Nazarene Health News

8/6/2019 Nazarene Health News

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31.6.2011edition 11

Inside

NazareneHealth News

AnwseeohSwaanNaenHethIntuo(SNHI)

ttoommaakkee CChhrriisstt lliikkee

ddiisscciipplleess iinn tthheennaattiioonn

On July 04, 2011, the WORLD FOOD PROGRAMME (WFP) through its ambassador

ISIDINGO actress Hlubi Nandipha Mboya visited the hospital. The ISIDINGO star was

accompanied by Michelle Da Silva and Martin Kabarld to lend support to the WORLD

FOOD PROGRAMMEs project FOOD PRESCRIPTION.

The FOOD PRESCRIPTION program offers food support to malnourished TB/HIV, Antenatal

Care and Post Natal clients. These clients are given food rations after physical

assessment determined by Body Mass Index (BMI) and Mid Upper Arm Circumference

(MUAC). The food can also be given based on clinical discretion.

Food ration given to a client include: 5kg of Corn Soya Blend (CSB); 5litres of oil; 5kg of Peas; and 36kg of maize.

Speaking on behalf of WFP, Nandipha expressed her appreciation to the Ministry of Health, RFM management and hospital staff for a job well

done on providing this essential service to the clients. The ISIDINGO star stated that together at grass root level we can beat starvation

everyone is supposed to do a bit to make a difference in the lives of people living with HIV/TB as it most prevalent in Swaziland.

The Ministry of Health and RFM hospital expressed their deepest thanks to WFP for the wonderful initiative to consolidate the fight against the

scourge of HIV/TB.

WFP delivered about 383 bags of maize, 383 bags of Peas, 187 units of vegetable oil, and 382 bags of CSB to the hospital.

About 100 clients have been given the rations since mid June thus far. Most clients have welcomed the food rations and they are

very grateful to WFP. The clients have professed that the food ration is easy to eat, particularly the CSB. The main

challenge to them has been difficulty to carry the food ration home since they are weak.

WORLD FOOD PROGRAMME

ambassador ISIDINGO star

NANDIPHA VisitsRFM Step Further with

Customer Care (pg 2)

Drug Abuse Awareness(pg 3)

Dissemination of coreelements in IPC (pg 4)

CEO Visits CommuntyClinics (pg 6)

Is Facebook Healthyfor Kids? (pg 9)

Kholiwe Leaves RFM(pg 12)

PHOTO: RFM management and staff members posing for a group photo with the WFP

ambassador Hlubi Mboya (2nd from left) during her visit

BELLOW PHOTO: The bags of Maize donated by WFP.

By: Nobuhle Mthwala


2/12

CEOs MessageCustomer care training has been the focus of

these past three months at our institution. Morethan 50% of our staff went through this importantcomponent of quality service delivery. On behalf ofthe management and staff of SNHI, I would like toextend our thanks and appreciation to One WorldHuman Capital Consultancy for providing this

training at no cost to the institution. May God richlybless them.

To sustain the progress made on Quality Assuranceto continue to improve service delivery, the qualityassurance steering committee in collaboration withmanagement decided to put an emphasis on qualityimprovement projects in all service elements. I

would like to express appreciations to the committeeand doctor Lukoji for freely providing some refresher

courses

We are continuing our effort to move our servicecloser to the community we serve. The pilot projectimplemented at Ngculwini clinic where two outreachsites have been established for monthly visit hasbeen successful and should be replicated in othercommunities. We would like to thank Unicef for the

donation in form of equipment at Ngculwini Clinic.I would like in concluding this message to saygoodbye to KholiweShongwe ourPharmacist and tothank her for the13 years ofdedication, strongleadership andhard work at ourinstitution.

ONE STEP FURTHER WITH CUSTOMER CAREThe purpose of customercare is to establish andmaintaing goodrelationship amongstRFMH/SNHI employees,and its customers.Customer care is arelatively new programmein the health sector in

Swaziland. The office saw itas a need to launch acampaign to sensitize allstaff on customer care,through visual aids in formof posters. The informationdissemination has beenreinforced with anexhaustive workshopwhich has been runningsince April and itsfacilitated by the highly

reputable One WorldHuman Capitalconsultancy, a companythat specializes on publicrelations andcommunication. All SNHIstaff are expected to attendthe sessions.

