’s President, Mr Josiah Biobelemoye, JOHESU suspended its last nationwide strike on Sept. 30, 2017, after signing a Memorandum of Terms of Settlement (MOTS) with the Federal Government.

According to him, the MOTS was supposed to be implemented within five weeks after the suspension of the strike.

NAN reports that members of JOHESU include MHWUN, National Association of Nigeria Nurses and Midwives (NANNM) and Senior Staff Association of University Teaching Hospitals.

* News / #JOHESUStrike2018: We Must Get It Right NOW or NEVER Com. Morakinyo Olajide by katty: April 19, 2018, 09:27:36 PM
Dear comrades, our attention has been drawn to a letter by the management of NECC Kaduna, which is a follow up to the circular issued by the Ministry of Health which is supposed to be impartial but now looks to be selective in treatment of other healthcare workers.
You should all be aware that this is same ministry championing for the payment of 15billion naira through the federal ministry of finance to pay Resident Doctors the skipping arrears which they had earlier called illegal when johesu was fighting for it.

And now it can be seen by all that they were quick to release money few days to the Johesu strike action on monday 16th April 2018.

This is an evidence that the Ministry of Health, the Minister and his cohorts are totally insensitive, selfish and have no regard for the plight of other members of the health team.
In view of this, i will implore all our esteemed members to remain resolute and committed because this is a direct struggle that must be won.
We must get it right NOW or NEVER.
Thank you.
Comradely Yours,
Com. Morakinyo Olajide
Johesu Chairman/Unit NANNM Chairman
National Ear Care Center, Kaduna.
* News / #JOHESUSTRIKE2018 :JOHESU Vows to Continue Strike Despite No-Work, No-pay Threat by katty: April 19, 2018, 06:03:02 PM
Josiah Biobelemoye,  the national Chairman of  Joint Health Sector Union (JOHESU), on Thursday,  vowed to continue its ongoing strike, despite government’s  “no work, no pay” threats.

Biibelemoye, speaking in an exclusive telephone interview with Businessday, in Abuja, on Thursday, said government,s threats to replace the health workers, would not deterred them.

JOHESU which  comprises about 95 percent of the professional groups in the health sector, had embarked on the indefinite strike since Monday, 16th April, 2018, after several fruitless efforts to get government agree to its demand for better condition of service.

This development is coming on the heels of Federal Government threats to invoke labour law of ‘no work no pay rule’ rule if the Joint Health Sector Unions (JOHESU)  continued their strike, which has crippled health care delivery in federal government health institutions
JOHESU is demanding amongst other things;  adjustment of CONHESS salary as done for CONMESS since January 2014, abolition of scale promotion, payment of outstanding arrears on  promotion,skipping and relativity, autonomy for teaching and specialist hospitals,
Others include implementation of all court judgements, and review of retirement age from 60 – 65 years as done for the tertiary education sector.

According to Josiah, “For the benefit of Nigerians, I wish to inform them that, what the Federal government is doing is that after using machete on  a child, you are now telling the child not to cry.

“We entered into an agreement with the Federal government about 6 months ago, an agreement that is suppose to have been implemented in 5 weeks and the federal government failed to implement the agreement.
” We gave the government notice of 21 days , they didn’t do anything to show that they love Nigerians, to avert crisis. We gave them another 40 working days, so in total, 66 days were given but they ignored us”.

Speaking on the next line of action, he said, “we are not deterred, because Federal Ministry of Health since Isaac Adewole, became the Minister, has never given paliative to us, he has always given others but not us.

” We are prepared to continue the strike for the sake of Nigerians. The same government that said there is no money, wrote a memo to federal establishments to employ locals. Where do they get the money? this is a further evidence that the the Federal government and ministry of health are not ready to fulfil the agreement made with us”.

Source :  Business Day
* News / #JOHESUSTRIKE2018 : JOHESU strike Cripples Activities in Hospitals Nationwide by katty: April 19, 2018, 05:57:04 PM
Activities in teaching hospitals were yesterday paralysed across the country as health workers embarked on a nationwide strike.

Admission of patients, medical treatments and surgeries were consequently suspended at the Federal Capital Territory (FCT) National Hospital, Abuja, the Aminu Kano Teaching Hospital (AKTH), Kano and Nnamdi Azikiwe University Teaching Hospital (NAUTH) Nnewi, Anambra State.

The Chief Medical Director (CMD) of NAUTH, Professor Anthony Igwegbe, urged the workers to provide skeletal services in the interest of humanity, but his entreaties were ignored.

The Joint Health Sector Union (JOHESU) had embarked on indefinite strike action to demand the implementation of agreements with the Federal Government, which bother on improved welfare and working conditions of members.

Also, resident doctors at the hospitals insisted that they were making necessary effort to ensure that patients were adequately cared for, in spite of the ongoing strike.

However, the development crippled virtually all the services as admission of fresh patients were suspended while those receiving treatment in the wards were being discharged.

The hospitals also shut down dialysis services at their Hemodialysis Centres, a development that dashed the hope of patients in need of medical treatment.

Patients who had already booked for surgery appointment would now suffer needless delay, as the hospital suspended further operations.

When The Guardian visited the post-natal ward at AKTH, a senior nursing officer was found caring for no fewer than 30 nursing mothers, a service meant for at least seven nurses.

The situation at the specialty clinics for sickle cell and anti-natal units was not different, as patients had no nurses to attend to them except a doctor who struggled to juggle different tasks. 

Faith Anita, whose pregnancy has reached Expectant Delivery Date (EDD), expressed concern over the industrial action, saying the strike would be dangerous if it continues. She told The Guardian that there was no nurse on duty to give advice, adding that she was asked to seek an alternative for her delivery.

A sickle cell patient, Beatris Auja, pleaded with the Federal Government dialogue with the striking health workers and look into their demands to save the patients.

“The situation is so terrible and this is the only place we see doctors and nurses but we can’t because of the strike. We are begging the government to meet the demands of the health workers. We don’t have money to patronize private hospitals,” she said.

Jibril Yakubu, who spoke with The Guardian on his sick bed, also appealed to the health workers to consider the plight of the patients.

Responding, President of the Resident Doctors, Abdulrasheed Ahmad said the strike did not affect the services of medical doctors, insisting that the doctors would continue to render services within the scope of their responsibilities.

Source : Guardian Newspaper
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