Wednesday 18 June 2014

The cutting of trees

 This is how trees are cut down in Malawi
 Forget health & safety


 At the peak

Monday 16 June 2014

Attaining Professional Excellence Through CPD (APETC)

 APETC  cohort in Kasungu District Hospital
 APETC group work
 Motivation exercise
 Group member presenting
 APETC members
 Group member presenting 'de-motivation'
What is Motivation?

Continuing Professional Development (CPD) For Health Professionals Kasungu pilot project


Kasungu pilot project inception resulted from findings conducted by I-Tech on Continuing Professional Development (CPD) and nurses' attitude towards learning. The findings by I-Tech revealed gaps in nurses' and midwives attitudes, knowledge and skills towards CPD and to learning as health professionals.

The nurses and midwives of Malawi, had limited understanding of the benefits of CPD, seeing this form of learning as punishment from the Nurses and Midwives Council of Malawi (NMCM), and as a result undertook CPD for the benefit of NMCM and not for their own professional benefit. The other factor which hindered the progress of CPD for the nurses and midwives of Malawi, CPD was linked to their licensure making it mandatory to participate in CPD in order to renew their licensure. Though the uptake of CPD is high, nurses and midwives complete their log book in order to renew their licensure and fail to see the importance of updating their skills and knowledge thus giving the patients a better outcome and experience. The I-tech findings also revealed forgery among many of the health professionals regardless of position or status in the profession.

Funding for the pilot project has come from VSO, Partnership Support Fund (PSF), Tropical Health Education Trust (THET), and additional support from University of North Caroline/Melinda & Bill Gates Foundation. A very worthy collaboration and partnership working promoting education for nurses/midwives, quality care for care for patients in Malawi.

Following initial meeting in Kasungu health district with members of the nurse management team. Interests in the Kasungu pilot project was also shown from other cadres i.e. doctors/clinicians, lab technicians, pharmacists, environmental health officers to take part in the Kasungu project.  The project has become the focal point generating interests in the program.

The Kasungu project is a one year CPD pilot which started in March this year. The aim of the project, to promote CPD as learning which develops nurse/midwives to deliver best practice, improve knowledge and skills and improve patient care in Malawi.  It also aims to improve motivation and attitude of nurses/midwives towards learning and the care given to patients/clients in their care. Lessons learnt from the pilot will help the roll process to other health districts.

As it stands currently, nurses/midwives have a negative attitude towards CPD and see it as a punishment enforced by the regulatory body the Nurses and Midwives Council of Malawi (CPD is linked into the renewal of nurses/midwives licensure).  Although, the uptake of CPD has increased the understanding of CPD is low with many nurses/midwives having a poor perception of both the purpose and the benefits of CPD.  

Once a month I travel to Kasungu to spend the day with the group facilitating topics picked by group members.  In May the theme was solely dedicated to 'Motivation'. July's theme is based on 'Maternal Health', with invited speakers with expert knowledge on maternal health.  The number of participants so far is 21, with prospective new intakes each month. The cohort group is called "Attainting Professional Excellence Through CPD (APETC).

See photos of APETC.

 

Breakfast club


 Preparation of food in my kitchen


Feeding the local children in our area.

Friday 13 June 2014

INVIGILATION OF COUNCIL LICENSURE EXAMS

Setting up of exams in a school hall.
 Seating over 200 nurses & midwives



NMCM EXAMS

 Printing of exams papers
 Packing of exam papers

NMCM Examination

April, a busy time with the preparation of nurses and midwives licensure exams.  This is the final exams which all nurses and midwives have to take in order to be placed on the Nurses and Midwives Council Register in Malawi.

Long days, and nights putting together Council exams for over 400 nurses and midwives. Working till 10pm most evenings until was completed.  Followed by 4 days of invigilating council exams.
See photos.

Next stage; marking exams which takes a further 5 days to  marks all exams papers.  Non essential activities stops during this process.  Next week is the start of the marking of the April exams.
All qualified nurses and midwives will then be deployed to various  health facilities within Malawi to work and register at NMCM as qualified nurses.

WE ARE VSO





 











Teaching: After school club

WE ARE VSO









VSO VOLUNTEERS; Nyack, Herman, Robin, Diana. Breakfast club