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* News / Guyana Health Minister Wants Caribbean Nations to Train Nurses for "Export" by katty: September 27, 2018, 01:31:41 PM
As 74 Guyanese nurses prepare to leave to take up job offers in the United Kingdom, Guyana’s Public Health Minister, Volda Lawrence announced in the United States (US) that government would be setting aside 30 acres of land to construct a nursing college to train local and Caribbean health care personnel for export.

Addressing overseas-based Guyanese in Washington DC where she was attending an international conference of health ministers, Lawrence said Guyana and the rest of the region should cease lamenting the impact of the brain drain of nurses. Instead, she believed that nurses should be trained for the international job market to increase foreign exchange remittances.

“I said to them that this is not something to complain. You got to fix it. If they want our people, let us train them and send them out so we could get forty Western Unions in our countries instead of ten so that we can exchange human resources and get back the monies into our country. We have to find a way; we just can’t complain,” she said.

The 74 nurses are due to leave for London in October and November, 2018.

The Public Health Minister said the Guyana Lands and Surveys has promised to allocate 30 acres of land ahead of  preparations for the 2019 National Budget  for the construction of a nursing college and hospital in the vicinity of the proposed East Coast-East Demerara road. “We believe in that way we can be able to attract not only Guyanese but also students from the Caribbean. That in itself will also help us at the economic level because they must need somewhere to stay, they got to eat and so on so we are looking at that and hoping that we can be able to train more nurses than we are doing now,” she said. The College is expected to be staffed by 13 Guyanese nurses, who were recently sent to Brazil to pursue Masters and Doctorates for the first time in the Caribbean.

Currently, nurses are trained at the Georgetown School of Nursing, Charles Rosa School of Nursing in Linden, St. Joseph Hospital Nursing School and the University of Guyana.

Several overseas-based Guyanese publicly pledged to assist in health education, business and finance, and the reduction of the prevalence of HIV/AIDS.

Amendments to the 1947 Nurses and Midwives Act, Lawrence added, would be tabled in the National Assembly to allow nurses to specialise. “Many of our nurses are excellent at what they do but they are so demotivated because they don’t see the hope of moving anywhere,” she said.

Lawrence also announced that an international nurses exchange programme would be re-established in collaboration with the United Kingdom, United States and Canada.

The Public Health Minister praised the young doctors, who are conducting research voluntarily, and said more monies would be allocated to fund more such research.
She noted that the Guyana government could not afford to pay super salaries on its own, except in the case of foreign-funded projects. At the same time, she noted that the foreign experts initially experience difficulties communicating with Guyanese.
Source: DameraraWaves
* News / Nurses, Midwives, Health Workers Should not be Target – Toyin Saraki by katty: September 27, 2018, 12:16:33 PM
The founder of Well-being Africa Foundation, Toyin Saraki has called on Governments and global institutions to provide better respect, recognition, regulation, remuneration and safety for midwives, frontline health workers
Toyin Saraki, speaking at the United Nations General Assembly this week said that midwives lead the way in ensuring that mothers and their newborns survive childbirth and thrive.

She said “I must call the world’s attention to the persistent deadly challenge of unacceptable dangers of attacks on midwives and health workers, while they give of themselves to help the world’s most vulnerable citizens, in the most fragile conditions.”
Saraki who is a Global Goodwill Ambassador for the International Confederation of Midwives (ICM) said “Midwives and health workers should not be a target.”
She spoke about the 25-year-old midwife Saifura Hussaini Ahmed Khorsa who was kidnapped by militants alongside two other International Committee of the Red Cross aid workers.
Saifura, a young mother, had moved to Rann in north-eastern Nigeria to selflessly help those in need, as such her murder “is a tragedy for Nigeria and for the global community of midwives” Saraki explains.
She further stated that “Saifura had specifically been working in a facility for Internally Displaced Persons – where women are of course particularly vulnerable. Two days after the terrible news broke, our MamaCare midwife Rita was herself conducting an antenatal class in an IDP camp, albeit in an area with a quite different security situation.”
Advocating for midwives and health workers she said “There can be no greater reminder of the need to support ICM’s advocacy and aims to ensure that it’s over 500,000 midwife-members and 132 national Midwifery associations in 113 countries and 6 global regions, including Nigeria, are better recognised, regulated, respected and remunerated, than the news last week and highlight the work carried out by midwives like Saifura and Rita, with no fanfare, day after day, in some of the most challenging conditions imaginable.”
Source: Daily Trust Newspaper
* News / Lawsuit accuses AstraZeneca of using nurses to promote its drugs by katty: September 27, 2018, 12:03:52 AM
A newly unsealed whistleblower lawsuit accuses AstraZeneca PLC of hiring nurses to improperly recommend three of the pharmaceutical manufacturer’s best-selling drugs to doctors and patients under the guise of education and counseling.

