1

PERFORMANCE REPORT – FY 2014/2015(July 2014 to June 2015)

INTRODUCTION

Uganda Nurses and Midwives Council is a statutory Body established by the Act of Parliament, the Uganda Nurses and

Midwives Act, 1996. The Council was established to regulate

the training and practice of nursing and midwifery in Uganda.

It is one of the four Regulatory Health Professional Councils in

the Country.

Mission

To set and regulate standards of training and practice

To register nurses and midwives

To provide professional guidance for public safety

Vision

A professional regulatory and supervisory body committed to

the provision of quality nursing and midwifery services to the

public.

Mandate Protect the Public from unsafe Nursing and Midwifery

practices

Ensure quality of services

Foster the development of the profession

Confer responsibility, accountability, identity and

status of the Nurses/Midwives

Core values

Professionalism

Learning organization

Strive for Excellence Integrity and Objectivity

Transparency

Consultation

Accountability

Gender sensitivity

Inclusiveness Innovativeness

Mutual respect

Networking and Collaboration

Service above self

Functions

Regulate the standards of Nursing and Midwifery in

the country.

Regulate the conduct of Nurses/Midwives and exercise

disciplinary control over them. Recommend the approved courses of study for nurses

and Midwives

Supervise and regulate the training of Nurses and

Midwives

Exercise general supervision and control over the two professions and to perform any other functions

relating to those professions or incidental to their

practice.

Advise and make recommendations to Government on

matters relating to nursing and midwifery profession.

Carry out the Registration/Enrolment of nurses and midwives and publication of their names in the

Gazette

Structure

UGANDA NURSES AND MIDWIVES COUNCIL

Mrs. Jemimah Mary Mutabaazi, the Outgoing

Chairperson UNMC

2

Registrar, Mr. John K. Wakida & Deputy Registrar Ms.

Rebecca Nassuna

Strategic Alliances and Collaborators

International and Regional Regulators of UNMC

UNMC is a member of these associations and it’s therefore

obliged to comply with the standards and principles set by

these bodies (associations) in execution of its mandate. UNMC

membership in these associations is required to enable

Nurses and Midwives in Uganda gain regional and

international recognition. The associations include:

International Council of Nurses (ICN)

International Confederation of Midwives (ICM)

East South and Central African College of Nurses

(ESCACON)

Federation of East African Nurses (FEAN)

International Council of Nurses celebration in Hoima

PRIORITIES OF THE FY 2014/2015

Enrolment and registration of Nurses and Midwives

Technical support supervision

Gazette of Nurses and Midwives, Nursing and

Midwifery private health facilities and Health Training

institution

Staff motivation and performance

Supervision and monitoring of Uganda Nurses and

Midwives Council activities through Council meetings

Office management and maintenance

Continuous Professional Development for Nurses and

Midwives

SOURCES OF FUNDING FY 2014/2015

SNo. Source Percentage

1 Internally generated revenue

from professional fees and sales

90%

2 Development partners support 5%

3 Support from the Ministry of

Health

5%

Sr. Stella Josephine

Namatovu, the Chairperson

UNMC

3

ACHIEVEMENTS

1. Registration and Enrolment of Nurses and midwives Nurses and midwives were registered/enrolled as follows;

Category Cadres Licensed

Nurses EN 6162

EMHN 243

RMHN 156

RN 2214

RPN(RSCN) 25

RPHN 1

RNT 20

R-BNS 78

R-Masters 4

R-PhD 0

Midwives EM 1907

RM 861

RMT 2

Total 11,673

2. Licensure

a. Renewal of Nurses and Midwives

Category Cadres Registered/Enrolled

Nurses Enrolled Nurse 3159

Enrolled Mental Health

Nurse

84

Registered Nurses 757

Registered Mental Health

Nurse

45

Registered Pediatric Nurse (Registered Sick Child

Nurse)

3

Registered Public Health

Nurse

3

Registered Nurse Tutor 3

Registered-Bachelor

Nursing Science

114

Registered-Masters 2

Registered-PhD 0

Midwives Enrolled Midwife 1078

Registered Midwife 389

Registered Midwifery Tutor 0

Total 5637

b. Private practice

Nursing and midwifery private facilities were registered

and licensed

Facility New Old (renewals)

Nursing Homes/clinics 26 67

Maternity/Domiciliary

clinics

36 349

Total 63 416

3. Regulations

a. Verification

Activity Numbers

1. Verification of

professionals

528

2. Verification of

professional

documents(certified)

6515

3. Verifications of Ugandans

in diaspora

178

Total 7221

4

a. Nursing and midwifery curricular reviewed

Institution Program Status

Bugema University

Certificate Comprehensive

Nurse(CCN), Diploma Nurse (DN), Bachelor of Nursing Science(BNS),

Not Approved

Busoga University

Bachelor of Nursing Science (BNS)

Not Approved

Aga Khan Bachelor of Science in Midwifery (BScM)

Not Approved

Mountains of the Moon

Bachelor of Science in Midwifery (BScM)

Not Approved

Lira Constitute College

Bachelor of Science in Midwifery

Approved

a. Number of nursing and midwifery programs and training

institutions inspected

Institution Program Status

Gulu School of

Nursing & Midwifery

Certificate in Nursing

Certificate in Midwifery

Approved

Florence Nighting Sch. Of Nursing & Midwifery

Certificate in Nursing

Approved

Kamuli Sch. Of Nursing & Midwifery

Certificate in Nursing Certificate in Midwifery Diploma in Midwifery

Approved

Johnass International College of Health Sciences

Certificate in Midwifery Certificate in Comprehensive Nursing

Approved

Nkumba University Sch. Of Nursing

Diploma Nursing Not Approved

St. John College-

Arua

Certificate in Nursing

Certificate in Midwifery

Not

Approved

Iganga Sch. Of Nursing & Midwifery

Certificate in Nursing Certificate in Midwifery

Approved

Uganda Martyrs Institute of Health Sciences

Certificate in Nursing Certificate in Midwifery

Not Approved

Access Health Training Institute

Certificate in Nursing Certificate in Midwifery

Not Approved

Mityana Institute of Nursing & Midwifery

Certificate in Nursing Certificate in Midwifery

Approved

5

4. Support supervision

Two regions, Central and Eastern were supervised. Below is the breakdown of facilities visited Far East Region

