Opinion
On Nurses Welfare
In March this year, the National Association of Nurses and Midwives and the Forum for Local Government Nurses and Midwives (FOLGONM) in Rivers State took to the streets of Port Harcourt to protest what they described as neglect of the Primary Health Centre Board.
The protesters took to the streets to draw government attention to the need for a directorate in Primary Health Care Board, which would take care of their welfare.
The two Unions during the protest said they needed liberation from the current bondage and working without a directorate in the Primary Health care board.
Speaking during the long trek from the State Secretariat of the union at Ordinance Road ,Trans Amadi to the Government House ,The Chairperson of the Forum For Local Government Nurses and Midwives ,Mrs Agatha Choko said that Nurses and Midwives working in the health centers built by the Rivers State Government have been neglected and marginalized.
She wondered whether Nurses and Midwives were no longer relevant in the reduction of maternal and infant morbidity and mortality of the health programmes and health care delivery in the state.
The Union also demanded if the nurses, midwives and public health nurses were no longer needed in the primary healthcare system in the state.
According to Mrs Choko, the union is also bordered as to why nurses were not signatories to health facilities’ accounts whereas ,health facilities were jointly handed over to the doctors and nurses during opening ceremonies. Are the Doctors the only professionals needed by the state to promote health care delivery in the state or are they the only personnel needed in the management of patients’ health? They wondered.
The union also questioned why workshops are sponsored by the state Government for Doctors alone ,excluding the Nurses. And finally why is it that the graduate Nurses with Masters Degrees in Public Health are not qualified to be coordinators of Primary Health Care. Why is it that only Doctors are considered for the position despite the fact that they lacked public health educational background?
It is believed that the Doctors cannot perform optimally without the nurses, midwives and public health nurses because their functions are interwoven.
The aims and objectives of the Rivers State Government toward achieving the millinum goal of 4 and 5 and healthcare Delivery to the people cannot be achieved if the nurses, midwives and public health nurses are not carried along.
It is on record that this set of workers, work 24 hours daily taking care of patients in the health centres.They admit patients, give first aid in preparation for the arrival of doctors.
The two Unions also noted that the public health nurses are trained to act in the absence of the Doctor,prescribe drugs like the Doctors in minor ailments,while midwives monitor and deliver pregnant mothers and stabilize their health without waiting for the doctors.
The Union in a recent statement noted that if the government considered the Doctors relevant and important,they should as well consider and accord the same attention to the nurses, midwives and the public health nurses as they all play key roles in the promotion of the health care delivery in the state which has been one of the paramount objection of the present government led by Rt.Hon Chibuike Amaechi.
Mrs Choko then concluded that due to the relevant and important roles played by members of the unions they should be assisted to function well and have a sense of belonging in the Primary Healthcare Board by creating a directorate and unit for the body.
Apart from asking the Rivers State House of Assembly to create a unit and Directorate of Nursing in the Primary Health Care Board,the two associations explained that the absence of the Directorate has led to the relegation of nurses to the mud by the Doctors in the health facilities.
They as well demanded that retired Nurses should be retained on contract basis ,because ,they work for 32 years in service instead of 35 years and retire at 53, instead of the 60 years stipulated for civil servants,
Other demands of the association during the protest were inclusion of Nurses in the primary Health care Authority in the 23 local government ,Nurses should not be posted by Doctors or any other administrative officer in the Rivers State Primary Health Care Management Board ,other than Nurses/
They noted that the absence of the Nurses at meetings of Primary Health Care were responsible for lack of information for the Nurses ,and therefore requested that they be included, adding that this would keep the nurses abreast with information on the activities and happenings in the Primary Health Care Management board.
The Chairperson also said that the graduate nurses with Masters Degrees in Public Health should be considered for the post of coordinator of Primary Health Care as contained in 2006 circular of primary Health Care and that the acting Director of Nursing Services in Primary Health Care Management board should function independently instead of working under a unit.
According to her ,the placing of public health nurses at par with program be officers in the operational guideline of the Rivers State Primary Health Care Management Board was not acceptable.
She argued that the omission of Nursing Directorate has led to faulty organogram and lots of lapses in primary health care department ,thereby leading to the hijacking of the functions and duties of the nurses/midwives by the other primary health care practitioners.
Mrs Choko regretted that the establishment of the Primary Health Care Management Board Law no 10; 2010 passed into law by the state Assembly did not make provision for the nurses ,midwives and public health nurses working in the health facilities of the 23 local government area of Rivers State.
“In part 111 No 11 of the law Department of the Board” “where no department for Nurses, and Public Health Nurses was mentioned as every other worker have their own departments. This is unfair to the Nurses working in the Local Government Areas as the Nurses and Doctors are equally important and relevant as far as taking care of life is concern ’’,she said.
That the nursing profession is noble worldwide and is recognized in most developed countries as important and relevant is not contestable.
We recall that whenever the Nurses go on strike ,the health facilities are paralyzed likewise when the Doctors go on strike.
This however means that the Doctors and Nurses are important and relevant and can not function effectively without each other in health care delivery.
Many health workers believed that whatever is good for the Doctors is as well good for the Nurses.
We appealed to the state Government whom have chosen health care as its priority to look into the various complaints from the Association of the Nurses creating a unit and department for the Nurses.
It is the general opinions that if the Nurses are taken care of the patience, there will be efficiency in the activities of the health centers and synergy between the Doctors ,Nurses ,Midwives and Public Health Nurses working in primary Health Care facilities of the 23 Local Government Area of the state.
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