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* News / Hauwa Leman: NMA Issues Statement, Wants Adequate Security for Health workers by katty: October 18, 2018, 12:52:09 PM
The Nigerian Medical Association (NMA) has joined a host of local and international bodies’ troubled over Monday’s execution of another health worker by Boko Haram terrorists, within a month.

According to the doctors, the Nigerian government needs to ‘step up’ in the areas of security of lives and property, especially of those offering humanitarian services across the country.

After the dreaded sect killed Saifura Khorsa, an aid worker, on September 16, it slayed Hauwa Liman, a midwife after a deadline it gave the government to meet its demands elapsed, on Monday.

Both health workers, until their deaths, were employed by the International Committee of the Red Cross worker, ICRC. They were abducted among others at an Internally Displaced Persons Camp (IDP), in Rann, Kala Balge Local Government Area of Borno State last year.

Ms Liman’s death two days ago sparked outrage at home and abroad, with the Nigerian government expressing ‘shock’ over the incident especially after it appealed to the sect not to do so.

While condemning the killings Wednesday in a statement by its Publicity Secretary, Obitade Obimakinde, the doctors noted that “adequate and proactive security measures would have prevented the needless act of terrorism and kidnapping embarked upon by the dreaded Boko Haram.”

“We also note the response of the Federal Government, condemning the killing while stating that they did all they could do to ensure her release. While appreciating the efforts of the government so far, we admonish the government to step up in the areas of security of lives and property, especially of those offering humanitarian services across the country”, the statement read.
Describing Ms Liman’s killing as a despicable act, the NMA also sympathised with the Red Cross and the family of the deceased “at this difficult time.”

The doctors further called on the federal government to “do everything within its capacity to ensure the release of all the other captives of Boko Haram which include Alice Loksha, the remaining health worker in captivity and Leah Sharibu, a 15 year old student abducted by the group in a separate incident in February.”

The insurgents still have Ms Loksha, another aid worker and a school girl, Ms Sharibu in captivity.

The Boko Haram insurgency has caused the death of about 100,000 people since 2009, according to the Borno State Government, whose state is most affected by the insurgency.

Due to the efforts of the military and other security agencies, the terror attacks have been largely limited to Adamawa, Borno and Yobe since 2016. Before then, attacks were carried out in many Northern Nigerian states including Kano, Nasarawa and Abuja.

Despite the efforts of the military, however, the latest attacks show the terrorists are still able to carry out attacks on civilian and military targets.
Source: Premium Times
* News / Hospitals 'Plugging' Shortages of Nurses by Using Cheaper Workers, Expert Fear by katty: October 18, 2018, 09:42:58 AM
UK: NHS hospitals are "plugging the care gap" with healthcare assistants amid a growing shortage of nurses, a new report suggests.

The study found the number of healthcare assistants is rising at four times that of nurses, amid a shortage of around 35,000 nurses.

For every nurse taken on between December 2015 and December 2017, four of the cheaper workers were hired.

In some areas, hospitals lost almost exactly as many nurses as they hired healthcare assistants, raising fears that the cheaper workers were being used as substitutes, endangering patient safety.

The study found almost one in three care roles in NHS trusts is now filled by a healthcare assistant.

Patients’ groups said the trends were “frightening”.

It follows warnings that the workers are being used as “nurses on the cheap” and left unsupervised because of shortages of nurses.

Healthcare assistants are meant to help trained nurses, carrying out basic tasks such as feeding patients, answering calls bells and helping them to the toilet.

But there is increasing concern that they are being used to perform tasks for which they are not trained - such as administration of medicines, or being left in charge of multiple patients.

The study, by BPP University School of Nursing, says soaring vacancies of nurses over the period paint an "alarming picture,” with heavy reliance on agency nurses, as well as assistants.

Worst affected areas are the north west and east of England, where nursing vacancies rose by 48 per cent and 46 per cent respectively.

Across all English trusts, the nursing and midwifery vacancy rate rose from 28,713 in December 2015 to 34,682 in December 2017 – a rise of 21 per cent they wrote.

"Although nursing numbers appear to be holding up, the sharp increase in vacancies tells a different story. They have soared by over a fifth in two years," they wrote.

"To plug that care gap, trusts are increasingly turning to healthcare assistants, whose numbers have grown substantially."

Healthcare assistants, whose pay starts at around £17,000 a year, have far less training than nurses, who are required to undertake a nursing degree, with starting salaries of around £23,000.