The SNHI employees are categorized into groups .i.e.front line group (security, secretaries, phlebotomists,clerks etc), nurses, doctors and paramedics and

management. The attendance from all the differentgroups so far has been great.

Some of the topics that are covered include: the

definitionofcustomerserviceandcustomercare, theelementsof

customerservice,things toknowaboutcustomercare, benefits ofcustomercare,identification of our

customers,communicating with customers, types of behaviorsand dealing with difficult people. The specificstandards which were formulated by the customercare office are also introduced to the staff during theseongoing workshops.

There is more ground to be covered but the program isasserting quite well, and the progress has beensatisfactory thus far.

round RFM

2a celebration of where we have come from and where we are going

LEFT PHOTO: The One World Human Capital Consultancy

Facilitator Duduzile Nhlengetfwa Presenting during the Training.

TOP RIGHT PHOTOS: Management including the CEO and

Employees listening to the presenter during the training.

BELLOW PHOTO: Mrs Duduzile Nhlengetfwa expressing a point

during the presentation

By: Zinhle Msibandze


3/12

The Wellness Programme team in collaboration with COSAD hosted a one day training

section on June 22, 2011. The aim of the training was alerting RFM member of staff on

drug abuse and drug addiction. During this training hope was given that no matter how

bad the substance abuse problem and powerless you feel, learning about the nature of

addiction , how it develops, why it has a powerful hold will give you a better understanding

of the problem and how to deal with it. We aslo discussed common signs and symptoms of

drug abuse and addiction.

DRUG ABUSE AWARENESS

In an effort to improve and sustain

the implementation of quality service

delivery in the Institution, the QA

committee with support from

management is engaged on

implementing a strategy to stimulate

and streamline quality service

provision.

The strategy was drafted by QA

steering committee and was

unanimously adopted by all

supervisors in the hospital. The

major aim of the strategy is to

promote accountability and help

departments to own up their

responsibility to work as a team to

implement QA programs to improve

on better service provision.

The strategy entails monthly

presentations and reports by

departments to the general assembly

meetings convened by the office of

quality enhancing processes

undertaken by the departments

themselves.

During the presentation sessions it is

believed that the presenting

department would stand to benefit

during the interactive sessions with

the general assembly members and

harvest ideas to contend with the

challenges faced in the department.

Over and above, the interface

between quality assurance and

departments is believed to become

more improved. On June 07, 2011

the first session of the presentation

commenced. Childrens ward was

chosen to start the presentation.

Presentations shall continue in order

to promote team work, responsibility

accountability and ownership.

STRENGTHENING QUALITY SERVICE DELIVERY

Around RFM

a celebration of where we have come from and where we are going

3

The IPC office embarked on the project of eradication and

control of cockroaches, rodents and ants in the institution.

IPC is one office which needs more muscle financially in

making sure that their projects are done in the expected

quality manner, thus making it to progress in a snail pace as

the country is in financial crisis which is also a hit hard to

the institution.

Never the less the office would like to pass their sincere

gratitudes to the Ministry of Health through the Manzini

Public Health for opening their hands and come to the

rescue of RFMH in ensuring that this project is a success.

The service has been the first in as many years. This has

remained one of those critical points for the institution in

meeting the expected quality standards in controlling of

infection.

On the May 12 2011 the Manzini public health senior health

inspector Mr. Mndzebele was called for possible assistance

his office can offer regarding this challenge. His office did

respond promptly, inspection was done and a team of

health inspectors came to our rescue making the project to

even run smoothly until the last day.

The IPC office would also like to pass their sincere thanks to

the ministry of health again for rendering this service at no

charge and involving RFMH when providing for such

projects, the health inspectors team for taking their time

and respond to our request, the management for the

support they rendered in caring for the team, the

department supervisors for raising the option during the

Friday meetings and welcoming the team into their

departments and finally the RFMH maintenance

departments for rendering help in the smooth running of

the project in various departments.

