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13 TH SOUTH PACIFIC NURSES FORUM

13 TH SOUTH PACIFIC NURSES FORUM. WESTERN SAMOA APIA SEPTEMBER, 2006. PAPUA NEW GUINEA NURSES ASSOCIATION PORT MORESBY Papua New Guinea, the Land of the Unexpected Welcomes every South Pacific Nurse to this presentation.

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13 TH SOUTH PACIFIC NURSES FORUM

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  1. 13TH SOUTH PACIFIC NURSES FORUM WESTERN SAMOA APIA SEPTEMBER, 2006

  2. PAPUA NEW GUINEA NURSES ASSOCIATION PORT MORESBY Papua New Guinea, the Land of the Unexpected Welcomes every South Pacific Nurse to this presentation.

  3. TITLE:COUNTRY REPORT & SURVEY PRESENTATION ON PNG NURSES HEALTH STATUS PRESENTERS: LAWRENCE NAMARO President-PNG Nurses Association THOMPSON TELEPO Tutor, Nursing Division University of Papua New Guinea

  4. BACKGROUND • Papua New Guinea is located south East to Australia and is by far the largest island countries in the South Pacific region in its land mass & population. PNG occupies a total land area of 462, 840 square kilometers, and has a total population of 6 000 000 people (National Census, 2000). • Papua New Guinea has more than 700 languages and has a diverse culture with rich natural resources such as gold, copper, gas, oil and marine resources and tropical timber of which many projects are under operation and others explored for development. • Out of this three quarters (80 %) live in rural areas while remaining population (20 %) live and work in urban towns and cities. Like other South Pacific Island economy is characterized by two distinct sectors: subsistence and formal economic sectors. The subsistence economy is estimated to generate about forty percent (40%) of Gross Domestic Product (GDP) and around thirty-five percent (35 %) of total exports. • According to NHP, Volume 3 (2001-2010), The Life Expectancy at Birth is 54, Infant Mortality Ratio is 73/1000 births, children under 5 years the Mortality ratio is, 102/1000 births and Maternal Mortality Ratio is 370 per 100,000 births. (World Health Report, 2000, Country Health Information Profiles, 1997, Demographic and Health Survey, 1996, National Health Information System)

  5. Papua New Guinea has 17 major provincial hospitals • four main regions, the Southern region has 5 hospitals, Highlands has 4, Momase has another 4 and the Islands has 4 hospitals. According to National Inventory of Health Facilities (1998), • 48 urban clinics, 189 health centers, 319 health sub-centres and 1506 Aidposts • Approximately, 50% of rural health facilities are not functioning well (Asmru, 2001). • There are about a total of 316 Medical Officers, 233 HEO, 2920 Nursing Officers and 3926 Community Health Workers working throughout different health facilities. However, there are 12607 grand total of allied health workforce in this country. (National Inventory of Health Facilities, 1998).

  6. There are five nursing colleges in PNG of which many are amalgamated with different universities and are offering Diploma in nursing • Division of Nursing with NDOH amalgamated with School of Medicine and Health Sciences, University of Papua New Guinea in 2002 and today offers Bachelor in clinical Nursing (Midwifery, Pediatric, Acute Care, Mental Health) and Bachelor in Nursing (Nursing Administration, Education & Community Health Nursing Administration). • The nursing workforce in PNG are aging and government decision for Retrenchment exercises- have seen reduction in labor force where health demands are rising every now and then. The Department of Personnel Management & Treasury currently are reviewing staffing levels of health care workers.

  7. TITLE: “HEALTHY NURSES FOR NON COMMUNICABLE DISEASE FREE PACIFIC. A PROSPECTIVE STUDY OF PAPUA NEW GUINEAN NURSES”

  8. BackgroundCon’t • UPNG ideal, only University has medical and allied health sciences & nursing programs • Nurses come to upgrade their general nursing certificate to bachelor nursing & clinical nursing through conversion • Convenience sample population representative from provinces • Anticipated better respondents rate

  9. Respondents rates from Nursing Division, SMHS, University of Papua New Guinea. 100 % Respondents rate, satisfactory rate

  10. Provinces of Origin working • Morobe 5 % Sandaun 1% Vanuatu 1 % • Manus 4% Madang 3 % Micronesia 1 % • NCDC 22 % Chimbu 2 % Solomon Is 5 % • Enga 8 % WNB 4 % n/indicative 8 % • ENB 4 % MilneBay 2 % • NIreland 3 % Oro 1 % • WP 7 % NSP 3 % • WHP 10 % EHP 1 % • ESP 3 % SHP 1 % • Gulf 3 % N/Sure 1 %

  11. Nurses working in various institutions

  12. Nurses working age ranges

  13. DISCUSSION • The health status of the nurses are at average as evident (60 %) responded that their health was in good condition, However, it is evident that more nurses do not eat regular balance diet (37%), 12 % smoking cigarettes, 26 % drinking alcohol and 39 % do not have regular exercises and 4 % smoke and inhale maurijuana. The results are evident where more nurses (70 %) are not knowledgeable about the concept of non communicable diseases and even nurses present with diabetics, heart related diseases and high blood pressure, others with asthma and lung diseases. • However, the results of study may not be indicative of incidence of NCD in general population as nurses income above national per capita income and male and female ratio not consistent with country demographics. Salary income range for an average nurse would be Australian $ 5000-7000 per annum. In various institutions, for example, Church health services salary beginning is as low as A$100 dollars for 12 working days.

  14. It is evident that (37%) do not eat balanced diet, that could mean that other factors also contribute, low salary income, unbudgeted spending, situation crises or cultural obligation of caring for extended families, income spending on alcohol and smoking cigarettes, consequently, not enough money to buy regular balanced diet, which could lead to malnutrition and starving.

  15. Status of Nurses General Health • However, few indicated encountering problems such as ; • Cardiac Palpitations (2 %) • Asthma (3 %) • Known diabetic (3%) • Ingestion problem (1%) • Bleeding gums (1%) • Ovarian cystectomy (3%) • Haemorrahage, bleeding anus (1%) • Skin infections (3 %) • Knee aches and pains (4%) • Prolonged standing in theatre inflicted a lot of leg pains (4 %) • Insomnia (2 %) • Gaining a lot of weight (20 %) (due to study) • Hernias repaired (1%)

  16. General Comments • A lot of money spent on extended families on situation crises bases • Government should increase nurses salary cap, average • Unwise spending commented by majority • Nurses be of good living examples to others • Health Island concept

  17. Short life-span • Good working environment • Government provide gym for exercises and aerobics • More comparative research in these area in nurses across PNG • Research was of much benefit

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