The study warns: “Although nursing numbers appear to be holding up, the sharp increase in vacancies tells a different story. They have soared by over a fifth in two years – although there are significant regional variations. As the country’s ageing population has risen, demand for more care and more complex care has increased. There are 2,200 more emergency admissions per day than there were five years ago, for instance, 31 per cent more diagnostic tests, while delays due to waiting for available home care have more than doubled.

“Unfortunately, supply hasn’t increased in line with that demand – hence the shortfall in recruitment and the rise in use of agency nurses, which increased by 37 per cent between December 2015 and December 2017.”

Overall, while the number of nurses rose by 0.5 per cent between December 2015 to December 2017, the number of healthcare assistants rose by 6.5 per cent, the analysis shows.

In total, 29 per cent of care roles in NHS trusts in England are now being carried out by healthcare assistants, the study found.

The report, was based on responses to Freedom on Information requests to NHS trusts in England – of which 67 per cent of acute trusts responded.

Joyce Robins, from Patient Concern, said the trends were “frightening”.

She said: “This is really worrying, there is such a paucity of trained staff, and we are seeing far too much reliance on staff who just aren’t trained for the tasks they are doing.”

Dr Anne Corrin, head of professional learning development at the Royal College of Nursing, said: "Healthcare assistants offer vital support to registered nurses and other clinical staff, and perform an important role as part of a multi-disciplinary team.

"But it is a very different role to a registered nurse and cannot and should not be used as a substitute.

"This is not fair on healthcare assistants, who may feel under pressure to perform tasks they are not trained for, and it is not fair on patients, who will rightly be concerned if healthcare assistants are replacing registered nurses.

"This trend highlights yet again that across England we are desperately short of registered nurses.”

* News / Nigeria Govt Clips Workers' Wings To Implement No-work No Pay Rule in Principle by katty: October 17, 2018, 08:30:52 PM
-Nigerian workers will automatically lose salaries any time they embark on strike.

The Federal Executive Council ( FEC ) has approved the implementation of the no-work, no pay principle when workers go on strike in the federal public service.

Minister of Labour and Employment, Dr Chris Ngige, disclosed this on Wednesday in the Presidential Villa, Abuja while briefing State House Correspondents after FEC meeting presided over by President Muhammadu Buhari.

He said the approval was sequel to the adoption of the Draft White Paper on the Report of the Technical Committee on Industrial Relations Matters in the Federal Public Service.

Ngige said that the public service in Nigeria was bedevilled by problems and conflict areas; hence governments over time set up various committees and brought out circulars in a bid to stem the tide of industrial dispute.

The minister said that the technical committee, which was inaugurated on April 27, 2016, did their work and submitted to the FEC in Oct. 2017.

“FEC in turn, empanelled a committee of ten which I chaired to do a government Draft White Paper on those contentious areas that the technical committee had looked at.

“These contentious areas are enforcement of section 43 of the Trade Dispute Act Law of the Federation 2004; this is the section that deals with lockout of workers by their employers without declaring redundancy appropriately.

“Because in some establishments, especially in the private sector, workers are locked out by their employers; so the law there says that if you lock your workers without passing through the normal channel-due process.

“For the period of the lock out, the worker is assumed to be at work and will receive all the remunerations and allowances, benefits accruing to him for the period and that period will also be counted for him as a pensionable period in the computation of his pension.

“But when workers go on strike, the principle of no-work-no-pay will also apply because that principle is enshrined in the same section 43 of the Labour Act.’’

According to Ngige, the section says that for the period a worker withdraws his services, government or his employers are not entitled to pay.

The minister said that under the section, the period for which the worker was absent would not count as part of his pensionable period in the public service.

He said that FEC accepted it as a white paper recommendation that should be gazetted because even the National Industrial Court had made pronouncement on that law and said that it was clear.

Ngige said that another area was the issue of public servants remaining permanently in the executive bodies on trade unions.

“Government realises that some persons in the public service go into trade union executive positions; hold offices; and they do that for life; for as long as they are in the service.

“In doing so, they will refuse postings and deployments under the guise that are doing trade union activities; government says no.

“You have to be a public servant first before you become a trade unionist; therefore, if you are there; the public service rules will also apply to you.

“And in doing so, government says establishments will look at the issues and give it a human face in order not to disrupt trade unionism.

“And in furtherance to this, government has also said that there must tenure stipulations because people stay there without tenure; many organisations give people union positions without tenure; government says there is no office that does not have tenure.’’

Ngige said that trade unions, henceforth, should present constitutions that must have tenures; at least, maximum of two tenures for any elective position.

He said that another aspect of the report discussed by the council was the issue of residence training for medical doctors.

