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* News / Kenya: Crisis Hits Nyamira Hospitals as Nurses, Doctors Stay Away from Work by katty: August 01, 2018, 06:49:01 AM
People living with HIV and kidney patients are major casualties of the ongoing paralysis of healthcare services in the county as nurses continue to boycott work.

Public hospitals have been deserted for two months now and patients who cannot afford treatment in private hospitals are being turned away.

The nurses, like other county employees, have not been paid for three months. According to the county officials, this is due to hitches and delays in the budget-making process.

Although other county services have also suffered as a result of the salary stand-off, the health sector has been hardest hit.

The HIV and renal clinics have remained non-operational as the medics demand their unpaid salaries.

Patients who were receiving dialysis services at Nyamira County Referral Hospital are now going to the neighbouring Kisii Teaching and Referral Hospital.

Stop working

The various workers’ unions - Kenya National Union of Nurses, Kenya Medical Practitioners, Pharmacists and Dentists Union and Clinical Officers National Union - ordered all their members to stop working until all their salary arrears were paid.

The county government has been silent concerning the crisis; the county assembly is also non-committal about resolving the situation.

When contacted, the Health executive declined to comment about the matter and instead referred The Standard to the chief officer, who also said he was not in a position to issue a statement about the crisis.

“At the moment I don’t have anything to say about the situation,” said Chief Officer Jack Magara.

County Commissioner Isaiah Nakoru has declared the ongoing paralysis of health services as a human rights concern and called on the county government to act urgently.

Mr Nakoru said the situation was a clear indication the county leadership had failed to deliver basic services to its people.

Clear violation

“Denying people their basic right to healthcare is a clear violation of their human rights as enshrined in the Bill of Rights. County leaders should not take this lightly,” Nakoru said.

Last week, Deputy Governor Amos Nyaribo said the matter was being addressed and promised the workers that money would be available by end of the month (July).

A spot check by The Standard yesterday showed families opting to take their sick relatives to private hospitals.
Source : Standard Digital
* News / Japanese Govt Donates 12 more Ambulances to Nigeria by katty: August 01, 2018, 06:38:13 AM
Nigerian government has received the last batch of Ambulances donated by government of Japan. The Japanese government had in June 2017 donated 31 Ambulances to Federal Republic of Nigeria and promised to deliver 12 more to make it total of 43 ambulances. The remaining 12 have been delivered today Friday 27th July, 2017.

The Minister of Health, Prof. Isaac Adewole, while receiving the vehicles on behalf of Federal Government in Abuja said that, the donation was aimed at enhancing healthcare delivery system in Nigeria.

Adewole said “ We sincerely appreciate the Japanese Government in keeping to her promise on provision of the remaining 12 Ambulances as was said last year. We also acknowledge and commend the Japanese government for supporting the training of the nurses and drivers that would mann the vehicles”.

“The provision of these ambulances to our Tertiary Health Institutions across the country will ensure that emergency cases requiring ambulance service are taken care of promptly”, Adewole said.

In his welcome address, the Permanent Secretary, FMOH, Alh. Abdullahi Abdulaziz Mashi said that donation of the Ambulances would contribute immensely to the Federal Government’s efforts to strengthen the National Emergency Response Programme

Speaking at the occasion, the Japanese Ambassador, Yutaka Kikuta said that the ambulances were meant to be distributed to Tertiary Health Institutions in Nigeria.

Kikuta said “Japan is a country which keeps her words, we are gathered here today to mark the delivery of the remaining 12 ambulances in fulfilment of the promise made a year ago”

“This project is particularly unique because ambulance mostly serve those in very critical condition when the availability of an ambulance and rapid response could mean the difference between life and death” , Kikuta said.

The Japanese Ambassador explained that health is one of the main focuses of the government of Japan in its Official Development Assistance (ODA) to Nigeria. He said the Government of Japan through its community-based Grant Assistance is providing primary healthcare facilities and potable water in the rural communities.

Olajide Oshundun (Mr.)
* News / Health Minister hails CPC’s draft Patients’ Bill of Rights (PBoR) by katty: July 31, 2018, 03:51:51 PM
The Minister of Health, Professor Isaac Adewole, has acclaimed the draft Patients’ Bill of Rights (PBoR), initiated and developed under the leadership of the Consumer Protection Council (CPC).

The broad and comprehensive statement of rights of patients, their responsibilities, and obligations of healthcare providers is the largest step quite yet to protect patients and ensure the highest level of ethical conduct by healthcare professionals as well as enhance the quality and standard of care in the healthcare sector.

The Minister’s enthusiasm and support for the initiative which he characterized as impressive, thoughtful and a matter of legacy was apparent and unmistakeable.

