International Nurses Day: Nigeria can’t keep nurses it needs

Despite huge taxpayers’ money spent yearly on 285 schools of nursing and midwifery across Nigeria, the country has failed to keep the nurses it needs amid growing competition in the international nursing labour market.

Today, the International Nurses Day is being observed to mark the contributions that nurses make to society, with the theme ‘Nurses: A Voice to Lead – Invest in nursing and respect rights to secure global health’.

Nigerian nurses

Thousands of nurses and midwives who should cater to patients’ needs at proportionate ratio, elevate access to quality care and reduce mortality have continued to leave the country, in their quest for higher pay, improved working environment, visa packages and accommodation.

With a high attrition rate and a lean nursing workforce, Nigerians have to grapple with the reality of one nurse managing 25 to 30 patients on a shift in public health facilities, Blessing Israel, national vice-president of National Association of Nigeria Nurses and Midwives, told BusinessDay.

Private hospitals do not have it better as they have equally seen unprecedented migration of their skilled hands in recent years, leaving the country with 15 nurses and midwives per 10,000 people, according to the World Health Organization Global Health Workforce statistics database.

Based on recent increases in capacity to train, Nigerian schools of nursing and university departments of nursing sciences should produce over 22,000 skilled people to the market, who can help meet WHO’s recommendation of 83 nurses and midwives per 10,000 people.

According to the Nursing and Midwifery Council of Nigeria, about 7,000 of these nurses migrate annually to top destinations such as Europe, North America and the Middle East, despite the council’s refusal to upgrade the verification of nurses electronically for ease of migration.

“We can’t stop them. Other countries value us more, and the energy we put into our job and that’s why they are recruiting from Europe, US and the rest. Everybody including the old and young professionals are keying into it because the remuneration is better,” Israel said.

“We are urging the government to create the enabling environment for our people to thrive in our country. Government also needs to employ more hands. There are also a lot of nurses out there looking for jobs.”

Depending on the level, experience and qualifications, the annual salaries of nurses and midwives ranges between £20,330 and £93,735 in England; £21,709 and £103,358 in Scotland; £19,737 and £93,735 in Wales; and £19,337 and £91,004 in Northern Ireland, data obtained from United Kingdom on pay scales in healthcare show.

About 8,241 Nigerian nurses worked in the UK’s National Health Service in 2019. From April to September 2021, more than 10,000 new international nurses were registered in the UK, including 1,300 from Nigeria.

Data from the Occupational Employment and Wage Statistics of the United States show that the annual wages of registered nurses hover around $59,450 and $ 120,250.

In Canada, registered nurses earn between $26.28 per hour and $48.37 per hour.

Jennifer Oyelade, employability specialist and Europe, Middle East, Africa consultant, told BusinessDay that the migration would continue, especially with the huge gap that the COVID-19 pandemic had created in places such as the UK.

According to her, the current staff of National Health Service are burnt out and overworked, and the authorities are actively creating incentives to woo people to come into the medical field, offering more competitive packages compared to what they are being offered in Nigeria.

“Going forward, there will be an increase. You have people who are working double shifts, 45 to 60 hours a week, in the NHS. There are people who caught COVID and have gone off work and they need replacement. The demand for nurses is high. They are enticed to come through a tier one highly skilled migrant visa,” Oyelade said.

Nurses make up the largest proportion of the health workforce, comprising 90 percent of the contacts between patients and health professionals, according to the International Council of Nursing. They are integral at all levels of the health system, from primary care, population health, specialised services, and policy and management.

Nurses make an essential contribution to all components of primary health care and are frequently the highest level provider, on the frontline, providing primary care services.

Nurses have been essential in expanding the delivery of more advanced services to rural and remote populations, through the informal reallocation of tasks, such as HIV treatment and medical male circumcision.

Olamide Brown, founder of Flying Doctors Healthcare Investment Group, said the government can approach the migration crisis in a way that enables it to sign agreements with top destinations of recruitment and earn the country foreign exchange on each professional that is taken.

