Exodus of Nurses/midlevel health care workers: the government is fishing with nets that have…

first_imgBy Eddie Miaway Farngalo, MPH, RN, BSNMany nurses who are assigned in leeward counties like those in the southeast and other remote areas do that at their own risk and incentives. The Ministry of Health has no incentives to equitably commensurate with the sacrifices they are making to save lives in “hard-to reach” areas, often where they are the only reliable health practitioners. As such, the turnover rate of staff in those areas has drastically increased as well as the burnout rate. Consequently, frustrated health workers are looking for greener pastures in other field of studies.Nurses/midlevel health care workers assigned in hard to reach areas are losing/ have lost their relationships (husband or wife), educational opportunities, recreational centers in many cases, relatively decent living areas and worse of all – have been paid very low government incentives that are not sustainable and disproportional to money spent on acquiring such degrees or certificates.“We leave our families in Monrovia and go to rural areas where social services are not available, and incentives provided cannot sustain the two homes that we have to support due to the job – one in Monrovia one here…you work a whole year and you will not recoup the money spent in school.”Responding, why some nurses do not leave due to the hardship? Some respondents perceived that they are using the health facility/centers as transit points for better jobs and due to lack of job opportunities:“I am working right now in the hospital because I do not have job. But when opportunity comes, I will leave immediately. ”“I am working here because I am desperately in need of a job for me to sustain my family, but I will leave anytime I get something better to do.”What disturbs me as a health care worker with practical field experience and other colleagues are the “deaf ears” and threatening remarks usually made by policymakers and authorities regardless of their employees’ welfares. In February 2014, health care workers’ request for a safe working environment and increase incentives during the peak of the Ebola outbreak was approached ironically by threats. The then Health Minister, Dr. Walter T. Gwenigale dismissed heads of the health workers association (Joseph Tamba and George Williams) who decided to make their plight known through strike action. Regardless of the Senate committee on Health and Gender’s mandate to reinstate the dismissed health workers, he openly confirmed his decision as stating: “They will never be reinstated as long as I remain the Minister of Health and Social Welfare” (Focus.com.lr) while threatening to replace them (striking health workers) with additional group if it (strike) continues (FrontPage Africa). Till date, those health care workers remain dismissed.Furthermore, in Liberia, nurses/midlevel health care workers who get assigned in rural Liberia often stay there for years without being rotated, and delay in getting on government’s payroll regardless of the distances they are assigned. Worse, the relatively little incentives cannot come on time. This has mired their educational advancement while undermining their passion for the field. Some who refused to be held back because of advancement have been removed from government’s incentives by hospital administrations. Nurses who served for more than 5 years are even victims.These factors according to respondents have led to exodus of nurses/midlevel health workers.Low incentive and work environment, like no equipment, work overload, and nurses not being too passionate about the field has made people to move to other fields that pay at least well.“We thought coming in the rural areas to work will help us get on government payroll but it is not so. Then, the little amount they have to give you as incentive is not forthcoming…how do they expect us to sustain ourselves while we work?”Some nurses ascertained that supervisory roles assigned to some individuals in health facilities and districts and amenities provided for doctors who are believed to be relaxed than nurses are some underlying factors.“You are working in a facility where you have been supervised by someone who you are more qualified than…like for example, someone with an associate degree supervising me that have Bachelor of Science degree in Nursing (BSN)…even some District Health Officers are do not even have BSc but still they are supervising people that are more educated… what do you expect?“We do the dirty work like prescriptions and treatment of patients but doctors are given better houses or facilities that nurses don’t have…we are here renting house from the small incentives that are not even paid on time and sometimes we will have to beg our landlords not to put us outside because we owe them rent. But doctors who are making more than us are given house where they are not paying rent.”The Ministry of Health needs to be appreciated for operating nursing schools, but must this be the only solution to the shortages of health workers in the country? Categorically No!Let me make my side very clear, I am not against the proliferation of free nursing schools across the country, but I will highly appreciate if the work force can be retained in a holistic way. Moreover, most of our health facilities are under staffed. Nurses/midlevel heath care workers are career individuals like any other professions, and their welfares need to be taken into higher consideration.Nurses/midlevel health care workers who seek assignments in hard to reach areas do this because of the Nightingale’s pledge and for the sole purpose of contributing to government’s responsibility of providing quality health care to its citizens, which is their fundamental human right.To reduce the high rate of turnover (resignation) and migration of nurses/midlevel to other part of the world and sectors, the MOH and its partners need to be cognizant of motivational packages (financials or otherwise), make public the study leave policy, rotate staff after some period of services in a particular region or county, revisit incentives provided, provide staff quarters for health care workers across the country while providing a robust performance based/service scholarship scheme.Finally, these issues if not taken care of will be like the government is fishing with nets that have holes. Meaning, the shortages of nurses/midlevel health worker will continue to exist regardless of the symbolic nurses graduations around town. This is because registered nurses/midlevel health workers will continue to leave their profession for another that seems to be relatively flexible, financially stable and career rewarding.The Author: Eddie Miaway Farngalo is the Head of the Research Department at the Center for Liberia’s Future which is currently conducting a national study on community perceptions about Ebola and the reintegration of Ebola survivors, orphans and caregivers. Contacts: +231886484351/+231777590035: email address: wonkehmie@gmail.comShare this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window)last_img read more