The Minister made these assertions when CPC’s Director General, Babatunde Irukera led a team of CPC management and the working team on the PBoR to a working meeting with the Minister and leadership of the Ministry of Health on the document.

Adewole applauded the Council for the initiative and the scope of the issues covered by the PBoR.  He expressed optimism on how transformational it will be to service delivery in the healthcare sector and how it publicizes the standard of care healthcare professionals should be held accountable to.

The Minister and members of his team in particular commended the Council for also identifying the responsibility of patients and their families in the entire care value chain and healthcare ecosystem.

He noted that he had gone through the document, the Legal Department of the Ministry had vetted it, and now critical senior and relevant directorates of the ministry have contributed to the document.

While thanking the CPC, he expressed his conviction that this effort will modify behaviour on both sides of the coin (patient and provider), and demonstrate to citizens that the Federal Government cares about, and prioritizes their well-being and welfare, and is assiduously focused on ensuring citizens are treated with regard and dignity at all times, especially at a vulnerable time like ill-health.

The Minister specifically welcomed the inclusion of detailed rules about the subject of confidentiality, emphasizing that it will promote confidence in the healthcare sector.

The new Nigerian Medical Association President, Dr. Francis Faduyile, and members of his new Executive, who were also on hand, expressed their appreciation for the initiative, and their familiarity with it, as it was part of handing over briefings from the previous and outgone executive team.  He committed to ensuring any additional comments from the NMA is promptly forwarded to the CPC.

Irukera, while responding, noted that the PBoR is an example of how the Council can collaborate with professional associations to foster consumer protection, improve internal ethics, and weed out quacks.

He remarked that CPC was proud and grateful about the broad consensus and commitment that culminated in the document with all major professional associations in the healthcare sector, including nurses, pharmacists, radiologists, laboratory technologists, among others, working with the CPC in a working group to ensure the final document captures all the salient issues.

Irukera further noted that CPC is grateful that the Honourable Minister and the ministry will champion and provide leadership for the proliferation of these rights and a better approach to patient care in Nigeria.
* News / 2018 ONLINE EXAMS: Ghana Nursing Council Conducts Online Mock Examination by katty: July 31, 2018, 03:39:24 PM
In order to offer first-hand experience to candidates who would be writing the Registered Mental Nursing (RMN) licensing examination online, the Council has conducted an online mock exams for 362 RMN candidates.

The examination was conducted simultaneously in three centres across the country namely Pantang, Yendi and Ankaful.

The Deputy Registrar, Mrs. Philomina Woolley accompanied by some Staff of the Council were at the Nurses Training College, Pantang to supervise the conduct of the online mock examination.

According to her, the mock exams was necessary to allow candidates gain the requisite experience and boost their morale to face the main online examination which would be conducted in September this year.
* MCPDP / Ondo State MCPDP schedule for Nurses August 2018 by katty: July 31, 2018, 03:34:08 PM
This is to notify you all that Ondo State MCPDP for Nurses in August is as scheduled below

Module : Contraceptive Technology Update
Venue : Nurses House Akure
Date : 6th - 10th August, 2018
Fees: #20,000
Account Name: Ondo State MCPDP
Account Number: 0038668697
Bank Name: Union Bank.
For more info : Call
0803 560 2861
08136290799. Pls note that if the class is not up to 50 participants, it will be rescheduled to a later date. So register on time
* News / Osinbajo launches patients' bill of rights to protect vulnerable Nigerians by katty: July 31, 2018, 12:12:17 PM
Vice President Yemi Osinbajo has launched Nigeria's first Patients' Bill of Rights developed by the Consumer Protection Council (CPC) to protect vulnerable Nigerians.
Speaking at the launch on Tuesday in Abuja, the Vice President said Patients' Bill of Rights is crucial as it borders on human lives and respect for human dignity.

Osinbajo said respect for patients and human lives explain how a country values its citizens and this is the responsibility of not only healthcare practitioners but includes the entire healthcare value chains.

The Vice President added that government is aware of the acute problem of the Nigerian  healthcare challenges and government is putting the right policies to address them.

He further said healthcare is not just about government funding and provision of infrastructure but also includes what patients perceive as what they are getting out of it.

The Director General of the CPC, Barrister Babatunde Irukera said the rights encapsulated in the Bill have always existed in different laws and the CPC simply aggregated the rights for reference purposes.

Irukera said the Bill of Rights would help eliminate quacks in the country's health care sector as it will serve as a weapon in the hand of patients to demand better healthcare services.
"Protecting rights in the healthcare sector is of particular importance and is a defining feature of how society should, and must operate," he said.

