Transcript Sustainability

Country Presentation
Malawi
Presented by
Dr Isabella Musisi
President, National Organisation of Nurses and Midwives of Malawi
7/18/2015
February 12, 2010
1
Outline of Presentation
• Current status of the organisation
• Country Context
• SANNAM impact
• Strategic Plan
• Political contact/Dialogue with policy makers and
public actors
• Challenges & threats
7/18/2015
• Way Forward & Conclusion
2
Current Status- Historical Background
– Founded 1979 as an Association;
– Revamped & established Secretariat offices (2002 –
2006);
– Revised constitution;
• Vision, mission, objectives and functions
• Membership, structure , powers & duties of officers;
– Registered in 2007 as a Union under Labour
Relations Act;
– Affiliated to Malawi Congress of Trade Union (2008)
7/18/2015
3
Current Status- Vision & Mission
• Vision
– Have a strong, vibrant, and visionary
organisation that will result in a motivated
and empowered nurse/midwife.
• Mission
– Promote and maintain members’
professional and socio-economic interests.
7/18/2015
4
Current Status- Organisational Structure
• Biennial General Meeting (every 2 years)
• National Executive Committee (12)
• Executive Director & Secretariat (18)
• Zone Committees (4 + Student Rep. & District Chairpersons)
• District Committees (8)
• Branch Committees (5)
• Students Committees (15 college campuses)
7/18/2015
5
• Workplace Stewards(1 per workplace with less 20 members)
Current StatusSteering & standing committees + student
representatives
•
7/18/2015
6
Current Status- Membership
8000
5883
6000
3794
4000
2000
0
6641
1852
50
2005
2006
2007
2008
2009
The current membership is at 6,641 (February 2010) from a
cumulative total 8,000 nurses practicing in Malawi.
7/18/2015
This represents over 80 % of total nurses.
7
COUNTRY CONTEXT –
Demographics & Health Indicators
• Population
– 13.1million
– Increase of 2.8% population growth rate (NSO, 2008).
• Proportion of women and men
– Women 51%
– Men 49%
• Maternal mortality rate
– 807,000/100,000 live births
7/18/2015
8
COUNTRY CONTEXT –
Key political & socio-economic events
–Peaceful presidential & parliamentary
elections in May 2009
–Majority ruling in parliament
–Global financial crisis
–Shortage of foreign exchange
–Fuel shortage
–Earthquakes
• 23,000,00 affected
• 4 deaths
7/18/2015• 250 injuries.
9
Challenges to nursing & healthcare
• Shortage of nursing & other health
providers
• High demand/expectations for health
services vs supply
– Service Level Agreements (SLAs) with
Christian Health Association of Malawi
(CHAM) aimed at (improving access to health
care) has overwhelmed limited resources
– Patient Rights Charter awareness
7/18/2015
10
SANNAM impact on NONM
• NONM-derived from SANNAM, twinned-ZIM
• Got exposed to the international partners who
assist financially ( NNO,ICN, CORDAID etc.)
• Caring for Carers & Wellness Centre models
from SANNAM influenced Malawi to establish its
own.
• Focus Area 1:capacity building:
• Trained trainers & train nurses to protect
themselves from HIV/ AIDS; Needlestick injury
prevention training
•7/18/2015
Establishment of Information Resource Centre 11
SANNAM impact on NONM
NONM advocates on the following issues that
affect nurses and midwives and other health
care workers:
1. Professional:
2. Academic:
3. Economic:
4. Social & Psychological:
7/18/2015
12
Current Status- Operational level
Strategic Plan: 2008-2011
1.
2.
3.
4.
5.
6.
7.
8.
Sustainability
Caring for the Carers
Professionalism
Empowerment and Capacity building
Partnerships and networking
Lobbying and Advocacy
Information, communication and Technology
Social responsibility to the community and the
environment
7/18/2015
13
1. Sustainability – National HQ & Wellness Centre
-Partners support – NNO, Rose Project, B-D
-Membership contribution
7/18/2015
-Well
wishers
14
1.Sustainability:
Students Chapter
– National Executive
– Committee
– Branches in all colleges
7/18/2015
15
2.
