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Tehran,
Islamic Republic of Iran
14 –17 October 2019
Agenda Item 3(b)
Dr Arwa Oweis, Regional Adviser,
Nursing, Midwifery and Allied
Health Personnel
Strengthening the nursing workforce to advance
universal health coverage in the Eastern
Mediterranean Region
2
No universal health coverage without nurses
Nurses make up
more than 50% of
the health
workforce
Nurses provide
care
all day, every day,
everywhere.
3
 Shortage
 Skill mix imbalance
 Limitations in
access to quality
nursing services
Situation of the nursing workforce in the
Region
0
10
20
30
40
50
60
70
80
Density of nurses and midwives per 10 000 (2007) Density of nurses and midwives per 10 000 (2017)
4
Global average = 31
Density of nurses and midwives (20072017)
Has not improved and has decreased in 11 countries
4
0.00
0.50
1.00
1.50
2.00
2.50
3.00
3.50
4.00
4.50
Ratio of nurses and midwives to doctors (2007) Ratio of nurses and midwives to doctors (2017)
OECD countries
Skill mix imbalance (20072017)
Ratio of nurses to doctors is low, has not improved, and has decreased
in 9 countries
5
0
2
4
6
8
10
12
14
16
Egypt Islamic
Republic of
Iran
Iraq Jordan Kuwait Oman Qatar Saudi Arabia United Arab
Emirates
2016 Nurses & Midwives 2016 Physicians
6
Higher density of medical graduates
than nursing graduates in some countries (2016)
7
Underutilization
80% of nurses in the Region work in urban
hospitals
Poor working
conditions
Insufficient investment
Recruiting, training, retention
Migration and brain drain
Limitations in access to quality nursing
services in the Region
8
 Higher patient morbidity and
mortality rates
 More medical errors
 Burnout and increased attrition
complicating the shortage
 Risks achieving UHC and
SDGs
Burnout
Nursing
turnover
Nursing
shortageInadequate
staffing
Job
dissatisfaction
BURNOUT
CYCLE
Consequences of
nursing workforce challenges
Framework
for action
Strengthening
nursing and
midwifery in
Region
66th
Regional
Committee
Resolution to
strengthen
nursing workforce
in Region
Global strategic
directions
For strengthening
nursing and midwifery
20162020
2008 2011 2016 2017 2019 2020
WHA
resolution
RC55
resolution
Framework
for action
Health workforce
development in
Region
Year
of the
Nurse
NURSING NOW
CAMPAIGN
Global and regional momentum
to strengthen nursing
9
Country efforts to strengthen nursing
1
0
Policy on nursing information and
data (Doha)
Implications of the global
health agenda on nursing
(Jordan)
2019 declared Year of Nursing in
Pakistan
Discussing role of nurses in
refugee health (Lebanon)
STRATEGIES
AND
POLICIES
Learning needs assessment of
primary care nurses (Libya)
Efforts to strengthen nursing
education and training (Egypt)
Efforts to strengthen nursing
education and training (Sudan)
Mental health nursing training
(Syrian Arab Republic)
More needs to be done…
11
EDUCATION
AND
TRAINING
Strengthening competencies of
nurses (Iraq)
Discussing scope of nursing
practice (Somalia)
Supporting nursing
development in (Islamic
Republic of Iran)
Discussing role of nurses in
refugee health (Lebanon)
NURSING
PRACTICE
AND
SERVICES
1
2
More needs to be done…
1
3
2020 is a year to celebrate
nurses and will create
opportunities to accelerate
efforts to strengthen
nursing in
the Region
2020
International Year of the Nurse and the
Midwife
Network and engage in partnerships and policy dialogue
Invest in education, employment and retention
Galvanize governance and regulation
Strengthen and maintain accurate data
Nurture an enabling work environment
Recruit and attract youth to the profession
Utilize nurses and expand their scope of practice
1
4
1
5
NURSING
The Power of
1
6
Conclusion
The Regional Committee is invited
to endorse the resolution on
strengthening the nursing
workforce to advance UHC in the
Eastern Mediterranean Region
It is critical to accelerate action to
strengthen nursing….
