The Role of the Nursing Leaders in Epidemic

The Role of the Nursing Leaders in Epidemic Control: Lessons learned from HIV service scale up in South Africa Dr JN Makhanya Ph. D Chief Nursing Officer, National Ministry of Health Republic of South Africa #AIDS 2016 | @AIDS_conference

Nursing in South Africa: Introduction q SA national health system – Public, Private and NGO sectors – Stewardship role (National Ministry) – Nurse-based services across the 3 sectors q Regulated health sciences education & training – Statutory health councils: SANC q Nursing – Policy management through Chief Nursing Office (recent) • Review of the national role of the CNO in HIV policy formation, legislation and regulation of nursing practice #AIDS 2016 | @AIDS_conference

Role of Nursing in HIV Epidemic Control • Role of nursing in: – – Education and Training Policy formulation & implementation Administration Practice • Thematic involvement – Leadership – Scientific activities – Community initiatives #AIDS 2016 | @AIDS_conference

Nursing Education & Training o Role of the two Ministries – Education and health. o Health sector a major employer for nurses o South Africa has a quadruple burden of disease compared to other countries o Has adopted Re- engineered of PHC as an approach to service delivery o South Africa's nurse-based healthcare system requires nurses to have the competence and expertise to manage the country's burden of disease and meet South Africa's healthcare needs. #AIDS 2016 | @AIDS_conference

Nursing Education Institutions Selection Criteria Prince Mshiyeni Campus of KZNCN Northern Campus of FSSON Mpumalanga College of Nursing Support to implement New Professional Nurse Qualification Support to implement New Staff Nurse Qualification Support to implement New Specialist Nurse Qualification Focal areas 1. Institutional programme submission to HEQC 2. Academic staff development 3. Pre-service curriculum development & implementation 4. Clinical education strengthened through the preceptor programme Outcomes: • Improved institutional and academic capacity • Improved quality of nursing education • Appropriately educated & trained competent nurses/ midwives are produced Impact Improved health outcomes for populations in low resourced settings and across the life span #AIDS 2016 | @AIDS_conference

Policy Formulation & Implementation • CNO recently established and located at national Ministry of Health • Role: – – • Policy formulation, Harmonisation of nursing services Influence on pre-service education Liaison with international bodies on nursing Statutory regulation of nursing – Education & training – Scopes of practice – Practitioner conduct #AIDS 2016 | @AIDS_conference

Service / Practice • Established role in public health programmes • Removal of constraints in prescribing (HRH shortages) • Specific role in HIV & AIDS epidemic – – Counselling and testing Awareness campaigns Initiation of treatment HIV & TB • NIMART – Necessitated by scale of epidemic – Limited to professional nurse & midwife – Forced a change in the scopes of practice #AIDS 2016 | @AIDS_conference

Conclusion conclusion SUSTAINABLE DEVELOPMENT GOALS NURSES LEADING THE WAY TO 90 90 UNIVERSAL HEALTH COVERAGE o Access o Equity o Rights #AIDS 2016 | @AIDS_conference 90

THANK YOU #AIDS 2016 | @AIDS_conference