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					Strengthening community health nursing in concert with national health
                    reform in mainland China
               ――The report for the launch ceremony of the project
Background
     Nursing services are crucial to a successful health system aimed at furthering better health
outcomes for individuals and populations. It has been consistently found that community PHC
programmes lead by nurses contribute to the improvement of health outcomes and clients’ satisfaction.
The national survey about community health nursing practice in 2005 suggests that the following
aspects are weak and require strengthening, i.e. community nurses’roles, responsibilities and functions,
community nursing management,nursing staffing and continuous education.
     This project aims to enhance the contribution of nurses to health outcomes through capacity
building and health delivery improvements applying the principles of primary health care, in
community health service centres in mainland China. It will lay the foundation for the delineation of
community nurses’ roles, responsibilities and functions in community health centres in mainland
China.
     In order to guarantee the implementation and post-promotion of the project effectively and to
coordinate the relationship of the project team and key stakeholders, decide to hold the launch
ceremony of the project.
Objectives
     Hold the launch ceremony of the project,to defined the responsibility and division of labour of
the partners and key stakeholders,and development of project implementation plan.
Activities
 Preliminary work
   Time:Aug. 10 – Nov. 26, 2009
     Hold job meetings to propose candidates for the project management committee, the project
technical guidance group and the project working group for community health nursing development.
Develop the    roles responsibilities, working mechanisms and etc. for the above two groups of
members. Generate the implementation plan, and generate the criteria and methods for the selection of
pilot sites (i.e. community health centres), and then make national selection
 Preparatory meeting of project management committee
   Time:Nov. 27, 2009
   Location:China People's Palace
   Present members:
                   members in the Project Management Committee
                   members in the Project Technical Guidance Group
                    members in the Project Working Group
   Conference Content:
                Discussions to consider and adopt the candidates of the project management
                committee, the project technical guidance group and the project working group for
                community health nursing development,develop roles responsibilities, working
                mechanisms and etc. for the above two groups of members.
               Complete the selection of 8 pilot sites
     Hold the launch ceremony
     Time:December 4-5, 2009
     Location:The South Hall Auditorium of Block C in China People's Palace
        Present members:
                members in the Project Management Committee
                members in the Project Technical Guidance Group
                members in the Project Working Group
                Leaders of Partners of the Project
                Leaders and the members of the baseline survey of each pilot sites
                Partner research and educational institutions representatives, and other personnel from
                          relevant organizations
                The leaders of relevant department and bureau in ministry of public health and health
                          departments of the area where the partner research have been site
                Relevant social groups and representatives of relevant academic organizations
                Ms Kathleen Fritsh, Consultant, Western Pacific Region Nursing ,WHO
                Cristobal Tunon, Senior Program Manager, WHO China Office
                Ms Chunmei Wen Nursing Program Manager WHO China Office.
                Eric Chan, Executive Nursing Manager, Hong Kong Hospital Authority
                Samantha Pang, Head, The Hong Kong Polytechnic University School of Nursing
                A total of 58 persons
Outputs
 Determine the candidates of project management committee, the project conducting group and the
project working group(see appendix)develop responsibilities, working mechanisms and etc. for the
above two groups of members:
     Responsibility:
           Project Management Committee—Carry out the work in the leadership of the department of
      child health & community health administration, department of medical administration, Ministry
      of Health of the People’s Republic and WHO.
           Project Technical Guidance Group—Guiding to design community nursing baseline
      questionnaire, community nursing training program and compiling textbook, supervising
      evaluation of training effects and analyzing these effects, auditing project financing.
           Project Working Group—Executing project plan and several project work, implement
      suggestion and opinion from management committee and Project Group , designing baseline
      questionnaire, training investigators, inputting and handling survey data, coordinating relations
      among several departments, examining project questions, and informing steering committee and
      project technical guidance group in time.
   Working mechanism:Literature research, experts, panel discussions, working meetings, field
       trips, on-site instruction and etc.
 Generate the criteria and methods for the selection of pilot sites and complete the selection of 8
pilot sites:
   The criteria for the selection of the pilot sites :
                     a. Must be one of the 108 national community health services models awarded by the
                       health ministry and be fitted of the standards of community health services
                       established by them simultaniously.
                     b. Starts the community health services before 2005
                     c. Has the experience of training and teaching in nursing (including that has
                       undertaken teaching work for community health service nursing training military
                       and university ,or have established contact with hospitals or community health
                       service agencies for team work.etc ),and        also can provide two or more nurses
                       who are competent for the nursing teaching work
                     d. Must Own two or more than two nurses who are in medium grade.
                     e. Understand the background and objects of the project and agree to participate in
                       our team
                     f. Select the organization the rate of the residents’satisfaction is higher preferentially.
                     g. the related local administrative sections of The community health services which
                       can provide support for the project will be selected preferentially.
   Methods for the selection:
          a. Each selected region recommended 1-2 pilot sites that meet the above selection
                        criteria to the Chinese Community Health Association
                b.      Make the preliminary assessment of the community health service agencies by the
                        project conducting group and the Project Working Group
                c.      Make the on-site visit of the community health service agencies by the project
                        conducting group and the project working group
                d.      The project conducting group and the expert group of Chinese Community Health
                        Association to summarise the results of the on-site visit,complete the selection of
                        8 pilot sites.
       Name of the 8 pilot sites:
                                                     Name of the pilot sites
                      Beijing                YueTan CHS, Xichen District,Beijing
                     Shenyang               Beishi CHS, Hepinh District, Shenyang
                  Hangzhou         Changqingchaoming CHS, Xiacheng District, Hangzhou
                  Jinan               Qinghe CHS, Tianqiao District, Jinan
                 Wuhan               Erqiaojie CHS, Hanyang District, Wuhan
               Guangzhou             Hualin CHS, Liwan District, Guangzhou
                Chengdu               Yulin CHS, Wuhou District, Chengdu
                  Xi’an            Dongguannanjie CHS, Beilin District, Xi’an
 Luanch the project of Strengthening community health nursing in concert with national health
reform in mainland China,proclamate the project implementation plan.and in the reference we
discussed the duties, roles, location, functions and job content for community nurse and the team
work between the general practitioners and community nurses in community health service and he
project implementation plan. Constituted ―The inventory of pilot-baseline assessment for the project
of community health nursing development in mainland china‖,including the questionaire for the base
situation of the service in the community health service organ(fill by the agencies), the questionaire
for the general situation, job content, training experience, training needs and satisfaction of
community health nurses(fill by all the nurses in the agencies) and the questionaire for the community
residents(fill by the patients with the desease of hypertension and diabetes mellitus in the community
selected by random drawing),to carry out the baseline survey.
Appendix:
  List of the Project of Strengthening Community Health Nursing in
        Concert with National Health Reform in Mainland China

