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SADC Aids Network of Nurses and Midwives (SANNAM). Background. The Southern African Development Community (SADC) is the epicenter of the AID pandemic globally. As a result: Health care systems are overwhelmed
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Background • The Southern African Development Community (SADC) is the epicenter of the AID pandemic globally. As a result: • Health care systems are overwhelmed • Absence of mechanisms to share experiences, each NNA has been left to re – invent the wheel • Thus SANNAM was formed in Durban 2000.
Vision • To contribute towards improvement of Health Care service through influencing Health policies on issues related to HIV and AIDS
OBJECTIVE 1 • Nurses and midwives are equipped to protect themselves from the transmission of disease and other related hazards within their professional environments
Objective 2 • Nurses and midwives are effectively retained within their professional environments
Objective 3 • National Nurses Association are supported to expand the nursing and midwifery response to challenges posed by HIV/AIDS pandemic in the region.
Objective 4 • SANNAM is driven by a dynamic and effective secretariat that supports the imperatives of the strategic plan
Objective 5 • Strengthening institutional/ SANNAM monitoring and evaluation mechanisms
SANNAM Regular Activities • Executive Committee meetings • Network meetings • Teleconferences • Seminars and conferences
SANNAM’S ACHIEVEMENTS • Needs Assessment survey • SANNAM Constitution • HIV/AIDS Nursing Curriculum trainings • Stigma and the Quality of care • Collaboration with the Norwergian Nurses Association • SADC – EU Project
MAJOR CHALLENGES • Translations • Relationships between NNA’s and MOH’s • Mobilisation of funds • Office space
Migration challengesTanzania • 579 per 100 000 births • 20 000 nurses to 40 m • South Africa, Botswana, UK,USA
Improvements to the exodus • Direct employment immediately after training • Better salaries, improve working tools • Support in transport and housing
Migration challengesBotswana • 6000 nurses to 1.7m • UK
Improvements to the exodus • Salaries and conditions of service • Nursing duties only • Foreign nurses deployed to rural areas also • Creating part time employment opportunities • Finalist to serve under supervision for better salaries on holidays • Improve incentives for local nurse to be at par/more than expatriates
Improvements to the exodus Cont. • One authority for better M&E of services • A directorate of nursing services • Flexi time schedule • Unfair transfers, Promotions • Jack of all trades • selections
Migration challengesNamibia • 127 to PS, 12 UK • UK,PS
Improvements to the exodus • Employ retired nurses • Increase of annual intake of students from 50 to 150 by 2008 • Empower in HIV/AIDS
Migration challengesMozambique • 4293 nurses to 19 889 • Private Sector
Improvements to the exodus • Improvements to salaries
Migration challengesDRC • 30 000 nurses to 60 m • US, Canada, Europe
Improvements to the exodus • Better salaries • Working conditions • Equipment • More value to the profession
Migration challengesSouth AFRICA • UK, USA, UAE
Improvements to the exodus • Improve working conditions, salaries, allowances, housing, scarce skills • Increase moral of workers • Uniform training policies in the country • Training institution to liaise with human resources on HR needs • No hospital based training
Improvements to the exodusCont. • Car subsides for nurse educators • Politicians to stop using the profession to pick and chose in the name of poverty alleviation • Marketing the success stories of nurses to improve negative perception and image
Migration challengesSwaziland • Lost 161 nurses in 2005,loses at least 2 each week, finalist less than 100 a year
Improvements to the exodus • Scale up caring for carers • Improve working conditions • Provide safe environment for community health nurses