SLNMA Strategic Plan 2010 -2015

SLNMA Strategic Plan 2010 -2015

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Somaliland Nursing and Midwifery AssociationStrategic PlanJanuary 2010 – December 2015

Contents

1 Abbreviations.

2 Executive Summary.

3 Situational Analysis.

4 The Somaliland Nursing and Midwifery Association (SLNMA)

5 Vision, Mission and Values.

6 Strategic A7 Activities

Updated April 2010

1 Abbreviations

CPD:  Continuing Professional Development

MDGs:  Millennium Development Goals

MoHL:  Ministry of Health and Labour

SLNMA: Somaliland Nursing and Midwifery Association

SWOT:  Strengths, Weaknesses, Opportunities, and Threats 

EUH    :  Edna University Hospital

2 Executive Summary

In November 2007 the Somaliland Nursing and Midwifery Association (SLNMA) met with key stakeholders to identify key issues and priorities for the Association.  In addition to SLMNA members, staff and Board members, the consultation process involved representatives of the MOHL, the nursing schools and the legislative body.

The health sector faces many challenges.  Usage of public sector health facilities is low; the cost of health care (in the private and public sectors) is high; the quality of health care provision is very variable; the sector is largely unregulated; many health workers are poorly trained and few have had any structured CPD; high differentials existing between public and private sector health workers and public confidence in public health services is low.  All these issues affect the nursing and midwifery professions and the quality of care that is provided.  The problems of the profession are further exacerbated by the fact that – in general – the work of nurses is undervalued and their contribution as part of a multi-professional team is seldom acknowledged.

While the problems are immense, there are some positive developments.  The number of people entering the nursing and midwifery training is increasing and there is a commitment by the five training institutions to raising standards.  The SLNMA is a counterpart of the Health Professions Council which, in due course, is expected to help develop and drive forward work on regulation. In 2007, the Association appointed its first Chief Executive and Programme Officer – appointments that have given a huge boost to the capacity of the organization.

The SLNMA recognizes that there is much to be done and that many changes are needed if the nursing profession is to contribute effectively to a stronger health system.  In the coming 5 years  SLNMA will focus on promoting improvements in the legal, regulatory, and policy environment and will seek to ensure the participation of nurses and midwives in national planning processes.  The Association helps improve patient care by promoting improvements in the standard of professional practice.  In order to help achieve these aims SLNMA will also seek to build its own capacity by strengthening internal systems and developing a more secure funding base for its future work.

3 Situational Analysis

The health sector is currently characterized by:

· Inefficient management and weak linkages within the health system

· Inadequate facilities and resources to meet the needs of clientele at the grassroots

· Weak health infrastructure

· A shortage of well qualified and experienced health personnel

· Variable quality of basic nursing and midwifery education and little or no little systematic continuous professional development

· Inequitable distribution of health facilities with limited services outside the main urban centres

· Health professionals operate in an environment characterized by inadequate technical, financial resources and a weak legal framework

· Large differences in pay and conditions in the public and private sector

· Low usage of public health facilities

Despite the challenges, there are many positive developments:

· Health training institutions have been established and some have succeeded in producing well qualified health professionals

· There are 400 nurses and midwives who are currently in training and due to qualify by 2013

· Many leaders in the nursing and midwifery profession are committed to promoting change and raising standards of care

4 The Somaliland Nursing and Midwifery Association(SLNMA)

The absence of professional organization and regulation has led to the establishment of the Nursing Association on November 16, 2004. The role of the association is to act as both the professional organization and a representative for the nurses and midwives by protecting, developing, and building their capacity in order for them to deliver quality healthcare services.

They have been involved in building professional groups, conducting census, registration of members, putting organization structure in place, writing a constitution, maintaining professional standards, ethics and working with the medical association to influence the enactment into law the Health professions regulation Act (HPC).  The association is member led and relies on voluntary workers for its sustainability.

The Association was run on a voluntary basis until late 2007 when a Chief Executive and Programme Officer and program officer were appointed.  The Chief Executive reports to a Board which comprises of nine elected members who and serve for a two year term.  Increasingly, SLNMA is benefiting from a number of people who are volunteering their services to support the Association.

