Presentation on theme: "An Overview of Nursing Services in Uganda"— Presentation transcript:
1An Overview of Nursing Services in Uganda Uganda UK AlliancebyEnid MwebazaAssistant Commissioner health Services - NursingMinistry of Health12th February 2013
2Focus of this presentation Brief background of the Nursing profession in UgandaThe situation analysisCritical gaps in the nursing professionFuture plans for Uganda UK Alliance
3Background of nursing profession in Uganda ( ) The first healing and training centre1919 Midwifery training under the Uganda Medical Services at Mengo.1930 Nurses training at Enrolled level1956 April 12th The Uganda Nurses and Midwives` Council was formed
5Background 3To date the total of practicing nurses in the public facilities :- No of nurses - No of MidwivesServing a population of about 34mVery few highly specialized nurses
6Situation analysisNursing Department heads the largest health workforce (more than 60%) in the health sector.Nurses deliver 90% of the health services in the country covering curative, preventive and rehabilitative services.Strengthened nursing leadership with clear and specific policy guidelines in line with the implementation of Ministry of Health Strategic Plan.
7SITUATION ANALYSIS 2 Mission To promote a health workforce that is appropriately skilled, well balanced, distributed, committed and performing efficiently and effectively in order to provide quality health care of individuals, families and communities in UgandaMandateTo strengthen nursing standards and maintain quality nursing services in the country, in accordance with the National Health Policy
8SITUATION ANALYSIS Delivering on health priorities: Maternal Mortality Persistently high maternal mortality ratio of 438 per 100,000 (UDHS 2011)Estimated 26% of preventable maternal deaths caused by unsafe abortionIncreasing access to post-abortion care by training more midwives and ensuring implementation of the current legal framework on abortion would save thousands of lives of pregnant women
9Situation analysis 3 Health advocacy and Uganda’s Parliament Successful advocacy effort by Parliament and Civil Society to secure increased investment in health workforceFY allocation to health workforce increased as a result of advocacy demanding for an additional 6,172 professional health workers to be deployed at HCIII/IVsMore than doubling of the wages of medical doctors at HCIVs
10Critical gaps to be addressed in the nursing profession Nursing Education and career buildingNursing PracticeNursing Leadership/advocacySocial Positioning of Nursing profession -Balancing of Nurses’ Association and Nurses’ UnionNursing Regulation, and standardsResources for NursingNursing ResearchNursing Policy
11Critical gaps in the nursing profession 2 The country is experiencing a sharp decline in the standards and quality of nurses- a need for specialized nurses at various levels- insufficient in quality and quantity- Training of many nursing cadres at various levels- Training is not well coordinated between MoH and Ministry of Education
12Critical gaps in the nursing profession 3 2. Strengthening of the Nursing practiceImprovement in Service delivery- setting of standardsQuality of service – evidence based careHuman resource issues (attraction and retention)Improved working environment - Ensuring patient safetyStreamlining ‘Scope of practice’Harmonization and accreditation of CPDs programmes-
13Critical gaps in the nursing profession 4 3. Development of a strategic direction for nursing and midwifery services:Lack of succession planning- role models for nursing - senior nurses that young ones can look up to and learn from- enabling environment for nursing leaders in delivering meaningful change- developing structures supportive of nursing leadership
14Critical gaps in the nursing profession 5 4. To address issues of Social Positioning of the Nursing profession- Nurses not satisfied with the public imageThe profession is not well positioned to attract the best candidates for training as future professionalsBalancing the functions of a Nurses’ Association and Nurses’ Union as required by the international bodies (ICN, ICM, ILO)
15Future plans for Uganda UK Alliance To address the challenges that have been highlighted as a potential threat for the nursing professionThrough mentorship, exchange programmes, the nursing department in particular, will have an opportunity to implement the National Health Policy within the context of globalisation, liberalisation, and macroeconomic policy setting.To build consensus among stakeholders with regard to the strategic direction, products and services required to develop the nursing and midwifery services in Uganda.
16Future plans 2Creation of visible nursing services at institutional levels and in the primary health care sector responsible for managing, developing and implementing quality nursing servicesStrengthened and improved the capabilities of nurses through structured, sustainable continuing education programmes and research.Improved coordination between the Ministry of Health and the Ministry of Education to reduce the gaps between education and clinical service.
17- Office of Commissioner Nursing - Officer of the Registrar FUTURE PLANS 3Strengthened key leadership in the Nursing Profession through initiation of this Alliance:- Office of Commissioner Nursing- Officer of the Registrar- Office of Nurses Association- Principal Tutors – Ministry of Education and Sports- Regional leaders by implementing twinning arrangements both nationally and internationally
18acknowledgementsThanks to Uganda UK Health Alliance and its Director, Maura BuchananUHSM Academy for supporting my visit to UKTo all UK volunteers who give of their time and expertise to support our efforts.