| Solution action points | Implemented by follow-up visit at 6 weeks |
---|---|---|
Improvements internal to nursing group | ||
Maintain cooperation | • Arrange a meeting with doctors to explain the importance of working together and respect for each other. • Have regular meetings together to maintain respect and address issues. | • Meetings had taken place weekly with nurses and doctors, identifying respect as an issue particularly with nursing attendants. Used as a forum for problems with work. |
Prevent infections | • Staff training on disease prevention. • Disseminate education on disease prevention to patients and mothers. | • 3/4 nursing staff had attended disease prevention training run by the MoH at the hospital. |
Respect each other | • Be close to fellow staff. • Help each other on job allocation. • Observe punctuality. | • Improved assistance between staff was reported, although shortages persisted. |
Work conscientiously | • Be active at work without thinking of low salaries. |  |
Improvements via external forces | ||
Low salary | Request from employer at staff meeting with Regional Administrative Secretary. | • Incremental increase agreed to be paid. |
Allowances |  | • Not agreed. No budget. |
Shortage of staff |  | • Problem persists. |
Risk allowance |  | • Not agreed as not in MoH plan. |
Inadequate equipment |  | • Request taken forward, but no action at this point. |
Transport for staff |  | • Not agreed. Not allocated in government budget. |
Staff house |  | • Not affordable for all staff, attributed to government budget. |