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Nealth
H
azarene
e
m
dition 2,
arch 2009
NEWS
a newsletter for the Swaziland Nazarene Health Institutions (SNHI)
In this edition
COHSASA - Count down
to Accreditation
Page 2
Our Clinics leading the
way
Page 3
Spotlight on donors
Page 4
In the pipeline
Page 5
Around RFM
Page 6 & 7
Photo: Phethekile Kunaka right (Staff Nurse on Male Surgical Ward) is precepting 2nd year nursing students on the pharmacology of cardiac
medications and antibiotics, while Sheldon Fields looks on.
Message from the CEO
Again it has been a very busy quarter for the Hospital, Community Clinics and Nursing College. There are many exciting things to look forward
to and many challenges to overcome. This includes the construction of new Intensive Care and Renal Dialysis Units. The ability of the Hospital
to service the needs of the community we serve will be greatly improved with the introduction of these units.
Of equal importance is the final opportunity for the Hospital to achieve COHSASA accreditation in October this year. I implore all staff members
of RFM to make this dream a reality, by working together we can become the first Hospital in Swaziland to achieve this accreditation.
Meanwhile, the clinics have been incredibly busy with the UNICEF assisted roadshows and dip tanks for which they deserve acknowledgement
and applause. Finally, I would like to congratulate the hard working and dedicated team at Mliba Clinic whose participation in the Leadership
Development Program has been transformed into a entry into an international leadership competition. Well done.
Madam Futhi Mdluli
Student Nurse Preceptor Program Initiated
The RFM Hospital and Nazarene
College of Nursing have begun
a clinical preceptor program for
nursing students. The collaborative
effort is designed to enhance the
students’ learning
experience
during rotations to the wards.
Experienced nurses on each ward
are identified as clinical preceptors;
they assume responsibility for
strengthening student skills in
physical assessment, medication
administration, and application of
treatments. The preceptors are role
models that exhibit critical thinking
skills and encourage the students
to engage in problem-solving to
improve patient care outcomes.
Students will receive focused
instructions on infection control
techniques and the management
of sharp instruments and needles
to avoid accidental exposures to
dangerous diseases such as HIV
infection. Students will also learn
how to effectively communicate
in patient rounds with physicians
and others in the health care
team.
The faculty of the College of
Nursing envisioned a clinical
preceptor program that would
adequately
prepare
new
graduates of the Nursing Program
to assume the care of the complex
a celebration of where we have come from and where we are going
patients who are admitted to the
hospital. Assistance came from
the nurse mentors in the Nurses
SOAR! (Strengthening Our AIDS
Response) program; they worked
closely with faculty and hospital
personnel to design the new
approach to clinical teaching for
students. Nurses SOAR! is funded
by the U.S. President’s Emergency
Plan for AIDS Relief (PEPFAR). The
implementation of the preceptor
program has been coordinated
by Sr. Magdalene Maziya
(NCN Continuing Education
Coordinator) and Sr. Khawulile
Magagula
(RFM
In-Service
Coordinator).
In this photo, Phethekile
Kunaka (Staff Nurse on MSW)
is precepting 2nd year nursing
students on the pharmacology
of cardiac medications and
antibiotics. She is accompanied
by Sheldon Fields, a HIV/AIDS
expert nurse from the United
States, who is a professor of
nursing volunteering at the RFM
Hospital through the Nurses
SOAR! program. Sheldon also
provided an in-depth review of
physical assessment skills for the
students. Congratulations to the
new RFM student nurse clinical
preceptors!
page 1
COHSASA
Countdown to Accreditation
For the past 2 years or so, RFM Hospital has embarked on an accreditation process with COHSASA (Council for Health Services Accreditation
for Southern Africa). After a very challenging journey and a daunting accreditation task, the institution has eventually achieved significant
results that have been acknowledged and commended by people across all spectrums. This has been a result of staff dedication, our trust
in the Lord Jesus, the understanding of our mission and vision, a sense of unity, strong leadership in the institution and a determination by
all to better the reputation of our institution. By way of illustration, here are some of our major achievements:
1.
