Sudan

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As our project in Southern Sudan, the Juba College of Nursing and Midwifery completes it’s First Quarter of 2011, we are proud that the College is continuing it’s program with the welcome support of all the partners within the Southern Sudan Government, Ministry of Health, United Nations (UNFPA and UNDP) and all other supporting NGO’s.  After the tense but succesful independance referendum was passed in January, the teachers and students were able to return to the College and continue with the second semester of their respective programs.

A full report has been published to our website here, some of the highlights are below:

The first class of Nursing and Midwifery students at JCONAM

  • The college successfully re-opened on the 15th of January after the referendum period with all 39 students reporting by mid-February. This is owed to the fact that the students are distributed within the 10 states which are quite a distance from Central Equatoria State where the college is located. They completed their foundation courses and began their clinical sessions in mid-February. The students are currently in their 7th week of practical sessions and will resume classroom lessons in on the first week of May whereby they will be split into nursing and midwifery.
  • With the support of the Ministry of Health, Department of Nursing and Midwifery, the college was able to identify six clinical mentors at the Juba Teaching Hospital and four clinical mentors from Al Sabaa Hospital. The clinical mentors’ major tasks are to instruct, supervise, monitor, assist and mentor the students to implement the course content outlined in the curricula. The students are currently placed at the Juba Teaching Hospital’s medical, surgical and pediatric ward whereby they are on weekly rotation among these three wards. They are also accompanied by their tutors who support the clinical mentors.
  • The Department of Nursing and Midwifery, Ministry of Health, college tutors and project management have developed a draft document outlining clinical objectives to be used by the students during their clinical sessions. The objectives form a part of the course content to be implemented by the students during their practical sessions and a basis of evaluation of their work by the clinical mentors and tutors. The project management is currently organizing a workshop that will invite the Ministry of Health, clinical mentors, tutors and several other stakeholders to endorse the document to form part of the course content.
  • The college library was further boosted in February when it received a donation of 187 books, 37 DVDs and CDs, journals and other teaching aids in both nursing and midwifery from the British Medical Association (BMA). In addition, in March RMF, with the help of a generous donation from The Dillon Henry Foundation, provided 87 nursing and midwifery books that are to be used as classroom reference books by the students. Both donations were highly appreciated by the principal and the Ministry of Health as the college hardly had any reference material.

For the full first quarter report, please visit our website at: http://www.realmedicinefoundation.org/initiative/update/southern-sudan-first-quarter-update-nursing-midwifery-college

If you are interested in donating to this initiative please visit the donor page of our website by clicking on the Donate Button below…

 

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Post-referendum Monitor

·        South Sudan clashes between army and militia kill 57 (BBC)
·        Gabriel Tanginya reports himself to South Sudan army (ST)
·        Constitutional review: S. Sudan civil society activists decry lack of participation (ST)

The Highlights

South Sudan clashes between army and militia kill 57

At least 57 people have been killed in fighting between government forces and a rebel militia in South Sudan, officials have said.

South Sudan army spokesman Brig Malaak Ayuen said dozens were also wounded in the clashes in the state of Jonglei.

In a separate incident in Jonglei, a Sudanese employee of the UN World Food Programme was killed on Friday by unknown assailants.

This week there have also been clashes in neighbouring Unity state, where a militia led by former SPLA Gen Peter Gadet began an assault on government forces, leaving at least 45 people dead.

www.bbc.co.uk/news/world-africa

Gabriel Tanginya reports himself to South Sudan army

The Sudan People’s Liberation Army (SPLA) said on Monday that rebel General Gabriel Tanginya has handed himself over to the SPLA forces in Upper Nile state. Speaking to Radio Miraya, the Head of SPLA’s Information Office, Brigadier General Malaak Ayuen, confirmed Tanginya’s presence with the SPLA forces at Canal near Malakal town of Upper Nile State.

www.mirayafm.com

Constitutional review: S. Sudan civil society activists decry lack of participation

Coalitions of civil society organisations, gathered at a two-day pre-convention, openly decried the government’s failure to include their views in South Sudan’s interim constitution, now in its draft stage.

