Nurses of BiH have a crucial role in improving health care services
Although Bosnia and Herzegovina invests significant resources into its health system, the population’s health is continuously deteriorating. The health system reform focuses on ensuring accessible and cost-effective primary healthcare services. In this process, the education and the practice of nurses has a significant potential. Around 19’000 nurses are employed in BiH’s health care system. They are predominant in the healthcare workforce but their potentials are not currently sufficiently used, especially in working with socially excluded groups who have limited access to health care. The formal education of nurses is inadequate, their competences are not clearly defined, and the licensing system for nurses is not in place.
Better position of nurses, imperative for success
The project supports processes to increase the quality of nursing service and to enable better access to these services, especially for vulnerable groups. These include the elderly, disabled, internally displaced, unemployed and uninsured persons, minorities, people living in remote areas, single mothers, young parents, children and youth. Community nursing services in 55 municipalities / cities will be developed and will include disease prevention, health promotion and counselling, and care for patients in terminal phases of a disease and those with chronic health conditions.
Within the project, the reform of the formal education of nurses is addressed as well as improving the managerial skills of the head nurses, in order to ensure that their competences are in line with the European standards. Additionally, it is highly important that the health authorities recognize nurses as an important resource for improving the quality, safety and efficiency of services. In order to improve the position of nurses in the health system the project works on developing standards of nursing practice and the regulation for continuous education of nurses and their licensing.
The project’s primary target group is the nursing workforce in BiH, especially nurses that are active at the primary health care level. However, the major impact is focused on the users of health services, estimated at 1.1 mil., and more importantly socially excluded groups who have limited access to health care services.
Experiences from Bijeljina a model for the rest of the country
Within the Health Care Centre Bijeljina 40 nurses were educated in community nursing and provided with equipment. In only three months, these 40 community nurses visited over 900 homes and attended to patients. More than 2’000 chronic patients received an annual check-up by nurses and will continue receiving regular follow-up. In addition, health promotion activities are being organized in the community for the population. This successful pilot activity from Bijeljina municipality will be rolled out to other parts of the country with the project’s support.
Support to the reform of nursing in BiH
The project idea of the Strengthening Nursing in BiH project was initiated by two entity Ministries of Health and the Swiss Agency for Development and Cooperation (SDC). It was developed according to an analysis of the needs in the country and lessons learnt during implementation of the former SDC-funded Family Medicine Implementation Project in BiH.