Eradication and control of cockroaches, rodents and ants in the Hospital.

LEFT PHOTO: RFM staff members listening

during the training

TOP PHOTO: The COSAD presenter during

the training

By: Sthembile Msibi

By: Zandile Tsabedze

By: Fikile Magongo


4/12

Infection Prevention and Control (IPC) is widely considered as the bedrock for quality

patient care today. The ministry of Health TB program and partners (PATH and UIPC University of Stellenbosch) is facilitating the roll out of TB and HIV Infection Prevention

and Control program to all health facilities in the country.

The local IPC department embarked on information dissemination on IPC to staff as

prescribed by the TB program and partners. A three day in service education session was

carried out to transfer core elements of infection control to members of staff. A total of

eleven staff members were trained on the elements. The core elements include amongst

others: basic microbiology; standard precautions; transmission based precautions;

hierarchy of controls fro prevention of TB transmission; and risk assessment and

management.

The overarching goal of the in service was to strengthen infection control practices in thehospital by increasing the number of staff with knowledge and skills on IPC. The aim was

to prepare participants to train at least 5 others on the same content of basic IPC practices

in their various spheres of influence thus ruling out the information. The information

offered will assist staff to confront and contend with challenges of quality patient care.

On June 23, 2011, the TB program and partners visited the hospital to carry out a

summative assessment on progress made by the hospital. The assessors were generally

impressed with the progress made by the hospital. However, thorough scrutiny on the job

done is still subject for further examination. The final results of the assessment on

progressed made will be formally communicated to the hospital through the country TB

program coordinator in due course.

Dissemination of core elements ofinfection Prevention and Control

Baylor College of Medicine Texas Childrens Foundation

Swaziland has been committed in providing HIV care and

treatment to the children in RFM hospital since 2007. With more

than 1,142 children currently under care, The provition of a

strong psychosocial support for them and their families.The vision is that children that are on chronic HIV treatment are

empowered and committed to have healthy and happy lives and

grow to become productive members in their communities.

In 2009 a support group for children from 9 years and older

called Teen club was invite to join the Teen club, the children

should be fully aware of their status regardless of which clinic

they attend. These children meet at the Baylor Clinic premises every second Saturday of the month. The

members of the clinical staff and a large group of volunteers participate as well, but this time THEY

HAD FUN!!. That is a day when the teen leaders take a lead in conducting games and health education

related to life skills and their social challenges.As a member of the RFM Hospital staff, feel most welcome to join in impacting the lives of Swazi

children. Staffs co operation is greatly appreciated in reserving the parking space next to the Baylor

clinic to create playing ground for the children.

By Sikhululiwe Sibanda

Teen club for children and adolescents living with HIV inRFM Hospital.

round RFM


PHOTO: Teens and volunteers in one of the educational

sessions

By: Mr Sandile Malaza


5/12

This quarter numerous

scientific seminars were

conducted for doctors, family

nurse practitioners, nursesand paramedical staff at the

hospitals Nurses Lounge.

Presentations are

shown below:

Forty nine personnel

were, on 15th May201, concurrently

informed on the

following topics: (a)

Disclosure of HIV status to

children, by Sister S. Sibanda

of Baylor Childrens clinic (b)

Nutrition in diabetic clients

by Phindile Makhanya;

dietician from FEDICS, the

catering company servicing

RFMH (c) Update on new

blood guidelines by Mr.

Sukati from the National

Referral Laboratory.

On the 27th May 2011, Dr.

Daniel delivered a

session on VIA and

Treatment of

precancerous cervix

conditions to forty one

participants. He is an

obstetrician and the

head of department ofthe Obstetric and

Gynecology. Screening

and treatment of cervical

cancer is now offered at the

Maternal & Child Health

Clinic of the hospital.

Multidisciplinary approach in

diabetes management and

care: A topic imparted by Dr.

Jean T. Lukoji, on 17th June

2011, to forty participants.

He is a medical specialistand director of a new

consultancy organization;

Integrated Diabetes

Prevention & Care

Program. He furtherelaborated on the role

of this organization in

the prevention and

management of diabetes, a

condition that is on the rise

in the country. IDIAP will

operate in liaison with the

Ministry of Health and the

rest of its structures.