Already, civil society entities have planned a national convention with the aim of mapping out strategies to define their role and mandates in society ahead of the southern independence in July.

www.sudantribune.com

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As the referendum approaches for Southern Sudan in January of next year to gain independence from Northern Sudan, our new Nursing & Midwifery College in Juba, awaits the results anxiously.  Our partner at the UNFPA in Sudan sends us these weekly media summaries as everyone prepares for the voting.

UN Referendum Watch December 7th, 2010

  • Presidency to hold an important meeting today (Dailies)
  • Misseriya agree to one of Mbeki’s proposals on Abyei (Al-Sahafa)
  • SAF, SPLA sign framework agreement to secure oil fields (Dailies)
  • National companies excluded from referendum ballot printing (Al-Rai Al-Aam)
  • British firm to print Sudan referendum ballots (AFP)
  • Arab tribes in the South file suit against SSRC (Al-Intibaha)
  • SSRC request Justice Ministry to establish referendum courts (Al-Intibaha)
  • SPLM-DC accuses SPLM and the SSRC of hampering voter registration (Al-Ayyam)
  • Talks between Gen. Athor and GoSS (Al-Intibaha)
  • Goss President Kiir meets Menkerios and Margelov (Al-Sudani)
  • Neither the South nor the North prepared for the referendum result – UN (Al-Wifaq)
  • No elections in the north if the south secedes – Nafie (Al-Sahafa)
  • SPLM rules out hosting Darfur armed groups after the referendum (Al-Ayyam)
  • SPLM threatens to conduct a unilateral referendum on Abyei (Al-Tayyar)

Other Headlines

  • UN providing heavy arms to Darfur rebels – South Darfur Governor Kasha (al-Akhbar)
  • Presidential adviser criticizes South Sudan role in Darfur conflict (ST)
  • Security raided Interim Authority HQ in El Fasher, arrest Minnawi’s cadres (the Citizen)
  • Authorities stop Radio Dabanga broadcasts (Al-Ahram Al-Youm)

Presidency to hold an important meeting today

Dailies – The Presidency is to hold a meeting today to resolve pending CPA including Abyei territory based on proposals submitted by AUHIP Chair Thabo Mbeki. NCP Secretary Ibrahim Ghandour said the meeting would be attended by AUHIP as mediator.

GoSS Cabinet Minister Costa Manibi told reporters in Juba yesterday that the meeting would focus on outstanding issues including the border demarcation on the ground and Abyei. He said the meeting would be attended by GoSS Minister of Peace Pagan Amum and Minister of Regional Cooperation Deng Alor.

Al-Sudani reports that President Al-Bashir and his FVP Salva Kiir Mayardit embarked yesterday on a series of meetings on outstanding issues and the meetings would continue for a week or until the issues are resolved.

Meanwhile, sources said the NCP had rejected 5 of 6 proposals submitted by Mbeki, adding that Mbeki had modified the proposals by addition and omission and resubmitted them to the Presidency before leaving for Cote D’avoires but is likely to return today to take part in a decisive meeting of the Presidency.

Misseriya agree to one of Mbeki’s proposals on Abyei

Al-Sahafa Khartoum– Representatives of the Misseriya tribe said they had agreed to one of AUHLP Thabo Mbeki’s 6 proposals to the CPA partners on Abyei. Misseriya representatives speaking at a mass rally in Al-Mujlad yesterday, expressed confidence that the NCP would not let them down on Abyei, especially since their interests are in line with those of the NCP. The rally focused largely on how far the NCP was willing to guarantee the rights of the Misseriya in Abyei.

SAF, SPLA sign framework agreement to secure oil fields

Dailies – Federal Defence Minister Gen. Abdul Rahman Mohamed Hussein and SPLA Minister Nhial Deng Nhial signed yesterday a framework agreement in Falluj town in the Upper Nile to secure oil fields and installations south of 1956 border. The agreement is signed in presence of VP Ali Osman Taha and GoSS VP Riek Machar.

VP Taha, addressing the signing ceremony, said the two CPA partners’ agreement on oil security confirms the resolve of the Sudanese people to sustain peace based on the directives of President Al-Bashir and FVP Salva Kiir that there would be no return to war. “The protection will include oil fields, facilities, workers and companies,” he said.

Meanwhile, GoSS has confirmed its respect to all oil contracts signed before and after the CPA and stressed the need for mechanisms to resolve oil security-related problems.