The lawsuit by two ex-employees of a firm AstraZeneca tapped to hire the nurses was filed in federal court in Seattle in 2017 and was unsealed on Monday after the U.S. Justice Department declined to intervene in the case. It is the latest whistleblower lawsuit to accuse drugmakers of engaging in a form of “white coat marketing,” by hiring nurses to provide medical advice related to a drug while effectively acting as sales representatives for the companies.

To read the full story on WestlawNext Practitioner Insights, click here:
* News / Despite Shortage of Nurses , Zimbabwe Graduate Nurses Struggle to Find Work by katty: September 27, 2018, 12:01:20 AM
ZIMBABWE — At Harare Central Hospital, nurses busily attend to a queue of patients, recording their body temperature and blood pressure.

It’s a high-pressure job, but nurse Rumbidzai Simbi is happy to be employed after spending a year and a half without a job. She completed three years of training and graduated in 2016, but she didn’t get a job until April of this year.

“I could not do anything but only wait for that big break to get employed within the government,” she says.

In Zimbabwe, government-trained nurses are required to work in government hospitals upon graduation, and the government doesn’t immediately release to graduates the diplomas that would allow them to get jobs elsewhere. Currently, there aren’t enough nurses being trained to meet the government’s target, and at the same time, there aren’t enough job vacancies for trained graduates. That leaves many nurses in career limbo.

Gerald Gwinji, permanent secretary in the Ministry of Health and Child Care, says that as of February of this year, there were 17,953 nurses working within government institutions.

But for this sector to achieve the best quality of care, Gwinji says, the number of nurses and midwives in those institutions needs to double.

The government, Gwinji explains, only has the funding to train around 900 nurses each year.

According to Zimbabwe’s 2018 National Budget Statement, $297.4 million has been allocated for the salaries and wages of approximately 37,300 public health care personnel – but that includes all health care workers, including those at nonprofit health care facilities and those affiliated with churches.

The budget doesn’t allocate the funds to pay the 35,000 nurses needed in government institutions.

“We strive as much as possible to provide employment [in government hospitals] for all our graduating nurses,” Gwinji says. “Should situations arise where we cannot provide, within three months of qualification, employment for them, due to various factors, we release them to explore other options and [waive] the bonding.”

But some nurses, including Simbi, say they have waited much longer than three months.

During their training, Gwinji says, nurses are provided with books, transportation and food, among other services.

“While the support goes a long way in meeting [resources], it may not cover the full needs of the individuals,” he says.

Simbi says students were not given food, uniforms or books during her training.

I could not do anything but only wait for that big break to get employed within the government.
Rumbidzai Simbi, a nurse at Harare Central Hospital

Samson, as he prefers to be called for fear of retribution, is a registered general nurse who graduated in 2010. But like Simbi, he was unemployed after graduation, waiting for a post at a government institution, where he would be required to serve for three years.

“Posts were frozen. We were not given our diploma certificates – I only got my practicing certificate, which is not enough to get a job,” he says.

For the year Samson waited, times were tough.

“I had to work as a farm help, and my wife was a vendor at the time,” he says. “I didn’t even tell my co-workers that l was a nurse.”

Samson only earned $50 a month at the time.

Enock Dongo, the secretary general of the Zimbabwe Nurses Association, agrees that there are too few nurses working in government institutions, and they’re not earning much.

“We wish our nurses were to get something above poverty datum line, across even in the private sector,” he says.

A nurse working in a government hospital in Zimbabwe could make as little as $284 a month, says Dongo.

Dongo says the government should continue training nurses but needs to allocate more funds to training and employing them.
Samson, for his part, has a simple wish: If the government can’t provide jobs for nurses, release their diplomas to them as soon as possible, so they can find work elsewhere.
* News / USA: Massachusetts Patient to Spend 90 Days in Jail for Spitting on a Nurse by katty: September 26, 2018, 02:02:03 PM
Spitting on a skilled nursing employee will land one resident in jail for three months, a Massachusetts jury decided last week.

The sentence stems from an October 2016 incident, when 29-year-old Travis Chiddick twice groped a female housekeeper’s buttocks while she cleaned his room. When told that he’d be losing privileges at the Timberlyn Rehabilitation Care Center in Great Barrington, MA, he subsequently spit in the face of a staff nurse, the Berkshire Eagle reports.

