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Aid effectiveness in nursing and midwifery:
A multi-sectoral approach
Michele Rumsey, Caroline Homer, Jodi Thiessen,
Amanda Neill, Lin Lock.
February 11th 2016
AUSTRALASIAN AID
CONFERENCE, ANU
SPCNMOA 2014-2016 PRIORITIES
1. Transforming health workforce education in support of
universal health coverage.
2. Strengthening regional governmental networks to
improve communication and strategic planning to enable
improved health system strengthening and primary
health care for overall population health improvements –
including regulation and education.
3. Regional emergency and disaster preparedness in the
face of climate change.
4. Maternal and child health.
5. Non-communicable diseases.
GOVERNANCE
• Chief Nursing & Midwifery Officer in each country
• Coordination of regular multi-sectoral meetings
• National policy communicated and owned
WHO CC UTS & ISF (2012-2013) Climate Change and Adaptive Capacity in Pacific
WHO CC UTS & WHO (2011) Roles and Responsibilities of CNMOs
SPCNMOA (2014) meeting report
SPCNMOA (2013) submission 10th Pacific Health Ministers Meeting
SPCNMOA (2015) submission to WHO HRH Strategy 2030
WHO CC UTS & WHO (2010-2012) Minimum Dataset
WHO CC UTS & DFAT (2012-2015) Maternal and Child Health Initiative PNG
WHO CC UTS (2015) Nursing Council PNG Annual Report
PNG Principals Consensus Statement (2015)
EDUCATION
• Need for highly qualified educators
• Need for continuing professional development
• Conducting and using research
• Regular institutional accreditation
• Resources – human, infrastructure, teaching
WHO CC UTS & DFAT (2012-2013) Schools of Nursing Audit
WHO CC UTS & DFAT (2012-2013) Community Health Worker Training Institutes audit
NDoH, Oil Search Foundation, DFAT (2013-2016) Reproductive Health Training Unit M and E
WHO CC UTS & WHO (2012-2013) Faculty Development Needs Assessment survey
SPCNMOA (2014) meeting report
ASSOCIATION
Strong professional associations assist with:
• Health professional support
• Interface between profession, health service
and governance
• Providing continuing professional development
WHO CC UTS, WHO & DFAT (2012-2015) Maternal and Child Health Initiative PNG
WHO CC UTS & WHO (2011-2013) Faculty Development Needs Assessment survey
REGULATION
• Current legislation
• Strong registration processes
• Regular institutional accreditation
WHO CC UTS (2015) Nursing Council PNG
SPCNMOA (2014) meeting report
WHO CC UTS & DFAT (2012-2013) Schools of Nursing audit
WHO CC UTS & DFAT (2012-2013) Community Health Worker Training Institutes audit
WHO CC UTS & Nursing Council PNG Accreditation audit
WHO CC UTS & WHO (2011-2012) Faculty Development Needs Assessment survey
• PNG Maternal and Child Health Initiative
• Led by the PNG National Department of Health in
collaboration with the UTS World Health Organization
Collaborating Centre
• Funded by the Australian Government
NATIONAL DEPARTMENT OF HEALTH
MULTI –SECTORAL APPROACH - EXAMPLE
WORKING ALONG-SIDE …
To improve the standard of midwifery
clinical teaching and practice in the five
teaching sites
• University of PNG
• Pacific Adventist University
• Lutheran School of Nursing
• University of Goroka
• St Mary’s School of Nursing
11 international midwives
To improve the quality of obstetric care in
two regions through the provision of
clinical mentoring, supervision and
teaching.
2 obstetricians in two district hospitals
MULTI – SECTORAL APPROACH
Multi-dimensional/sectoral
Champions
Relationships
Energy
Informal meetings
Longevity
Partnerships
‘Funding’
To see the many other projects go to our UTS WHO CC website:
http://www.uts.edu.au/research-and-teaching/our-
research/who-collaborating-centre
WHO CC Global Network for Nursing and Midwifery:
http://www.globalnetworkwhocc.com/
South Pacific Chief Nursing and Midwifery Officers
www.spcnmoa.com
Michele Rumsey
Director WHO CC, UTS
E: whocc@uts.edu.au
REFERENCES
Buchan, J., J. Connell, and M. Rumsey, Recruiting and retaining health workers in remote areas: Pacific Island case-studies. 2011,
World Health Organization: Geneva, Switzerland.
Buchan, J. and M. Rumsey, WHO human resources for health minimum data set. 2008, World Health Organization.
Daly, J. and M. Rumsey. Faculty Development presented at the Informal Consultation on Health Professional Education. in Informal
Consultation on Health Professional Education. 2013. Manila Philippines: WHO CC UTS.
Daly, J., M. Rumsey, and J. Buchan, Mobility of Health Professionals – National report: Australia. EU Commission. 2011, Report
made for the European Commission by WHO Collaborating Centre for Nursing Midwifery and Health Development, University of
Technology Sydney: Sydney, Australia.
Daly, J., M. Rumsey, and C. Duffield, Human Resource for Health (HRH) Minimum Data Set (MDS), in International Council of
Nurses (ICN) ICN 24TH Quadrennial Congress 2009, International Council of Nurses Durban, South Africa.
Dawson A, et al., Building Midwifery Capacity in Papua New Guinea. Innovative approaches for women’s health. Are the current
initiatives adequate?, in Pacific Society of Reproductive Health Biennial Conference. 2013, WHO CC TS: Honiara, The Solomon
Islands.
Dawson, A. and C. Homer, Managing the International Humanitarian and Development Health Workforce: A review of experiences
and needs. 2013.