The Association’s core functions include:

· The promotion of quality care for patients

· Working with other bodies to ensure an appropriate legal framework

· Developing and promoting professional standards and guidelines

· Education and training for nurses and midwives

· Ensuring that issues of concerns to nurses and midwives are heard in policy and planning processes

· Building the capacity of the Association

· Research and development

During the preparation of the strategic plan, a SWOT analysis was undertaken which found:

Strengths

· A clear mandate

· A Board comprising of qualified and experienced people

· Strong relations with some national and international organizations

· Some funding secured for the first year of the plan

· Collaboration with the nursing and Midwifery Training Institutions

Weaknesses

· Limited budget compared to the scale of work that needs to be completed

· Small staff team

· Inadequate facilities

· Weak and unsustainable partnerships with stakeholders

· Weak information sharing

· Lack of participation and involvement among the professionals

· Limited capacity to respond to the prevailing needs and demands

· Inadequate baseline information(Data)

· Limited opportunities for professional and personal development

Opportunities

· Demand for nurses and midwives

· Support from development partners, CBOs, and NGOs

· Potential for private and Diaspora investment in the sector

· Increasing number of development organizations engaging in the health sector

· Cultural values that promote health services

· NHPC is under the process of development

· There are no oppositions against the profession

Threats

· Weak legal and policy environment

· Lack of effective coordination in the health sector, resulting in duplication in some areas and gaps in others

· Low pay of nurses and midwifes

· Poverty and unemployment

· Internal and external instability

· The corruption that is prevailing in the country

· Donors attitude towards development

· Political instability

5           Vision, Mission and Values

The vision of the SLNMA is to promote and ensure safe and equitable access of preventive, curative and rehabilitative health care that targets the principles of primary health and the determinants of health to all citizens of Somaliland with special concern to vulnerable groups, marginalized communities and individuals; through the development of the nursing and midwifery professions to its full potential and efficient management of the work force that fosters better working conditions and living wages.

Its mission is to ensure that through the application of graded educational programs, quality control measures and humanitarian professional culture, ensure that health-care tasks are provided by coordinated health teams with specialized levels of skills that are responsive to the changing needs of the Somaliland community, families and individuals at an affordable cost that accommodates all socio-economic strata of the people.

In pursuit of the mission and vision, the SLNMA is guided by core values that define the culture and unity of purpose of the Association.

These values are stipulated in the Association’s code of conduct as:

1. Transparency, accountability and professionalism: SLNMA adheres to impeccable and beyond reproach professional and personal standards in the conduct of its affairs.

2. Team spirit, courtesy, and respect: SLNMA adheres to the tenets of co-operation, courtesy and respect among members of staff and between its staff and other organizations to ensure a harmonious working relationship among all stakeholders.

3. Efficiency and effectiveness: In carrying out its core functions, SLNMA is guided by the principles of meritocracy, efficiency and effectiveness.

4. Commitment to results and service: To be an effective agent of health development,  SLNMA will embrace the culture of commitment to results and all the stakeholders will be central to the operations of the Association.

6 STRATEGIC AIMS 2010 - 2015

As outlined above, there are many challenges to be addressed if nurses and midwives are to contribute effectively to the provision of quality health care for the nation.  The following issues have been identified as priority areas for action by the SLNMA over the next five years:

Aim 1: Promote an enabling environment for the nursing and midwifery professions through legal, regulatory and policy reform.

Aim 2: Ensure the participation of nurses and midwives in national planning and

Programme development processes

Aim 3: Promote professional practice standards and quality patient care.

Aim 4: Improve the quality of nursing and midwifery education and training

Aim 5: Advocate on behalf of nurses and midwives and promote recognition of their contribution to the effective functioning of a health system.

Aim 6: Strengthen the capacity of the SLNMA.

Aim 7: Advocate and lobby for the development of Health and Safety policy and safe working environment.


7           ACTIVITIES

Aim 1:  Promote an enabling environment for the nursing and midwifery professions through legal, regulatory and policy reform.

Activities

1. Update and agree a Memorandum ofUnderstanding(MOU) with the MOH&L.

2. Advocate for the development of a National Nursing and Midwifery education and practice  Act related to the Health Professions Council;

3. Work with theNHPC to establish an appropriate regulatory framework for nursing and midwifery disciplines.

4. Coordinate, review and identify gaps in national nursing policies and procedures.

5. Work with the NHPC and employers of nurses and midwives to establish quality control measures to ensure quality care for patients.

Aim 2:  Ensure the participation of nurses and midwives in national planning and programme development processes

Activities

1. Participate in national human resource planning processes to address issues of the recruitment, retention, and distribution of an appropriately qualified nursing and midwifery workforce.

2. Work closely with the MOHL, Regional and District Health Offices to mainstream nursing and midwifery issues into national plans and programmes.

3. Advocate on behalf of nurses and midwives to ensure their views and concerns are reflected in national plans and programmes.

4. Contribute to the coordination and management of epidemics and disasters.

5. Develop policies and procedure manuals for health institutions, in collaboration of SMA, RHB, and hospital management.

6. Advocate for the creation of the directorate of nursing and midwifery services within MOHL

Aim 3: Promote professional practice standards and quality of patient care.

Activities

1. Work with the NHPC to develop professional practice guidelines and protocols and disseminate to nurses and midwives throughout the country.

2. Targeting nurses, midwives and employers, promote the application ofprofessional and ethical standards in the work place and thereby promote improved quality of care.

3. Enhance professional standards and ethics through the dissemination of information by updating the SLNMA website, maintaining an e-consultation group and publishing a newsletter.