signage in and outside the hospital
9.
formulation of 434 hospital policies by RFM hospital staff
2.
new patient’s filing system and filing privacy
10.
acquisition of a new generator
3.
staff identification tags and uniforms
11.
improvement in patients privacy
4.
renovation of the X-ray department
12.
renovation of the private ward
5.
renovation of the laboratory and pharmacy
13.
improvement in access to care
6.
acquisition of fridges, fire fighting equipment and resuscitation equipment
14.
functional quality assurance, infection control, in-
service training and health and safety committees
7.
acquisition of resuscitation trolleys all over the hospital
15.
enhanced security in the hospital
8.
improved housekeeping and cleanliness of the institution
16.
extractor for TB control at ER, X-ray and medical wards
RFM Hospital has also been visited by ten health institutions from
around the country, for benchmarking. This adds credit to the work
that we have accomplished so far, as our peers and colleagues from
other institutions would like to replicate the work we have done.
The last assessment by COHSASA in February resulted in our score
moving from 32% to well over 65%, with the target “magic number”
being 80% in order to clinch the accreditation. The road ahead of us
is still challenging and will demand a sense of urgency, responsibility
and strong leadership. Staff as a whole have resolved to accept the
challenge and speed up the accreditation process. Our focus now is
on dealing with the critical ticks as well as every criterion which still
remains non-compliant.
The Steering Committee, which is playing a pivotal role in leading the
process, is now focusing on scaling up service elements meetings,
mobilizing staff around the vision and assisting staff to deal with
It has been a challenge for nursing care services, especially on some of the challenges. Management is also resolute to continue
the initial stages of quality improvement programme. COHSASA giving full support to the process of accreditation. In addition, the
facilitated the formulation of policy standards, implementation and acquisition of CoQIS from COHSASA, our next trip to South Africa and
the compilation of critical ticks by the Resource Mobilization Officer
monitoring.
will certainly boost the staff for the final sprint.
Various technical groups have been established and they worked
tirelessly until the whole program had well taken off. Although The Steering Committee is also putting the focus on ways and means
there is still a challenge of resources, nurses are trying to provide to prepare staff for the external survey that will take place soon
quality care. Hopefully this will be achieved through the following after clinching the 80%. From a COHSASA perspective, that will be
the most daunting exercise and will require all of us to familiarize
initiatives:
ourselves with the ongoing process.
* Nursing administration plans to have specialised nurses in all
So, now is the time to act swiftly and courageously. Now is the time
departments.
to inspire each other by doing “quality”. Now is the time to renew
* ART clinic is providing wonderful services in spite of escalating our commitment and bring a new momentum. Now is the time to
client numbers.
trust in the ability that The Lord has given us. Now is the time for our
* The presence of expert clients refines counseling and patient accreditation, come rain or sunshine.
Going an extra mile
education services because they have enough time to talk to God bless our institution.
clients.
Dr T.Lukoji
* PMTCT (Prevention of Mother to Child Transmission) is conducted
Chairperson of the COHSASA steering committee
at MCH and Maternity Department.
* There is a mother to mother program where positive mothers
share experiences and provide counseling to positive clients.
* Food distribution helps all clients on ARVs.
* The hospital Social Workers help destitute and abandoned babies
by tracing relatives and get foster parents/ homes for them. They
work in collaboration with regional Social Workers to make follow
ups and facilitate adoption. They refer needy clients to available
community resources.
page 2 a celebration of where we have come from and where we are going
Our Clinics leading the way
Mliba Clinic in a Leadership
Development Program
Mliba clinic staff commenced the Leadership Development program (LDP), which is an
initiative by the Government of Swaziland through the Ministry of Health & Social Welfare.
This program is aimed at developing leaders at root levels in health facilities to enhance or
upgrade the standard of service provision in our health institutions. Chosen health facilities are
allowed to compete among each other nationally and will compete internationally thereafter.
Mliba clinic staff have proved to be a team that has stood the heat of the competition and
has seemingly stolen the heart of the Minister of Health & Social Welfare, Honorable Minister
Benedict Xaba. The six months competition had its final day embraced by the Minister of
Health & Social Welfare, his private secretary and many health related stake holders.
