Juba Teaching Hospital
College of Nursing and Midwifery
A Collaborative Project by
The Real Medicine Foundation
World Children’s Fund
St Mary’s Hospital,Isle of Wight- Juba Teaching Hospital Link
JUBA COLLEGE OF NURSING & MIDWIFERY (JCONAM)
JCONAM opened its doors to the first intake of Registered Nursing and Midwifery students in May 2010. This is the first College in the Republic of South Sudan founded to award Diplomas in Midwifery and Nursing since The Sudan of which ROSS was a part until 9th July 2011, gained Independence from condominiums of Britain and Egypt on 1st January 1956. Collaborative effort between The St Mary’s Hospital, Newport, Isle of Wight (UK – Juba Hospital Link [The Link]) and the Real Medicine Foundation (RMF), Los Angeles, United States was initiated by Mr.Michael Lear, then International Director of RMF. The Link and RMF were subsequently joined in this effort by the United Nations Population Action (UNFPA) Juba Office(Dr.Dragudi Buwa & Magda Armah), the Japanese International Cooperation Agency(JICA), United Nations Development Programme (UNDP), The World Health Organisation (WHO) and later on in a second wave of other organizations representing Italian and Australian Governments. Mrs Janet Micheal, Director General for Nursing and Midwifery and Dr.Samson Baba, Director General for multilateral relations in the Ministry of Health supported the project and facilitated the establishment of the College by working with Michael Lear and the Link.
The Link concentrated mainly on curriculum development and provision of trainers to the College and development of Links with established institutions in the United Kingdom such as The School of Health Sciences in Southampton University. RMF and the Children Fund provided the initial funding to pump prime the development of the College and remain the second largest Donor to the JCONAM. Thanks to JICA the School of Nursing building has been restructured and made fit for purpose.The Link is nearing the completion of dedicated accommodation for Link Trainers on the Postgraduate Medical Education and Training for Doctors and Nurse and Midwifery Trainers in Juba following which trainers to the College will be visiting on a more regular basis to offer high quality training.
Mr Michael Lear, then International Director of RMF approached the Juba Link for a collaborative effort on a Primary Health Care project in South Sudan. Eluzai Hakim (The Link Medical Advisor) and Tim Walsh (The Link Team Leader) recommended funding a College of Nursing and Midwifery to produce registered Nurses and Midwives for South Sudan as these would be key members for a Primary Health Care Team. This recommendation was based on the poor health statistics in the Southern Sudan and the disjointed Nursing and Midwifery training during the war years in the South Sudan which impacted negatively on health outcomes. The South Sudan, with a population of 10000000 at the last census in 2010, has maternal deaths of 2030/100,000 births (highest in the world) and infant mortality rate of 135/1000 of births (South Sudan Household Survey published in South Sudan Medical Journal). There are 0.4/100,000 Registered Nurses, 0.02/100,000 Registered Midwives, 10/100,000 Certificated Nurses with variable standards of training and linguistic abilities and 2000 traditional birth attendants (TBA’s) without formal training , but carry out most of the deliveries of pregnant women.
The Link believes that the College will need to open a Development Department whose task will include upgrading Certificated Nurses to Registered Nursing level, training in communication skills so that those trained in Arabic or whose English language skills are inadequate, may be brought up to standard in order to be able to read Nursing and Midwifery literature. Most medical and Nursing literature is written in the English language This Department is best placed to train a select group of Nurse Specialists in Long Term Conditions such as Diabetes, Asthma, HIV/AIDS, Stroke and Tuberculosis, to name a few. The Nurse specialists will strengthen Primary Healthcare Teams in rural areas.
Funding of this College is crucial as it lies in the centre of the Health Care Policy of the Government of South Sudan and its running will require strong Leadership, financial transparency and regular measurement of training outcomes.