1. National Organisation of Nurses and Midwives of Malawi (NONM) Presented at.THET CONFERENCE.............................. ANTHONY MASAMBA

2. Outline of Presentation Country indicators History / Back ground to NONM Role of NONM in the HRH Coalition Successes and Achievements Challenges Next steps for HRH and NONM Conclusion

3. Established in 1979 as a nurses association 2005-06 secretariat & programs established 2006 review of constitution 2007 unionised History

4. COUNTRY INDICATORS Population – 14.3 Million – Annual 2.8% population growth rate (NSO, 2008). Proportion of women and men – Women 51% – Men 49% Maternal mortality rate - 510/100,000 live births HIV rate - 12 % Orphans - 1. 4 Million

5. Vision & mission Vision The vision of the organization is to have a strong, vibrant, and visionary organization that will result in a motivated and empowered nurse/midwife. Mission Our mission is to promote and maintain members’ professional interests and socioeconomic welfare to effectively contribute to quality health care services rendered to the nation.

6. BENEFITS ACCRUED TO CHANGE OF NONM FROM AN ASSOCIATION TO UNION  Recognized and organized voice for nurses and midwives  Affiliation to other unions locally and internationally  Empowerment on membership at all levels.  Establishment of partnerships with government and other stakeholders  Increased revenue generation through membership.

7. CHALLENGES  Perception that Union is equal to strike  Resistance by Government to take on board some NONM concerns and suggestions  Minimal recognition i.e. Collective Bargaining Agreement (CBA) and some hospital management teams  High expectations from other health professionals to benefit from NONM programmes  Shortage of nurses and midwives against population, disease burden and public expectations

8. Successes  NONM & HRH Coalition are a member to several Health Technical Working Groups i.e. Human Resources; Public-Public Partnership (PPP);  Empowering stakeholders and members on labour laws and trade union;  Building capacity to members at all levels through training;  Continuous engagement with Government, donor community and other stakeholders through consultative meetings.

9. Current Status HRH Coalition project implementation New members, active members Evidence-based advocacy to HRH current issues i.e. meetings, site-visits Lobbying & advocacy to decision makers Emerging issues that require lobbying and advocacy by the HRH Coalition i.e. Ebola, Capacity building for nurses and midwives

10. Pillar 5: Promote Amicable Relationship & Partnership with Key Stakeholders

11. Pillar 6: Lobbying and Advocacy

12. 5. CORDAID FUNDED PROJECT ON ICT BASED CONTINUING PROFESSIONAL DEVELOPMENT (CPD) LEARNING FOR NURSE/ MIDWIVES Project Goal Increased productivity and better trained nurses and midwives through easy access to CPD learning. Specific Objectives – Provide e-learning that enables nurses/midwives in remote health centres to access CPD information; – Facilitate e-learning and ICT network through the provision of relevant ICT equipment to health facilities

13. 7. CORDAID FUNDED PROJECT ON HRH COALITION – Project Goal: To influence government to increase the health sector budget allocation to at least 15% of total government spending in line with the Abuja Declaration by 2015 Specific objectives: Improving living and working conditions; Promote conducive learning environment; Advocate for incentives for retention; Coordination and capacity of CSO.

14. THANK YOU