On Friday, a six-member jury convicted Chiddick of assault for the incident, and he was sentenced to serve 90 days in the Berkshire County Jail. The jury, however, acquitted him other charges, including assault with a dangerous weapon. Chiddick, who uses a wheelchair, also was accused of throwing a glove at a nursing home staffer.

The county had sought a six-month sentence, while the resident’s attorney asked the judge to consider probation, arguing that Chiddick’s impulsive tendencies were part of his medical condition. Chiddick had previously incited “numerous past encounters at the nursing home in which he has become violent and either assaulted staff or other patients,” police stated in the initial incident report.

* News / Abu Dhabi: Health Experts Want Urgent Steps to Attract More Emirati Nurses by katty: September 26, 2018, 01:51:08 PM
-Figures revealed at the Abu Dhabi Medical Congress show that just 3 per cent of the 23,000 to 25,000 nurses across the emirates are UAE nationals.

Health experts have called on the UAE government to boost nurses’ salaries and reduce their hours as part of a wider effort to recruit more Emirati staff.

Senior hospital officials said much more needed to be done to change attitudes and encourage greater numbers of men and women into the profession.

Currently, Emiratis make up less than three per cent of nursing staff at Abu Dhabi Health Services Company (Seha), a leading government healthcare provider.

But medical staff claimed a combination of improving hours, broadening responsibilities and increasing wages could help drive up recruitment figures.

“We need to change the way people look at nurses,” said Dr Anwar Sallam, chief medical and clinical affairs officer at Seha.

“In the past they were perceived as doctor’s assistants but now that’s different. Today they’re on the front line and triage my patients.

“They know a lot about the management of patients and diseases and can help address patient and family concerns and questions.

“But we have a problem because as it stands the nursing profession here is not attractive.

“Let’s make it attractive be adjusting working hours and allowing nurses to work like other government employees.”

Dr Anwar Sallam spoke out at the International Council of Nurses (ICN) conference held in Abu Dhabi.

The event was staged in collaboration with the Emirates Nursing Association (ENA) and Seha, which operates six major hospitals in the emirate as well as additional clinics and family medical centres.

Speaking to The National, Dr Sallam said Seha was committed to hiring 100 Emirati nurses a year.

His comments came after reports revealed that during the first day of a well-advertised nursing recruitment campaign last year, no Emiratis at all had applied.

Instead, officials had received thousands of applicants from Far East and Asia, including the Philippines and India.

Dr Ali Al Obaidli, chief clinical officer at Seha, said one area in urgent need of redress was to broaden the responsibilities of nursing staff in the Emirates.

He argued that by offering differing specialties within the profession, hospitals would be better able to encourage those considering a career in nursing to come forward.

“This is an area that we are working hard to develop,” he said. “Increasing the specialties for nurses will help us develop different career paths for them.

“Just like physicians have different career options, nurses too should have that option.

“Some might want to work with the elderly or in pediatrics or in behavioural sciences. Specialisations must be developed.”

According to recent figures, just under 7,900 nurses currently work in Seha-run hospitals. Of these, only 180 are Emirati - around three percent.

Experts said one of the factors behind such a low ratio was pay. Another leading cause was working hours.

Today, Emirati nurses working in government-run hospitals receive between Dh10,000 to Dh25,000 a month, as well as housing and education allowances.

By contrast, foreign nationals who work as nurses typically receive much less – between Dh4,000 and Dh15,000 a month.

Lord Crisp KCB, co-chair of Nursing Now, a global campaign group aiming to raise the profile of nursing around the world, agreed more need to be done to expand the role of nursing in the medical profession.

He said many countries treated nurses like “handmaidens” simply because of their sex.

“Nurses can do a lot more than they are allowed to do,” he said. “Too often they’re not able to work to their full capability.

“In many countries nurses prescribe drugs and you see nurse practitioners being the first responders in an emergency. They shouldn’t just be handmaidens of doctors.

“We want people to think about what nurses are capable of because in the long run they can have a bigger impact than doctors.

“You empower 23 million nurses (the current global figure) and that is the single biggest thing you can do improve health globally.”

As the law stands now, however, nurses working in the UAE are prevented from taking on greater responsibility.

Samah Mahmoud, chair of international nursing, midwifery and allied health conference (SINMAC) said: “We need the support of legislation.

“Currently the law does not allow nurses to prescribe medication or to be more than caregivers. They are not given a license.”

