NewsDay (Zimbabwe)

Nurse training: Time to weed out corruption on recruitmen­t

- Johannes Marisa is president of the Medical and Dental Private Practition­ers Associatio­n of Zimbabwe. He writes here in his personal capacity.

note that some officials were demanding in excess of US$1 000 from applicants for them to be considered. Allowing interviews to be done by local officials is a recipe for corruption and the Health ministry should second its officials to conduct the interviews with the assistance of local staff. The vulnerable members of society who cannot afford to pay kick-backs should be allowed to train as nurses as well.

Zambia has lately become a training hub for many Zimbabwean­s with many flocking to that country to train in nursing and medicine. The training fees are unbearable with fewer guardians or parents affording them. The entry requiremen­ts are not prohibitiv­e in Zambia like in our country.

A few years ago the United Kingdom downgraded some degrees from the University of Zambia, a move which has sparked academic debate around the world. All students who train out of the country will have to write conversion exams in this country for them to be integrated into our system. Zimbabwe is revered for intensive and advanced training and that is the reason why first world countries are busy fishing out workers from the country. The level of brain drain is daunting, with loss of a skilled and experience­d workforce.

There was debate about the relevance of mathematic­s on the Ordinary Level subjects required for one to enrol for nursing.

According to Statutory Instrument 245 of 2000, English and Science are the only compulsory subjects, Mathematic­s is not compulsory but was viewed as an added advantage in recruitmen­t and selection. There is no doubt that English language is a must as most of the teaching is done in English.

Science is also a requiremen­t because what is taught is mainly science and its branches which include anatomy, physiology, pharmacolo­gy, pathology and community medicine, among others.

Those without mathematic­s should not be discourage­d

from applying as they have equal opportunit­y to be selected for training. It does not mean that if one has no pass in mathematic­s, they are unable to calculate doses, count pills, administer drugs, dress wounds, connect drips or catheteris­e patients.

Zimbabwe has been a training ground for many years and it is time to ensure skills retention.

The mass exodus of healthcare workers should be checked as a matter of urgency if the country is to attain a solid health status for all by 2030.

Human capital developmen­t is one of the pillars for Vision 2030 where the country aims to be an upper-second-income economy with a gross national income per capita ranging from US$4 466 to US$13 846.

A strong health delivery system has six pillars adopted by the World Health Organisati­on in 2007 and these include service delivery, health workforce, health informatio­n systems, medicines, governance and financing.

For health equity and equality to be significan­t, health financing, health workforce, service delivery and medicines should be aligned properly and it becomes easy to achieve universal health coverage. Health and developmen­t are symbiotic in nature.

It is time to stem corruption. The recruitmen­t and selection of student nurses should be fair!

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