The Mliba clinic staff, represented by three of their members (Sister Agatha Mamba, Sister
Nelsiwe Mngometulu and registered nurse Mfundo Mhlanga), have produced a document
that they submitted to the United States of America (Denmark) for eligibility to enroll for the
international competition with other countries.
Photo: (Above) Matron Anna Mdluli & PS Nomathemba Dlamini inspecting the banner
developed by Mliba staff.
(Top Left) Sister Nelsiwe presenting the Mliba presentation as part of the Leadership
Development Program (LDP).
(Bottom Left) Serving out food as part of the PMTCT Roadshow at Ngculwini Clinic.
(Bottom Right) Participants in the PMTCT Roadshow at Ngculwini.
Bhekinkosi Clinic
The clinic received a national certificate for an awesome achievement (>95%) in the
implementation of the quality exercise for PMTCT and care for HIV exposed and infected
children. This certificate was awarded on 10 February 2009 by the Pediatric ART programme,
SNAP. Congratulations to all staff.
The Clinics hit the Road
Three Roadshows have been completed in both Ngculwini and Ndwabangeni. These roadshows
are designed to sensitize men and youth on PMTCT and HIV/AIDS issues. Audiences were
also shown an educational film on PMTCT/HIV. Members of local Parliament in Mhlangatane
and Mafutseni even participated. It was noted by many community members that they were
willing to have a HIV test when the service was brought closer to them, as most complained
that the health facilities are too far away.
Dip tanks have also been
conducted at Ngculwini, on five
occassions, and Ndwabangeni, on
three occassions. These proved to
be an effective way of targeting
men. The effort of the staff in the
clinics has to be acknowledged as
they were on site as early as 5am.
The health education sessions
would start after an address
by a community leader, Tindvuna. The community members would also be
shown an educational film on PMTCT/HIV entitled “A tale of two futures”. All
the community leaders extended their appreciation to SNHI and UNICEF for
bringing the service closer to the people and they encouraged the people to
take the HIV test.
Over 295 men and 203 women where tested through these community
mobilization strategies. The dip tanks proved to be an effective way of reaching
out to older men, whilst the road shows were good for targeting youth.
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a celebration of where we have come from and where we are going
page 3
Spotlight on donors
We would like to thank the many embassies, NGOs, companies,
organisations and governments that have assisted the progression of
the hospital through their generosity and vision. During the Christmas
period several companies and NGOs offered their assistance to RFM
in the form of care packages for those who were unfortunate enough
to be in the hospital during that period, such as Manzini City Council.
Select Management Services also attended the Hospital in the lead
up to Christmas to deliver toys and water bottles to the children in
the Children’s Ward.
RFM was also fortunate enough to receive almost 5,000 tons of rice
from the Embassy of China on Taiwan. Mr Leonard Chow presented
the rice in person. During his presentation speech he praised RFM
for being a hospital of winners, those who were able to make a lot
out of a little. The Embassy of China on Taiwan repeated their acts
of generosity again in March this year, presenting the Minister of
Ecnomic Planning & Statistics with a cheque for E11 million to be used
towards the construction of an Intensive Care Unit (ICU) at RFM.
This quarter there was also a visit from the Swaziland Charitable Trust
to commend Siphelele on the tremendous work done towards the
establishment of the playground adjacent to the Children’s Ward.
Photo: Mr Leonard Chow, Ambassador of China on Taiwan
presenting Prince Sihlangu Semphi, Minister of Economic
Planning & Statistics, with a cheque for the construction of
an ICU at RFM Hospital.
Next quarter the Africa Future Foundation will be opening its office
in Swaziland and the Agreement entered into between SNHI and
the SAM Hospital consortium, in Korea (to allow an exchange of
personnel) will begin to take effect.
Also, another GO (Global Outreach) team from Bethany First Church
will arrive in Swaziland bringing with it medical and non-medical
expertise to assist at both RFM and the community clinics.