“There are ways we can get more money into the healthcare system. One is to outsource medical skills. We have a huge brain drain problem. Why not change that into opportunity by making trade deals with countries that need doctors and taking a fee for it. Countries like Cuba and the Philippines have done this and it’s a source of income for them,” she said.

Source: International Nurses Day: Nigeria can’t keep nurses it needs – (businessday.ng)

Succour for Mampong Nursing and Midwifery Training College

The principal of Mampong Nursing and Midwifery Training College by either an act of incompetence or sheer wickedness, has not only inconvenienced about 168 students of the school but cost, or almost cost, them, their career to become of service to their people and nation.

The students of the school by their future career intend to become carers of sick people gone to hospital for treatment as either outpatients or inpatients. They may likely by their profession be able to attend to sick people wherever they happen to be; in homes, public places or hospitals. These are the types of useful people to society that the principal of the college has intentionally or otherwise, been killing their dream.

The principal acting diabolically or cluelessly, has made the lives of the students a complete hell on earth.

She could not stand up tall to defend the very decision of “amnesty” she granted all the alleged failed students who as a result of the deadly infectious Covid-19 pandemic, could not physically attend classes/lessons hence could not do better at their 1st and 2nd semesters examinations.

This decision taken locally in Mampong by her when principals could take their own decisions deemed to be in the best interests of the school, students and the nation, is no longer possible. This is because the government or the national management of the Nursing and Midwifery Training Colleges have centralised the nursing training colleges examinations and assessments in Accra.

Nevertheless, if she were a person that worth her salt, she could have written to inform the Central Management or whatever the board is called, of the decision she took locally, hence they should not use the students’ poor marks for their first and second semesters (Level 100) to add to that of their third and fourth’s (Level 200) to cumulatively determine their Grade Point Average (GPA) pass mark.

In some countries, as cited in my recent publications, the students did not sit for any exams at all, yet the final year students were awarded grades by their class or subject tutors on assessment of their class/lesson performance.

Universities did accept the grades so awarded to the students to admit them into their institutions. Therefore, it would not have been only the principal of the college that took such an unordinary decision.

Every unique problem or occurrence must have their unique solution. This is truly conspicuous when it comes to law where it is said, each case is judged on its own merits. The period of Covid-19 pandemic called for a different approach to promoting students to their next higher classes.

Anyway, for the attention of the affected students, their parents or guardians, I have been alerted to a favourable decision taken by the Health Minister in their behalf. It will bring smiles back on their face.

Should it go as I have been told by a reliable source, the Minister has directed that the principal allows all the students back to school.

The communique to that effect has been passed to the Board of Governors of the college, I have been told. When the principal was contacted about recalling the affected students from their current abodes, be they their homes or privately rented hostels, she is alleged to have said, “the school is now on holiday. I shall see what I can do when school reopens”

If the Minister has really directed as communicated to me from a reliable source, there shouldn’t be any hurdles of ifs or buts to be littered on the path of their re-admission.

The students have not been treated fairly at all. They have been sabotaged. Why do I say this, one may ask? Apart from the numerous discrepancies in their GPA results, surely bordering on incompetence, if not malignity, by the principal, many an affected student that went to the Academic Officer of the college to be issued academic transcript could not get it.

The Academic Officer, Paul Antiarefe, has refused to issue it to them for the past two months. Without the issuance of the academic transcript, those students who had decided to seek admission in other nursing colleges elsewhere in Ghana, could not do it. What a similitude of the Akan proverbial sayings, “Wa bo me abra me su” or “wa tua ma no atua me to”, to wit, “You’ve beaten me but forbidden me to cry” or “You’ve blocked my mouth and my anus”. They mean, you have maliciously blocked all my chances.

I shall be the happiest person to see the affected students recalled to pursue their future nursing and midwifery career.

