STRENGTHENING CPD PROGRAMME: PROGRESS REPORT Martha Mondiwa- Sheila Bandazi- Jonathan Gama- Rose Wasili - Chrissie Chilomo - NMCM MOH NONM Nursing Education CPD Coordinator NMCM
MALAWI TEAM
Continuing Professional Development (CPD) in Malawi Section 31a and b of the Nurses and Midwives Act. No 16 0f 1995, states that all nurses and midwives registered with the Council must show evidence of having attended in-service education before renewal.
Continuing Professional Development (CPD) in Malawi CPD was officially commenced in 2008. Areas of focus identified were on knowledge, skills and attitude. It was piloted in twelve institutions Sensitization was done to all stake holders
CPD programme (contd) Training of CPD facilitators was done Resource centre was established CPD was officially launched in June 2010 Nurses & Midwives started implementing CPD from July 2010
Findings during monitoring and evaluation Nurses and midwives did not fully understand CPD concept CPD facilitators had knowledge gap Inadequate support from nurse managers and other nurse leaders Lack of collaboration from stakeholders
ARC PROJECT Meeting in Kenya in March 2011 QUAD members identified challenges of CPD implementation in Malawi. A proposal was submitted Funding was secured
Goal & Objectives GOAL To strengthen Continuing Professional Development implementation through collaborative approach Specific objectives were as follows increase the number of trained CPD facilitators.
Objectives (contd) intensify CPD sensitization. strengthen monitoring and evaluation of CPD activities. strengthen collaboration on CPD implementation by country team members.
Completed Activities Convened CPD taskforce meeting (3) Reviewed CPD guidelines Conducted CPD re-orientation workshops(2) Conducted monitoring and evaluation (supportive) Convened CPD meeting at one of the hospitals
CPD Training Inventory Institutions meeting criteria for CPD implementation: Malawi College of Medicine National Organization of Nurses and Midwives in Malawi Nurse-midwifery Training Colleges Central hospitals
Inventory (contd) District hospitals Christian Health Association of Malawi hospitals Malawi Institute of Management Teacher Training Colleges
Accomplishments Conducted task force meetings CPD guidelines review Held two re-orientation meetings for CPD facilitators (55) Identified institutions to offer CPD trainings Advocacy meetings held with nurse leaders
Accomplishments (cont d) Two trainings for facilitators (69) using other resources Monitoring and evaluation of some CPD sites- (20) was done Compilation of report
Findings during monitoring and evaluation 95 % of CPD of health facilities have trained CPDFs and committee. 99% of facilities visited get management support 75% nurses have acquired their CPD points Facilities have noted positive impact of CPDimproved care, ie patient care documentation, observing of time for duties.
Challenges Over arching Challenges Inadequate resources both financial and human Political decisions leading to economical challenges Findings from M&E activities Lack of standardization of training modules Accreditation of CPD training sites not done CPD inventory not disseminated
Challenges (cont d) High cost of Information Education Communication material development Newly trained facilitators still exhibit knowledge gap in CPD implementation Negative attitude from some nurses about CPD.
Lessons Learned Leveraged resources from additional donors GIZ I-TECH VSO CORDAID Strengthened collaboration of quad members as result of ARC project
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Summary The Nurses Act mandates all nurses to undergo CPD before renewal of license CPD introduced on pilot basis in 2008 CPD launch in 2010 and rolled out for implementation. Challenges experienced
Summary (contd) ARC initiative Successful proposal Activities carried out using ARC grant and other resources. Positive outcomes
Way forward Disseminate findings to CPD taskforce Continue process of reviewing CPD guidelines Convene CPD meetings with various institutions Continue conducting trainings of CPDFs Continue CPD supportive supervision Develop CPD training manuals
END OF PRESENTATION THANK YOU ZIKOMO KWAMBIRI