The management would also like to thank Jim and Colleen Copple
who have both been to Swaziland this quarter to further develop
the PEPFAR grant, which is designed to decentralise services into the
17 Community Clinics. NCMI (Nazarene Compassionate Ministries
Incorporated) has also pledged assistance towards renovation work
in the Community Clinics.
The Rotary Club of Manzini has donated wheelchairs, the Italian
Corporation paediatric medical equipment, including two incubators,
Seeds of Hope clothing and toys, and Hands of Hope has continued
to provide needed medical supplies.
Photo: Mr Mcford Sibandze,
Minister of Tourism accepts
the donation of rice from Mr
Leonard Chow, Ambassador of
Republic of China on Taiwan.
page 4
Photo: (Left) Dr Bitchong,
Mr Sizwe Ndlangamandla,
Siphelele, Madam
Futhi, Senator Howe
and Leonard Dlamini in
the playground build
though a donation by
the Swaziland Charitable
Trust.
(Right) Mr Mkhonta, Select
Management Services,
giving a child one of the
teddy bears and water
bottles donated during
Christmas time.
a celebration of where we have come from and where we are going
In the pipeline
Intensive Care & Renal Dialysis Units
This year the Prime Minister announced as part of the health budget that an Intensive Care Unit would be established at RFM Hospital. This
was an excited and much needed announcement. Activity has already commenced around the hospital to facilitate the establishment of this
unit. A cadre of nurses is currently undergoing training at the ICU at Mbabane Government Hospital and a team has been formed to cover
all the finer details around establishing the Unit. As part of the ICU and Renal Dialysis Unit project it is hoped that there will be some exciting
changes at the hospital including the inclusion of a CT Scanner into the X-Ray departments diagnostic toolkit.
It is proposed the new ICU and Renal Dialysis Units will be established in the current male surgical ward and physiotherapy department. The
male surgical ward will be relocated to a newly refurbished space above the children’s ward. The physiotherapy department will be relocated
to where the waiting huts currently are. Biomed will have a new structure near the laundry that they can call home. Dr Matakere, the ICU
specialist, from Mbabane Government Hospital has been seconded to RFM for two years to assist with the establishment and operation of
these units.
Circumcision at RFM
RFM hospital is poised to launch into neonatal and adult circumcision. In
a joint project with UNICEF, RFM has recently purchased all the required
equipment to conduct neonatal circumcision routinely at the hospital.
As part of the project a prefabricated structure will be erected near the
emergency gate to allow more space to be created in the hospital. The
prefabricated structure will house the Plaster of Paris (POP) department, as
well as the administrative services for neonatal and adult circumcision.
A baseline study on knowledge, attitudes and beliefs on circumcision has
been completed.
In relation to the adult circumcision, through the assistance of PSI, it is hoped
that this project will be up and running within the next two months.
Photo: Dr Motuma presenting on the Neonatal Male Circumcision project to the nursing staff from Maternal Child Health, Maternity and
Labour Wards.
Photo: (Left) Students
from
the
Nazarene
Nursing College singing
at the Launch of the Bible
Teaching Program on 11
March 2009.
Bible Society in Swaziland
(Right) Mrs Ngwenya,
CEO of the Bible Society
in Swaziland officially
handing over the PA
system and 200 Siswati
Bibles into the care of
RFM Hospital.
Through the assistance of the Bible Society in Swaziland, RFM has constructed a PA (Public
Announcement) system at the hospital. The system will be used to broadcast religious and health
education messages to the patients and staff at the hospital.
The Bible Society has also generously donated CDs to be played, which will provide those too ill to read with access to the teachings of God.
200 bibles translated into Siswati have also been donated and will be circulated amongst the wards for use by the patients, whilst they are in
hospital.
At the presentation ceremony, held on 11 March 2009, Mrs Ngwenya (CEO of the Bible Society) announced that solar operated audio systems
would be doanted to the Community Clinics to facilitate the teaching of the bible out into the communities.
