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.

MULTI –SECTORAL APPROACH

(ICM, 2014 adapted approach)

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 – SECTORAL APPROACH

MULTI – SECTORAL APPROACH

MULTI – SECTORAL APPROACH

MULTI – SECTORAL APPROACH

MULTI – SECTORAL APPROACH

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.