Again, I shall advise them to live exemplary lives worthy of emulation. They should not be like most of the bad nurses in the nation’s hospitals who have no respect for patients but treat them worse than used rags only good for chucking into the skip.

BE LIKE FLORENCE NIGHTINGALE!

By the way, who was Florence Nightingale? “She is mostly known for making hospitals a cleaner and safer place to be. Florence Nightingale OM RRC DStJ was an English social reformer, statistician and the founder of modern nursing. Nightingale came to prominence while serving as a manager and trainer of nurses during the Crimean War, in which she organised care for wounded soldiers at Constantinople”.

Rockson Adofo

Nurses and Midwives deserve “emotional allowance” because of what they go through at work – GRNMA

The Ghana Registered Nurses’ and Midwives’ Association (GRNMA) says it will also push for what it termed as “Emotional Allowance” due to the nature of their jobs.

Nurses and Midwives deserve emotional allowance because of what they go through at work – GRNMA

The Association said nurses and midwives go through various stress and emotional challenges in their line of duties so if some workers are demanding neutrality allowances, they would also be pushing for emotional allowance.

The President of the Association, Mrs. Perpetual Ofori-Ampofo, made the revelations in an exclusive interview with 3FM’s Sunrise hosted by Alfred Ocansey on Thursday.

May 12 every year has been set aside to celebrate nurses globally. This year’s celebration is under the theme: “A Voice to Lead—Invest in Nursing and Respect Rights to Secure Global Health”.

“We could be entitled to emotional allowance considering the kind of things that we go through in our duties”, the President explained.

Mrs. Ofori-Ampofo said, “and the kind of stress that we go through, I think we need such allowance”.

“So maybe at our next negotiation table, we shall table it for consideration”, she added.

—3news.com

Kagwe congratulates global award-winning Kenyan Nurse, Anna Duba

Health Cabinet Secretary Mutahi Kagwe has congratulated Kenya’s award-winning nurse, Anna Qabale Duba, who became the first recipient of the  first-ever Global Nursing Award which she won for her “contribution to child education and development.”

The Aster Guardian Global Award presented to Duba in Dubai on May 12, came with a $250,000 (Sh29 million) prize.

Kagwe said Duba was selected from 24,000 other nurses across 180 countries which underpins the significance of her win though the results of “her hard work and fearless spirit” are also a pointer to the “exemplification of the strides the country has made in its efforts to build a strong health system.”

Duba is based at the Marsabit Referral Hospital, Marsabit County.

Kagwe said she is a “model caregiver who has validated my everyday call that service to patients should be as humane as humanly possible”.

Duba was among 10 finalists including fellow Kenyan Dida Bulle, also from Marsabit County.

The awards gala was held during the International Nurses Day on May 12 which is marked to celebrate nurses for their extraordinary contribution worldwide.

Source:Kagwe congratulates global award-winning Kenyan nurse, Anna Duba – The Standard Health (standardmedia.co.ke)

Kenyan nurse Anna Duba wins Aster Guardian Global Nursing Award

Marsabit-based Kenyan nurse Anna Duba has won the first-ever Global Nursing Award in Dubai.

The event took place on International Nurses Day, May 12. The day is set aside to celebrate nurses for their extraordinary contribution worldwide.

Anna Duba and Jirma Bulle, both Kenyans attached to the Marsabit County Referral Hospital, were shortlisted from more than 24,000 applications from more than 180 countries for the award sponsored by India’s Aster DM Healthcare.

Anna Duba is a former 2013 Miss Tourism Kenya winner. She was the first graduate from her village and the only educated child in her family. Ms Duba used her crown and nursing to advocate for gender equality and education in her community under the Qabale Duba Foundation. She has helped build a school in her village where children studied in the morning and adults in the afternoon.

Improved literacy has helped people learn new things besides changing harmful culture. Families now understand the significance of antenatal care, skilled deliveries, and sexual reproductive health and rights.