Govt, Opposition Chief Whips to meet with GECOM

first_img…to check readiness for elections in constitutional time frameNo date was set for General and Regional Elections during Wednesday’s meeting between President David Granger and Opposition Leader Bharrat Jagdeo, but coming out of that meeting is an agreement for teams from both sides to meet with the Guyana Elections Commission (GECOM) to determine its operational readiness to host General and Regional Elections.Opposition Leader Bharrat Jagdeo displaying the agenda provided by Government for discussion during Wednesday’s meeting which includes among other things ‘Operational Readiness of GECOM’This meeting, according to the Opposition Leader, is likely to be held today and will be led by the Chief Whips from the Opposition and Government – Gail Teixeira and Amna Ally respectively.“We agreed that GECOM has to be ready and we have to start urgently… We have indicated from our side Gail Teixeira and they have indicated that Amna Ally will be leading their team, and the two person – and maybe other members who may wish to join them – would meet with GECOM to determine its operational readiness,” Jagdeo told reporters at a mid-afternoon briefing post following Wednesday morning’s meeting with the Head of State.However, when probed as to whether there were any agreements on the hosting of elections in three months’ time as stated in Article 106 (7) of the Constitution, Jagdeo posited while no direct discussion was held in this regard, it was Government who included GECOM’s readiness for elections on the meeting’s agenda.Opposition Chief Whip Gail Teixeira“Elections will have to be held this year, the Constitution says that. I believe the President and the others would not have put on the agenda for this meeting, which is a meeting to discuss the consequences of the passage of the No-confidence Motion, operational readiness of GECOM. So I think they also share our views that elections will have to be held,” he posited.In a video released by the Ministry of the Presidency following Wednesday’s meeting, President David Granger said, “We’ve agreed that the two sides will continue to work together to engage GECOM to ensure that elections are held within the administrative capabilities of the Guyana Elections Commission.”Well preparedMeanwhile, Public Relations Officer of GECOM, Yolanda Ward, last month told Guyana Times that the electoral body is well prepared to rise to the challenge and deliver on the impending General and Regional Elections.“If that is the decision that we will have to conduct elections within a short period, then we will have to ensure that those elections are held as required, because it’s our constitutional mandate. I’m sure that our Standard Operating Procedures will click into gear and we will be prepared to execute elections at a time we have been asked to do,” Ward had stated.Voter’s listGovt Chief Whip Amna AllyOpposition Chief Whip Gail Teixeira told reporters during Wednesday’s press briefing that while she will have to discuss with her counterpart on the Government’s side their agenda going into a meeting with GECOM, she noted that the general interest is to get a detailed “timeframe of GECOM’s readiness within the constitutional timeline of 90 days”.Nevertheless, Jagdeo had revealed that also on the agenda for discussion during Wednesday’s meeting was the national registration process. He explained that the current list of electorates, which was used for the November 2018 Local Government Elections (LGE), is valid up until April 30; and as such, there is no need for a new registration process since elections is expected in March.“We pointed out that both sides never had a problem with the list for Local Government Elections and so there shouldn’t be a problem now,” he said.In Article 106 (7), it is stated that elections shall be held within three months of the passage of a No-confidence Motion or “such longer period as the National Assembly shall by resolution supported by not less than two-thirds of the votes of all the elected members of the National Assembly determine”.According to Jagdeo, while this timeline is adequate now to hold elections and have GECOM ready, there is still enough room to push back the polls between the stipulated timeline (mid-March) and up to the validity period of the list. To this end, he asserted that the Opposition is willing to head to the National Assembly to extend the timeframe for the hosting of the elections.“A two-week or a three-week difference, if we all have to go together to the Parliament to extend the timeline by that, in the great scheme of things that will not harm anyone in Guyana and it will not harm us in the People’s Progressive Party. But if the Government refuses to honour the passage the of the No-confidence Motion and they refuse to define a timeline for elections and the constitutional period expires, the Government then becomes unconstitutional, illegal, illegitimate,” he contended.Further, the Opposition Leader went on to outline that the $3 billion budget allocation to GECOM for the national registration process had preceded the No-confidence Motion and so with no need for this to be carried out again, then the money can be used in another area to help the elections body in its preparation for polls.According to Jagdeo, if this sum is not sufficient to pull off elections, then the National Assembly can be approached for additional monies. This, he noted, is catered for under Article 106 (7) of the Constitution.“Any issues relating to elections, the Parliament could legitimately be convened, and we will attend. So if GECOM needs new laws, we can pass those; if GECOM needs supplementary provisions, then those could be passed or any other matter,” he asserted.Nevertheless, the Opposition Leader, who is also the People’s Progressive Party’s General Secretary, posited that the Party is ready for elections to be held in three months’ time. In fact, he noted that the Party has even started ground work on its manifesto as well as building its candidature at the regional level for the geographical and national top lists.“We are putting all our structures in place… we are ready to take this,” the Opposition Leader stated. (Vahnu Manikchand)last_img read more

