SANNAM Country Report

Country Report presented at the
SANNAM Network Meeting
Irene Siame and Beatrice Zulu
12th - 13th February 2010
Country Context
Political and social events that have influenced our country;
 Politically, Zambia practices constitutional democracy.
 Health service delivery has been affected by withholding of
funds by major partners of MoH.
 This lead to shortage of essential drugs and equipment.
 Health training institutions have been affected in that
funding to Health Institutions is reduced to 20%. In the
long run this will reduce the numbers of skilled personnel
which will affect quality health care delivery
 Reduced Staff motivation due to inadequate incentives
Country context continued……
 There is political will to improve health services for the people of
 Zambia is on track to meet four of the seven MDGs and has
potential to meet the fifth.
 Infant and under-five mortality rates have reduced by 30%
 Maternal Mortality Rate from 729 in 2001 to 449 per 100,000 live
births in 2007
 Zambia has also developed a National HIV/AIDS Prevention strategic
 There is increased involvement of the private sector and civil society in
decision making on political, economical and social matters.
 The fight against corruption has continued
Country’s Economy
 The country’s economy is improving with the single digit inflation
rate (9.6%)
 The 2010 National budget allocation to the health sector
improved from domestic resources
Greatest Challenges to Nursing
 Shortage of Nursing personnel in government health and nursing
training institutions
 Inadequate surgical and medical equipment in Health
 Poor salaries and conditions of service for midwifery and nursing
personnel, compromising the other government initiatives aimed
at attracting and retaining staff in the public health sector.
Description of ZUNO
 The Zambia Union of Nurses Organization (ZUNO) was
registered on 20th June 2007 and entered, a recognition
agreement with Government of Zambia on 16th June 2009.
 ZUNO is a professional organization and a trade union for all
categories of nurses and midwives registered or enrolled with the
General Nursing Council of Zambia, as defined by the Nurses and
Midwives Act, No. 31 of 1997, regardless of where they may be
Description of ZUNO continued…
 ZUNO is a professional body and a trade union
representing the nursing profession.
 ZUNO has been incorporated on many government
committees, such as:
 Development of the National Nursing Strategic Plan
 Government Retention Scheme Committee – MoH.
 Joint Labour Management Committee of the MoH
 Government and Trade Unions Joint Technical Committee
on Housing and Rural/Remote Allowance review.
Description of ZUNO continued….
The vision of ZUNO is to have an empowered nurse who is
motivated and able to continuously uphold professional
Description of ZUNO continued…..
 ‘a commitment to caring in the fullest sense, being advocates for our
patients, helping people to help themselves and doing for people what
they would do unaided if they had the necessary strength, will or
 Therefore, while upholding this philosophy, ZUNO will insist
and demand for social and economic justice for all nurses as a
reward from their employers regardless of the sector
Description of ZUNO continued…
 ZUNO is committed to being a vibrant, self-sustaining
professional and socio-economic welfare organization that will
protect and promote the interests of nurses and midwives
through effective representation and capacity building. In so
doing, ZUNO will promote the highest level of professionalism
and integrity in the delivery of health care services to the
ZUNO Organizational Activities
 Membership sensitization and recruitment
 Currently, ZUNO has a total membership of 6,107 out of the
targeted 10 000 nurses and midwives.
 Out of 6107 members, only 1,000 are paying membership
subscription fees, since government has just implemented the
check off system.
 Formation of Branches in all the 72 districts of Zambia.
 Currently, ZUNO has 88 branches countrywide
 Establishing ZUNO Provincial Offices in all the 9 provinces of
Organizational Activities continued..
 Capacity building in terms of workshops
 Leadership workshops on labour laws
 Shop steward training workshops
 Negotiation skills workshops for negotiators
 Nurses’ Entrepreneurship skills training
 Young Nurses leadership skills empowerment training
 Development of ZUNO policies
 Periodical review of the ZUNO constitution.
 ZUNO has nine (9) provincial executive committees
 International Council of Nurses
 Commonwealth Federation of Nurses
 Southern African Network of Nurses and Midwives (SANNAM)
 East, Central Southern African College of Nursing (ECSACON)
 Zambia Congress of Trade Unions(ZCTU)
 Non-Governmental Coordinating Committee (NGOCC)
Impact of SANNAM on ZUNO
 The impact has been on capacity building for leadership
 Strengthened International solidarity and sharing of best
practices through networking.
 Twinning with sister nursing organizations(Zambia/Tanzania)
 Construction of the Lusaka ZUNO resource centre
Collaborative work with MAZ, Red Cross
 ZUNO works with various stake holders on health matters at
country level, e.g.
 National Malaria Control Centre in Malaria case management
capacity building project
 Medical Association of Zambia(MAZ) and Pharmaceutical
Society of Zambia(PSZ) on Depo-Provera advocacy.
 During natural disasters ZUNO collaborates with Red-cross
 ZUNO closely works with the Non-Governmental
Organizations Coordinating Committee (NGOCC) on various
issues requiring lobbying and advocacy.
National Nursing Act
 Zambia has the following documents:
 The Nurses and Midwives Act. No. 31 of 1997
 Nursing Code of Ethics
 National Nursing Strategic Plan
 Professional regulatory framework where General Nursing Council (GNC)
draws the standards of operation for Nurses and Midwives
 The role of ZUNO has been of that of physical participation, lobbying and
advocacy during the development and enactment of the Nurses and
Midwifery Act.
 The Nursing Act establishes the General Nursing Council (GNC) as a
regulatory body for the nursing education and practice in Zambia.
 ZUNO is represented on the board of GNC by the ZUNO President.
The main sources of ZUNO income
 The Following are ZUNO’s sources of income:
 Membership Subscription
 Donations
 Legacies
 Investments
 Contributions
 Any other lawful means as approved by the ZUNO National
Executive Committee (NEC).
Major ZUNO challenges
 Lack of funds due to few subscription fees from the ZUNO
 High expectations from members
 Stiff competition with well established trade unions where some
nurses are members, considering that ZUNO is still in its
infancy stage.
Main ZUNO Sustainability Plans
 Recruitment of more members
 Expand fundraising ventures
 Development of ZUNO policies

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