According to the agreement, the JIUs will continue to secure oil fields in the South until 9 July 2011 based on the political directives to be agreed upon between the CPA parties after the

referendum result is announced.

The two parties agreed that the JDB would meet to discuss the immediate implementation of the agreement and that the federal government and GoSS would provide amenities needed for the implementation.

SUNA reported that VP Ali Osman Taha said that the two CPA partners, the NCP and the SPLM, agreed to secure oil fields to ensure flow of the oil during the CPA implementation.

Taha underlined that the flow of oil represents the basis of the Sudanese economy now and in the future, whatever be the outcome of the referendum.

The agreement stipulated that security of the petroleum south of the border of 1956 is the responsibility of the joint integrated forces, and the security forces (of the National Security Organ and south Sudan Police).

The two parties agreed on formation of mechanism to observe implementation of the security plan and to carry out immediate intervention to contain any emergency incident, provided that this mechanism is to be headed by the federal Minister of Interior and the Minister of Interior of the Government of South Sudan as the deputy chairman, the Director of the Security and Intelligence Organ as member, Deputy Chairman of the Security and Intelligence Organ as member, the Commander of the Joint Integrated Forces and his deputy as members.

Arab tribes in the South file suit against SSRC

Al-Intibaha – Arab tribes in the South have filed a suit with the Constitutional Court challenging the latter’s refusal to register them as voters for the upcoming referendum, hinting further undisclosed steps should the SSRC continue to deny them the right to register.

Advocate Ghazi Suleiman, who participated at a press conference convened by the group yesterday, criticized the SSRC for refusing to register the members of the Arab tribe of Manj County of north Upper Nile state.

SSRC request Justice Ministry to establish courts

Al-Intibaha – the SSRC has requested the Ministry of Justice to set up courts to dispose referendum-related objections. SSRC spokesperson George Makuer said committees had been formed to receive objections after the registration.

Makuer told reporters yesterday that 2,496,000 voters have registered in the South, 95,000 in the North and 40,000 abroad.

According to Al-Akhbar, the SSRC has sent a letter to the Ministry of Justice requesting formation of referendum courts to dispose registration-related objections.

SPLM-DC accuses SPLM and the SSRC of hampering voter registration
Al-Ayyam
Khartoum– The Sudan Peoples’ Liberation Movement – Democratic Change (SPLM-DC) is accusing the SSRC and the SPLM of violating the Referendum Law and attempting to weaken the voter registration process. SPLM-DC’s secretary for youths, Pasquale Otweil, noted that the SSRC has hampered voter registration in the north and south of the country through by engaging young “identifiers and monitors” while focusing also on tribal bias in order to “lay the grounds for rigging in the referendum in the same manner the April 2010 elections were rigged in southern Sudan.”

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Our partner’s in the Juba College of Nursing and Midwifery Initiative in Juba, Southern Sudan, has published this monthly journal regarding health and capacity building issues for Southern Sudan.

As Southern Sudan prepares for the referendum election in January, we are keeping close track of the situation on the ground and the safety of our teachers and students at the College. The students have all returned to their home towns to register for this historic vote, and are scheduled to return in mid to late January if all proceeds smoothly.

Southern Sudan Medical Journal can be found here.


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Fascinating article link below on McClathchy.com about the upcoming referendum in January on whether Southern Sudan is able to split off of Northern Sudan as it’s own independant country.

The future capital, Juba, is where our College of Nursing & Midwifery has begun as part of our Healthcare Capacity Building efforts in Africa.  Our school is on a temporary break right now as our students are allowed to return home to register and vote in this historic election.

http://www.mcclatchydc.com/2010/11/16/103825/worlds-newest-nation-would-start.html

Real Medicine Foundation, in collaboration with the Government of South Sudan, the UNFPA, the WHO, St. Mary’s Hospital, Isle of Wight, and the Japanese International Cooperation Agency (JICA), and in partnership with and with financial support from World Children’s Fund, is establishing the first College of Nursing and Midwifery. The consortium aims to provide a scalable working model for this college that will offer a 3 year diploma for Registered Nursing and Midwifery and may be extended to other strategic locations within the country.

Read more about Healthcare Sector Capacity Building – College of Nursing and Midwifery, Southern Sudan

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Continuing in our series of “getting to know you” interviews using the Proust interview from Vanity Fair.  Here is a recent interview with Judith Apondi of Sudan, one of of the new teachers at the Juba College of Nursing and Midwifery in Sudan.

