South Sudan

2010 Year End Report

February 10, 2011

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 that offers a diploma of Registered Nursing and Midwifery Status.

Project Objectives:

1. Provide model courses in Registered Nursing and Registered Midwifery in the first National Health training Diploma institute in Southern Sudan.
2. Provide a curriculum recognized by all ministries associated with education in the GOSS
3. Provide leading edge skills laboratory and library for 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 Southern Sudan
7. Provide a sustainable solution to Southern 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. Approximately 200,000 women die each year giving birth.

Summary of RMF/WCF-sponsored activities carried out during the reporting period under each project objective:

1. Continued Nurse and Midwife education in combined foundational courses
2. Review of Nursing and Midwifery curricula for continued use in the programme
3. Development of minimum list of books to be used at the college by the tutors and students.
4. Identification of clinical sites and mentors
5. Support the Ministry of Health to coordinate the construction of the new college facility at Juba Teaching Hospital
6. Support of tutors for the 3-year programme in both nursing and midwifery
7. Support of the Project Manager and Assistant Project Manager
8. Identification of additional partners to support the college both financially and non-financially.

Results and/or accomplishments achieved during this reporting period:

1. The students completed the college’s first semester in which they undertook foundation courses in Nursing and Midwifery, the courses took 3 months. However, all National Health Training Institutes closed early on the 19th of November to facilitate the registration process for the Sudan voting referendum by the students.
2. The tutors through the guidance of the Ministry of Health are reviewing both nursing and midwifery curricula for use at the college and replication by other institutes within Southern Sudan. A draft curriculum will be ready for review by the end of January 2011.
3. Through the guidance of the Ministry of Health, two clinical sites have been identified for use by the students for their practical lessons. These are Juba Teaching Hospital and Al Sabaa Hospital. Several more are yet to be identified.
4. The Ministry has also taken the lead in coordinating the construction of the new college facility at the Juba Teaching Hospital that had been funded by JICA. This includes; the administration block, skills laboratory, library, washrooms, and conference room.
5. The college received several items that had been pledged by its partners; WHO donated 52 textbooks to be used as reference books by the tutors and students. JICA donated skills laboratory equipment, furniture, desktops, laptops and other teaching and learning aids.

Notable project challenges and obstacles for the period October – December 2010

1. The tutors and students do not have an adequate resource of books, magazines, journals, etc for tutoring, referencing and mentorship. The college was however boosted with a donation of 52 books from the WHO. These are however not adequate as the library shelves are all empty. For the success of the students and the college at large, the project has requested for additional books from several donors.
2. There are also an inadequate number of desktops available for use by the tutors and students. With the growing demand for desktop computers for use in typing of course work by the tutors and typing of project work by the students, the college has also put in a request to its partners to finance the purchase of additional desktop computers. They will be used by the tutors, at the college library and proposed set up of a state of the art computer laboratory.
3. The college tutors have access to only 3 internet modems. This limits the number of users to mainly tutors and the college administration. However there has been a growing and welcomed demand from the students to access the internet. The college therefore hopes to secure additional modems while it awaits the setting up of a VSat at the Juba Teaching Hospital.
4. The college skills laboratory lacks all the necessary equipment required to impart skills to the students during their demonstration sessions. The tutors have been forced to improvise equipment but in line with those outlined in the nursing and midwifery curricula.
5. The college is also challenged by lack of transport. This is needed to facilitate the movement of the college administration, management and tutors. It had been quite constraining to coordinate the movement of the project staff with UNFPA vehicles due to the many activities present at UNFPA. This has resulted in delay of dropping staffs at the college leading to delay in classes, meetings and procurement of college items.
6. Due to the rigorous payment process that is used by UNFPA, there is a delay in payments of project expenditures. This ends up affecting; students’ allowances, tutor salaries, payment to suppliers of good and services. Leading to low morale by those concerned.
7. The college has been fortunate to secure continued support from UNFPA, WCF/RMF and JICA. However with the enrollment of additional students in May, the college will require additional funding to cater to the increase in cost.

Success Stories:

1. The college came to an early close on the 19th of November to allow for students to go register as voters for the referendum process. However, the tutors were able to complete the courses, prepare examinations, and moderate the results. A majority of the students performed quite well in their end of semester examination with the female students performing quite better than the male students. 18 out of the 40 students scored below the average score of 68% which was an improved performance from the beginning of the semester.
2. The college received a donation of 52 books from WHO which assisted in providing course materials for the tutors and reference material for the students.
3. The college also received skills lab equipment, desktops computers, laptops and other IT and office equipment from JICA which boosted the effectiveness of the college.
4. Construction and renovation of the new college facility at the Juba Teaching Hospital was completed in mid-December. The handing over of the structure by JICA and to the Ministry of Health was held on the 6th of December. It was attended by project partners including; RMF, WHO, GF/UNDP and the St. Mary’s Isle of Wight.
5. The college also received another boost by receiving news on the confirmation of approval for a proposal made for books to Teaching Aid at Low Cost (TALC). The books will be received some time in the first quarter. They will assist in stocking up of the college library.

Country Page: South Sudan Initiative Page: Juba College of Nursing and Midwifery