Her educational initiatives helped reduce Female Genital Mutilation and early marriage. More women now give birth in hospitals and more mothers enroll their daughters in school. Ms Duba received the 2019 Waislitz Global Citizen’s Choice award which carried a $50,000 (Sh5 million) cash prize.

Jirma Bulle has been in the Health business for 21 years. He was one of the volunteers who helped tackle the Ebola outbreak in Sierra Leone.

He heads First Lady Margaret Kenyatta’s Beyond Zero campaigns aimed at improving maternal health. He faced multiple challenges such as accessing remote villages but still managed to spearhead children’s immunisation of children under five years.

Source: Kenyan nurse Anna Duba wins Aster Guardian Global Nursing Award – The Standard (standardmedia.co.ke)

Don’t leave Ghana; stay and help the people – Gov’t appeals to Nurses

The Government of Ghana has appealed to nurses and other health professionals not to leave Ghana to other countries to seek greener pastures.

Presidential Advisor on Health, Dr Anthony Nsiah-Asare has told the nurses that Ghanaians are looking up to them to meet their health needs in the country hence they should stay.

His comments come at a time the General Secretary of the Ghana Medical Association (GMA), Dr Titus Beyuo earlier revealed that medical doctors and nurses are leaving the country in droves.

Dr Beyuo said brain drain has returned to the medical profession in Ghana.

Speaking on the New Day show on TV3 Wednesday May 11, Dr Beyuo said “…as we speak, doctors, nurses are leaving this country in droves, brain drain has returned in full swing.

“I know that because I am the General Secretary of the GMA, I wont give you figures immediately,” he said when asked by host Roland Walker to mention how many have so far left the country.

He added “But I can give you some examples, I will give you a unit in one hospital I won’t name, a big hospital in Accra, from January till now, five doctors have left that unit

“We need to do something about it deliberate in this country.”

Addressing nurses and other health professionals during the International Nurses Day, in Accra on Thursday May 12, Dr Nsia Asare said “I think the unethical way that the developed countries are trying to take our scarce health resources of this country is not the right thing to do. Ghana, like other developing counties, is seeing an increase in migration of our professional nurses to high income countries like United States, United Kingdom, Australia, Canada and other countries as a result of the global shortage of nurses, caused partly by the impact of the coronavirus.

“This trend is quite worrying and it amounts to massive public subsidy to the wealthier nations, so we are subsidizing their health care system, given the fact that nursing education in Ghana is is mainly publicly financed , it also threatens to worsen the nurse-patient ratio and for that matter our ability to accelerate our progress towards universal health coverage which is a top priority of this government .

“I know many of our professional nurses continue to yearn for greener pastures beyond the shores of Ghana. I wish to take this opportunity to encourage all of you to stay like us and to contained to the development of our country health sector. Bear in mind that Ghanaians are looking up to you in their quest to maintain their health.”

Source: Don’t leave Ghana; stay and help the people – Gov’t appeals to nurses (msn.com)

Over 5,000 Nurses have left Nigeria in three years – NANNM

THE National Association of Nigeria Nurses and Midwives (NANNM) on Friday decried the low investment and poor welfare for nurses and midwives across the country.

It disclosed that due to a sundry of reasons, including  attacks, victimization, low remuneration, insecurity etc., over 5,000 nurses have left the country to developed countries in three years (between 2019 to 2022), while over 5,000 lost their lives to COVID-19 while in the line of duty in 2020.

The Association therefore urged the government on the need to protect, support and invest in the nursing profession, which will enable the country achieve Universal Health Coverage (UHC) and Sustainable Development Goals (SDGs).

during a briefing to commemorate this year’s International Nurses Week and Scientific Conference, with the theme: Nurses: A voice to lead: invest in nursing and respect rights to secure global health.

He said: “Despite the commitment and sacrifices demonstrated by nurses and midwives, they are yet to be adequately compensated, recognized, valued, and respected, so as to be given the pride of place in the society.