According to him, the residence training for medical doctors has been contentious one as some medical doctors come into this training and become professional unionists and stay there as permanent job.

He said that the Federal Government had fixed tenure for residence training of medical doctors, which was seven years within the trainee was to pass all his exams or quit.

Ngige said that FEC also looked at the Ayere report on inter-professional rivalry in the health sector and directed the Secretary to the Government of the Federation (SGF) to present it FEC for deliberation.

On the minimum wage, the minister restated that the Federal Government’s stance was N24, 000 per month.

He said that once minimum wage was fixed, any organisation or state that had the capacity to pay more could do that.

Ngige cited that Edo, Delta and Lagos states paid their workers more than the current N18, 000 national minimum wage.
Source :The Nation Newspaper
* News / Ezekwesili Protest In Abuja Over Killing Of Midwives Hauwa,Saifura By Boko Haram by katty: October 17, 2018, 06:33:28 PM
Oby Ezekwesili,Deji Adeyanju and others yesterday took to the streets of Abuja to protest the killing of two midwives, Saifura and Hauwa by Boko Haram terrorists.

According to them,Buhari’s administration has failed Saifura and Hauwa.They also urged FG to hasten the release of Alice, Leah and 112 Chibok Girls are still in Boko Haram's captivity

* News / Buhari Speaks With Hauwa Liman’s Family, Says FG Did Everything To Save Her by katty: October 17, 2018, 06:20:46 PM
President Muhammadu Buhari has spoken with Mohammed Liman, father of Hauwa Liman, the International Committee of the Red Cross (ICRC) midwife who was slain by Boko Haram terrorists, LEADERSHIP reports.

In a telephone call, President Buhari in a statement by his media aide, Garba Shehu, commiserated with the family and assured Miss Liman’s father that the Nigerian government did everything possible to save his daughter’s life, expressing sadness that all the efforts turned out unsuccessful.

He regretted that her commitment to helping victims of the Boko Haram insurgency ended in such a brutal way.

President Buhari also spoke with Peter Maurer, the President of the ICRC, extending condolences on the loss of the midwife.

The President commended the ICRC for the great work they had been doing in Nigeria by providing healthcare services to victims of insurgency in some of the most affected areas.

President Buhari appealed to the ICRC to continue their services in Nigeria, and not give up, despite the unfortunate and painful loss of their staff.

According to the President, Nigeria needs the ICRC and the government will continue to do all it can to protect staff of the organisation and other aid workers that are providing much-needed humanitarian services in the North East region, which had been affected by almost a decade-long conflict.
* News / United Nations Agencies Call for Ban on Virginity Testing by katty: October 17, 2018, 05:42:42 PM
Virginity testing — a gynecological examination conducted under the belief that it determines whether a woman or girl has had vaginal intercourse — must end, says UN Human Rights, UN Women and the World Health Organization (WHO).

In a global call to eliminate violence against women and girls everywhere, this medically unnecessary, and often times painful, humiliating and traumatic practice must end.

Virginity testing is a long-standing tradition that has been documented in at least 20 countries spanning all regions of the world. Women and girls are subjected, and often forced, to undergo virginity testing for various reasons. These include requests from parents or potential partners to establish marriage eligibility or from employers for employment eligibility. It is mostly performed by doctors, police officers, or community leaders on women and girls in order to assess their virtue, honour or social value. In some regions, it is common practice for health professionals to perform virginity testing on victims of rape, supposedly to ascertain whether or not rape occurred.

Virginity testing is often performed by inspecting the hymen for tears or its size of opening, and/or inserting fingers into the vagina (the “two-finger” test). Both techniques are practiced under the belief that the appearance of the female genitalia can indicate a girl’s or woman’s history of sexual activity. WHO states that there is no evidence that either method can prove whether a woman or girl has had vaginal intercourse or not.

Emphasis on women’s “virginity” is a form of gender discrimination

The term “virginity” is not a medical or scientific term.  Rather, the concept of “virginity” is a social, cultural and religious construct – one that reflects gender discrimination against women and girls.

The social expectation that girls and women should remain “virgins” (i.e. without having sexual intercourse) is based on stereotyped notions that female sexuality should be curtailed within marriage. This notion is harmful to women and girls globally.
Health impacts of virginity testing

These examinations are not only a violation of women’s and girls’ human rights, but in cases of rape can cause additional pain and mimic the original act of sexual violence, leading to re-experience, re-traumatization and re-victimization. Many women suffer from adverse short- and long-term physical, psychological and social consequences of this practice. This includes anxiety, depression and post-traumatic stress. In extreme cases, women or girls may attempt suicide or be killed in the name of “honour”.