Judith Margaret Apondo Apondi

What is your idea of perfect happiness?

My idea of perfect happiness is when I have a balanced life, one with work, leisure and challenges.

What is your favorite activity outside of work?

My favorite activity outside work is travelling, dancing and sitting with friends.

Who are your heroes?

Elizabeth Ngugi, a nurse who rose from a cleaner to a professor.

What is your favorite or most used website?

I do not have any. I look for what I want in any website.

What is your favorite movie?

I do not have a favorite movie. I just watch what I want and decide to enjoy it.

What is your greatest achievement?

My greatest achievement is the initiation and successful running of emergency courses for medical staff in my previous place of work.

What is your favorite music?

My favorite music is Lingala.

Who is your favorite author?

What talent would you most like to have?

I would like to have the ability to possess timeless love

Where would you most like to live?

I would like to live anywhere except and as long as there is no insecurity like war.

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To contribute to this initiatives, please click Donate button or visit our website at realmedicinefoundation.org.

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Continuing in our series of “getting to know you” interviews using the Proust interview from Vanity Fair.  Here is a recent interview with John Omony Siblio of Sudan, one of our new Nursing Students at the Juba College of Nursing and Midwifery in Sudan.

John Omwony Silbio

What is your idea of perfect happiness?

My idea of perfect happiness is when I attained a Higher Education Certificate with a good job where I am highly paid which will assist me in getting all my basic needs> I would also like to have a good marriage partner.

What is your favorite activity outside of work?

My favorite activity outside work is watching television especially international games such as the Premier league and the champions League plus other sports.

Who are your heroes?

My heroes are; The Late President Dr. John Garang, Dr. Lam Akol, Dr. Salva Kiir, Kwame Nkuruma, Dr. Riak Majar, Samson Kwaje.

What is your favorite or most used website?

My favorite website is www.yahoo.org and www.google.org for international news and research

What is your favorite movie?

I love Nigerian movies

What is your greatest achievement?

I have not yet achieved it but it is to get a degree in Nursing

What is your favorite music?

I like slow Music especially pop music and reggae especially by Lucky Dube

Who is your favorite author?

My favorite author is Chinua Achebe.

What talent would you most like to have?

I would like to be a counselor

Where would you most like to live?

I would like to live in my motherland Southern Sudan depending on where the government will post me to work after finishing my studies.

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To contribute to this initiatives, please click Donate button or visit our website at realmedicinefoundation.org.


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As the referendum approaches for Southern Sudan in January of next year to gain independence from Northern Sudan, our new Nursing & Midwifery College in Juba, awaits the results anxiously.  Our partner at the UNFPA in Sudan sends us these weekly media summaries as everyone prepares for the voting.

Media Monitoring Report October 11th

United Nations Mission in Sudan/ Public Information Office

Referendum Monitor

  • UN Panel arrives in Sudan to monitor referendum (Al-Sahafa)
  • Government delegation rejects new proposal by Gration on Abyei (Al-Sahafa)
  • Assembly Speakers says Abyei referendum depends on an agreement (Al-Sahafa)
  • SPLA orders moving of artillery to Abyei (Al-Rai Al-Aam)
  • Minister says authorities in the South destroyed border equipment (Juba Post)
  • NCP condemns harassment of unity rally by secession supporters (ST)
  • General Athor declares ceasefire (Al-Ayyam)
  • No National unity without southern unity – Lam Akol (Khartoum Monitor)
  • NCP says displeased by the UNSC visit (Al-Sudani)
  • We will recognize Israel if it recognizes us – GoSS official (Al-Rai Al-Aam)
  • Afro-Arab summit to send five leaders to defuse NCP, SPLM tension (Al-Ahdath)
  • “I will remain in the North after secession” – SPLM Atem Garang (Al-Sahafa)

Highlights

UN Panel arrives in Sudan to monitor referendum

Al-Sahafa 11/10/10 – A UN Panel, formed by UNSG Ban Ki-moon to Monitor Sudan’s vote, arrived yesterday in Khartoum, headed by former Tanzanian President Benjamin Mkapato,  to hold meetings with officials and to familiarize themselves with the technical preparations for upcoming referendum.  Sudan Foreign Ministry spokesperson Muawia Khalid said the Panel would begin its meetings with the Foreign Minister Ali Karti and would head for Juba on a seven-day visit for meetings with GoSS officials.

