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Report on Nurse Training Institutions [S.C 12, 2006]
the Portfolio Committee on Health and Child Welfare
First Session – Sixth Parliament, Parliament of Zimbabwe
Presented to Parliament on May 31, 2006
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resolved to enquire into the operations of Nurse training institutions
due to accumulating concerns. Most institutions complained of budget
constraints of running the training institutions, which do not have
separate budgets from the main institutions. There have been allegations
of irregularities in the recruitment and selection process of trainee
nurses. The training institutions do not have adequate learning
materials like books and equipment. Accommodation for students is
poor and there is inadequate learning space.
Your Committee conducted
field visits to confirm the above. Your Committee visited Marondera
Government Provincial Hospital, Nyadire, All Souls and Bonda Mission
Hospitals. Indeed all the institutions visited confirmed that inadequate
financial and Human Resources are affecting their operations. They
receive very little grants from the Government such that the Nurse
training schools become a burden.
The staffing situation
is pleasing as well. Most institutions operate at half or less of
the staff establishment. Besides being overworked the clinical tutors
and instructors are not happy with their conditions of service,
especially those in rural areas. They do not have fixed pay dates
and do not enjoy other benefits such as housing and car loans like
their counterparts in government.
The students do not have
enough resource materials and equipment. Text books in the libraries
are outdated. Demonstration equipments like gloves thermometers
and dolls are not available. Their instructors do not have transport
to supervise them when they go out on attachments. The allowances
they receive can not cover their basic needs like transport costs,
rentals, food and uniforms. For those in rural areas there is no
The pass rates of students
in programmes are declining. This can be attributed to the non conducive
learning environment and lack of basics for effective learning.
The irregularities in the recruitment and selection process also
contribute to the failure rates. Incompetent cadres are enrolled
into programmes which they do not qualify to enter resulting in
them dropping out due to failure.
These challenges faced
by Nurse institutions impact negatively on the country’s health
delivery system. Firstly the competence of the nurse cadres produced
is questionable. The Brain drain will continue unabated if there
are no solutions to retain staff within the health sector.
should commit itself and make available adequate resources for health
institutions as well as nurse training schools. Mechanisms need
to be put in place so that malpractices in the recruitment process
are curbed. There is need for a holistic approach to resolve the
challenges in Zimbabwe's Health delivery system
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