This document discusses the theme of International Nurses' Day 2019, which is "Health for All". It provides background on the history and annual themes of Nurses' Day. The 2019 theme focuses on achieving universal health coverage and addressing global health challenges like epidemics, non-communicable diseases, health system costs, migrant health, mental health, and violence against healthcare workers. Nurses are well-positioned to help solve these issues and work toward the goal of Health for All due to their frontline role in communities and across health systems worldwide.

1. INTERNATIONAL
NURSES’ DAY
THEME
2019
Presented by:
Sneha Baby, M.Sc(N)
Staff Nurse
Govt. TDMCH
Alappuzha.

2. HISTORY
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Suggested by Dorothy Sutherland of the U.
S. Dept. of Health, in 1953
International Council of Nurses(ICN)
celebrating since 1965
May 12th : Birth anniversary of Florence
Nightingale
1974: Officially International Nurses’ Day

3. •
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Annual theme that addresses current
issues in Nursing
1988: Safe Motherhood
The National Florence Nightingale Nurses
Award by Indian Nursing Council(INC): For
the meritorious service rendered by the
Nursing professionals in our country

4. NURSES’ DAY THEME: 2017-2019
Nurses: A Voice to Lead.
2017:The Sustainable Development Goals
2018:Health is a Human Right
2019:Health for All

5. 2019 THEME

6. “There is no commodity in the
world more precious than health .”
–
Dr Tedros Adhanom Ghebreyesus,
WHO Director-General

7. HEALTH FOR ALL
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The Declaration of Alma Ata’ 1978: ‘Health
for All’, was first articulated with guidelines
and actions
“Health for All means that health is brought
into the reach of everyone in a given
country.”
Not just the availability of health services,
but a complete state of physical and mental
health that enables a person to lead a
socially and economically productive life.

8. Why Nurses??
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Advocate and provider of care for
individuals and communities
Skilled professionals with the potential to
improve Health for All
Largest health profession across the world,
working in all areas, where health care is
provided
The world is looking for ways to achieve
Health for All

9. Global Health Challenges
affecting Health for All
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Epidemics/Pandemics
Non-communicable diseases
Value based healthcare
Migrant health
Mental health and wellbeing
The effects of violence on healthcare and
all of us

10. GLOBAL HEALTH CHALLENGE 1:
THE DISEASES WE KNOW AND THE ONES
WE DON'T: EPIDEMICS/PANDEMICS
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Can break out at any time and at any place
Their potency is greatest, where there are
weakened and unprepared health systems
Today, an infection can potentially travel
from a remote village from anywhere in
the world to any major city
within 36 hours

11. •
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Ebola Virus in West Africa,
Middle East Respiratory
Syndrome (MERS) in Korea,
Cholera in Yemen, Bubonic plague in
Madagascar
2018 marked the 100-year anniversary of
the beginning of the great influenza
pandemic of 1918 (Spanish Flu) causing
deaths between 50-100 million people ie;
5% of the world’s population at the time.

12. • Of the 86 countries that have completed
the Joint External Evaluation, a process
that assesses the ability of each country
to find, stop and prevent public health
risks, majority are not prepared to fully
address infectious disease threats.

13. Role of Nurses
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Frontline health care workforce in filling the
preparedness gaps
Prevent and control infectious disease by
surveillance
Ensuring health services during the crisis
like maternity care, vaccination programs
and malaria treatment
Make up the core of both response teams
and central health care systems

14. •
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Participate in preparedness planning and
simulation exercises
Leadership in epidemic preparedness so
that plans, resources and response are
both evidence-based and patient centered
Ensuring the safety of nurses:
immunisation, proper infection control
practices and access to appropriate
resources, such as correct personal
protective equipment. It also limits the
spread of nosocomial infections.

15. •
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Nipah outbreak in Kozhikode, took
17 lives in May 2018.
Nurse Lini passed away,
after getting exposed to
the deadly virus.

16. Reasons for rapid spread within
countries and across borders.
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Increased risk of infectious pathogens
“spilling over” from animals to humans
Development of antimicrobial resistance
Spread of infectious diseases through
global travel and trade
Acts of bioterrorism
Weak public health infrastructures

17. GLOBAL HEALTH CHALLENGE 2: PRODUCT
OF YOUR LIFESTYLE AND ENVIRONMENT –
NON-COMMUNICABLE DISEASES
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68% of global mortality is caused by either
cancer, cardiovascular disease, chronic
respiratory disease and/or diabetes.
2/3 of NCD deaths are linked to Tobacco
use, harmful use of alcohol, unhealthy diets,
and physical inactivity
WHO considers that the current SDG target
of reducing mortality from NCDs by 30% by
2030 will not be achieved if the current
situation continues.