Dawson, A., et al., Human Resources for Health in maternal, neonatal and reproductive health at community level - a profile of Papua
New Guinea. 2011, Human Resources for Health Knowledge Hub and Burnet Institute on behalf of the Women’s and Children’s
Health Knowledge Hub Sydney, Australia.
Fletcher, S., et al., Understanding adaptive capacity to emergencies in the Pacific in the context of climate change. 2012, WHO
Collaborating Centre and the Institute for Sustainable Futures, University of Technology Sydney.: Sydney, Australia.
Fletcher, S.M., et al., Traditional coping strategies and disaster response: Examples from the South Pacific region. Journal of
environmental and public health, 2013. 2013.
REFERENCES
Gero, A., et al., Disaster response and climate change in the Pacific - Understanding the Pacific’s adaptive capacity to emergencies in
the context of climate change: Final report - NCCARF. 2013, WHO Collaborating Centre and the Institute for Sustainable Futures,
University of Technology Sydney.: Sydney, Australia
Government of Papua New Guinea, National Health Service Standards for Papua New Guinea 2011-2020. 2011, Government of Papua
New Guinea: Port Moresby.
Government of Papua New Guinea [GoPNG], National Health Plan 2011-2020. 2010: Port Moresby.
Homer, C., Improving nursing and midwifery workforce for primary health care in Samoa. 2013: Pacific Society for Reproductive Health.
Homer, C., F. Copeland, and M. Rumsey, Papua New Guinea Maternal and Child Health Initiative: Monitoring and Evaluation Report.
Sydney, Australia -. 2012, DFAT and World Health Organization: Sydney, Australia.
Lock, L., J. Ninkama, and B. Handen, Community Health Workers School Diagnostic Audit: Final Report. 2012, World Health
Organization – Western Pacific Region and the University of Technology Sydney: Sydney, Australia.
National Department of Health [NDoH], Ministerial Taskforce on Maternal Health in Papua New Guinea. 2009, National Department of
Health, Government of Papua New Guinea (GoPNG): Port Moresby. p. 36.
Neill, A. and M. Rumsey, MCHI Phase II Implementation Report 2014, WHO CC UTS: Sydney, Australia.
Neill, A. and M. Rumsey, PNG Maternal and Child Health Initiative Phase II: Mid-term Summary Report. 2015, World Health Organization
Western Pacific Region, AusAID & PNG National Department of Health: Sydney, Australia.
Rumsey, M., WHO CC Building Faculty Capacity Principals meeting PNG. 2012, WHO Collaborating Centre for Nursing Midwifery and
Health Development, University of Technology Sydney.
Rumsey, M., Helping build foundations for improved maternal health in PNG, in 10th Conference oF the global network of the WHO
collaborative Centres for nursing and midwifery 2014, WHO CC UTS: Coimbra in Portugal.
REFERENCES
Rumsey, M., et al., UTS World Health Organization Collaborating Centre for Nursing, Midwifery & Health Development - Phase 1: final
report - PNG maternal and child health initiative (MCHI) - DFAT. 2014, WHO Collaborating Centre for Nursing Midwifery and Health
Development, University of Technology Sydney: Sydney, Australia.
Rumsey, M., M. Roroi, and A. Polaiap, Papua New Guinea Capacity Nursing School Diagnostic Audit: Final Report. 2012, World
Health Organization – Western Pacific Region and the University of Technology Sydney: Sydney, Australia.
Rumsey, M. and J. Thiessen, PNG NC National Framework for the Accreditation, Monitoring and Evaluation of Nursing and Midwifery
Education Programs - Audit Tool 2014 2014, Papua New Guinea Nursing Council: Sydney, Australia. p. 25.
Rumsey, M., et al., The consequences of English language testing for international health professionals and students: An Australian
case study. International Journal of Nursing Studies.
Rumsey, M., J. Thiessen, and C. Homer, Knowledge, Attitude, Practice Report 2014, WHO Collaborating Centre for Nursing Midwifery
and Health Development, University of Technology, Sydney: Sydney, Australia.
Rumsey, M., et al., Scaling-Up Nursing through Global Nursing and Midwifery Faculty Development. 2013, WHO CC UTS: Sydney.
Rumsey. M., et al., A qualitative examination of the health workforce needs during climate change disaster response in Pacific Island
Countries. Human Resources for Health, 2014. 12(9).
White, J. and M. Rumsey, A GCNMO consensus statement roles and responsibilities of the government chief nursing and midwifery
officer (GCNMO). 2010, World Health Organization: Sydney, Australia.
WHO, Nursing and Midwifery Services Strategic Directions 2002-2008. 2002, World Health Organization: Geneva.
World Health Organization, Global standards for the initial education of professional nurses and midwives, in Geneva (SWZ): WHO.
2009.
REFERENCES
World Health Organization, Nursing & Midwifery services: Strategic directions 2011-2015. 2010, World Health Organization:
Geneva, Switzerland.
World Health Organization, Transformative scale up of health professional education: An effort to increase the numbers of health
professionals and to strengthen their impact on population health. 2011: Geneva, Switzerland.
World Health Organization, Human Resources for Health Action Framework for the Western Pacific Region 2011-2015. 2012.
World Health Organization, Apia outcome: Tenth Pacific Health Ministers meeting. 2013, World Health Organization: Geneva.
World Health Organization, Health workforce 2030: towards a global strategy on human resources for health. 2015, World Health
Organization: Geneva, Switzerland.
World Health Organization - Western Pacific Region, Regional strategy on human resources for health 2006-2015. 2007, World
Health Organization - Western Pacific Region.
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