Sudan Tribune website 10/10/10 reported that a UN panel, recently appointed to monitor southern Sudan referendum, arrived in Khartoum on Sunday in a four-day visit to Sudan.  Chaired by former Tanzanian president Benjamin Mkapato, the three-member panel is expected to hold talks with Sudanese government officials in Khartoum, Juba and Abyei.  The panel will seek to strengthen confidence between the two peace partners in the referendum process and encouraging them to resolve disputes or divergences related to the vote process.

“I am looking forward to this visit and the opportunity to meet with all the people who can help ensure that these referenda in Southern Sudan and the Abyei Area are successful,” Mkapato said. “There are many challenges ahead of us in the next few months but we are determined to do our utmost to help the people of Sudan.”

The other members are António Monteiro, former Minister of Foreign Affairs of Portugal, and Bhojraj Pokharel, former Chairman of the Election Commission of Nepal.  According to SUNA 10/10/10, Mkapato hoped that his team would be able to play its role and to realize its objective of monitoring the referendum neutrally and with full honesty and independence. Meanwhile, SRSG and Head of UNMIS Haile Menkerios has welcomed the arrival of the international monitoring delegation.

The representative of the Foreign Ministry, Ambassador Hassan Al-Amin, also welcomed the international team for monitoring the referendum, affirming the government commitment to the Referendum Act.  SUNA learned that the delegation would hold meetings with officials of the Commission for the Referendum and a number of other government officials.

Government delegation rejects new proposal by Gration on Abyei

Al-Sahafa 11/10/10 – the delegation of the Sudanese Government for talks on Abyei in Addis Ababa rejected a new proposal tabled by US envoy Scott Gration to annex the Abyei territory to the South by a presidential decree to be issued by President Al-Bashir.

The newspaper has learned that Gration made the proposal and requested head of AUHIP Thabo Mbeki and Ethiopian Prime Minister Melez Zenawi to convince President Al-Bashir to accept the suggestion. Gration proposal is intended to overcome the Abyei referendum hurdle.  Similarly, sources said the NCP also presented new proposals which were rejected by the SPLM. The NCP proposed that a presidential decree should be issued to annex the northern part of the territory to the North and the southern part to the South.

Reportedly, the SPLM delegation to Abyei talks in Addis Ababa decided to declare the failure of the talks and return home but Gration requested a chance for another attempt.  According to Sudan Tribune website 10/10/10, mediators in Addis Ababa have tabled new proposals for Sudan’s ruling National Congress Party (NCP) and Sudan People Liberation Movement (SPLM) to break the deadlock over the disputed border region of Abyei.

The U.S. sponsored talks on Abyei started since early October but both sides have stuck to their positions primarily due to pressure from the Misseriya and Dinka Ngok tribes who are the main inhabitants of Abyei.

The government sponsored Sudanese Media Centre (SMC) website reported that the two proposals include one that provide for the immediate subordination of Abyei to South Sudan and grant the Misseriya grazing rights. The other states that Abyei is to be divided into two zones, north and south.  Sources told SMC that the NCP delegation flatly rejected the first proposal and that discussions on the second one are underway. The sources denied any withdrawal by the SPLM delegation from the talks adding that both sides formed specialized committees to discuss all the outstanding issues.

Assembly Speakers says Abyei referendum depends on an agreement

Al-Sahafa 10/10/10 – National Assembly Speaker Ahmed Ibrahim Al-Tahir, at press conference yesterday, accused the SPLM of seek to reignite war between the North and the South, warning that “there will be no permanent peace under threat of war”. He said the conduct of the referendum in Abyei depends on reaching an agreement”. Al-Tahir said the SPLM has discontinued all contacts with the NCP and all its leaders are in the South.

According to The Citizen 11/10/10, Al-Tahir has threatened to impede Abyei referendum if the SPLM insisted on its position on the Misseriya vote at the referendum, voicing his rejection of the amendment of the referendum law by adding 40 seats for southerners, a step that he described as unconstitutional and a reaction by SPLM to the domination of the National Congress Party of the National Assembly.  Al-Tahir accused SPLM of violating the Abyei Protocol and the PCA ruling that granted the Misseriya the right to vote. “The referendum will not be held without the Misseriya whatever the case,” he said.