18. How can Nurses help???
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Health professionals closest to the
community
They are part of the local community and
understand its culture.
Empowering individuals and the community
Investment in Nurse leadership and in
Nursing Research related to NCDs,
including efficacy and cost

19. •
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Increase the numbers of Nurses specializing
in NCDs to improve access to quality, cost
effective and sustainable treatments
NCD supported self-management and Nurse
led clinical management
Support all Registered Nurses to include
prevention of NCD in their practice and
ensure Nursing/clinical management roles
are developed in Primary and Community
Care.

20. •
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The INC is preparing a draft bill to amend
the 1947 act, which may allow Nurse
Practitioners[RN educated to Master’s
level] to prescribe medicines for primary
care and conduct invasive procedures in
the presence of senior doctors: NHP 2017
Tamilnadu government plans to set up 10,
000 Nurse-led clinics by 2022, to aid early
detection of NCDs

21. GLOBAL HEALTH CHALLENGE 3: DELIVERING
HEALTH FACILITIES TO PATIENTS AT A
PRICE THAT COUNTRIES CAN AFFORD
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8 million deaths occur in LMI countries due
to poor quality healthcare
Many countries are unable to provide even
basic health care services that deliver safe
and effective care to their entire populations
To an extent, poor quality health care prevails
in countries at all income levels
3rd leading cause of death in the USA are
medical errors, after heart disease and cancer.

22. How can this be done???
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Ensure that the profession is equipped
with appropriate education and tools and
supported to work to their full scope of practice.
An example of success in this area includes
Nurse-led chronic disease management where
length of stay is reduced, health outcomes are
improved, and emergency department
admissions are reduced.
Nurse practitioners in midwifery and critical care,
and physician assistants are on their way in India
OBG cadre in Kerala Govt. health services.

24. GLOBAL HEALTH CHALLENGE 4:
A MOVING WORLD
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44,400 people a day are forced to flee their
homes because of conflict and persecution
They experience discrimination, violence,
exploitation, detention, limited or no access
to education, human trafficking,
malnutrition and limited or no access to
preventive and/or essential health care
services.

25. •
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In the Kutupalong settlement in
Bangladesh, over 40% of children are
stunted.
1 in 3 Syrian refugees suffers from
depression, anxiety and symptoms of
PTSD.
More than 61% of refugees will experience
a mental health crisis or breakdown.

26. •
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Every year, the migrant worker
population in Kerala increases by
2.3lakh people
Low quality and illegal housing, long
work days >10hrs/day.
Diseases found in migrants which are
eradicated in the state
AAWAAZ, a free health care cum
insurance scheme for migrant workers
in Kerala
Kerala migrant workers welfare scheme,

27. GLOBAL HEALTH CHALLENGE 5:
OUR MENTAL HEALTH AND
WELLBEING
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Mental disorders represent the largest
cause of disability and disease in the world
1.1 billion People with any mental disorder
or substance use disorder
10-25 year life expectancy reduction in
patients with severe mental illness
4.4% of the world’s population, suffer from
depression.

28. what can Nurses do
about this issue?
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Work in key public locations such as schools
and work places
Encourage people to seek help, especially
high risk groups
Be informed about community support
services
Get additional training in psychological
therapies and in building therapeutic alliance
Outreach services

29. •
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Address the multiple social, political and
economic determinants of the problem.
Appropriately trained Nurses can contribute
to the promotion of mental health and the
prevention and treatment of mental disorders.
Mental health care should be integrated into
primary health care
Involve Nurses in the development of
mental health policies

30. GLOBAL HEALTH CHALLENGE 6:
THE EFFECTS OF VIOLENCE ON
HEALTH CARE AND ALL OF US
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4,200 people were victims of violence
against healthcare between 2012-2014
8-38% of health workers suffer physical
violence
Includes violent physical, sexual and verbal
assault from patients and potentially their
families
Across the world, Nursing is considered
more dangerous than being a police officer
or a prison guard

31. •
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The psychological consequences resulting
from violence may include fear, anxiety,
sadness, mistrust and depression
Nurses can feel less empathy and the
quality of their care can suffer
Significant health and economic
consequences on both Nurses and the
health system for which they work.
A Nurse was attacked in a
school at Idayoor panchayat,
while giving MR vaccines to
children in November 2017

32. Strategies to reduce
violence against Nurses
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Support “Zero Tolerance” of workspace
violence
Provide advocacy for improved education
and on-going training in the prevention,
recognition and management of violence
Raise the awareness of the public and the
nursing community to the signs and
symptoms of violence against healthcare
workers
Ensure protection by law
Report the outcomes

33. • The Kerala Health Service Persons and
Healthcare Service Institutions(Prevention
of violence and damage to property) Act
2012 protects the rights of patients, health
care service persons and hospital
properties in the event of an attack.

34. In short,
“As the largest health profession across
the world, working in all areas where health
care is provided, Nursing has vast potential
and value if appropriately harnessed to
finally achieve the vision of Health for All”