Performing this medically unnecessary and harmful test violates several human rights and ethical standards including the fundamental principle in medicine to ‘do no harm’. WHO recommends that this test should not be performed under any circumstances.
Governments, health professionals and communities must act to eliminate the practice

There is an urgent need to raise awareness among health professionals and communities of the detrimental effects of performing this test on women and girls, its lack of scientific validity, and the need to eliminate its use. Some governments have banned virginity testing and enacted laws to criminally punish those who perform the examination. Many professional health associations and human rights organizations have condemned this practice as unscientific and a violation of women’s and girls’ rights.

UN Human Rights, UN Women and WHO are committed to ending virginity testing and ensuring that the rights of all women and girls are upheld. The following are recommended strategies to eliminate virginity testing in settings where it occurs:

*Health professionals and their professional associations should be aware that virginity testing has no scientific merit and cannot determine past vaginal penetration. They should also know the health and human rights consequences of virginity testing, and never perform or support the practice.

*Governments should enact and enforce laws that ban virginity testing.

*Communities and all relevant stakeholders should implement awareness campaigns that challenge myths related to virginity and harmful gender norms that place emphasis on control of women’s and girls’ sexuality and bodies.
Statement document that includes background on the issue, scientific evidence and global strategies to eliminate this practice
* News / South Africa: 1391 Nurses Set to Graduate from KwaZulu-Natal Nursing Schools by katty: October 17, 2018, 05:26:41 PM
Durban - The Department of Health said 1391 expected to graduate in nursing would bode well for the patients of KZN.

"The graduation carries much significance for the nurses themselves and the people of KZN, as it means these healthcare professionals will be able to inject their newly-acquired skills into the public healthcare system, for the benefit of all," said Department spokesperson Agiza Hlongwane.

The graduation will take place over Thursday and Friday at the Royal Agricultural Showgrounds in Pietermaritzburg.

"After many hours of painstaking work, there is likely to be a euphoric atmosphere and scenes of joy among the nurses and their families as their new qualifications are conferred on them," said Hlongwane.

 The Department said there will be numerous qualifications that will be awarded, including specialist nursing categories such as Midwifery and Neonatal Nursing Science, Child Health Nursing Science and Critical Care Nursing Science among others.

Daily News
* News / Kenya : Attack on Nurse Opens Door to Troubling Claims by katty: October 17, 2018, 09:37:37 AM
The Saturday morning assault of a nurse at the Kenyatta National Hospital has galvanised her colleagues into speaking up about the dangers they face at work.

Mildred Akinyi was beaten and strangled by five relatives of a patient who had died a few hours earlier, sparking outrage among nurses and clinical officers at the country’s largest referral hospital.

According to some of Ms Akinyi’s colleagues, she was a locum – one of 220 nurses who have been ‘undergoing orientation’ at KNH for five years and are yet to be hired on permanent terms.

A number of locum nurses who spoke to The Standard on condition of anonymity narrated similar experiences of working in a hostile environment.

Akinyi is recovering. Hospital officials said she had left the high dependency unit and was admitted in KNH’s private wing.

According to a hospital statement, Akinyi was assaulted following the death of a 17-year-old leukemia patient, who had been admitted since June.

Fellow nurses said the patient’s brother got to the hospital at 7am after being informed of the death. He left and returned at 10am with five relatives, including his mother and father. The relatives then allegedly assaulted Akinyi as a different nurse prepared the body for viewing.

“The hospital management condemns in the strongest terms possible this unfortunate incident and overall, any assault on any of its staff. To this end, the hospital will work hand in hand with the relevant authorities to ensure that such incidences do not recur and assure safety of patients and staff,” read a statement signed by KNH CEO Thomas Mutie.

While calling on patients and families to be courteous to staff and follow proper channels to resolve disagreements, Dr Mutie told the nurses that working in unpredictable environments like hospitals meant they had to expect anything.

But Kenya Medical Practitioners, Pharmacists and Dentists Union (KMPDU) Secretary General Ouma Oluga condemned what he said was a worrying yet growing trend of attacks on medical practitioners.

“We are tired of the attacks. Hospitals must ensure security for both patients and workers. We also have rights. If we cannot be guaranteed our security, we will take matters into our hands,” Dr Oluga said yesterday when he met the nurses.

Less rewarding

The visit by officials from KMPDU and the Kenya National Union of Nurses was also intended to bolster the locums’ push to be allowed to form their own union. This after it emerged that their tenure at the hospital had been less rewarding.