Standard Treatment Guidelines
Standardised treatment protocols at health facilities has proven to be the best way to provide consistant care, rational use of drugs (especially
antibiotics) and improve drug management. SNHI, in collaboration with the medical team of Bethany First Church of the Nazarene in the USA,
started last year a process of developing a standard treatment guideline book. The paediatric section is currently at an advanced stage and
the other sections are at an initial stage. We want to take this opportunity to thank all the supervisors of the medical department for their
commitment toward this initiative. We also want to present our appreciation to Dr Terry Hall, for the initial vision and the valuable input and
leadership provided by the medical team of Bethany First Church.
a celebration of where we have come from and where we are going
page 5
Around RFM
Human Resources goes
electronic
Nurses Unit Committee
The present Nurses Unit Committee was elected democratically into
office in July 2008 and the duties are mainly to convey messages
Through the Ministry of Health & Social Welfare a new HR Information and concerns between the Hospital Administration and Nurses. The
System (HRIS) is being used at SNHI. Around 90% of the SNHI Committee is committed to carring out the above mentioned duties
employees have been entered into the HRIS.
using the appropriate communication channels and using the right
language, but not eliminating the truth.
The system makes it easier to compile reports in any cadre. To edit
and change employee personal information. It is now easier to We believe that a happy nurse can deliver the best nursing care to
ensure employee data is up to date. New employees are entered into patients even in difficult conditions. Therefore, this committee works
the system instantly. This has made a huge difference, in terms of hard to address the concerns of nurses and this will indirectly assist
being easily able to access data and information.
nurses to render the best nursing care to patients. Thus uplifting the
name of the institution and the Church. The committee consists of:
Organisations and companies confirming the existence of an employee
are helped easily and there is no longer the delays previously caused 1. Chairperson - Staff Nurse Hlengiwe Mohale
by manually searching for employees information.
2. Vice Chair - Sister Alice Dube
The HRIS covers all the SNHI employees, including RFM hospital, the
3. Treasurer - Staff Nurse Siphiwe Sithole
Nursing College and all 17 Community Clinics.
4. Secretary - Staff Nurse Mayibongwe Mavuso
Radiography
Department
5. Vice Secretary - Staff Nurse Sithembile Msibi
6. Members - Sister Zandile Tsabedze & Staff Nurse Bongiwe
Ndzimandze.
There was much excitement amongst the Radiology team as the new
X-Ray equipment, machine and processor, arrived and is being used.
The Nurses Unit Committee learnt, with shock, of the passing of Staff Nurse
It is making the work run smoother and the patient waiting times
Xolile Simelane. We feel the institution and Church has lost a hardworking and
have reduced.
dedicated servant of the Lord. We will miss her humbleness and dedication in
Caution signs warning patients of the slippery floors have been whatever she did. We know that she will get her reward in heaven. May her
installed throughout the hospital, courtesy of fantastic design work soul rest in Peace.
by AJ Ngoma (of AJ Graphics). Not only are there new warning signs,
but also new Department signs for the Radiology Department.
The COHSASA team, when they visited the hospital for the recent
evaluation, were very impressed with the work done towards
upgrading the signage and ventilation in the Department. Also the
orderly storage and marking on the patient x-ray envelopes and the
shelves, where the supplies of chemicals and films are kept, in the
storeroom.
Male Surgical Ward
2009 has started on a good note, as the ward is clean and presentable,
thanks to the new linen and the efficiency of the laundry staff in
ensuring that linen is laundered and returned to the ward on time. It
is motivating to know that patients, relatives and visitors appreciate
The Radiology Department is also working on information pamphlets our efforts.
about radiation and the associated dangers to educate patients. Transporting patients to and from theatre is now an easy task thanks
Hopefully, these will be in use in the hospital before the next edition to the new stretches. The amount of time patients spend in the ward
has been reduced due to the high quality nursing care, surgical team
of this newsletter.
interventions, not forgetting the improvement in ward cleaning of the
support staff.
RFM Hospital gets IT
As the year progresses we hope to improve, as the surgical team, by
A new department has ben established at RFM, the Information rendering high quality care to the patients.
Technology Department, affectionately known as the IT Department.
The main purpose for this Department is to look at the IT needs for
the Institution.