District Health Facility Health Training

Institution

Mbale Mbale Regional

Referral Hospital

Mbale School of

Nursing and

Midwifery

Busitema

University –

Mbale branch

Soroti Soroti regional

referral hospital

Princess Diana HC

IV

Soroti School of

Comprehensive

nursing

Moroto Moroto Regional

Referral Hospital

Matany Hospital

Matany NTS

Near East

Iganga Iganga General

Hospital

Busoga University

school of Nursing

Iganga School of

Nursing and

Midwifery

Jinja Buwenge HC IV

Jinja Hospital

International Institute

of Health Science

Jinja School of Nursing and Midwifery

Kamuli Kamuli Mission Hospital

Kamuli school of Nursing and Midwifery

Central Region

Mukono Mukono Health Centre IV

Mukono Hospital Church of Uganda

Mukono

Diocese School of Nursing and Midwifery Sciences

Buikwe Kawolo Hospital Lugazi School

of Nursing and Midwifery

St. Eliza School of Nursing and Midwifery

Nakaseke Kiwoko Hospital St Gertrude School of Nursing

Kiwoko school

of Nursing

Key findings from the support supervision

Health Training Institutions

Health Facilities

1. Low tutor to student ratio

2. Low adherence to

set standards 3. Limited

evidence of the teaching and learning process

1. Lack of equipment 2. Low nurse/midwife to patient

ratio

6

5. Regional Satellite centers Out of the 13 regional satellite centres, 8 centres were made operational as indicated below:

Moroto, Soroti, Arua, Lira, Mbale, Mbarara, Hoima & Fort

Portal Satellite centres to be operationalized

Jinja, Gulu, Mubende, Masaka, Kabale

The key activities carried out during the support supervision included:

Renewal of practicing licenses for nurses and midwives

Continuous Professional Development to nurses and

midwives (provide information on professional code of conduct)

Re-training on data update on the database

6. Guidelines and Policies

A number of documents were developed as listed below:

Type of Document Status

1. Computer user policy Approved and implemented

2. Scope of Practice for Nurses and Midwives

Draft document presented to the MoH senior management for input

3. Enrollment and Registration interview guide for locally trained Nurses and Midwives

Approved and implemented

4. Vehicle control Manual Approved and implemented

7. Supervision of UNMC activities

Four (4) senior management meetings, 2 staff meetings, and 12 council committee meetings were held

Name of committee No. of meetings

Education, Training and Registration

3

Inspectorate and Quality Assurance

2

Disciplinary 2

Finance and Administration 3

Full council 3

8. Staff motivation Salary and allowances were promptly paid to the 25 secretariat staff

9. Office management and maintenance

Utilities promptly paid – Electricity, water, air time, Data

bundles, website fees, antivirus fees, maintenance and servicing of computers and accessories

Transport – purchased 2 Double cabin Nissan vehicles, repaired and maintained vehicles

Stationary purchased – printing paper, pens, files

Sundries purchased – toilet papers,

Equipment – 3 laptops and accessories

Professional documents

COLLABORATIONS AND STRAGETIC ALLIANCES

7

8

ARC 3: Finalizing the Scope of Practice (SoP)

9

UNMC Regional Satellite Centres Operationalization

10

UNMC Interactions with Health Training Institutions

11

UNMC interactions with Health Facilities

12

UNMC Participation in International Nurses and Midwives’ Days

13

UNMC Strategic Collaborations and Alliances

Meeting with Intra-Health International

14

EAC (NEW TREND TO ENABLE FREE MOVEMENT OF TRANING AND PRACTICE)-LOOK FORWARD TO IT AND BE PREPARED A consultancy study was done and a report given in that regard and EAC partner states (Burundi, Kenya, Tanzania, Rwanda, and Uganda) are in the phase of discussing and the consultancy study of report

Key challenges

1. Lack of transport that has led to limited execution of Council mandate and thus resulted in:

Increase in the number of mushrooming health training institutions and unlicensed private health facilities

Increase in number of student enrollment in health training institutions

Increase in the number of students using forged academic papers to enroll into health training institutions

Increase in disciplinary cases

2. Prolonged investigative process to conclude disciplinary cases resulting from:

Delay in verification of academic documents by UNMEB and UNEB

Delay of investigations by police Lack of basic guiding rules of procedure for the

disciplinary committee to govern the conduct of disciplinary cases

Delay in conclusion of cases involving courts of law

3. Inadequate funds to facilitate Gazetting of Nurses and Midwives

4. Inadequate office space 5. Increasing legal suits involving Nursing and Midwives

WAY FORWARD AND RECOMMENDATIONS Strengthen collaboration with key stakeholders: The line

ministries-MoH, Ministry of Education Science Technology & Sports, Local government, Ministry of Justice & Constitutional Affairs, employers of nurses and midwives, health service commission, professional associations, other Health Professional Councils, police, Uganda Nurses &

Midwives Examination Board, Uganda National Examination Board

Recruitment of staff to run the regional satellite centers Mobilize more resources to effectively carry out Council

mandate To effectively enable Uganda Nurses and Midwives Council execute its mandate and functions, the Council appeals to the Government of Uganda and development partners to extend technical, financial and