Shanahan in hospital

first_imgNEW YORK – Brendan Shanahan was hospitalized Saturday after a hard collision with Philadelphia’s Mike Knuble that left the New York Rangers forward unconscious on his back for several minutes. Shanahan skated toward the bench as Knuble came the other way. Neither player saw the other and they slammed shoulder to shoulder. Shanahan went flying backward and struck his head against the ice when he fell 7:27 into the third period of the Rangers’ 5-3 loss. https://embed.sendtonews.com/oembed/?fk=bRolOyFR&cid=8121&sound=off&format=json&offsetx=0&offsety=0&floatwidth=400&floatposition=bottom-right&float=on X-rays and a CT scan were taken on Shanahan at St. Vincent’s Hospital. All tests were negative, but Shanahan was to be kept overnight for observation. The Rangers said he was awake, alert and moving all his extremities. The right side of Knuble’s face was swollen, and the Flyers expressed concern that he might have broken bones around his eye. 160Want local news?Sign up for the Localist and stay informed Something went wrong. Please try again.subscribeCongratulations! You’re all set!last_img read more

Celtic fans beg Rangers to keep McCoist in a job!

first_img Rangers manager Ally McCoist Having been 2-0 up against Alloa with just over 20 minutes to go, Rangers lost 3-2 to the delight of Celtic fans everywhere.Rangers manager Ally McCoist said he will not walk away from his job despite the embarrassing Challenge Cup semi-final defeat.And on Twitter, Hoops supporters were united in their support of the under fire boss.Expect to hear ‘Please Don’t Go’ being sung by many in and around Celtic Park this season… 1last_img

Man found dead after shooting himself in Balboa Park bathroom

first_img AD Quality Auto 360p 720p 1080p Top articles1/5READ MOREPettersson scores another winner, Canucks beat KingsInvestigators found a suicide note at another location, Moore said. About 75 officers responded to the scene. Balboa Boulevard has been shut down between Burbank and Victory boulevards, and Burbank is closed between Balboa and Lindley Avenue. LAKE BALBOA — A man who told police he was going to kill himself at Balboa Park has been found dead inside a park bathroom, police said. The man, who was either 19 or 20, called police about 3:15 p.m. from the southeast portion of the the large park at 6300 Balboa Blvd. “He told the dispatcher that he’s going to commit suicide,” said LAPD Capt. James Miller, head of the Van Nuys Division. “We were concerned that he was going to kill himself. It looked like he was trying to do suicide-by-cop.” When officers responded, they saw him running around a corner near the bathroom, said Deputy Chief Michel Moore, the San Fernando Valley’s highest-ranking officer. The man fired one shot. Nobody else was injured, police said. 160Want local news?Sign up for the Localist and stay informed Something went wrong. Please try again.subscribeCongratulations! You’re all set!last_img read more