A major achievement so far is networking the administration block
and providing fast and reliable internet connectivity. The ISP is real
image and the connection is a 64k over a satelite.
Projects in the pipeline
are providing the internet
to the rest of the offices in
the hospital, installing a
powerful anti-virus software
and a file server. Future
projects include connecting
RFM to the 17 Community
Clinics.
page 6
Photo: Terrance Simelane,
Head of IT Department
Management and Staff of
Swaziland Nazarene Health
Institutions offer their
condolences to the family and
friends of our esteemed colleague
Staff Nurse Xolile Simelane
a celebration of where we have come from and where we are going
Around RFM
Eyes on the prize
The eye clinic is working on the prevention of blindness. Patients are screened
and treated for various eye conditions by Ophthalmic nurses. Those who need
operations are transferred to Good Shepherd Hospital, Siteki, to Ophthalmologist
Dr Pons. We also transfer those who need admission and observation to the eye
ward, at Mbabane Government Hospital.
In the eye clinic we do minor operations e.g. removal of foreign body, I&D, chalozion
and epilation (removal of an offending eyelash).
Photo: (Top)
Phindile
Gamedze testing
a patients vision.
(Bottom) Esther
Simelane
conducting an
eye examination.
This year, 2009, we expect to have a visiting Ophthalmologist Dr Pons, the second
Tuesday of every month. This is greatly appreciated and an achievement in the
eye department.
Future plans include sensitizing the community through the media and posters
on conditions like cataracts, eye injuries at work, which are very common, and
diabetes retinopathy to name a few.
Keeping it clean
The dedicated and hardworking laundry department continue to improve their
working practices. All the credit has to go to the hospital administration, which
helped the laundry department to acquire new machines for the department. These include the driver, washing machine, sluicing machine,
steam press and one roller machine.
For the laundry department to be effective it needs enough staff members to carry out its duties. Thus it appreciates the hardworking team it
has. It is a thankless and unrelenting job, but the laundry department is doing it with professionalism and style each and every day.
Physiotherapy
Stores
The hospital employed a physiotherapist to take up a position that Responsible for the donations from various countries, as well as the
normal stock supplies that are purchased by the hospital. It is hoped
has been vacant for so many years.
that the instillation of Pastel into the store room will assist with the
The department ordered and managed to get the following
proper recording of stock as and when it arrives. Monthly stock takes
equipment:
are planned. We are hoping to finalise issues around what to do with
expired stock items.
* Hydro collator unit
* Ultrasound/ Interferential (combo)
* Transcuteneous Electrical Nerve Stimulation (TENS)
* Blood Pressure Monitor
“We expect a visiting Ophthalmologist
the second Tuesday of every month.”
* Weights and Physiotherapy balls
We also received a lot of other equipment from the donations,
including a Cervical Traction Unit.
Maternity
We also got uniforms, which makes us easily identified, together with The Maternity Ward continues to be the busiest in the country, with
our name tags.
the highest deliveries annually. The post partum wing has seen huge
The department has resumed the stress ECG every Thursday upon improvements, such as the renovations of its toilets and bathrooms for
the patients and staff. This is thanks to the continued support by MTN.
bookings, in collaboration with Dr Lukoji.
Curtaining and painting of the ward with MTN colours of Blue & Yellow
The number of patients attended to at the department has increased has added a nice touch to the wing. The wing has also benefited with
markedly since the employment of the Physiotherapist in June 2008, extra beds which are foldable, should there be an influx of patients,
as we get a lot of referrals from Mbabane Government Hospital and marking an end to floor beds. A burglar gate has been put in the
the private doctors.
entrance for the safety of mothers and their babies.
In 2009 we hope that the hospital management will consider a
speedy construction of the new spacious department. The current
department is now too small for the equipment that we have and
the activities that are taking place at the department. We hope to
be involved in the planning of the structure so we can highlight the
needs of the department.
Additional linen has improved patient care, since bedding can be
changed anytime it needs to be. A Gynecological Specialist was
appointed who has come up with a new regime of prophylactic
treatment for reduced stay in hospital; a stronger antibiotic cover with
few doses administered. This method has seen a reduced number of
infected wounds and puerperal sepsis cases.