“Frontline health workers are most vulnerable to risk. Worthy of note is that over 5,000 Nurses and Midwives lost their lives during the 2020 COVID-19 pandemic.”

sOURCE: Over 5,000 nurses have left Nigeria in three years – Association – The Nation Newspaper (thenationonlineng.net)

Nurses’ Week: Policies, Major Setback to Nigeria Healthcare Delivery

A sector without a well-stated job description is standing like a building with cracked pillars, which can collapse at any time and no one knows upon whose head it will fall.

Over the years, there have been controversies among the health workers and, unfortunately, these are yet to be solved till today; not because there can’t be permanent solutions to these crises but because those in control of the system have refused to make policies that will cause a significant change and end the long-standing crisis.

In Nigeria today, doctors are the Alpha and the Omega in the hospitals, they have dominated all sectors of the hospital including the laboratories, pharmacies, etc. This had been the situation in our hospitals, where we have only medical doctors, acting as the head of the hospitals (Chief Medical Directors). This has not just stopped at the grassroots rather it extends to the federal level where the Minister of Health over the years has been a medical doctor. Does this mean that other health professionals do not have capable hands able to lead the health care industry? A doctor acting as the head of department or chief medical director of an institution can one day come up with a policy without adequate consultation of all the medical workers involved because he is the supreme being of the department in the institution.

Being a nurse, I can categorically say that no health care institution has survived 48 hours without us. It is, however, painful that nursing in Nigeria seems to have lost its value as nurses have been relegated to just giving oral medications, bathing patients, controlling the crowd on the ward, giving intramuscular injections and acting as the assistant of doctors during procedures. It is condescending that even midwives are not even allowed to take deliveries in many tertiary hospitals anymore, it is now a doctor’s procedure. I used to think midwives are specialists in child care and deliveries; what should a midwife know if not how to take deliveries? This is a question for all.

Thinking and searching through the degradation of the health sector in Nigeria, I came to a conclusion that a total reform, which includes specification of job roles, proper training for the whole health care team on what team works on what as well as improved training for health care workers should be put in place.

There are procedures, which are nurse-based procedures, such as catheterisation, cannulation, insertion of nasogastric tubes, wound dressing, giving of medications through any route, blood transfusion, etc but many of these procedures have been taken over by doctors in Nigeria, while the nurses are now left with duties such as oral/intramuscular drug administration, while the intravenous administration and blood transfusion has been taken by doctors, bed/patient bath, oral care, food service, etc. These are just nursing associate duties in developed countries and not a full-fledged nurse duty. Nigerian nurses have been relegated to performing just the role of nursing associates.

There are so many nursing specialities in the world but only a few have been explored in Nigeria. Despite having only a few explored, those who go into these specialities are often not allowed to practice what they have learnt effectively. Common examples are midwives and nurse anaesthetists.

Specialities in nursing, which remain unexplored in Nigeria today and are seriously affecting the proper delivery of health care in Nigeria, include tissue viability nursing; diabetic nursing; respiratory nursing; heart failure nursing; cardiothoracic nursing; cardiology nursing, neuro nursing, etc.

Specialities in nursing, which have been explored but are being practised haphazardly in Nigeria, include accident and emergency nursing; intensive care; perioperative nursing; orthopaedic nursing; burns and plastic nursing; psychiatric nursing, etc.

Considering other health care professions, the medical laboratory department, I think, should be allowed to work as a free body that doesn’t need the signature of a doctor to have results approved, the big question is why a test carried out by a laboratory specialist be approved by a medical doctor who neither has the prerequisite knowledge nor wasn’t there when the test was carried out?

Also, pharmacists working in teaching hospitals in Nigeria shouldn’t be limited to just drug dispensers, they spent years in school studying about drugs; a doctor will never know drugs more than a pharmacist. Pharmacists are also needed on the wards to help with proper drug prescriptions and the best route of administration per individual patient needs.