SPLA orders moving of artillery to Abyei

Al-Rai Al-Aam 11/10/10 – The SPLA has reportedly begun deploying troops at the border between the North and the South and also directed its cadres to leave the North for the South.  A source revealed to the newspaper yesterday that the artillery unit in Yei received orders from the SPLA last week to move to the border areas with the North particularly the Abyei territory, adding  the SPLA moved 20 armoured vehicles from “Bania” area in eastern Equatoria towards Abyei.

The Misseriya also accused the SPLA of deploying 700 troops at Abu Ghazala area and at Abu Kharit north of Abyei.  According to the sources, the SPLM also directed its southern cadres in the North to travel to the South. SPLA soldiers hailing from the Nuba and the Blue Nile areas have also been instructed to report to their military units.

Minister says authorities in the South destroyed border equipment

Juba Post 11/10/10 – Foreign Minister Ali Ahmed Karti has accused the authorities in southern Sudan of destroying all equipments meant for demarcating the North-South border.  Karti made the remarks while addressing a visiting UN Security Council delegation in Khartoum. He said the border demarcation team deployed the equipments at the North-South border but they were dismantled.

Karti claimed that the equipments were deployed on the ground along the border but they were unfortunately destroyed by the county commissioners along the border lines who happen to be representatives of the SPLM. He said both the SPLM and the NCP reached an agreement on 80% of the border line and were pushing for negotiations to settle the remaining 20%m, but the incident that saw the destruction of the border demarcation equipments has made it difficult to practically demarcate the line.

General Athor declares ceasefire

Al-Ayyam 11/10/10 –The defected SPLA general, George Athor, said that he had accepted the amnesty decreed by GoSS President Salva Kiir Mayardit.

In an interview to Radio Miraya, Athor declared a unilateral ceasefire and cessation of hostilities, affirming that negotiation between him and the Government of Southern Sudan would start soon.

According to Sudan Tribune website 10/10/10, Gen. George Athor Deng, a former chief of staff to the southern army, who rebelled against the southern government, after losing a bid to become governor of Jonglei state, has welcomed Wednesday’s presidential amnesty directed at him and other rebels.  Speaking to United Nations Mission in Sudan (UNMIS) sponsored Miraya FM on Sunday; Gen. Athor said he will respect President Salva Kiir Mayardit’s call for peaceful return and reintegration of his forces into the south’s army, the Sudan People’s Liberation Army (SPLA).  Gen. Athor contested for Jonglei state gubernatorial post but lost to incumbent governor Kuol Manyang Juuk of the Sudan People Liberation Movement (SPLM)- the political wing of the SPLA.

Athor alleged that the SPLM, which has governed the southern region since a 2005 peace deal rigged April’s elections against him and chose to start an armed uprising in protest.  Since his forces first attacked Dollib Hills in Upper Nile state in May 2010, which the SPLA blame on Athor forces, the regional army made several attempts to demolish his forces but in vain.

The government of southern Sudan (GoSS) initially rejected peace talks proposed by UNMIS and turned down several efforts by local community leaders for peaceful resolution.  Last week, President Kiir released a decree pardoning Gen. Athor, Gen. Gabriel Tenginyang and others who rebelled against his government to rejoin after disarming their forces. Details from Athor’s acceptance are still sketchy.

The amnesty was welcomed on Saturday by John Kong Nyuon, a security adviser to the president of the government of southern Sudan.  On Wednesday, Salva Kiir Mayardit, president of the government of southern Sudan and a commander in chief and the Sudan People’s Liberation Army issued an executive order pardoning the four military officers, Lieutenant General George Athor Deng, Major General Gabriel Tanginye, Robert Gwang and Colonel Gatluak Gai.  The executive order urged the officers to immediately join ranks and files of the SPLA forces and assured them they would be able to move freely in the region without any fear.

The pardon will not come into effect unless the officers lay down their arms without condition and return to rank and files of the regional army. Speaking to Sudan Tribune on Saturday, Nyuon commended the decision of the president and urged the officers to return.  The decision taken by the president is excellent, wise and unifying decision,” said Nyuon.