She said allowing nurses to prescribe and operate at independent clinics would boost interest in the profession and help drive recruitment.

Dr Sallem added: “The system needs to convince families that nursing is an excellent option for their children.

“Once we do that then it will be easy for families to buy in to and the image of nursing will change.”

Source: The National
* News / Today Is World Contraception Day: Here are Five Easy Family Planning Methods by katty: September 26, 2018, 01:44:02 PM
On September 26, every year, the world contraception day is celebrated to improve awareness about contraception and help people make informed choices about their sexual and reproductive health.

Most persons of reproductive age in Nigeria are yet to imbibe the culture of using contraception also known as family planning to prevent unplanned pregnancy, because the topic is not yet cultural accepted especially among the unmarried.

The topic has remained a hush subject among many sexually active young women who might be scorned by health workers if they walk in health facilities to seek the service.

A report by the 2017 Nigeria Multiple Indicator Cluster Survey shows that there are still high unmet needs of contraceptive services and products in Nigeria.

Also, according to WHO, the unmet needs for contraception remain too high.

This inequity is fuelled by both a growing population, and a shortage of family planning services.

In Africa, 24.2 per cent of women of reproductive age have an unmet need for modern contraception. In Asia, and Latin America and the Caribbean – regions with relatively high contraceptive prevalence – the levels of unmet need are 10.2 per cent and 10.7 per cent respectively.

The world contraception day is meant to highlight the importance of postpartum family planning to prevent new mothers from getting pregnant within the first 12 months following child birth.

The vision is to have a society where every pregnancy is wanted.

Here are five easy and cheap forms of family planning methods to assist women prevent unplanned pregnancies

1. Injectables.

Tthere are progestogen only injectables and monthly injectables or combined injectable contraceptives (CIC).
The monthly injections are injected into the muscle, and contain estrogen and progestogen’ while the progesterone injection is injected into the muscle or under the skin every two or three months, depending on the product.

They are 95 to 99 per cent effective if used correctly.

2. Intrauterine device (IUD)- Copper containing or levonorgestrel.

These are almost two similar methods. The copper containing one is a small flexible plastic device containing copper sleeves or wire that is inserted into the uterus.

The copper component damages sperm and prevents it from meeting the egg and it is 99 per cent effective.
The IUD levonorgestrel is a T-shaped plastic device inserted into the uterus that steadily releases small amounts of levonorgestrel each day.

This works by thickening cervical mucus to block the sperm and egg from meeting.

3. Implants–
These are small, flexible rods or capsules placed under the skin of the upper arm. It contains progestogen hormone only.

It works by thickening cervical mucus to block sperms and egg from meeting and prevents ovulation. It is 99 per cent effective.

However, it must be inserted and removed by a healthcare provider. It can be used for three–five years depending on the implant; irregular vaginal bleeding common but not harmful.

4. Lactational Amenorrhea Method (LAM)
– This is a temporary contraception for new mothers whose monthly bleeding/period has not returned. To maintain the status quo, it requires exclusive or full breastfeeding day and night of an infant less than six months old.

This prevents the release of eggs from the ovaries. It is 99 per cent effective and consistent when used correctly.

5. Progestogen-only pills (POPs) or “the minipill”
– These are mostly pills commonly sold across the counter. It contains only progestogen hormone, not estrogen.

It works by thickening cervical mucus to block sperm and egg from meeting and prevents ovulation. It is 99 per cent effective if used according to prescription. It can be used while breastfeeding; must be taken at the same time each day.

Five Facts On Family Planning

1. According to World Health Organisation, about 214 million women of reproductive age in developing countries who want to avoid pregnancy are not using any modern contraceptive method.

2. Some family planning methods such as condoms help prevent sexual transmitted diseases such as HIV, and sexually transmitted diseases.

3. Family planning/usage of contraception reduces need for and risk of unsafe abortion.

4. Family planning helps space child birth and reduces maternal and child mortality

5. It gives people the right to determine how many children they want.

Source : Premium Times
* News / Poverty Fueling Inter-professional Rivalry in Health Sector – PSN President by katty: September 26, 2018, 10:05:50 AM
“You can imagine a medical doctor in Nigeria opening a patent medicine store, if not poverty, why should this be happening?"

The age-long rivalry among healthcare professionals in the country has been largely fueled by poverty in the land, the President of Pharmaceutical Society of Nigeria (PSN), Ahmed Yakasai has said.

Yakasai stated this while briefing newsmen at an occasion to mark the 2018 World Pharmacists’ Day/Scientific Workshop held in conjunction with GSK Nigeria in Lagos.