West Ham to ban fans involved in shameful Manchester United bus attack for life

first_img1 Manchester United’s team coach comes under attack from West Ham fans West Ham have promised to ban for life any supporters who were responsible for attacking the Manchester United team coach at Upton Park on Tuesday evening.There were shameful scenes ahead of the Hammers’ final game at Upton Park as United’s coach was pelted with missiles as it made its way to the ground.There was significant damage to the bus and one police officer and a member of the public were left with minor injuries, while the incident resulted in the kick-off being delayed until 8.30pm.West Ham co-chairman David Sulivan initially refused to criticise home supporters and claimed United were to blame for turning up late to the ground.Sullivan said: “I don’t understand why United couldn’t get here at 4pm. They could have got here early. They knew it would be busy. It’s crazy.”There was congestion in the street and they couldn’t get the coach in. There were people around the coach, but there was no attack on the coach.”If you check the coach there won’t be any damage to it. If we arrived late at Old Trafford they wouldn’t put the kick-off back.”But the east London club have now condemned fans involved and vowed to exclude them for life.A West Ham statement read: “It was an extraordinary night full of extraordinary moments in front of extraordinary fans. 99 percent of whom behaved impeccably and were a credit to the club.“We have already had thousands of Tweets and emails from fans to say how proud they were to be a part of such a special evening in West Ham’s history.“However, we are aware that there were some supporters outside the Boleyn Ground who didn’t act in an appropriate way when the Manchester United team bus was damaged.“That was not acceptable and we will work with the police to identify those responsible and ban them for life.”West Ham, who went on win a thrilling game 3-2, are facing a Football Association investigation over the bus attack.The FA will also probe incidents during the match, with objects thrown from a section of the home support.An FA statement read: “We will work closely with both clubs and the Metropolitan Police to fully investigate these matters.”last_img read more


first_imgA young Co Donegal man is to face trial over the death of a woman following a road smash in January.Declan McDonnell of Whitehall, Churchill appeared in court yesterday.He was charged with dangerous driving causing the death of Michelle McCabe on the main N2 Dublin to Derry Road on January 25th last. McDonnell, 27, was remanded on his own bail of €500.He is to appear again before Monaghan Circuit Criminal Court on October 8th.Mrs McCabe, who was in her 30s and from Latton, Co Monaghan, was killed when her car was in collision with a car being driven by McDonnell.DONEGAL MAN TO FACE TRIAL OVER DEATH OF WOMAN IN ROAD SMASH was last modified: September 5th, 2013 by StephenShare this:Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to share on Reddit (Opens in new window)Click to share on Pocket (Opens in new window)Click to share on Telegram (Opens in new window)Click to share on WhatsApp (Opens in new window)Click to share on Skype (Opens in new window)Click to print (Opens in new window) Tags:Churchilldangerous driving causing deathDeclan McDonnellMonaghanroad smashlast_img read more

