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NURSES ASSOCIATION OF BOTSWANA. Geetha Feringa, MEd, RN Executive Secretary Esther Seloilwe, PhD, RN President. Botswana. COUNTRY CONTEXT. Independence in 1966. Democratic Republic of Botswana Landlocked, ,mostly flat, hot, arid. Capital: Gaborone Population: - 1.8 million.
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NURSES ASSOCIATION OF BOTSWANA Geetha Feringa, MEd, RN Executive Secretary Esther Seloilwe, PhD, RN President
COUNTRY CONTEXT • Independence in 1966. • Democratic Republic of Botswana • Landlocked, ,mostly flat, hot, arid. • Capital: Gaborone • Population: - 1.8 million. - urbanized (> 51%) - concentrated in South East - relatively young (34.2% = <15) - growth rate declining (currently estimated at 1.3%) • Access to Health Services: - 84% within 5 km radius - 95% within 8 km radius
RECENT INFLUENCING FACTORS • Elections (2009) • Economic recession (contraction of the economy) • Public sector reforms • Human Resource Development Strategy • Transformation Tertiary Education System
HEALTH SERVICE PROVISION • GOVERNMENT • PHC based • Referral system, from mobile health post to referral hospital • Nurses are first contact between population – health services • Initial costs: Pula 5-00 (elderly, destitutes and <5’s exempted) • PRIVATE • Mines, missions, private, NGO’s • Fees based • Approx. 20% of pop. covered by medical insurance
NURSES’ CONTEXT • Approx. 7.500 practicing nurses • Government largest employer (>88%) • Ratio: + 3.8 / 1000 • Global context <1 to > 12 / 1000 • WHO recommendation: 2.6 / 1000 • Vacancies: government + 250 or <4% (2009)
NURSING REGULATION • Regulated by: - Nurses and Midwifes Act - Nursing and Midwifery Council of Botswana (NMCB) • Nursing Standards in place (developed by NAB, enforced by the NMCB). • NAB President is board member of the NMCB.
NURSING CHALLENGES • Lack of strategic nursing plan at national level. • Lack of DNS. • Limited CE opportunities. • Exclusion scarce skills remuneration. • Work related risk: e.g. HCW TB (7-24 fold) • Job satisfaction. • HIV/AIDS. • Working conditions. • Salaries. • Quality of life. • Transfers. • Professional development. • Moonlighting. • Recognition of post basic qualifications. • Migration (7.4%) both internal and external (2007). • Workplace Violence. • Staff development / leadership development. • Review nursing standards.
NURSES ASSOCIATION OF BOTSWANA • Founded 1968. • Professional organization • Membership: - Paid up: < 3,800 (50% of nurses in Botswana). - Trend: growing rapidly (4.5% -1998 to < 50% in 2010) • 24 Branches country wide.
VISION A well-prepared, highly motivated, united and organized nursing workforce, committed to the development of the profession, improvement of customer satisfaction and upholding the code of ethics and standards of professional practice.
MISSION In its pursuit for delivery of quality nursing services to its customers, NAB is committed to advance and maintain professional growth and integrity of its members.
SUSTAINABILITY • Membership - Pula 25-00 / month - Funeral fund subscription - Airtime (incl. free mobile phone) subscription - Free IT services - Corporate items - Fundraising • Cafeteria - Restaurant - Catering Services - Hosting Workshops • Rentals - Hostel rooms - Preschool premises • Project funding - ICN - SANNAM - PEPFAR (CFC) - American Embassy - Private - Ministry of Health (Botswana Nurses Day / release nurses, etc.)
CURRENT MAIN CHALLENGES • Unionization. • Exclusion scarce skills. • Buildings: - Renovations - Inadequate office space • Membership: - numbers - involvement • Staff • Sustainability
NURSING MATTERS THANK YOU