Continuing medical education sessions

Around RFM


As a member of National health laboratory service (NHLS), the LaboratoryTB mycobacteriology section participated in External Quality Assessment(EQA) in South Africa. The standard of the quality assessment looks for theaccuracy of the test results. The laboratory held its own against the best

and performed quite exceptionally. The laboratory scored an incredible100% in its performance, surpassing all expectations.Based on the results, it can be boldly concluded that the quality of the AcidFast Bacilli (AFB) Test is very reliable. The laboratory has set itself veryhigh standard and the results bear testimony.

Laboratory performed excellently in EQA

PHOTO: Phindile Makhanya Fedics

Dietician presenting during the

trainings

TOP PHOTO: RFM members of staff

during the trainig sessions

LEFT PHOTO: Dr Lukotji Presenting

during a diabetes prevention and

care Program session

By: Skhumbuzo Ngcamphalala

By: Khawulile Magagula


6/12

Under the 2010 2011 agreement, UNICEF has

supported Ngculwini clinic with furniture

including office desks, examination beds, filling

cabinets and benches. The furniture will assist in

providing a conducive environment for the service

providers to offer quality care.by the same token,

it will benefit the clients to receive efficient quality

service.

Over the past four years SNHI and UNICEF have

worked together through a joint cooperative

agreement where UNICEF has been providing

technical and financial support to implement

PMTCT services in the seventeen clinics. Areas of

the project that need to be strengthened in order to

realize maximum possible results include among

other things HIV testing.

Another special area of focus for this project is

quality improvement. Nurses have been trained in

analysis and use of service data at facility level in

order to improve quality of service delivery. Clinics

are regulary monitoring performance indicators to

ascertain the effectiveness of PMTCT. The project

also gives special attention to community

participation and involvement activities in order to

improve uptake of prevention interventions such as

HIV testing and safe sexual practices.

SNHI is forever grateful to UNICEF for the support

which has come at the right.

NGCULWINI CLINIC RECEIVES FURNITURE FROM UNICEF

Accessibility to health services remains an

enormous challenge to most communities due to long

distances and lack of transport to health facilities. A

pilot project conducted at Ngculwini and Shewula

clinics where HIV testing was provided in hard to reach

areas, revealed that many people do not access services

due to being far from health care facilities. In a bid to

improve accessibility to services, two outreach sites

have been established under Ngculwini clinic. These are

hard to reach areas where people have to travel long

distances to the nearest health care facility. Each

outreach site is visited once a month to offer

comprehensive health care which includes, Family

Planning, HTC, Child Welfare Services and curative Care

services. The response from these communities is

overwhelming as reflected by the catchment

firures.People come in their numbers to access care. It is

envisaged that the outreach program will contribute

significantly to the reduction of clients review default.

The initiative to bring services closer to the people is

definately paying off.

COMMUNITY HEALTHMOVES CLOSER TO THE PEOPLE

round the Clinics


6

In an effort to improve health care delivery, SNHI in collaboration

with the Manyeveni community has embarked on building a new

clinic structure since the present one is too small and severely

dilapidated. The new structure will be much bigger and will provide

a favourable environment for better service delivery. Dvokodvweni

Inkhundla donated material to kick start the project and SNHI has

also been funding the project. Construction of walls is complete and

more support is needed to complete the structure.

On the 27.04.2011 the CEO, Financial Controller and the

mantainance supervisor visited the clinic to assess progress. The

CEO was impressed with progress made and praised the construction

team for a job well done.

The clinic staff was grateful and encouraged by the CEO visit and the

team pledged to continue to work tirelessly to see the project finish

in time.

SNHI is committed to improve quality health care to the community.

CEO VISITS MANYEVENI CLINIC

TOP PHOTO: The Furniture

donated by UNICEF to Ngculwini

Clinic

LEFT PHOTO: A Nurse attending

a Patient at Ngculwini ClinicFAR LEFT PHOTO: A Nurse

attending to patients during the

outreach

By: Agatha MambaBy: Goodwill Dlamini

By: Agatha Mamba


7/12

The Ministry of Health and Social Welfare through the Non Communicable Diseases Program

conducted week long training on Diabetes Mellitus (DM).