“The hospital brought us here years ago promising to monitor our performance before employing us. It has been five years and we are still waiting,” said a nurse who joined KNH in 2013.

The nurses said they were paid Sh300 an hour for a maximum of 150 hours each month, translating to Sh45,000 a month. This, they said, was insufficient pay, considering their strenuous working conditions.

“We are overwhelmed,” one nurse said. “The ideal nurse-to-patient ratio is one to eight, but we oversee more than 20 patients each at a time.”

Some of the nurses said it was clear the hospital would never offer them stable jobs, but they remained for lack of better options

* News / Nigerian Nurses Must Embrace Professional Core Values –Dr. Idris by katty: October 17, 2018, 09:29:14 AM
Dr. Jide Idris, the Lagos State Commissioner for Health, has tasked nurses in the State health sector on the need to embrace the core values of the nursing profession in the care of patients.

Idris gave this charge yesterday during the 2018 Nurses Assembly, a programme sponsored by the Lagos State Government to update nurses, midwives and educators in Lagos on professional guidelines and policies affecting the profession.

He noted that nurses are integral part of the think-tank of the State government who contribute a lot to formulation and implementation of policies in the health sector.

Idris who was represented by Dr. Funmilayo Shokunbi, the Director, Medical Administration, Training and Programmes in the Ministry of Health, implored nurses to continue to exude professionalism, discipline, integrity, humility, selflessness and great care in the discharge of noble duties.

Earlier in her remarks, Mrs. Dorcas Shonibare, the Director of Nursing Services in the Lagos State Ministry of Health, stated that the Nurses Assembly is an annual event sponsored by the Ministry of Health to update nurses on current trends in the profession and serve as a platform for nurses to interact as professionals.

She explained that the theme of this year’s assembly “Nursing Accountability in the 21st Century” as a follow up to last year’s theme “Professionalism: A Roadmap for Ethical Compliance in Nursing” is a starting point for major strategic planning for a new perspective on ethics of the profession.

“Accountability is the acknowledgement and assumption of responsibility for actions, products, decisions and policies including the administration, governance and implementation within the scope of the role or employment position and encompassing the obligation to report, explain and be answerable for resulting consequence,” Shonibare said.

She stated that the recent launch of 12 patients’ Bill of Right championed by the Consumers Protection Council (CPC) and the Federal Ministry of Health is a wakeup call to the Health Sector in Nigeria thus bringing to fore the need for nurses to be fully updated as ignorance is no excuse.

“Patients are now empowered to demand for their rights and you must be ready to give explanation for your actions and intentions without having the erroneous belief that they are at your mercy,” she said.

Shonibare while encouraging nurses to have an orientation of being accountable stated that the practice of nursing services in Lagos State is being monitored in public and private health facilities by the Lagos State Health Facilities Monitoring and Accreditation Agency (HEFAMAA).

During her lecture on 21st Century Nurse Manager, Mrs. Helen Mbonu, the Group Director of Nursing Services Reddington Hospital, stated that a 21st century nurse manager must be a great communicator employing frequent, timely and problem-solving communication to ensure patient care is running smoothly.

She added that nurses in the 21st century should know the rudiments of teamwork and the need to build effective teams, remain positive and be decisive, be technologically driven and should be conversant with the use of modern equipment in health service delivery.

“A 21st Century Nurse Manager should be academically driven, have the right attitude, possess excellent customer service skills, be involved in policy making, understand finance and budget and be readily available and accessible,” Mbonu said.

Source : Daily Independent Newspaper
* News / Nurse Hauwa Liman's Parents Speak With TVC, As ICRC Reacts To Her Death (Video) by katty: October 16, 2018, 05:58:46 PM
Hauwa Liman's parents speak with TVC News on the execution of their daughter by Boko Haram. The father says he wants his daughter's corpse brought to him so as to bury her in the Islamic way.

Meanwhile, Peter Maurer, the President of International Committee of the Red Cross (ICRC) and other members of ICRC have reacted to the execution of the beautiful Hauwa Liman.

It is with deep horror that I hear of the execution of Hauwa in #Nigeria.

condemns this senseless murder; an act of contempt for humanity.

Hauwa was a brave young midwife working to bring life into the world, and we mourn her loss with the greatest sorrow.

Hauwa's shocking death comes only a few weeks after her colleague, Saifura, was also killed. 

These young women shouldn't be defined by their deaths but remembered for the courage and compassion they showed in their short lives.

To watch the video click
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