Global Nursing Caucus International Nurses Day Annual Celebration at Partners In Health

By Maggie Sullivan Moderator | 18 May, 2017

Hopefully all nurses, midwives and their allies enjoyed a wonderful International Nurses Day. The following posts are a summary of yesterday's annual Nurses Day celebration on 5/17/17 sponsored by the Global Nursing Caucus and hosted by Partners In Health

Dr. Jeanne Leffers
Rwanda: Then and Now

Dr. Anatole Manzi
Global Nurses: Essential Workforce to Reach Beyond Global Declarations

Deb Winters
I-TECH: International Training & Education Center for Health

Cory McMahon and Marc Julmisse
Presentation of Nightingale Nurse Executive Fellows at Partners In Health



Maggie Sullivan Moderator Replied at 10:18 AM, 18 May 2017

Co-Directors of the Global Nursing Caucus, Nancy Street & Monica Onyango, gave a warm welcome and introduced the first speakers.

Dr. Jeanne Leffers
- Professor Emeritus at UMass-Dartmouth
- Health Volunteers Overseas
- Co-author of "Volunteering at Home and Abroad: The Essential Guide for Nurses"

Dr. Leffers presented on behalf of Julia Plotnick
- Pediatric Nurse Practitioner 1972
- Chief Nurse, Rear Admiral, Assistant Surgeon General for the U.S. Public Health Service
- Board of Directors of Health Volunteers Overseas
- Collaborated on health systems improvement/nursing education in Rwanda

Maggie Sullivan Moderator Replied at 10:25 AM, 18 May 2017

Dr. Anatole Manzi: PIH Director of Clinical Practice and Quality Improvement at PIH; past Director of Global Learning and Training

Global Nurses: Essential Workforce to Reach Beyond Global Declarations
- Health for All in 2000 and Beyond
- Alma Ata 1978
- Primary health care “relies, at local and referral levels, on health workers, including physicians, nurses, midwives, auxiliaries and community workers as applicable, as well as traditional practitioners as needed, suitably trained socially and technically to work as a health team…”

Did we get there? Not in many places. Subsequently Millennium Development Goals (MDGs) were established. However, many African countries did not meet their MDGs.
- WHO The Millennium Development Goals Report 2015: “Yet for all the remarkable gains, I am keenly aware that inequalities persist and that progress has been uneven…

Did we get there? Not in many places. Subsequently Sustainable Development Goals (SDGs) were established. However, many countries in sub-Saharan Africa, again, have not been able to meet SDGs.

Nursing Advancement: A Critical Need for Health Systems Recovery – Case of Rwanda
- In Rwanda, many people who were not killed in the genocide, ended up dying for lack of effective health care. Nurses stepped in to fill the gaps where they could.
- Rwanda: slightly smaller than the state of Maryland
- Physician-to-inhabitant ratio: 1/15428
- Nurse-to-inhabitant ratio: 1/1200
- 78% of nurses are in rural areas (2010)
- Infant Mortality Rate 48.6/1000 (2012)
- Under 5 Mortality Rate: 72/1000

1994 Genocide: health care workers killed or fled
- Many times, nurses were killed in clinics by people pretending to be patients. Many fled to Congo, though it was also not safe there.

Re-building the Rwandan Health System
- Decentralization of services
- About 80% of the burden of disease is addressed at the community/village level
- Human Resources for Health in Rwanda
- Training Targets for HRH: increase the total number of nurses and midwives
- Improving nursing care through an integrated mentorship and quality improvement in rural Rwanda: over 92% of health care delivered is by nurses
- Pilot in 3 districts and eventually expanded across entire country: 3888 Nurse mentorship visits from Jan 2013-Oct 2015
- Improvements: Routine assessments for danger signs in pregnant women; Quality of mental health care by nurse mentees in Burera District; Prescribing practices: dehydration, fever (without malaria), malaria
- Reductions: Child mortality (“the steepest drop in child mortality [post-genocide] ever recorded”); Reduction in maternal mortality;
- Improved life expectancy