The main objective of the training was to roll out the management of DM to the clinics. during

the training, it revealed that current research states that one in every three people hasundiagnosed DM. studies points to HIV/ AIDS to have a role to the factors contributing to DM.

Particularly, Infection to the pancreas has been identified to alter its function of producing

insulin thus leading to DM.

the revision of DM was refreshing to say the least. The most common signs of DM were

summarized and classified as 3Ps: Polydypsia, Polyphagia, Polyurea and weight loss.

Treatment of DM includes oral hypoglycemic drugs (Glibenclimide and Metformin) and insulin

injection. Acute complications include diabetic ketoacidosis, hyperosmola nonketotic coma and

hypoglycemia.

To prevent or to slow the rate of development of chronic complications of DM it is crucial to

modify physical activity. Controlling body weight is reducing risk related to DM. Last but notleast, be empowered and test your glucose levels frequently.

The worshop was relevent to our practise because as primary healthcare providers, it is

DIABETIS MELLITUS TRAINING FOR HHOHHO CLINICS

Around The Clinics


7

TOP PHOTO: Dr Getahum receiving donated Items

from Amy Mc Adam and AIM Team during their

visit in Children's ward.

PHOTO: The new formed triage Team posing for a

group photo in the Emergency Room

By: Zodwa Shongwe

By: Noel Hlomula


8/12

A Dietician is a trained person who directs

the people to take the healthy food and

nutrients. He/She helps to promote good

health through the proper intakes of food

and proper eating habits. He/She acts as

the specialist and a researcher and

consultant in the field of nutrition. He/She

supervises the preparation and service of

foods and also educates the individuals on

the good nutritional habits. RFM Hospital

has one dietician who will be working

closely with Doctors and Nurses in the

hospital. Nondumiso Vilane is the new

dietician working in the hospital. Zakhele

Thwala visited her and had an interview

with her. Below is how their chat went on.

Q. Define yourself.

Q1. I am a twenty something God fearing

single lady. I have two sisters and one

brother and I am the 2nd born in the family.

I hold a Bachelor of Consumer Science in

Human Nutrition from the University of

Zululand in South Africa. I have worked for

Shoprite as a trainee manager. I joined

Fedics Food Services June 2010 as a

dietician, all along I was fully based at the

Mbabane Government hospital where I was

their dietician however, the government

tender with the company ceased then my

bosses transferred me to RFM Hospital

because we are also operating a Unit there

and defiantly I am here to bring some

change.

I enjoy RnB music.

Q. What are your Strengths?

A. I am able to convince the hard cored

people to some change.

Can bring some changes in hard and

difficult situations through hard work and

commitment.

Q. Without lying, what's your favorite junk

food?

A. My favorite junk food is Black Forest

cake

Q. What is the best way to go about

eating?

A. The best way to go about eating is to

relax and eat your balanced meal with no

disturbances like watching T.V or reading

novels and Magazine. When your eating

you should be all eyes on the food and

forget about the rest so to enjoy and

benefit from the meal.

Q. Even though you're a dietician, I bet

you've tried a fad diet.

A. Exactly I have tried a Fad diet more

especially while still at the campus, but

after I have studied more on advanced

nutrition my bad eating habits totally

changed from there. I must say that the

course I studied really changed my eating

habits; I am what am eating as I talk.

Q. As a nutritionist, do you get tired of

having to portray the healthy eating

image?

A. Not at all, infant I have a passion with

the kind of job I am doing, and I bet I can do

it till my last breath. Its just in my nerves I

can feel it.

Q. But that doesn't keep you from eating

fast food, does it?

A. Well I seldom take fast food only when

in a pinch, otherwise I totally hate it for I

know that fast food is not good at all and it

will never, it is wise to only have it when

having no choice and avoid visiting

restaurants because you are destroying

yourself. Cook if you still can. Home

cooked food will remain the best.