Furthermore, orthopaedic doctors are not the same as physiotherapists and occupational therapists when it comes to patient rehabilitation. Nurses and doctors can never do what a physiotherapist would do when it comes to getting a bedridden patient back to his feet. These sets of professionals should be on wards also and not limited to their offices, gyms and routine visits to the wards.

Finally, the leadership of the hospital in Nigeria shouldn’t be solely done by the doctors, can’t other professionals lead? Is this the same in advanced countries which are leading in the delivery of health care?

For health care delivery in Nigeria to be at its optimum form, a total reform of training practice and structure needs to be done. If these reforms are not done, no amount of money invested in the healthcare industry will significantly improve the standard of healthcare delivery. It’s international nurses’ week and we hope we can get both the recognition and value that we deserve, it is not a good thing that the best, young and most vibrant ones in the profession are running to developed countries where nurses are well appreciated and valued.

Nursing is a noble profession and nurses should be treated as nobles.

Orolugbagbe, a registered nurse in Nigeria and the UK, writes from England via joelorolugbagbe@gmail.com

Kenyan Nurse Crowned World’s Best Nurse for fighting FGM

A Kenyan nurse who campaigns against early marriage and female genital mutilation says she is “speechless” after winning a prize of $250,000 (£205,000).

Anna Qabale Duba’s colleagues say she always goes the extra mile for others in her pastoralist community in the northern county of Marsabit, and runs a school in her village.

“This award will help me to expand my school all over Kenya,” she told BBC Newsday.

Anna Qabale Duba reacts after being announced as the winner of the award

In the morning the classrooms of Torbi Pioneer Academy host lessons for children, before their parents come in for literacy classes in the afternoons – and sometimes both age groups get the same homework.

Ms Qabale says she was the only university-educated girl from Torbi village, and the only girl educated past primary school level in her family of 19 children.

The 31-year-old now holds a Masters in Epidemiology and has set up a foundation aimed at empowering young girls and mothers.

“I am so passionate about education. After tasting the fruits of education, I decided to go back home to empower the rest,” she told the BBC.

Family and community are key influences – and Ms Qabale has dedicated her latest nursing award to her late brother, who part-funded her university studies.

Through her Qabale Duba Foundation, the school she has built in her village also teaches parents about key sexual and reproductive health issues.

Working as a nurse at Marsabit County Referral Hospital, she strives to end harmful cultural practices such as female genital mutilation (FGM) and early marriage, and it is for her work in these areas that Dubai-based Aster DM healthcare says she beat more than 24,000 nominees to their Global Nursing Award.

“It’s not easy to talk about these things publicly. Being a woman – and we come from our patriarchal families – it’s not easy to talk about them, but I am really trying my level best,” Ms Qabale told the BBC.

“I am using education as an excuse for my advocacy work to campaign against these devices.”

‘I escaped forced marriage aged 14’

The married mother-of-one’s personal experiences have shaped her convictions.

“I underwent female genital mutilation at the age of 12 and I narrowly escaped early forced marriage at the of 14,” she said.

Even though FGM is illegal in Kenya, around 91% of girls and young women are subjected to it in the country’s northern regions, according to the Kenyan Anti-FGM board.

Parents and guardians often take their daughters across the border into neighbouring countries to escape Kenya’s stringent laws.

Colleagues say Ms Qabale’s drive has seen women and girls become more aware of their healthcare rights.

“She knows all too well the challenges that young girls face,” Hassan Halakhe, director of preventive promotion health services at Marsabit County Referral Hospital, told the BBC.

“Many of them now do not miss out on classes as they are given sanitary towels to use when they are on their menses. They are also taught how to make reusable pads.”

Thursday’s ceremony in Dubai was Ms Qabale’s second high-profile gong, having won the Global Citizens’ People’s Choice Award in New York in 2019.

Kenya’s Health Minister Mutahi Kagwe praised Ms Qabale’s “hard work and her fearless spirit”, while Marsabit County Referral Hospital Director Liban Wako says “this award means so much to young girls in Marsabit – that they too can achieve their dreams.”

