Home page Strategic domains Map of projects News & Knowledge

Strengthening Nursing (ProSes)

Nurses are key actors in providing basic health care and have the potential of significantly improving the health status of the population in Bosnia and Herzegovina. The Strengthening Nursing in BiH project focuses on supporting nurses to reach the most vulnerable groups and provide quality services, but also on protecting the interests of the nursing workforce and ensuring their recognition in the health system.
Download project factsheet

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.

Strategic Domain Health
Status Ongoing
Implementers Consortium of Foundation fami and Geneva University Hospitals
Partners Department for Health and Other Services of Brcko District, Ministry of Health and Social Welfare of RS, Ministry of Civil Affairs of BiH, Ministry of Health of FBiH
Projects implemented in Federation of Bosnia and Herzegovina, Republika Srpska, Brčko District
Cantons Una-Sana Canton, Posavina Canton, Tuzla Canton, Zenica-Doboj Canton, Bosnia –Podrinje Canton, Central Bosnia Canton, Herzegovina-Neretva Canton, West Herzegovina Canton, Sarajevo Canton, Canton 10
Municipalities/Cities Banja Luka, Banovići, Bihać, Bijeljina, Bosanska Krupa, Bosanski Petrovac, Brčko distrikt, Breza, Brod, Bugojno, Busovača, Bužim, Čapljina, Cazin, Čelinac, Centar Sarajevo, Derventa, Doboj, Doboj Jug, Domaljevac Šamac, Donji Vakuf, Foča, Foča - Ustikolina, Fojnica, Glamoč, Goražde, Gračanica, Gradačac, Gradiška, Grude, Han Pijesak, Istočni Drvar, Jablanica, Kakanj, Kalesija, Kiseljak, Kladanj, Ključ, Kneževo, Konjic, Kostajnica, Kotor Varos, Kozarska Dubica, Kreševo, Krupa na Uni, Kupres FBiH, Laktaši, Livno, Ljubuški, Lukavac, Maglaj, Mostar, Mrkonjić Grad, Nevesinje, Novi Grad, Novi Travnik, Odžak, Olovo, Orašje, Oštra Luka, Pale, Pale - Prača, Posušje, Prijedor, Prnjavor, Prozor-Rama, Ravno, Ribnik, Šamac, Sanski Most, Sapna, Šipovo, Široki Brijeg, Sokolac, Stanari, Stolac, Teočak, Tešanj, Teslić, Tomislavgrad, Travnik, Trebinje, Tuzla, Usora, Vareš, Velika Kladuša, Vitez, Vlasenica, Zenica, Žepče, Živinice, Zvornik