Q.As a clinical dietitian at the Hospital,

have you noted daily the consequences of

a poor diet. Moreover, what can you say

about weight management program.

A. Yes I have and the consequences of poor

diet are being attendant to, as said earlier

that I am here to bring some vast change

Q. What steps you will like to take to

establish a rapport with patients?

A. I think the conducting of ward rounds

where I get to communicate with the

patient one on one on the wards is best

because in that way ill get to know their

side of the story concerning the kind of

food they eat and they will in that way get

my counseling relevant to the kind of food

and nutrients they need for quick healing

and recovery.

Q. How are you going to handle the

patients who are panicking because they

cannot get their breath?

A. Providing the right kind of diet together

with medication for a panicking patient is

the only therapy that can allow that

person to breath again.

Q. Does it going to affect you mentally?

A. Poor nutrition does affect your

mentality that is why we preach to the

public to practice proper eating habits to

avoid such, good health is all we want to

see.

Q. Have you ever lost your temperament

regarding to your work.

A. Yes I have lost my temper on the line of

duty but maintained my cool. Well working

and supervising a group of people more

especially those who are far older than

you is very challenging.

Q. Finally, please specify, what are the

several types of Dieticians you know?

A. 1. Clinical dietician/Nutritionist

2. Sport dieticians

3. Consultant dieticians

4. Home-care dieticians

5. Food service dieticians

6. Community dieticians.

Nondumiso Vilane Fedics dietician

round RFM


8


9/12

Kids learn that the Internet is a place

where they can have all their questions

answered, stay in touch with friends and

entertain themselves. But there are

dangers on the Internet from which teens

(and sometimes the Society) need

protection. While social networking sites

are taking steps to keep their users safe,

there is no way to guarantee the safety of

anyone else for that matter. So here's

what you need to know:Facebooks Target MarketIs Facebook safe for kids? Facebooks

terms of use, it isnt at least not for

children under the age of 13. Parents

should bear in mind that the site was

originally designed for a college students.

The service was so popular among its

users that access and membership was

soon opened up to college students and

faculty from other colleges.

Then 2006, the site was opened up to

anyone with an email account over the

age of 13, but the site was never designed

with younger kids in mind.

A Safer Facebook ExperienceFacebook has since taken steps to protect

the privacy of its users. The site has

privacy features that can limit strangers to

see your info There are also abuse

reporting links on the site to make it easy

for users to report inappropriate content.

However, it is left to the user to correctly

use these features, as well as to use

Facebook in a responsible manner.

It doesnt matter how safe Facebook

claims the site is; there is no foolproof

way of policing everyone who uses the

site. It is up to parents to help their

children understand the importance of

staying safe on the Internet and exactly

what that involves.

Facebook Safety IssuesLots of people like to gloat about how

many friends they have online.

Unfortunately, this drives some people to

add everyone who sends request. There

are many examples of children who have

been hurt by criminals they met online.

Educate your children on the dangers of

friending complete strangers on Facebook

or any social site. Assure them that you

can be trusted do not get mad at them for

telling you about what they are learning

online and take some time to ask about

who they're meeting online and what

they're doing. And remember, the Internet

is everywhere, which means your kids

may be logging on in places other than

home and school, too.

Everything in ModerationThere's a lot to do on Facebook. From

viewing photos of friends to group chat,

or "planning an uprising :) " there's no

end to the number of ways you can waste

time online. Keep an eye on the time

your kids are spending online. Some

parents choose to restrict Facebook to an

hour or two per day, depending on what

it is being used for.

If your kids are using Facebook to stay in

touch with family and friends you know,

or to collaborate with classmates on a

project, you may want to be more lenient

with how much time you allow them to

spend on the site. But whatever the

amount of time, you should know how

much time they're spending online and

what they're doing and set some ground

rules for what's appropriate.

In the end, it doesnt matter how safe

Facebook claims its site is, there are still

some bad things in the Internet. Ensure

that your kids are sufficiently educated on

how to be safe when using online

resources such as Facebook and what to

do if someone or something makes them

uncomfortable. Keeping them abreast of

Facebook safety issues will serve them

well.

Is Social Networking healthy or unhealthy for the

Society and for Kids?