Source: Kenyan fighting FGM crowned world’s best nurse – BBC News

An Agony of Task shifting/sharing policy in Nigeria Nursing by Nr. Ismail NASIRU

The TS/S policy, a global strategy to ameliorate the shortage of Human Resource Health (HRH) has expired in 2019 and due for review since then on whether to continue with the policy or not. The policy is not a one-size-fits-all and each country could decide to stopped it anytime if it gets the required number HRH more especially nursing workforce through training and retention strategy. Our leaders exhibit lackadaisical attitude towards its review to end it entirely.

TS/S are two approaches to expand and ensure access to essential health services by optimizing the use of the EXISTING healthcare workforce. Then why recruiting fresh CHEWs to work as nurses/midwives?

But It pains me whenever discussing TS/S policy with some key nursing leaders, academics, administrators and union officials and I hear them saying “TS/S policy has come to stay and there is nothing you can do to stopped it” 😭😭😭 and I use to reply them “But it has come to stay only in Nigeria”. These are people who are to represent nurses at various levels of policy making and implementation.

Many countries in Europe, America and Asia focus on increased supply of “nurses”, to meet growing and changing demand instead of adopting TS/Spolicy. We witness the mass migration of nurses for greaner posture.

🎓 TRAINING

The NMCN has done and continue doing its best in training new nurses and retraining existing ones through accreditating new training institutions for diploma, undergrad and postgrad nursing programs. Also through organizing professional development courses for nurses such as MCPDP, Nursing Leadership Workshop, Examiners workshop etc.

Thousands of nurses and midwives are being injected into the labor markets annually from those institutions but there is no commensurate employment to fill the existing gaps.

🥼 RECRUITING AND RETENTION

Recruiting and retaining nursing staff have never been more critical than in today’s environment. Nursing leaders and administrators have a vital role to play in ensuring adequate number of nurses is recruited, supported and retained in their various facilities/states. This would cause TS/S policy to die effortlessly.

Honestly, nursing leaders at managerial and union levels are not doing well in this regards.

DOWNSIDE OF TS/S policy.

🔴 Only nurses’ tasks are shifted (officially) to CHEWS and other coworkers in both public and private hospitals without minding the consequences.

🔴 TS/S policy has more detrimental effect to nursing than other professions. I know of a state where TS/S is not only having detrimental effect to nursing and reputation but it is even on its way to killing nursing profession. CHEWs and their students are being recruited and posted to secondary and tertiary facilities (Maternity, A&E, Wards etc) to work, to deliver and to learn nursing care. Their number is overwhelmingly overwhelming. The most painful thing is no uniform identity for all, everyone garbs in white uniform to scrub of different assorted colors of his/her choice.

🔴 Patients are affected the most, three weeks ago, I attended a workshop on ‘Improving The Quality of Care (QoC) For Mothers and Newborns”. The workshop participants comprises of Nurses and CHEWs. I came to realized that how could CHEWs deliver quality of Care when they lack the basic MCH knowledge and surprisingly were asking the meaning of simple terminologies like Massarated baby, AMTSL, Asphyxia, uterotonic, hypothermia etc.

🔴 TS/S adoption in Nigeria contributed in poor presence of nurses at PHCs and in some states CHEWs feel like they own the PHCs 🤔🤔🤔 and you would see them competing with Nurses/midwives positions in SPHCDA like MCH and Immunization headship.

Finally, should I be in any leadership position (management, political, union etc) nothing would stopped me from pushing for a policy known as ‘Exclusive Nursing Care To Patients By Nurses’

I would love, the issue of TS/S to be one of the main agenda in International Nurses Week 2022, to be deliberated intensively.

Nobody can do this for us! The time is now!!

If not we, who?
If not now, when?

Nr. Ismail NASIRU
Kano, Nigeria .