The theme of the World Pharmacy Day was “Pharmacists: Your medicines experts”.

The PSN boss also called on the Federal Government to discard the Yayale Ahmed report on Inter-Professional relationship in the health sector.

Yakasai who insisted that the Yayale Ahmed report would create more conflicts in the health sector however disclosed that the PSN, the Nigeria Medical Association (NMA) and other professionals in the health sector had resolved to set up a committee to digest the report and come up with a common position.

According to him, the rivalry was caused by selfish interest and not for the benefits of the patients. He said all healthcare professionals should think more about the patients and not the money they would make.

“Yes, you can make money but not blood money”, he said, adding that all healthcare professionals were united to end the rivalry.

He said, “It wasn’t like this some years back but due to poverty in the country. If the budget would be increased to a level that would satisfy the workforce, I tell you, this rivalry would not be there.

“You can imagine a medical doctor in Nigeria opening a patent medicine store, if not poverty, why should this be happening? A pharmacist wants to prescribe, wants to dispense; a Lab scientist wants to conduct a test, prescribe and dispense”.

Yakasai said the theme of the day resonates with PSN’s agitation for recognition of pharmacists as medicine experts through the implementation of the Consultancy cadre in government hospitals.

He said pharmacists need to be supported to develop the capability for the opportunities that will allow the profession to be practised to full scope in Nigeria.

“For our healthcare delivery to move to the next level we need optimum medicine management and Pharmacists as medicine experts are crucial in the actualization of this goal”, the President added.

The PSN President said the move to take a holistic look at the controversial Yayale Ahmed report was being done in cahoots with their Nigerian colleagues based in America.

He said, “I just came back from North Carolina, the NMA President was there and we had a very robust, sincere and frank meeting in the presence of the President of Nigerian Association of Pharmacists and Pharmaceutical Scientists in America, the President of Association of Nigerian Physicians in America and President of Nigerian Association of Nurses in America and our Nigerian regulatory agencies.

“We all know what is right and wrong. We have agreed to have a committee as a whole and digest the Yayale report. We are going to have a common front. No need for doctors or pharmacists or other healthcare professionals to go solo.

“We swear to be our brother’s keepers and I hope it would work. We are going to have a meeting very soon and we would come out with our positions. We are all suffering for what is happening. Even doctors are not finding it palatable”.

Source: Daily Trust
* News / India: Government Hospitals to have more Nurses soon - Minister by katty: September 26, 2018, 09:57:59 AM
Says the recruitment is process is on

Health Minister C.Vijaya Baskar on Tuesday said additional nurses would soon be posted in all government hospitals.

Speaking to reporters after inspecting the Government Hospital in Kumbakonam, Mr.Vijaya Baskar said steps had been taken to recruit nurses through the Medical Services Recruitment Board. Once the process was complete, the strength of nurses would be augmented in all government hospitals.

Later, he inaugurated a magnetic resonance imagining (MRI) scanner at Thanjavur Government Medical College Hospital in the presence of Agriculture Minister R. Doraikkannu.

The Minister said the state-of-the-art MRI scanner had been installed at a cost of ₹6 crore. Whole body scans could be taken within 10 to 30 minutes using the equipment and it would be of immense help to doctors in making accurate diagnosis.

Earlier, he inaugurated a new primary health centre (PHC) set up at a cost of ₹1.50 crore in Kadiramangalam village.

The PHC, he said, would have a team of 14 staff including doctors and nurses. The district administration had allotted 2.5 acres of land for the PHC and additional buildings would be constructed there.
* News / 2 Fake Nurses Land in Court Over Alleged Illegal Abortion in Lagos, Nigeria by katty: September 26, 2018, 09:53:32 AM
Two quack nurses, Motunrayo Badmus, 23, and Victory Okon, 27, on Tuesday appeared before an Ebute Meta Magistrates’ Court for allegedly performing abortion leading to the death of a lady.

The duo whose plea was not taken, are facing a two-count charge of conspiracy and murder.

The Prosecutor, Insp. Oladele Adebayo, told the court that the offences were committed on Aug. 28, at No. 26, Baseri St., Ajegunle.

He said that the accused had unlawfully killed one Esther (surname still unknown) by performing an abortion on her.

He said the offences contravened Sections 222 and 223 of the Criminal Law of Lagos State, 2015.

The Chief Magistrate, Mr O.O. Olatunji, remanded the accused at Ikoyi Prison, pending legal advice from the State Director of Public Prosecutions (DPP).

The case has been adjourned until Oct. 25.

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