Working Paper 81 - Re-Orienting Public Management in Africa: Selected Issues and Some Country Experiences

The objective of this paper is to examine some aspects of the efforts aimed at re-orienting public management in Africa since the early 1990s. The paper begins with a review of the background to the re-orientation exercise: the decline of the public administration systems in a majority of countries that was accompanied, in some cases, with the collapse of the state. In the second chapter, some selected issues in re-orienting public management are examined. One of the selected issues, the politics and administration nexus, which is at the heart of the conduct of government business, is further examined in depth in the third chapter. The fourth chapter is devoted to specific country experiences of good and bad practices, including attention to key lessons from each case. The fifth and final chapter contain first a brief reflection on how countries can achieve better and sustainable public management reform results, and second, some thoughts on the desirability of introducing and implementing an “African administrative space” within the framework of the New Partnership for African Development (NEPAD).

An analysis of the structure of fish marketing and distribution in Kwara State of Nigeria

A study was conducted examining the structure of fish marketing in Kwara State and also the conduct of participants within the market structure. The performance of the marketing system was evaluated, highlighting bottlenecks in the system and means of overcoming the

A statistical investigation of fish prices in Nigeria

The main objective of this study is to describe and characterize the behaviour of fish prices in Nigeria. Drawing upon aspects of the data from a nationwide fish survey in 1980/81 and on various secondary data, the study analyses the pattern of fish price movement and makes projections of fish prices in Nigeria till 2002 A.D. It is concluded that unless efforts are directed at stemming inflation in fish prices, prices paid by fish consumers in Nigeria will be more than doubled within the next two decade

A quantitative analysis of demand for fish in Nigeria

The paper discusses the relevant theoretical considerations and specifies a model in an attempt to quantify those variables, the changes of which affect the internal demand for fish in Nigeria. Regression analyses carried out show that a generally rising trend in per capita income will increase the demand for fish, other things being equal. It is further revealed that even as the price of fish goes on increasing, consumers' demand for fish also tend to rise. The paper concludes by emphasizing the need for a fish consumption survey in the country's fish deman

Changing Midwifery: Working Conditions and the Quality of Care

Maternity units have been expected to achieve, within constrained resources, significant improvements in the quality and continuity of care as required by government policy. While significant advances have been made, these have been achieved by drawing upon the professionalism and vocational commitment of midwives, and at the expense of their working conditions and sense of wellbeing. While this approach has, in the short term, served the purpose of increasing midwifery output within existing resource constraints, the quality of care has suffered. The increasing problems of recruitment, retention, and falling morale within the profession suggest that it is not sustainable. In the longer term, if the improvements in care achieved thus far are to be sustained, there is a need to reform midwives' working conditions and working environment. This is not to imply that the answer to the ongoing dilemmas facing the maternity services lies solely in improvements in the pay levels or pay structure for midwives. The solution is also dependent on the extent to which midwives are afforded the enhanced status and autonomy recognised as necessary for the improvement of maternity services. Furthermore, strong representation of midwives, alongside improvements in management structures and systems of communication in NHS trusts, are necessary if midwives are to be enabled to participate in decision-making and thereby effectively contribute to improvements in the quality of care.

EVOLVING STRATEGIES TO OVERCOME NEW CHALLENGES IN UNIVERSITY ADMINISTRATION

4th annual Registry Lectur

Roles of specialist intensive care nurses in mechanical ventilation

A research report submitted to the Faculty of Health Sciences, University of the Witwatersrand, Johannesburg in partial fulfilment of the requirements for the degree of Master of Science in Nursing Johannesburg, 2017The purpose of this study was to describe the role of specialist nurses in mechanical ventilation management. The intention of the study was also to make recommendations for clinical practice and education of intensive care nurses. The setting of the study was ten (n = 10) adult intensive care units of two public hospitals in the Gauteng province. Included were trauma ICUs, cardiothoracic ICU, coronary care ICUs, major burns ICU, major injuries ICU, neurosurgery ICU and multidisciplinary ICUs. A non-experimental, descriptive, quantitative and cross-sectional survey design was used to describe the specialist nurses role in ventilation management. The final sample comprised 110 (out of 165) respondents, which yielded a response rate of 66.6% for the study. Data were collected from specialist intensive care nurses using a validated questionnaire developed by Rose et al. (2011). Data was analysed using descriptive (frequencies, means and standard deviation) and comparative statistical tests using t-tests and Chi-square analysis. Testing was done at the 0.05 level of significance. Of the 165 surveys distributed, 110 were returned (response rate 66.6%). Ninety-seven percent stated that a 1:1 ratio was used for patients receiving mechanical ventilation. Eighty-nine percent reported ventilation education for nurses was provided during ICU orientation, and 86.4% indicated ICUs provided opportunities for on-going ventilation education. Eighty-six percent of nurses reported that they had not worked in ICUs with automated weaning modes. Fifty-nine percent stated that weaning protocols were present in ICUs, and 56.4% reported the presence of protocols for weaning failure. Most nurses agreed that nurses and doctors collaborated in key ventilation decisions, but not when decisions to extubate and initial ventilation settings are made. This study showed a marginal (2%) number of nursing autonomous input made in key ventilator decisions. Seventy percent of nurses in this study agreed that responsibility for ventilation decisions lies at the level of senior registrars and above, and in their absence, only senior nurses (>80%) were perceived to be responsible for key ventilator decisions. Regarding independent titrations of ventilator settings, without medical consultation, findings showed that nurses in this study reported a frequency of >50% of the time for titration of respiratory rate, tidal volume, decreasing pressure support, increasing pressure support, titration of inspiratory pressure and ventilation mode changes. The self-perceived nursing autonomy and influence in decision making revealed a median score of 7 out of 10 points, respectively. Nurses with higher levels of autonomy, influence in decision making and years of experience scores, frequently (>50% of the time) made independent changes to ventilation settings (p<0.05). Conversely, nurses with fewer years of experience scores, infrequently (<50% of the time) made independent changes to ventilation settings without first checking with the doctor. The study concludes that nurses to re-evaluate their role in ventilation management and focus on key ventilation settings, nurses could strengthen their contribution in the collaboration of key ventilator settings. Recommendations are made for clinical practice and education of specialist nurses.MT201

Design, construction and evaluation of a meteorological mobile mast

A 30 metre meteorological mobile mast has been designed and constructed for upper air profile measurements. The parameters to be measured are wind speed, wind direction, temperature and relative humidity. The sensors for each parameter to be measured are constructed with locally available materials. The mechanical mast is designed in such a way that it can be collapsed like the electronic - controlled car radio antenna. It is made up of steel pipes of different diameters driven manually or by an electric motor via a pulley system. The sensors were calibrated with standard instruments and attached to different height of the mast for sample data acquisition. Data obtained from the sensors are stored in a data logger at the base of the mast. The data obtained were analyzed and there are appreciable correlations between the standard and the constructed instruments.Keywords: Instrumented, Meteorological, Mast, Profile, Measurement