South Sudan: Juba College of Nursing and Midwifery

Project Goals:
 
To improve the quality of and access to professional health care services by imparting the necessary skills through a three-year diploma program in either nursing or midwifery at the first College of Nursing and Midwifery in South Sudan accredited by the Ministry of Higher Education and Juba University, offering a diploma of Registered Nursing and Midwifery Status. The College will contribute to reducing the maternal and child mortality in South Sudan in accordance with Millennium Development Goals (MDGs) 4 and 5.

Project Objectives:

1. Provide model courses in Registered Nursing and Registered Midwifery in the first National Health Training Diploma Institute in South Sudan
2. Provide a curriculum recognized by all ministries associated with education in the Republic of South Sudan (RSS)
3. Provide leading edge skills laboratory and library for the students
4. Provide improved clinical setting for student training
5. Provide highly qualified instructors and tutors for the duration of the three year program
6. Provide an unprecedented model of health care sector capacity building for South Sudan
7. Provide a sustainable solution to South Sudan’s Maternal and Infant Mortality Rate, the former, which is the highest in the world at 2,054/100,000 as per the 2006 South Sudan Household Survey. 

Summary of RMF-sponsored activities carried out during the reporting period under each project objective:
 
Implemented activities in line with RMF sponsored activities and project objectives include:

1. Support to the National Ministry of Health, Republic of South Sudan and project partners in the coordination and implementation of project activities over the reporting period. Also in line with the approved College annual work plan. 
2. Continued facilitation of inter-linkages with UNFPA, MOH, IMC and other stakeholders in ensuring quality assurance in the implementation of both nursing and midwifery curricula in the diploma program.
3. Coordination of RMF activities with other organizations and UN agencies supporting the Juba College of Nursing and Midwifery by participating in meetings and conferences.
4. Continued support of human resources through payment of salary for national tutors.
5. Procured and delivered essential medicines for the students and college staffs.
6. Two national tutors were trained as master trainers for Health eVillages project for Juba Teaching Hospital.
7. The two master trainers were also provided with tablets preloaded with medical materials to enable them to implement the Health eVillages program, also to serve as a quick guide during lectures and when conducting clinical orientations.
8. Facilitation of four college tutors to conduct the Maternal Near-Miss Audit at Juba Teaching Hospital.
9. In collaboration with International Rescue Committee (IRC), facilitated the participation of 5 JCONAM tutors in the National ToT training on Clinical Care of Sexual Assault Survivors (CCSAS) conducted by IRC’s Women’s Protection and Empowerment Program.
10. Sponsorship of first, second and third year nursing and midwifery students at the Juba College of Nursing and Midwifery through provision of uniforms, skills laboratory equipment, clinical training equipment, books, stationery and Information Technology (IT) equipment.
11. Facilitated the coming of RMF founder and CEO Dr. Martina C. Fuchs and RMF Director of Global Programs Cindy Aliza Stein to support the in country team in launching several new programs.

Results and/or accomplishments achieved during this reporting period:

1. Two national tutors were trained on Health eVillages devices as Master Trainers; they are now able to train more healthcare professionals at JTH on how to use the preloaded tablets as reference guide.
2. The two college tutors provided with the preloaded tablets are able to do quick reference checks during lectures and clinical work, hence improving the quality of services delivered by them.
3. Four college tutors and several third year midwifery students are participating in the ongoing Maternal Near-Miss Audit at Juba Teaching Hospital.
4. Five college tutors were trained on Clinical Care of Sexual Assault Survivors; they are now able to incorporate their new knowledge into the nursing/midwifery curriculum and also facilitate the training for the nursing and midwifery students.
5. The college students, tutors and the supporting staff are benefiting from the essential medicines provided by RMF, this reduces the financial burden on the tutors/students/implementing partner (IMC) in purchasing essential drugs for simple medical cases.
6. All the tutors and the nursing/midwifery students are able to access internet services at the College without interruption, providing them improved access to online learning materials and communications.
7. The college students are now getting good support and mentorship from JTH staff and college tutors while in clinical practice following the formation of a joint JCONAM-JTH committee which enhances the relationship between JCONAM and the JTH administration.
8. Coordination of RMF activities and participation in meetings/workshops together with NGOs and UN agencies supporting JCONAM and other National Health Training Institutes (NHTIs).
9. The South Sudan RMF team benefited greatly from the coming of RMF Founder/CEO and Director of Global Programs.

Project Photos

JCONAM second year nursing student taking the height of a woman during an antenatal visit

JCONAM second year student checking the antenatal card of a woman after taking her weight

JCONAM midwifery student (R) taking history of a woman during antenatal visit

JCONAM third year midwifery student (L) explaining to her third year colleagues how to do an abdominal palpation

Third year JCONAM midwifery student performing abdominal palpation in ANC

JCONAM midwifery student removing implanon in family planning clinic

JCONAM students in maternity unit performing general cleaning

JCONAM nursing student monitoring a mother in first stage of labor

JCONAM midwifery student monitoring a mother in first stage of labor

JCONAM midwifery and nursing students preparing a mother for elective C/S

JCONAM midwifery students monitoring the mother after successful SVD

JCONAM midwifery student covering the neonate after successful SVD

Jubilant JCONAM midwifery student after conducting successful SVD

Jubilant JCONAM midwifery student after conducting successful SVD

(L) Second year midwifery student creating rapport with the mother before examining, (R) Judith — tutor at the college

Second year midwifery student listening to the fetal heart while being supervised by Judith (tutor)

Midwifery students in the antenatal ward administering medication to a patient

Midwifery student recording patient's information in antenatal ward

JCONAM nursing student in EPI clinic

JCONAM nursing students in EPI clinic

JCONAM nursing (R) and midwifery (L) students in EPI clinic attending to mothers who bring children for immunization

JCONAM nursing student administering TT vaccine to a women in the EPI clinic

JCONAM midwifery student administering polio vaccine to a neonate in EPI clinic

JCONAM nursing student administering BCG vaccine to a neonate in EPI clinic

JCONAM second year nursing students recording patients' information before seeing the doctors in pediatric OPD

JCONAM second year nursing student inserting I.V. cannula in a child admitted to the pediatric ward

JCONAM nursing student in the pediatric emergency ward

JCONAM nursing students in the medical ward

JCONAM nursing student in the opthamology unit

(L) midwife working in the gynecology department, a product of JCONAM together with third year midwifery student

Students busy in the computer lab searching for information online

JCONAM finalists working, discussing research in a group

Nursing student in the well-equipped library

(L) Jemelia, tutor and (R) student at the campus

Third year midwifery students consulting one of the tutors, Joseph, about their research study

(R-L) Fekadu, Jennifer and Judith with the three JCONAM students who are helping with the Maternal Near-Miss Study

Joseph, a tutor, opening the carton of essential drugs procured and delivered by RMF

Joseph (R) doing the physical count of supplies together with RMF logistic coordinator Keri Martin (L)