List of the Project Management Committee

                            Name                   Departments and positions
                                              Chief, Department of Child Health &
                        Qing Yang(male)        Community Health Administration,
                                            Ministry of Health of the People’s Republic
                                                  Chief, Department of Medical
 chairperson of the
                        Wang Yu(male)        Administration, Ministry of Health of the
     committee
                                                        People’s Republic
                                                   Official stationed in China;
                        WHO represent
                                                  of the World Health Organization
                                           Director of Chinese Ministry of Community
                                            Health Department of Health Maternal and
                           Bin Wang
                                             Child Health and the Community Health
                                                             Division
                                           Chief, Nursing Department, Department of
                         Yanhong Guo        Medical Administration,Ministry of Health
    committee
                                                     of the People’s Republic
     members
                       Bowen Chen(male)            Secretary –General CHAC


                           Xiuhua Li      Chairman of the Chinese Nursing Association



List of the Project Technical Guidance Group

                            Name                    Departments and positions
  Leader of the
                       Bowen Chen(male)             Secretary –General CHAC
      group
                       Dr Eric CHANLu            Executive Nursing Manager
                          Shek(male)           Hong Kong Hospital Authority
                                              Head, The Hong Kong Polytechnic
                                                University School of Nursing
                        Prof Samantha
                                           The Professor and director of the Institute
                            PANG
  Members of the                              Hong Kong Polytechnic University
     Group                                   Professor and director of the Institute
                                           The Professor of the Institute Hong Kong
                      Prof Frances WONG
                                             Polytechnic University Professor and
                           Kam Yuet
                                                    director of the Institute
                        Ms Paula W P
                                            Independent consultant(Hong Kong)
                           CHOY
                                        Manager, Nursing Department of Hong
                     Ms. Asela Lai
                                           Kong Princess Margaret Hospital
                                         Dean, Nursing Department of beijing
                      Huaping Liu
                                                   union medical college
                                         Dean, Nursing Department of Beijing
                      Liping Duan
                                                    Medical University
                                        Professor, Nursing Department of Tianjin
                      Chunyan Liu
                                                    Medical University
                                          Dean, Nursing Department of China
                      Xiaohan Li
                                                    Medical University
                                        Dean, Nursing Department of Zhejiang
                      Qiuhua Sun
                                               Chinese Medical University
                                        Dean, Nursing Department of Shandong
                      Fenglan Lou
                                                         University
                                         Dean, Nursing Department of Wuhan
                     Marcia Petrini
                                                         University
                                        Dean, Nursing Department of Yat-sen
                      Liming You
                                                         University
                                         Dean, Nursing Department of Sichuan
                     Yijuan Cheng
                                                         University
                                          Dean, Nursing Department of Xi'an
                      Xiaomei Li
                                                    Jiaotong University

List of the Working Group

                         Name                 Departments and positions

 Leader of the
                     Du Xueping          Deputy Secretary-General,      CHAC
     group

                       Yongli               Vice dean of Chinese Nursing
                    Wang(secretary)                 Association

                  Aili Guo(secretary)          Director of Clerks, CHAC

                                          Vice dean, Nursing Department of
                       Yuli Zang
                                                 Shandong University
                                        Vice-Professor, Nursing Department of
                      Hong Zhao
 Members of the                             beijing union medical college
    Group                               Deputy secretary, Nursing Department
                     Shuxiao Hou
                                           of Beijing Medical University
                                          Deputy Director of the Office of the
                       Hua Yang           Community, Beijing Xicheng District
                                          Associate chief nurse ,YueTan CHS,
                       Lan Ding
                                               Xichen District,Beijing
                                         Dean, Beishi CHS, Hepinh District,
                  Weibing Xue(male)                  Shenyang

				
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