Around RFM


9

Having identified a challenge in the implementation of Quality Improvement Projects (QIPs) in the

departments the office with support from management felt a need to have staff trained. Of note is that QIPs

play an important role in the Quality Management and Improvement Programme (QMIP). QIPs makes it

easier for departments to have some of the challenges encountered to be solved.

Trainings were held in two sessions: Doctors and nurses on the 18th May 2011 and second session being

paramedics and support staff on the 25th May 2011. Training as conducted by former Quality Assurance

chairperson for RFM, Dr. Lukoji. A total of 30 staff members attended the training.

The main objective of the trainings was to discuss the QA programme as a whole but to put more emphasis

on QIPs. Included in the content were the quality triangle which includes formulation of standards and

guidelines, assessments, maintaining and improving quality. Steps in conducting QIPs were also part of the

trainings.

To assess the level of understanding from participants there were also group discussions done.

Participants appreciated the trainings and made a promise to work hard on their QIPs now that they have the

knowledge.

Quality assurance Training

By: Sicelo Dlamini

By: Fikile Shabangu


10/12

ocial Batterfly


2

ABOVE PHOTO: Newly weds Dr

Shlongonyane and Dr Msane afterthe wedding.

ABOVE PHOTO: Dr Mavundla, DrThwala, Dr Mkhize, Dr Kunene,Kholiwe Shongwe and a friendposing for a group photo

BELLOW PHOTO: Newly weds Dr Shlongonyaneand Dr Msane listening to spearkers duringtheir colourful wedding.

PHOTO: Mrs Futhi Mdluli RFM CEO andMr Leonard Dlamini RFM HR Managerwith their family members

LEFT PHOTO: The newly weds Khetsiwe Maseko and Her Husband posing for a Photo after the weddingRIGHT PHOTO: Family members posing for a photo after the wedding.

W

WM W

All

Pictu

res

by:

Mavu

sane

ZTh

wa

la


11/12

Nutrition refers to nourishment that

sustains life. It caters for the food that

people eat and how it nourishes their

life, not only physically but also

socially and personally. The scienceand art of nutrition focus on

nourishing human life, and this is

done in many ways, from the moment

of conception until death. An

appropriated diet supports optimum

growth and maturation, mental and

physical well being and resistance to

diseases.

Nutrition and diet play a role in

promoting health and reducing the

risk of adverse conditions, ranging

from low birth weight to diabetic

mellitus, cardiovascular diseases and

cancer. We need energy to carry out

vital functions such as breathing,

adapting to changes in our

environment, and engaging in physical

activities. We must constantly

replenish our energy stores with food

to sustain physical life. Food also

nourishes the human spirits.

When people dont get enough energy

or nutrients they becomemalnourished and become extremely

thin because of losing tissues and

muscles, in that way people became

prone to a lot of health disorders. Take

for instance people with deficiency of

nutrients, they may experience skin

rashes, depression, hair loss, bleeding

gums, night blindness and a lot of

symptoms. On the contrary excess of

energy from over nutrition, people

may become obese and vulnerable to

diseases associated with over nutrition

such as heart disease and diabetes.

Diet has always played a vital role in

supporting health. Proper eating

habits should be followed early in

order to enhance good health and

prevent nutrients deficiencies.

Overconsumption of food especially

food high in fat is a major health

concern for health more especially for

people with diabetes mellitus.

Overconsumption of food results tooverweight.

People should mind their diet and

therefore follow proper eating habits

to avoid being overweight. It is very

difficult to deal with overweight. An

overweight person is prone to a

number of sicknesses like

cardiovascular diseases.

Nutrition therefore is an integral part

of our lives. It is very important to be

mindful how we eat because it can

make or break our health.

NB: Nutrition and diet therapy marked

the condition of medication and

surgery successful. Precisely

medication and surgery without

proper nutrition is nil.

NUTRITION AND HUMAN HEALTH

Around RFM

A man that cares for others, a man that is so concerned about others that Heeven laid Down His life for them.