The Premier League ‘big six’s’ most expensive summer deadline day signings

first_img 6 6 Chelsea: Danny Drinkwater from Leicester for £35m in 2017This deal was finalised late in the day and the club applied for a two-hour extension to the transfer deadline to complete the transfer. It has been a frustrating season for Drinkwater, who didn’t play until October because of injury. He started 12 Premier League games last season and injury also meant he missed the FA Cup final win against Man United. Things haven’t quite worked out for Sissoko at Spurs Tottenham: Moussa Sissoko from Newcastle for £30m in 2016Everton had an offer for Sissoko accepted for Sissoko on deadline day, but then Spurs matched the bid and the France midfielder was on his way to London. “I will give everything for you and the team,” Sissoko said at the time. “I hope we win a lot of games and titles.” Don’t laugh. Ozil is one of Arsenal’s most talented players Manchester City: Robinho from Real Madrid for £32m in 2008On the final day of the summer transfer window in 2008, City were bought by mega wealthy Sheikh Mansour’s Abu Dhabi United group and subsequently shocked the Premier League by signing Robinho, who was close to a switch to Chelsea. “I just laughed, really, because it was all out for [Dimitar] Berbatov and then they seemed to be bidding for everybody,” City defender Richard Dunne said, in reference to City trying to muscle in on Man United’s deadline day deal for Berbatov, before attention was turned to Robinho. It was clearly a sign of things to come. 6 Manchester United: Anthony Martial from Monaco for £36m in 2015He was relatively unknown in the UK when Man United paid Monaco an initial £36m for Martial in 2015. The club wanted more firepower up front, but it was a lot of money for someone who was still only 19 and even his team-mates had to ask about him. “To be honest on the plane, Wayne Rooney came to speak to me and asked me who Martial was,” Morgan Schneiderlin revealed at the time. He made a memorable first impression, though, by scoring on his debut against Liverpool and living up to the hype that had seen him compared to Thierry Henry. His time at the club now appears to be at an end under Jose Mourinho. Arsenal: Mesut Ozil from Real Madrid for £42.5m in 2013The Gunners surpassed Andrey Arshavin’s 2009 transfer fee by just over £27.5m when they landed Ozil. “He is a great player, with proven quality at both club and international level,” Arsene Wenger said. “We have watched and admired him for some time as he has all the attributes I look for in an Arsenal player.” It looked like a real statement of intent from the club, who ended up fourth in the Premier League in his first season, but won the FA Cup.center_img 6 6 Robinho arrived to the surprise of many in 2008 Premier League clubs have until 5pm today (August 9) to compete their shopping.The transfer window closes early this summer and talkSPORT.com fully expects clubs to leave it late and make a crazy Supermarket Sweep-style dash to the checkout.Below, are the ‘big six’ clubs’ most expensive deadline day summer signings. Who will splash the cash and will any of these fees be surpassed?Liverpool: Alex Oxlade-Chamberlain from Arsenal for £35m in 2017The midfielder was in the last year of his contract when Liverpool made their move. Oxlade-Chamberlain rejected a move to Chelsea to move north and join Jurgen Klopp’s exciting side. The 24-year-old joined Mohamed Salah and Andrew Robertson as other notable additions at Anfield. Oxlade-Chamberlain joined Liverpool on deadline day in 2017 Anthony Martial has fallen down the pecking order at Manchester United and could leave this summer 6 Drinkwater’s Chelsea career has been quite stop/startlast_img read more

Brady Ellingson Joins Drake Men’s Basketball Team

first_imgA 6-foot, 4-inch guard from Menomonee Falls, Wis., Ellingson appeared in 26 games last season and scored a season-high 16 points at Indiana. In 2016-17 he saw action in all 34 games and shot 47.1 percent from three-point range, a mark that stands as the second best by a sophomore in Iowa history. He scored in double figures five times on the season and made at least one three-pointer in 17 games. Ellingson is eligible to compete immediately for Drake after earning his degree in enterprise leadership and will have one year of eligibility remaining at Drake. DES MOINES, Iowa – Brady Ellingson, a graduate transfer from the University of Iowa, has joined the Drake University men’s basketball team, head coach Darian DeVries announced Monday, April 16. Ellingson played in 94 games for the Hawkeyes over parts of four seasons and averaged 3.3 points per game while shooting 40.4 percent from three-point range.center_img “Brady is another great addition to our program and we’re thrilled to have him join our team,” DeVries said. “He’s an experienced guard with a great feel for the game and the ability to shoot the ball.” Ellingson finished his high school career as Hamilton High School’s all-time leading scorer and was twice named conference Player of the Year. Print Friendly Versionlast_img read more

People encouraged to get insurance independently verified after flood disaster

first_imgHouseholds and businesses affected by the Donegal floods should have their insurance claims independently verified a Government Minister has said.“Getting your insurance claim independently verified will give people some peace of mind,” said Michael D’Arcy, Minister of State at the Department of Finance with special responsibility for Insurance.“An independent assessor can add a small cost to the claim and having seen for myself the devastation wrecked by the floodwaters in Donegal, I know that many claims will be quite complex.” Minister of State D’Arcy visited areas of Inishowen affected by flooding with his Fine Gael colleague, Donegal TD and Government Chief Whip, Joe McHugh.“An independent loss assessor can be very helpful if the insurance companies aren’t playing ball,” said Minister of State D’Arcy.“Their knowledge of very specialised areas can be very beneficial to those making complex insurance claims.“In many cases of flooding secondary damage will only become apparent months after the original flooding. “A qualified independent assessor can help with all aspects of the claim such as assessing the loss, surveying, costings and settlement negotiations. Engaging with an independent loss assessor is something I strongly encourage those affected to consider,” Minister of State D’Arcy concluded.People encouraged to get insurance independently verified after flood disaster was last modified: August 29th, 2017 by StephenShare this:Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to share on Reddit (Opens in new window)Click to share on Pocket (Opens in new window)Click to share on Telegram (Opens in new window)Click to share on WhatsApp (Opens in new window)Click to share on Skype (Opens in new window)Click to print (Opens in new window) Tags:donegalfloodsInishoweninsurancelast_img read more