4. Develop an accreditation of in service trainings and short courses received by nurses and midwifes

5. Produce procedure, nursing and medical manuals for Nurses and Midwifes

Aim 4:  Improve the quality of nursing and midwifery education and training

Activities

1. Advocate for the implementation of the curriculum in public and private training institutions.

2. Monitor and evaluate regularly the Curricula in collaboration with the NHPC

3. Work with the NHPC, MOHL and MOE to develop a system of accreditation for nurse and midwife training institutions.

4. Participate in the review and development of curricula and educational materials/tools for nursing, midwiferypre and post qualification training for Auxiliary nurses.

5. Continue the Continues Professional Development (CPD) for nurses and midwifes at all 6 Somaliland regions and seek support for its implementation.

6. Establish a library/resource centre with computers and internet for nurses and midwives research and study purposes.

7. Support and advocate for more Midwifery trainings (both post-basic and community midwifery programs) to increase number of midwives, specifically at remote and far eastern regions where the shortage of midwifes is more critical.

8. Advocate for initiation of the post basic diploma on mental health nursing programme

9. Advocate  for the post basic diploma in public health nursing

10. Support the 5 nursing schools in all their activities

Aim 5:  Advocate on behalf of nurses and midwives and promote recognition of their contribution to the effective functioning of a health system.

Activities

1. Advocate for nurses and midwives to ensure their voices are heard by decision-makers, employers and colleagues.

2. Continue the national award scheme for best nursing and midwifery practices among individuals, and organizations at national, regional and district levels.

3. In the case of complaints, represent and mediate to resolve conflicts between employers, nurses and midwives. Establish a log of complaints and howthey were resolved.

4. Creating a marketing strategy for nurses and midwifes to be employed in both public and private sectors.

5. Advocate for the retention and maintenance of the newly graduated nurse tutors via supportive supervision and monitoring, plus offering them incentives.

Aim 6: Strengthen the organisational and management capacity of the SLNMA.

Activities

1. Increase the membership of the SLNMA by creating awareness of the Association and the benefits of membership.

2. Establish functioning regional offices of the SLNMA.

3. Strengthen existing/create new ties with regional and international associations and agencies engaged in nursing and midwifery development.

4. Establish and support strategic partnerships with relevant stakeholders.

5. Develop and ensure implementation of participatory monitoring and evaluation processes for all aspects of the Association’s work.

6. Establish and maintain effective documentation systems and share lessons learned.

7. Secure funding from a variety of sources (avoiding single donor dependency)to support SLNMA running costs and activities.

8. Enhance the capacity of SLNMA staff through training and skills development.

9. Upgrade existing equipment and facilities.

10. Maintain financial and administrative systems, ensuring compliance with the constitution of SLNMA and policies.  This will include the preparation of an annual budget and financial audit.

11. Mobilise redundant human and material resources

AIM 7: Advocate and lobby for the development of Health and Safety policy and safe working environment.

Activities:

1. Carry out health and safety studies in health facilities (structures, staffing and qualifications, instruments, etc).

2. Analyse the study out come and disseminate information to all stakeholders.

3. Develop appropriate intervention/programmes based on the findings of the study.

4. Regularly monitor and evaluate implementation of planned interventions outcomes and impact.

5. Collaborate and involve all relevant stakeholders the need for health and safety issues and safe working environment.

Priority areas for year 2010- 2015:

· Establish a library/resource center with computers and internet for nurses and midwives research and study purposes

· Support and advocate for the post-basic midwifery course for 30 nurses at HIOHS

· Advocate for more Midwifery trainings (both post-basic and community midwifery programs) to increase number of midwives, specifically at remote and far eastern regions where the shortage of midwifes is more critical

· Establish nursing and midwifery Exam Board

· Support the Midwifery degree program at EUH

· Review the post basic midwifery curriculum to standardize post basic midwifery programs in Somaliland and get a national curricula

· Developing a curriculum for auxiliary nurses, and training them for 1 Year

· Advocate for the retainment  and maintenance of the newly graduated nurse tutors via supportive supervision, monitoring, CPD, and find incentives for them

· Develop policies and procedure manuals for health institutions, in collaboration of SMA, RHB, and hospital management

· Continuation  of the continues professional development (CPD) for nurses and midwifes at all 6 Somaliland  regions

· Advocate for the creation of the directorate of nursing and midwifery services within MOHL

· Developing, printing, and distribution of the professional standards and the code of conduct for nurses/midwifes

· Support the strengthening of the capacity of the National Health Professions Council

· Support the establishment of the post registered nurse  program - bachelor of Science in Nursing at Hargeisa University health sciences faculty

· Advocate for initiation of the post basic diploma on mental health nursing programme

· Advocate  for the post basic diploma in public health nursing

· Support the 5 nursing schools in all their activities

 

Updated April 2010

Last Updated on Tuesday, 05 August 2014 16:57  

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