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. 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 salaries for national tutors
5. The two master trainers for our Health eVillages project continued to benefit from the provided  tablets preloaded with medical information and materials.
6. The four college tutors continued to conduct the Maternal Near-Miss Audit at Juba Teaching Hospital with resources provided by RMF.
7. Supported the recruitment of 30 year one students (15 nursing and 15 midwifery) according to the policy of the National Ministry of Health under the Directorate of Training and Professional Development.
8. 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.

Results and/or accomplishments achieved during this reporting period:

1. 15 nursing and 15 midwifery year one students have been successfully recruited and are to start classes on July 27, 2015.
2. The two college tutors provided with the preloaded tablets are able do quick reference checks during lectures and clinical work hence improving the quality of services delivered by them.
3. The two college tutors continued to supervise and mentor the nurses/midwives provided with HeV preloaded tablets which in turn has improved patient care in the facility as the healthcare professionals are able to do quick reference checks and provide health education using the devices.
4. Four college tutors and several third year midwifery students have done tremendous work on the ongoing Maternal Near-Miss Audit at Juba Teaching Hospital during this quarter.
5. The college students, tutors and the supporting staff are still benefiting from the essential medicines provided by RMF in the previous quarter; this reduces the financial burden on the tutors/students/implementing partner (IMC) in purchasing essential drugs for simple medical cases.
6. The college tutors trained on Clinical Care of Sexual Assault Survivors continued to disseminate the information to students both in the class and clinical areas.
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 relationships between JCONAM and 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).

Project Photos

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

JCONAM second year student recording the height and weight of a woman following measurement during ANC visit

JCONAM second year midwifery student removing Implanon in family planning clinic

JCONAM midwifery student taking history of woman during antenatal visit

Second year midwifery student listening to foetal heart in ANC while being supervised by UN midwife Judith Draleru

The supervisor/mentor Judith confirming the foetal heart after getting report from the student

Jubilant UN midwives; Jennifer (L) and Judith (R) after successfully reviewing all the mothers in the ANC

The two UN midwives volunteers together with JCONAM students standing in waiting area  in ANC after completing their work

JCONAM students performing general cleaning of delivery equipments before taking them for sterilization

JCONAM student preparing the trolley ready for administering drugs in maternity unit

JCONAM students reviewing a mother in first stage of labour in maternity ward

Regina (L), Registered Midwife, with JCONAM student (R) after successful triplet delivery (SVD)

JCONAM midwifery student covering the baby after successful SVD of a woman who is now para 9

Jennifer, a Clinical Mentor, teaching the students how to examine and score a baby after delivery

JCONAM midwifery student inserting an intravenous line in a mother who successfully underwent C/S due to big baby
A big baby delivered through C/S, mother (above)

Jennifer, a Clinical Mentor, encouraging a student to take vital signs of mothers in postnatal ward every morning
JCONAM students preparing to administer morning medication in postnatal ward

JCONAM students inserting an IV access to administer drugs to a woman admitted due to complications in pregnancy

JCONAM students in MCH clinic attending to mothers who come for routine immunization

JCONAM nursing student counselling an epileptic patient who sustained second degree burns during an attack

Helen (R) RMF tutor and Victoria from MOH checking the stock level of essential dugs provided to them in Q2

JCONAM students in well furnished college library

JCONAM students using the well connected computers in the lab to get more educational information

JCONAM students on the campus

JCONAM students in JTH compound with one of JTH staff (L)

JCONAM students entertaining the guests during celebration of International Day of Midwives and Nurses conducted at JTH
Gathering during the celebration of International Day of Midwives and Nurses conducted at JTH