Caring for Carers
-HIV/AIDS up dates
• Support groups
• Seed money for IGAs
• Solidarity for needy
nurses & orphans
• Wellness centre
7/18/2015
16
3. Professionalism
• Professional codes
• Professional updates
• Mobile Library
7/18/2015
17
4. Partnerships &
networking:
Norwegian
Nurses
Organisation
ICN/P&G
Royal College
of Nursing
NAC
CORDAID
Ministry of Health
Regulatory Bodies
7/18/2015
18
NNO, RCN, NONM officials visit Mzimba
4.Partnerships & Networking:
• International Council of Nurses-ICN
• Commonwealth Nursing Federation
• SANNAM
• Malawi Congress of Trade Unions-MCTU
• Council for NGOs in Malawi-CONGOMA
• Civil Society Networks & Campaigns
7/18/2015
19
5.Information, Communication &
Technology
Malawian Nurse
magazine
Strategic Alliance
with the media.
7/18/2015
NONM,
Minister of Information & Media- Media Conference, April 2008 20
5.Information,
Communication
&
Technology
Outdoor advertising – lobby
for Human Resources for
7/18/2015
Health
21
6. Lobbying & Advocacy
A conflict
resolution
visit
to resolve
strike at a
college of
nursing
7/18/2015
22
7. Empowerment & Capacity
building:
Participants to Lobbying & Advocacy Workshops
facilitated by Registrar of labour ,MCTU & MHEN
7/18/2015
23
8. Social responsibility
Student nurses give health education and safer water to communities
7/18/2015
24
Model village supported by nurses
8. Social responsibility
7/18/2015
• Global Call to Action Against Poverty
• Access to Essential Medicines Campaign.
25
Political Influence/
Dialogue with policy makers &
public actors
7/18/2015
26
Nurses display messages on impact of human
resources for health on maternal health
7/18/2015
27
Deputy Min. of Information joins NONM in
celebrating Nurses Day 2009, Thyolo
7/18/2015
28
Rt Hon. Vice President visits a maternity
clinic owned by a retired nurse-midwife
7/18/2015
29
Hon. Kaliati celebrates Nurses Day 2006
7/18/2015
30
• Lobby for
Human
Resources
for Health
7/18/2015
31
NONM joins Civil Society campaigning
against poverty
7/18/2015
32
7/18/2015
33
Current Status - Achievements
• Support from partners and stakeholders
• Organisational capacity building in tools and
procedures
– Financial systems; Strategic Plan & Constitution
• Increased membership with motivated leadership
at all levels
• Sustainability efforts - Own offices, Wellness Centre
& Students Chapter
• Projects - Targeting members; other healthcare
workers
and communities
7/18/2015
34
Challenges
• Limited understanding by some stakeholders on
the role of trade unions in nursing and health
sector
• Inadequate organizational development at local
level:
– Zones and branches (workplaces)
• Financial sustainability
– Donor dependency & low membership fees
7/18/2015
35
Threats-Human Resources for Health crisis
Inadequate measures to address the crisis i.e.
Treat, Train, Retain
7/18/2015
36
Way Forward
• Sign Recognition & Collective Bargaining Agreements with
employers (Government, CHAM, Private) at national and
enterprise (workplace) levels;
• Maximise membership recruitment;
• Regular visits to workplaces & colleges of nursing for
information updates, negotiation & conflict resolution;
• Establish offices at zone & district levels;
• Conduct training workshops for representatives at all
levels on:
–
lobbying
&
advocacy;
union
rights
&
responsibilities;
7/18/2015
37
labour laws; and collective bargaining
Conclusion
• NONM is the only and a leading healthcare union
in Malawi
• Union status gives legal mandate for NONM to
lobby for members interests;
• Nurses and midwives effectively advocate for
improved patient care & working environment;
• Visibility of NONM to stakeholders, public, and the
media has improved professional image
7/18/2015
38