The CPC boss said the Council took interest in protecting consumers in the health care sector considering that life expectancy depends on the quality of health care delivery in the country.

He said no matter the quality of health care infrastructure, if the right attitude and quality services are absent, quality health care will fail.

"We take a definite step in ensuring people's rights in the healthcare sector are truly respected and protected in part because no one in our country is insulated or immunised from needing medical services," he said.

The Bill of Rights seen by Daily Trust outlined 12 rights that patients are entitled to, including right to relevant information, right to timely access to medical records, right to transparent billing, right to privacy, right to clean health care environment and right to be treated with respect.

Other rights include right to receive urgent care, right to reasonable visitation, right to decline  care, right to decline or accept to participate in medical research, right to quality care and right to complain and express dissatisfaction regarding services received.
Source: Daily Trust
* News / Kuwait Terminates Contract of Expatriate Nurses Who are 65 years by katty: July 31, 2018, 09:02:25 AM
The Ministry of Health has laid down a comprehensive health services plan for pilgrims this year, reports Annahar daily.

The plan consists of three phases: the first phase includes services before Hajj such as vaccination, issuance of health cards to pilgrims, and providing the required training for members and officials of Hajj caravans.

The second phase includes provision of medicines, equipment and transportation; while the third consists of services after Hajj like the provision of preventive medicines to protect the pilgrims from epidemics. Meanwhile, the Ministry of Health has terminated the services of 200 male and female expatriate nurses who are more than 65 years old and are on second contract, reports Al- Anba daily.

The ministry granted these nurses a grace period of three months to complete their procedures. This is in line with the decision of Health Minister Dr Bassel Al-Sabah (number 61/2018) to terminate the services of expatriates who are more than 65 years old, except the doctors.
Source : Arab Times
* News / FETHA CMD Denies Allegation of Financial Impropriety by katty: July 30, 2018, 08:29:09 PM
THE Chief Medical Director of the Federal Teaching Hospital Abakaliki (FETHA), Dr Emeka Ogah has called on the Nigerian Union of Journalists (NUJ) and all media organizations in the country to regulate the activities of its staff and members while sanctioning erring ones who take delight in tarnishing people’s images with their reports.

Dr Ogah told newsmen at the hospital while reacting to the allegation of salary padding from an online media outfit.

Ogah maintained that the hospital’s staff’s, do not receive salaries directly from the hospital but receive payment like other Federal Government owned establishments whose salaries are paid through the Integrated Payroll and Personnel Information System (IPPIS).

“Contrary to allegations by the online outfit, the hospital does not give or collect staff salaries since IPPIS commenced as it, therefore, behoves that since we do not pay staff salaries for several years, the issue of salary padding should not be mentioned.”

He noted that the hospital has a well-constituted, incorruptible board of management and cannot be accused of having two persons who turn it into their private establishment and turn its funds into their private pockets.

“We abide with the FG’s anti-corruption crusade and the application of the Treasury Single Account (TSA) as I am still living alongside other doctors including junior workers, in a flat I have been occupying since working as a doctor at the hospital.

He also added that despite the fact that he was the hospital’s CMD and in his fourth year in office; has attracted several health-enhancing facilities and interventions, to the hospital.

“The facilities include: the Lassa Fever Diagnostic Centre built and equipped by the Ebonyi government and donated to the Federal Ministry of Health, the donation of Lassa fever consumables including incinerators from the Doctors Without Borders, the free medical outreach by the T.Y Danjuma foundations, among others.

He rued the fact the online publication declined several invitations by the hospital’s management to visit it and verify its claims, to ensure that it gets all facts for his report.

“The writer claimed that he does not know where Abakaliki is located and we gave him direction on how to locate the town from Lagos, his supposed base.
* News / NCDC confirms six new Lassa fever cases, three deaths in Edo, Ondo by katty: July 30, 2018, 08:23:20 PM
Despite efforts by the Federal Government through the Nigeria Centre for Disease Control (NCDC) and its international partners, among whom is the World Health Organisation (WHO), Lassa fever outbreak has persisted in the country with six cases and three deaths reported last week in Edo and Ondo states.

The latest figures from NCDC on 2018 Lassa fever outbreak in Nigeria in the reporting Week 29 (July 16-22, 2018) showed that the outbreak has been contained from 21 states to just two states of Edo and Ondo.

A breakdown of the figures showed that 17 states have exited the active phase of the outbreak while Edo, Ondo, Plateau and Taraba remain active.The report from NCDC noted: “Six new confirmed cases were reported from Edo (five) and Ondo (one), with three new deaths from Edo (two) and Ondo (one) states.