However, renovations are needed as there is no treatment room and
no teaspace for night duty nurses and evening nurses.
a celebration of where we have come from and where we are going
page 7
Morning Devotion
Photos: Staff
Christmas Party
(Top left) May
Mkhatshwa
(Top Right) Singers
from Global
Academy
(Second) Matron
Veronica Bhembe
& Matron Anna
Mdluli
A rose is only good when it looks good and delights people. With its sweet
aroma while it is connected to the stem. Once cut off, death soon follows,
especially if proper care is not provided.
John 15v1; Says “I am the true vine and my father is the vinedresser”
The most important thing we give to the community, as a Hospital, is to work
with willing hearts that are fully connected to Jesus Christ through trails,
tribulations & harvest time. If we want to be the branch that remains on the
stem, we have to bear fruits and also be an everlasting aroma to the father &
community.
Weekly devotions held every Monday from 8:00—8:30am in the medical library.
(Third) Dr Bitchong
All welcome.
& Dr Lukoji (Front)
and Dr Pawelos &
Dr Kimba (Back)
Welcome
(Four) Dr Daniel, Dr To the following staff who have started work at SNHI since December 2008:
Motuma & Madam Chagonda, Evyline - Staff Nurse - RFM
Dlamini, Colile Queen - Nurse Assistant - RFM
Futhi
Dlamini, Eunice Chamkile - Nurse Assistant - RFM
(Fifth) Matron
Dlamini, Hlobsile Sibongile - Staff Nurse - RFM
Thwala and Sister
Dlamini, Jabulile Jane - Laundress - RFM
Nomphumelelo
Dlamini, Mayibongwe Goodwill - Groundsman - RFM
Ndzimandze
Dlamini, Nokuluwnga Happiness - Staff Nurse - RFM
Dlamini, Nondumiso Angel - Staff Nurse - RFM Mavuso, Sabelo - Driver - RFM
Dlamini, Samkeliso Nelson - Staff Nurse - RFM Methula, Phumlile Nomvuyo - Staff Nurse - RFM
Mkhwanazi, Nothando Innocentia - Nurse
Dlamini, Sithembile - Medical Officer - RFM
Dlamini, Thandiwe - Medical Officer - RFM
Assistant - RFM
Mngometulu, John - Groundsman - RFM
Dube, Nothando Nontokozo - Staff Nurse Mokoena, Naledi Buale - Staff Nurse - RFM
Piggs Peak Clinic
Ngwenya, Tengetile - Staff Nurse - RFM
Dywili, Loveness - Staff Nurse - RFM
Shabangu, Sonto Patricia - Staff Nurse - RFM
Gama, Sanele - Staff Nurse - RFM
Lukhele, Nonthandazo - Medical Officer - RFM Shiba, Pholile Hloniphile - Nursing Assistant - RFM
Shongwe, Manesi Sweetness - Cleaner - RFM
Macilau, Sizo Nkululeko - Staff Nurse Tsabedze, Zandile Bongizwe - Cleaner - RFM
Malandzela Clinic
Tsabedze-Dlamini, Phindile Ntombifuthi - Cleaner
Mavuso, Cabangile Nondumiso - Staff Nurse
- RFM
- RFM
Photos: SNHI Drivers after completing a Defensive Driving
course at the Royal Police College
(Top) Back Row, Left to Right: Musa Bhembe, Richard
Gwebu, Gcina Tsela, Eric Dludlu, Joe Dlamini & Thulane
Nhlabatsi.
Front Row, Left to Right: Bongi Mthetwa, Leonard Dlamini
& Khawulile Magagula.
(Bottom) Back Row, Left to Right: David Shabangu, Elmon
Ndzimandze, Aaron Shongwe, Christopher Ndzimandze,
Sabelo Mavuso & Elmond Magagula.
Front Row, Left to Right: Vincent Matse, Leonard Dlamini
& Bongi Mthetwa.
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page 8 a celebration of where we have come from and where we are going