South Sudan

Q1/2011: Nursing & Midwifery College Update

April 29, 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 (note any changes from original plans):

1. Continued education of nurse and midwife students in practical skills through clinical sessions at the Juba Teaching Hospital’s medical, surgical and pediatric wards.
2. Support to the Ministry of Health-Government of Southern Sudan in the review of nursing and midwifery curricula for continued use in the diploma programme.
3. Strengthening of the college educational resource capacity through the procurement of textbooks in both nursing and midwifery availing materials for both students and tutors.
4. Development of clinical objectives to be used by the tutors, clinical mentors and students while they undergo their clinical sessions.
5. Support to the Ministry of Health in the coordination of project activities implemented by the project partners.
6. Identification of additional partners to support the Ministry of Health in the establishment of the first diploma college in nursing and midwifery.

Results and/or accomplishments achieved during this reporting period:

1. The project’s annual work plan and budget were approved at $464,450 for the calendar year January-December 2011. These funds were allocated from amounts contributed by RMF/WCF and UNFPA. The amount has been budgeted to support the payment of technical and non-technical staff, utilities, procurement of skills laboratory and office support equipment, procurement of generator fuel and oil, payment of students’ allowances, uniforms and transportation and other running costs. The project management is however mobilizing funds for 2012 from other stakeholders in order to support the Ministry of Health fully establish the institute.
2. The college successfully re-opened on the 15th of January after the referendum period with all 39 students reporting by mid-February. This is owed to the fact that the students are distributed within the 10 states which are quite a distance from Central Equatoria State where the college is located. They completed their foundation courses and began their clinical sessions in mid-February. The students are currently in their 7th week of practical sessions and will resume classroom lessons in on the first week of May whereby they will be split into nursing and midwifery.
3. With the support of the Ministry of Health, Department of Nursing and Midwifery, the college was able to identify six clinical mentors at the Juba Teaching Hospital and four clinical mentors from Al Sabaa Hospital. The clinical mentors’ major tasks are to instruct, supervise, monitor, assist and mentor the students to implement the course content outlined in the curricula. The students are currently placed at the Juba Teaching Hospital’s medical, surgical and pediatric ward whereby they are on weekly rotation among these three wards. They are also accompanied by their tutors who support the clinical mentors.
4. The Department of Nursing and Midwifery, Ministry of Health, college tutors and project management have developed a draft document outlining clinical objectives to be used by the students during their clinical sessions. The objectives form a part of the course content to be implemented by the students during their practical sessions and a basis of evaluation of their work by the clinical mentors and tutors. The project management is currently organizing a workshop that will invite the Ministry of Health, clinical mentors, tutors and several other stakeholders to endorse the document to form part of the course content.
5. The college library was further boosted in February when it received a donation of 187 books, 37 DVDs and CDs, journals and other teaching aids in both nursing and midwifery from the British Medical Association (BMA). In addition, in March RMF, with the help of a generous donation from The Dillon Henry Foundation, provided 87 nursing and midwifery books that are to be used as classroom reference books by the students. Both donations were highly appreciated by the principal and the Ministry of Health as the college hardly had any reference material.


6. During the month of March, the college Principal carried out a working/study visit to two other national health training institutes namely; Maridi National Health Training Institute and Kajokeji Health Training Institute. The main objectives of the visit were to identify commonalities and differences of the college with other institutes and how they impact the establishment of the college. The Principal is currently working on her trip report which will be shared with the various stakeholders.
7. Review of the midwifery curriculum is still ongoing and is running concurrently with the review of the nursing curriculum whose process started in March. Under the stewardship of the Ministry of Health, both reviews are being undertaken by the college tutors and principal with technical input from UNFPA, namely; Sophia Nyame-Project Manager, Ulrika Rehnstrom and Gillian Garnett-both Midwifery Specialists.
8. As the students split into their respective nursing and midwifery classes in May, there will be a need to increase the current number of tutors to be able to adequately cover the modules. The Ministry of Health with the support of the project management advertised for nationals who qualify for the position of nurse/midwife tutors to apply for the four vacant positions. The college will also recruit international tutors under IUNV contracts. In addition, the recruitment process of the Librarian/Information Technology Specialist and Finance and Administration focal person are in their advance stages.
9. The Directorate of Training and Professional Development has taken the lead in developing critical documents that are pertinent to the establishment of the college. These include a revised draft of the college rules and regulations, terms of reference and composition of the college Management and Advisory Board, terms of reference and composition of the various college committees and college organogram and memorandum of understanding. The named documents are under review and will be finalized in the second quarter.
10. The college project in January 2011 welcomed an additional partner, United Nations Development Programme (UNDP)-Global Fund’s sub-recipient in Southern Sudan. UNDP’s support to the Ministry of Health (Health Systems Strengthening) and by extension the college project includes the construction of a kitchen, mess hall and hostels to accommodate 60 students at the Juba Teaching Hospital.

Number served/number of direct project beneficiaries (for example, average number treated per day or month and if possible, per health condition).

1. The program is designed to be a three-year diploma with an annual intake of 40 students per year. Currently, the college has a total student population of 39 students. 120 nurses and midwives are expected to have graduated by the end of 2015 and with an increase in numbers in subsequent years.
2. During the program, students will carry out clinical lessons within health facilities in Juba mainly in Juba Teaching Hospital. The immediate population in Juba and surrounding areas, estimated at 500,000 will be direct and immediate beneficiaries of this newly qualified health care staff.
3. Upon graduation, nurses and midwives will return to their home states to work for at least two years. With the placement of students in the three wards: medical, surgical and pediatric, the students are able to practice and be evaluated on the patients they attend to.
4. Due to the need for the college tutor capacity to function effectively, the college intends to employ additional tutors (national and international) to enable comprehensive coverage of the course content.

Success story(s) highlighting project impact:

1. Juba College of Nursing and Midwifery library received additional stocks of: books, CDs, DVDs, journals and teaching aids of books in both nursing and midwifery from an independent body and well wisher-British Medical Association (BMA). RMF further purchased reference books in both nursing and midwifery that were lacking at the college to be distributed amongst the students.
2. Due to the high cost of living in Juba, the students received an increase in monthly allowance from $100 to 600 Sudanese Pounds (approximately USD $200). This will enable them to purchase the basic necessities required every month.
3. As a result of an agreement signed by UNFPA and UNDP, the processing of project payments has become efficient. Staffs, students and college suppliers thus receive their payment faster than previously experienced.

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