The health of the Rwandans is in the hands of the nurses, graduates of the Ministry of Education, but working under license from the Ministry of Health.
However, all is not going well in the health sector as the Ministry of Health is under fire over its graduates’ performances at work when they are performing different medical operations on patients, which end up putting their lives in danger, including death risks.
In parliament, MPs refer to very complex licensing, and the Secretary of State to Health Ministry reveals A1 nursing graduates ignore basic anatomy, such as heart localization, systems, and so on.
The National Council of Nurses and Midwives (NCNM) is said to provide difficult examinations to Health Sector graduates in search of licenses to be allowed to be admitted as a nurse at any public hospital in Rwanda.
The licensing examination by the Professional Council of Nurses and Midwives took place last March, and the results came out this June. Of 1231 candidates, only 171 pass, corresponding to 13%. In spite of this, they all hold the A1 diplomas obtained at universities and higher institutions, either public or private, and approved in Rwanda. They invested there three or four years, with huge amount of money.
The MINEDUC delivers the content and transcripts, but the authorization to operate in Rwanda remains with the Ministry of Health via the council. In parliament, none understands how a candidate fails an exam prepared by the non-academicians, while he was brilliant in class. This rate of 13% is too low, the Minister must clarify.
The Ministry of Health states that it often tolerates nurses working in the health sector without professional evidence.
But, according to Dr. Patrick Ndimubanzi, State Minister at the Ministry of Health, “there are those who fail unbelievable questions.”
The example is those who cannot locate the heart, which surprised the parliamentarians. Bursts of laughter, a hahaha hawk in the room. There may even be those who place the tibia in the left hypochondria, and the rectum as the cranial bone!
During his presentation on June 19, 2017 in the plenary of the Parliament, Dr Patrick Ndimubanzi, the Minister of State at the Ministry of Health, explains, “If a laureate fails once in the test, he is not immediately suspended, but it becomes intolerable if s/he fails more often as long as they are given further chances in vain. But once we ask him to locate the heart in the human body and fails to do so, he is directly suspended from his duties but it is professional to be confidential on why he fails or why he was suspended.
This is the only control we do, as have to know the abilities of our nurses, who often have the lives of Rwandans in their hands.
The National Council of Nurses and Midwives is often criticized for having non-professional agents. This is how it often passes tests off programs, which even makes people think of corruption.
Some recipients propose that this assessment should be given by MINEDUC, but the council insists on not letting it go out of its control. Lydie Kimonyo, Secretary of the Council said, “I do not see the cause of transferring this test to the Ministry of Education, anyway, what if they still fail?”
Those who think about a hidden agenda, based on the amount that is paid before passing the test. Every candidate for the test pays forty thousand Rwandan francs (50 USD),
In total, the Council has so far received forty-nine million two hundred forty thousand (49,240,000) Rwandan francs for 1,231 candidates, while 1060 of them are to repeat the test next year, on payment of an additional 40,000 francs.
Successful candidates often advance the argument that exams are far from their knowledge, because they are drawn on the internet, in US universities like Minessota.
In addition, the test is more to the practice than theory, whereas the candidates have only six months of training, without considering what is in the notes. The former Gitwe University (one of the suspended universities) who succeeded, testifies the difference, and accuses the examiners of placing the nurse in the place of laboratory, treating nurse and pharmacist at the same time.
Speaking to Bwiza.com, she said, “We are told a case of facial paralysis at the CHUK, which we have never experienced. There is no time to diagnose nor analyze the reference file. One is also presented with the case of an accident a week ago, ill hospitalized. The external symptoms show that the client has a leaning mouth, the ear does not listen. And when you are asked the causes of this lack of sensation, without taking into account the results of the laboratory. Because, malaria can be the cause, the very accident, meningitis or trauma. So, only the lab examination can confirm the true cause. ”
The parliamentarians have tasked the health minister to combine benefits in the sector to protect the lives of citizens but also to think about the insufficient number of nurses in hospitals and health centers of Rwanda.
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