Inaction will leave the status quo
in place, hinder improvements in
the health system, and risk the
achievement of UHC and the
well-being of the population
1
7
Thank you

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Rc66 strenghthening nursing workforce-english

  • 1. Tehran, Islamic Republic of Iran 14 –17 October 2019 Agenda Item 3(b) Dr Arwa Oweis, Regional Adviser, Nursing, Midwifery and Allied Health Personnel Strengthening the nursing workforce to advance universal health coverage in the Eastern Mediterranean Region
  • 2. 2 No universal health coverage without nurses Nurses make up more than 50% of the health workforce Nurses provide care all day, every day, everywhere.
  • 3. 3  Shortage  Skill mix imbalance  Limitations in access to quality nursing services Situation of the nursing workforce in the Region
  • 4. 0 10 20 30 40 50 60 70 80 Density of nurses and midwives per 10 000 (2007) Density of nurses and midwives per 10 000 (2017) 4 Global average = 31 Density of nurses and midwives (20072017) Has not improved and has decreased in 11 countries 4
  • 5. 0.00 0.50 1.00 1.50 2.00 2.50 3.00 3.50 4.00 4.50 Ratio of nurses and midwives to doctors (2007) Ratio of nurses and midwives to doctors (2017) OECD countries Skill mix imbalance (20072017) Ratio of nurses to doctors is low, has not improved, and has decreased in 9 countries 5
  • 6. 0 2 4 6 8 10 12 14 16 Egypt Islamic Republic of Iran Iraq Jordan Kuwait Oman Qatar Saudi Arabia United Arab Emirates 2016 Nurses & Midwives 2016 Physicians 6 Higher density of medical graduates than nursing graduates in some countries (2016)
  • 7. 7 Underutilization 80% of nurses in the Region work in urban hospitals Poor working conditions Insufficient investment Recruiting, training, retention Migration and brain drain Limitations in access to quality nursing services in the Region
  • 8. 8  Higher patient morbidity and mortality rates  More medical errors  Burnout and increased attrition complicating the shortage  Risks achieving UHC and SDGs Burnout Nursing turnover Nursing shortageInadequate staffing Job dissatisfaction BURNOUT CYCLE Consequences of nursing workforce challenges
  • 9. Framework for action Strengthening nursing and midwifery in Region 66th Regional Committee Resolution to strengthen nursing workforce in Region Global strategic directions For strengthening nursing and midwifery 20162020 2008 2011 2016 2017 2019 2020 WHA resolution RC55 resolution Framework for action Health workforce development in Region Year of the Nurse NURSING NOW CAMPAIGN Global and regional momentum to strengthen nursing 9
  • 10. Country efforts to strengthen nursing 1 0 Policy on nursing information and data (Doha) Implications of the global health agenda on nursing (Jordan) 2019 declared Year of Nursing in Pakistan Discussing role of nurses in refugee health (Lebanon) STRATEGIES AND POLICIES
  • 11. Learning needs assessment of primary care nurses (Libya) Efforts to strengthen nursing education and training (Egypt) Efforts to strengthen nursing education and training (Sudan) Mental health nursing training (Syrian Arab Republic) More needs to be done… 11 EDUCATION AND TRAINING
  • 12. Strengthening competencies of nurses (Iraq) Discussing scope of nursing practice (Somalia) Supporting nursing development in (Islamic Republic of Iran) Discussing role of nurses in refugee health (Lebanon) NURSING PRACTICE AND SERVICES 1 2 More needs to be done…
  • 13. 1 3 2020 is a year to celebrate nurses and will create opportunities to accelerate efforts to strengthen nursing in the Region 2020 International Year of the Nurse and the Midwife
  • 14. Network and engage in partnerships and policy dialogue Invest in education, employment and retention Galvanize governance and regulation Strengthen and maintain accurate data Nurture an enabling work environment Recruit and attract youth to the profession Utilize nurses and expand their scope of practice 1 4
  • 16. 1 6 Conclusion The Regional Committee is invited to endorse the resolution on strengthening the nursing workforce to advance UHC in the Eastern Mediterranean Region It is critical to accelerate action to strengthen nursing…. Inaction will leave the status quo in place, hinder improvements in the health system, and risk the achievement of UHC and the well-being of the population