The BBC noted that the report coincided with the visit of the United Nations Security Council and that the move could be seen as a way to show visiting diplomats the south’s seriousness to provide security ahead of the January’s referendum on southern independence.

Kiir issued the order following a meeting between the Sudan People’s Liberation Movement (SPLM and representatives from other political parties to prepare for South-South dialogue conference, scheduled to take place on 13 October 2010.The agenda of the conference is believed to include discussion about ways to reach consensus on the conduct of the referendum on self-determination for the people of the region. It will also touch on post-referendum governance.

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Program Director Bilha Achieng with the Principal and first class of students

The new Juba College of Nursing and Midwifery that Real Medicine supports and helps manage in South Sudan has finished with the foundation level courses for it’s first class of 40 students and getting ready to begin the diploma program next week.  In honor of this milestone, the Southern Sudan Medical Journal has published an article focused on the new College and it’s mission.  This is a unique project for Real Medicine as we are focused on building the actual capability of Sudanese to help themselves through their own resources in the future.  Graduating 40 new diploma level Nurses and Midwives every year will go a long way in helping South Sudan rebuild after decades of neglect.

As mentioned in the article, Bilha Achieng is Real Medicine’s program director for South Sudan and is doing an amazing job managing the launch of the College.

Full text of article below:

PDF link to the full the full August journal here: SSMJ August 2010

Southern Sudan Medical Journal: August 2010

Nursing and Midwifery in Southern Sudan – Undersubscribed in a High Demand Environment

Author(s): Julien Bucyabahiga UNFPA Communication Officer

The Present Situation

The first ever College of Nursing and Midwifery in Southern Sudan has been established. This comes at a time when Southern Sudan is recovering from more than 20 years of civil war, which resulted in decay of the available infrastructure, human resources and systems in the health sector. As well as the lack of qualified personnel, the health care infrastructure including hospitals, primary health care centres and primary health care units also lay in total ruin.

Most practising health professional cadres received limited professional health education during the war that ended in 2005. Of the more than 4600 health workers who are presently operational, less than 10-20% have received more than 9 months of any form of professional training. This situation is made worse by the severe mal-distribution of health workers. More than two thirds are working in 3 of the 10 states, and there is a severe urban-rural bias. As a consequence, Southern Sudan has the highest maternal mortality ratio in the world standing at a staggering figure of 2054 maternal deaths/100,000 live births1.

In response, the Government of Southern Sudan (GOSS) has sought assistance from donors and neighbouring countries (e.g. Kenya, Uganda, Ethiopia) to support human resources for the health care system. “We have to learn from experiences…, we are not ashamed about our situation. Our people must access a better heath care system” stressed Dr Olivia Lomoro, Acting Undersecretary in the Ministry of Health during a recent workshop. With the support of United Nations Population Fund (UNFPA) and many other donors, existing structures are being renovated.

Training midwives

Starting in 2006, the training of Community Midwives was the first UNFPA initiative in the support of skilled birth attendants (SBAs). 96 students have graduated since 2007 from different institutions.

A further 110 Community Midwives are being prepared to begin training in 2010. UNFPA is looking into the possibilities of recruiting about 150 International Volunteers/Midwives by the end of 2010 to help the South Sudan Government to face the challenge of lack of qualified health cadres.

Juba College of Nursing and Midwifery

Because of the urgent need to develop a cadre with acceptable knowledge and skills, several stakeholders have joined hands by funding the first ever Nursing and Midwifery College.  These include UNFPA, Real Medicine Foundation (RMF), World Children’s Fund, the World Health Organization (WHO) and St Mary’s Hospital, Isle of Wight-Juba Link. The United Nations Development Programme/ Global Fund (UNDP/GF) and Japan International Cooperation Agency (JICA) are providing additional funds to renovate /construct student hostels, a kitchen and mess hall, additional classrooms and a recreational facility.

The Juba College of Nursing and Midwifery has been operational since May 2010 and will be fully established in its new facilities by the end of 2010. It is expected that the college will have trained over 100 nurses and midwives from all states of South Sudan by 2015.

The College is temporarily being hosted at the Juba Public Health Training Institute as JICA start construction and renovation work at the intended site at Juba Teaching Hospital (see Figure 1).

