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Makerere University Research Repository >
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Please use this identifier to cite or link to this item:
http://hdl.handle.net/123456789/1801
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| Title: | The impact on nurses and nurse managers of introducing PEPFAR clinical services in urban government clinics in Uganda |
| Authors: | Nankumbi, Joyce
Groves, Sara
Leontsini, Elli
Kyegombe, Nambusi
Coutinho, Alex
Manabe, Yuka |
| Keywords: | PEPFAR
Clinical Services
Government clinics
Uganda
Developing countries
Sub-Saharan Africa
Health workers
Nurse managers
Nurses |
| Issue Date: | 2011 |
| Publisher: | BioMed Central Ltd |
| Citation: | Nankumbi J., Groves, S., Leontsini, E., Kyegombe, N., Countinho, A., Manabe, Y. (2011). The impact on nurses and nurse managers of introducing PEPFAR clinical services in urban government clinics in Uganda. BMC International Health and Human Rights, 11(S1:S8) |
| Abstract: | Background: Improving provider performance is central to strengthening health services in developing countries.
Because of critical shortages of physicians, many clinics in sub-Saharan Africa are led by nurses. In addition to
clinical skills, nurse managers need practical managerial skills and adequate resources to ensure procurement of
essential supplies, quality assurance implementation, and productive work environment. Giving nurses more
autonomy in their work empowers them in the workplace and has shown to create positive influence on work
attitudes and behaviors. The Infectious Disease Institute, an affiliate of Makerere University College of Health
Science, in an effort to expand the needed HIV services in the Ugandan capital, established a community-university
partnership with the Ministry of Health to implement an innovative model to build capacity in HIV service delivery.
This paper evaluates the impact on the nurses from this innovative program to provide more health care in six
nurse managed Kampala City Council (KCC) Clinics.
Methods: A mixed method approach was used. The descriptive study collected key informant interviews from the
six nurse managers, and administered a questionnaire to 20 staff nurses between September and December 2009.
Key themes were manually identified from the interviews, and the questionnaire data were analyzed using SPSS.
Results: Introducing new HIV services into six KCC clinics was positive for the nurses. They identified the project as
successful because of perceived improved environment, increase in useful in-service training, new competence to
manage patients and staff, improved physical infrastructure, provision of more direct patient care, motivation to
improve the clinic because the project acted on their suggestions, and involvement in role expansion. All of these
helped empower the nurses, improving quality of care and increasing job satisfaction.
Conclusions: This community-university HIV innovative model was successful from the point of view of the nurses
and nurse managers. This model shows promise in increasing effective, quality health service; HIV and other
programs can build capacity and empower nurses and nurse managers to directly implement such services. It also
demonstrates how MakCHS can be instrumental through partnerships in designing and testing effective strategies,
building human health resources and improving Ugandan health outcomes. |
| Description: | This article has been published as part of BMC International Health and
Human Right Volume 11 Supplement 1, 2011: An innovative approach to building capacity at an African university to improve health outcomes. |
| URI: | http://www.biomedcentral.com/1472-698X/11/S1/S8
http://hdl.handle.net/123456789/1801 |
| ISSN: | 1472-698X |
| Appears in Collections: | Research Articles (IDI)
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| nankumbi-idi-res.pdf | | 242Kb | Adobe PDF | View/Open |
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