- Nurses constitute the backbone of health systems
- Investing in capacity building is critical for professional development as nurses
- Modern technology should be a tool to extend and strengthen global nurse networks

Maggie Sullivan Moderator Replied at 10:34 AM, 18 May 2017

Deb Winters, APRN-BC, AACRN
I-TECH: International Training & Education Center for Health:
- Stared in 2002 and has since trained > 24,000 nurse to date

Deb Winters first began working with I-TECH in Ethiopia as anti-retroviral therapies became newly-available: "nurses were burying more patients than they were treating"
- Helped develop the first HIV/AIDS Nurse Specialty Course

I-TECH currently operates in 18 countries. Their work includes:
- Nursing & Midwifery Curriculum Development
- Responding to 90/90/90 Goals
- E-Learning Training Program: implementation of innovative training approaches, including integration of e-learning platforms, to support nursing and midwifery training: Blended learning: Zimbabwe; PMTCT patient retention; HIV testing and services for children/adolescent; Disclosure; Viral load monitoring; Text messaging; component for primary counsellors
- Tablet-based learning:Case-based with embedded clinical questions that progressively become more difficult
- Distance learning

Bringing Change by Measuring Impact
- Distance-based health information management and applied epidemiology course for health care workers in South Africa
- eLearning and paper-based workbook formats: 10 modules; Course last approximately 45-60 hours
- Interactive
- Realistic vignettes, case studies, pre/post-test and quizzes

Pre-service Strengthening Local Capacity which, in turn, strengthens health workforce

Leadership & Management Initiative

As ever, these are “Enormous….but not impossible challenges”

Maggie Sullivan Moderator Replied at 10:42 AM, 18 May 2017

And, finally, Cory McMahon, Director of Nursing at PIH and Marc Julmisse, Deputy Chief Nursing Officer at PIH, welcome their new cohort of executive nurse fellows.

This is the inaugural year-long Nightingale Nurse Executive Fellowship at PIH. Five nurse leaders were chosen from Rwanda, Haiti, Liberia and Rosebud-North Dakota. Cory and Marc comment that there are so many great nursing leaders who are not “at the table” and this directly impacts the work we all do. When nurses do get to the table, too often it's with quite a bit of struggle. Without training and mentorship, how are we able to make necessary changes at the hospital, regional and national levels? How do we make sure we have the materials, workflows, data, management skills that we need to build up teams and health systems? This year-long fellowship will provide these five talented nurse leaders with the skills they need to enable such change to happen.

Welcome to our colleagues and please join us in their encouragement and support.

Elizabeth Glaser Moderator Emeritus Replied at 2:29 AM, 19 May 2017

Dear Maggie,
Thank you for posting this. In lieu of being there, this was a very good


Elizabeth Glaser, Ph.D., M.S.
*Visiting Scholar*

* Heller School
for Social Policy and Management Brandeis
University 415 South
Street, MS 035 Waltham,
Massachusetts. USA 02453
<> *
*Visiting Faculty*

*Kamuzu College of Nursing University of Malawi PO Box 415 Blantyre, Malawi

Inge Corless Moderator Replied at 7:42 AM, 19 May 2017

This was an excellent meeting and I was delighted to be able to attend. I appreciate that the content was shared for all to see who were unable to be present. Being present reinforced the importance for all of us to be there, connect with one another, and participate. I was unaware of the Nightingale fellowships. This is a gift not only to the Fellows but for all of those who have or take the opportunity to interact with the Fellows. Well done, all. Inge

Milka Ogayo Moderator Replied at 8:10 AM, 20 May 2017

Thanks for the updates Maggie-for those of us who did not attend.

We celebrated the climax of the nurses week on 12th May, with attendance of 1600 nurses!

The nurses reaffirmed their commitment to maintaining high level of professionalism through team work and further training.

It was awesome.

Elizabeth Glaser Moderator Emeritus Replied at 9:03 AM, 20 May 2017


Was this in Kisumu- 1600 nurses, Wow!


Milka Ogayo Moderator Replied at 2:49 PM, 20 May 2017

Hi Elizabeth!

The event was held in Eldoret town, Rift Valley region.

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