The students

The school opened with 30 students including 18 nursing and 12 midwife trainees (see Figure 2, 3 and 4). Of these, 10 are male and 20 are female. Trainees have come from Eastern Equatoria, Central Equatoria, Upper Nile and Western Equatoria states. The highly motivated and enthusiastic students are currently taking foundation courses in mathematics, biology and English. “Some of us have been working as nurses in various state hospitals. We are very happy to be here. The courses will help us upgrade our knowledge and skills” said a student.  The school is supposed to take students from all states but it is difficult to get candidates with all entry requirements.

Training and tutors

According to Dr Dragudi Buwa, UNFPA Deputy Representative in Southern Sudan, the intensive training will take three years. “The training will lead to a Diploma in Nursing and Midwifery based on a curriculum recognised by international standards”, says Dr Buwa. The school will help contribute towards the achievement of the Millennium Development Goal 5 (reduction of maternal mortality) as well as improving access to family planning and basic and comprehensive emergency and obstetric care.

When they have finished training in 2013, the qualified nurses and midwives will repatriate to their respective states to offer professional support to the health facilities. “Having attained adequate skills to work relatively independently in state hospitals, Primary Health Care Centres and Primary Health Care Centre Units, they will be expected to mentor and guide the other lower cadres’ staff prevalent in such health facilities. They will organise the work of the health care institutions and bring quality assurance to the care processes undertaken in their respective heath care units” says Ms Bilha Achieng, Project Assistant Manager with Real Medicine Foundation who is currently running the day-to-day operation of the school. She adds, “Real Medicine Foundation has also agreed to fund tutors; St Mary’s Hospital Isle of Wight-Juba Link will provide volunteer tutors temporarily to support the college tutors”. Eventually the management of the school will be handed over to the Ministry of Health. Ms Petronella Wawa is already designated as the Principal of the college.

Challenges

The main challenges of the college are:

  • Lack of national qualified nurse and midwife tutors,
  • Shortages of applicants for the diploma programme with an acceptable entry-level of education. South Sudan’s high adult illiteracy rate (due to two decades of war) especially among women has affected the candidate selection process and requires a re-assessment of the interview and selection criteria2.
  • Lack of funds for students’ housing and transport3. Some students face challenges in learning English. Mary Lupai UNFPA’s National Programme Officer for Gender is helping to tutor the students in communication skills.

Fore more information, please contact Ms Bilha Achieng at achie.bilha@gmail.com

References

  1. Southern Sudan Household and Health Survey, 2006
  2. Information from Jonathan White, RMF
  3. Informal information from Janet Michael, Director of Nursing and Midwifery

Thanks to Bilha Achieng and Jonathan White for the photographs in this article.

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Our project in South Sudan, the new Juba College of Nursing and Midwifery, continues to gain momentum and vital support, with Southern Sudan’s current Minister of Health, Dr. Luka Monoja, visiting the first student class at the temporary College campus in Juba.  The Juba College of Nursing and Midwifery is a new professional level 3 year college degree program supported by a consortium of stakeholders: Real Medicine Foundation, World Children’s Fund, UNFPA, UNDP, World Health Organization, Japan International Cooperation Agency, and the government of South Sudan.

Dr. Monoja was accompanied by the Undersecretary Dr. Olivia Lomoro and various other government officials. He indicated the importance and deep need for this level of trained Nurses and Midwives in Southern Sudan, and also stressed the how this particular institution is not only important to his heart but also to the Ministry of Health for the sustainable capacity building of professional health care providers.

He also mentioned that the need for skilled birth attendants through the training of midwives at the College is geared specifically toward reducing Sudan’s very high maternal mortality rates. Though the establishment of the college was long overdue he was glad that Southern Sudan can boast of having one now.

Some of the other things mentioned during Dr. Monoja’s visit were his deepest appreciation to the funding partners for their contribution towards the project and the financial needs of the students, and the continued partnership to ensure the future sustainability of the College.

The Minister encouraged the partners that although the institutions was still facing several financial challenges, there was a enormous need to push forward to ensure South Sudan’s future health.

For more information about this project please visit: http://www.realmedicinefoundation.org/initiative/healthcare-sector-capacity-building-college-of-nursing-and-midwifery-southern-sudan

If you’d like to donate to this or any of Real Medicine’s causes, you can click the donate button on this page or through our website at realmedicinefoundation.org

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