“From January 1 to July 22, 2018, a total of 2,238 suspected cases have been reported from 21 states. Of these, 467 were confirmed positive, 10 are probable, 1761 negative (not a case). Since the onset of the 2018 outbreak, there have been 120 deaths in confirmed cases and 10 in probable cases. Case fatality rate in confirmed cases is 25.7 per cent.

“Twenty-one states have recorded at least one confirmed case across 71 local councils (Edo, Ondo, Bauchi, Nasarawa, Ebonyi, Anambra, Benue, Kogi, Imo, Plateau, Lagos, Taraba, Delta, Osun, Rivers, FCT, Gombe, Ekiti, Kaduna, Abia and Adamawa).Chief Executive Officer (CEO)/National Co-ordinator of NCDC, Dr. Chikwe Ihekweazu, who spoke with The Guardian yesterday, said Lassa fever could not be eradicated from Nigeria with the available options but only with a vaccine, which is not on offer.

He said: “Lassa is in our environment. There is no magic bullet. Lassa is endemic in Nigeria. As long as there is no vaccine and rats live with us, we will continue to have cases. We are working hard at getting a vaccine and containing the virus. We will continue with public health education and behaviour change.“It can but when we have a vaccine, not with the tools we have at the moment.”

Meanwhile, according to the latest NCDC report, in the reporting week 29, no new healthcare worker was infected, but 39 health care workers have been affected since the onset of the outbreak in seven states – Ebonyi (16), Edo (14), Ondo (four), Kogi (two), Nasarawa (one), Taraba (one) and Abia (one) with 10 deaths in Ebonyi (six), Kogi (one), Abia (one), Ondo (one) and Edo (one).

The latest figures from the NCDC showed that 81 per cent of all confirmed cases are from Edo (42 per cent), Ondo (24 per cent) and Ebonyi (15 per cent) states; and that four patients are currently being managed at Irrua Specialist Teaching Hospital (ISTH) treatment centre and two at the Federal Medical Centre Owo treatment centre.

Besides, the NCDC noted that 6,251 contacts have been identified from 21 states, and of these, 337 (5.4 per cent) are currently being followed up, 5,816 (93.0 per cent) have completed 21 days follow-up while 10 (0.2 per cent) were lost during follow-up. Eighty-eight (1.4 per cent) symptomatic contacts have been identified, of which 30 (34 per cent) have tested positive from five states (Edo – 14, Ondo – eight, Ebonyi -three, Kogi – three, Bauchi – one and Adamawa – one).
Source :
* Research / Video Recordings Reveal Causes of Communication Failures Between Nurses, Doctors by katty: July 30, 2018, 07:58:43 PM
Communication breakdown among nurses and doctors is one of the primary reasons for patient care mistakes in the hospital.

In a small pilot study, University of Michigan researchers learned about potential causes of these communication failures by recording interactions among nurses and doctors, and then having them watch and critique the footage together.

Several themes emerged to help explain the poor communication, and both nurses and physicians improved their communication styles, said Milisa Manojlovich, U-M professor of nursing, who defines communication as reaching a shared understanding.

One barrier to good communication is that the hospital hierarchy puts nurses at a power disadvantage, and many are afraid to speak the truth to doctors, Manojlovich said.

The recordings showed that nurses didn't directly request what they wanted or express their needs. They communicated indirectly, which confused physicians, who often ignored the nurses' requests and moved on to the next agenda item rather than ask for clarification.

The study also found that because doctors and nurses approach patient care from vastly different angles, achieving understanding isn't easy.

Manojlovich said one interaction in particular really showcased the different approaches to patient care. A patient with mouth pain, caused by a fungal infection called thrush, couldn't swallow the pills she needed to get better. The physician wanted to prescribe more medication to treat the thrush, but the nurse--who knew the patient well--wanted to treat the patient with strong painkillers, as well.

"The physician realized that the pain was inhibiting the treatment, and treating the pain, as well as the condition, would solve the problem," Manojlovich said.

Finally, the recordings showed that in good communication, the body language of both parties mimicked the other. In strained relationships, body language wasn't in sync.

Manojlovich and her team followed physicians and nurses at the U-M Health System. Then, nurses and physicians watched and commented on the clips separately, and those comments were incorporated into the video. Finally, both parties watched the clip together.

"The only way you can become aware of your habits is by watching yourself," Manojlovich said.

Overall, the interactions were positive in the sense that there wasn't any contention, but there was room for improvement.

"One physician said, 'I didn't give the nurse a chance to answer,' and this physician had a habit of doing that and recognized it," Manojlovich said. "She was one of the champions of the study."

Next, Manojlovich hopes to record a larger group and use the videos as training tools to improve communication.

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