This is the begotten son of the Father. He so much loved the world/nations of

the world that he left his throne, lived amoung us and died for us (John

15:13). He has the mind of his father for the bible tells us in the book of

Romans chapter 5 verse 8 that, ''God demonstrates His own love towards us in

that while we were still sinners, Christ died for us (NKJV)". He also died for

you reconcilling you back to your creator.

Allow me to tell you that His love surpasses all understanding, His love isunconditional. He loved you before you came into existence. Before you were

born He knew you, He sanctified you and ordained you for a special purpose

(Jer 1:5). He knows the plans He has for you, plans to propsper you not to

harm you, plans to give you a future and a hope. He's much concerned about

your wellbeing, that is why He has allowed you an opportunity to live up to

this far. There is absolutely nothing that you did, but His unfailing love, his

longsuffering towards you has permitted you to live; for He doesn't want

anyone to perish but that all come to repentance (2Peter3:9).

I beseech you therefore, reader of todays article, by the mercies of God, thatyou re consider your position in Christ. Just return His love, love Him back.

He is deeply in love with you. Amen

Whatmanner

of

man

is

t

his?


11By: Wendy Gule

By: Vilane Nondumiso


12/12

Staff orientationA two day orientation session was conducted for thirteen new staff members who were engaged to SNHI

within the first quarter of the year.

Employees are:

Augusto Perreria Maintenance department

Bongani Mavuso Maintenance departmentMpumelelo Nhleko Intern student Personnel department

Bongiwe Mhlanga Statistics/ Monitoring & evaluation

Thuli Mayisela Maternal & Child Health Clinic

Nomsa Ngwenya Male Surgical Ward

William Manana Security

Soul Mnguni Bhekinkhosi clinic

Gabsile Lukhele Bhalekane clinic

Godwin Mtetwa Baylor childrens clinic

Cebsile Masondo Anteretroviral clinic

Valencia Mdluli Anteretroviral clinic

Nozipho Dlamini Anteretroviral clinic

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Chief Editor:

Sub Editor:

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Mrs Futhi Mdluli

Mr C V Mbandze

Dr T Getahun

Mr Z V Thwala

Sicelo Dlamini

Sicelo Dlamini

Dr T Thwala

Sr N Mavimbela

Sr P Sibandze

Mr T Simelane

Mrs S Sibandze

RFM HOSPITAL honored one of their long serving staff member on Thursday 30 June 2011, who recently resigned after 13 years of

working in the pharmacy department. Kholiwe Shongwe joined the institution in 1998 as a pharmacy technician and later pursued her

Degree in pharmacy, completing in 2004. She was then confirmed as the pharmacist in the unit and has been holding the same position

to date. Whilst with the institution she served as member in the drug and therapeutic committee, policy formulation committee and the

Umcenge savings and co operation as a treasurer. Many speakers during the occasion describes her as a hard worker, dedicated and

compassionate about her work. The master of ceremonies Dr. Thwala likened her to an eagle which when it sees a storm coming flies

towards it knowing that the storm will lift it up. Mrs. Nkonyane who represented the pharmacy department said they have learnt a lot

from Kholiwe and will be always be remembered by the department.You were a real blessing to us and we will miss you, said Mrs.

Nkonyane. The humans resource manager Mr. Dlamini in his remarks praised her for serving the institution with diligence and dignity.

You are still young, energetic and enthusiastic to explore new opportunities, said Mr. Dlamini. He also mentioned that as the

institution they will continue to consult her and she must not be scared to consult with them, and further

wish her well in her career. Other speakers included Dr Gertahun, Dr Bitchong, Matron Zwane and Sthemba

Dlamini.Kholiwe in her remarks acknowledged the institution for affording her the opportunity to grow and

develop to be what she is today. It's been a singular honor to serve in this hospital," Kholiwe said, thanking

management. She expressed her gratitude to all staff members who made her work a success whilst still with

the hospital in particular pharmacy staff. "I do appreciate the support and collegiality you've shown me." Her

voice cracked as she wrapped up her remarks: "What has been the wonderful part about it is the affections

and respect you have showered upon me".

Kholiwe Leaves RFM

PHOTOS: NEW STAFF MEMBERS DURING THE ORIENTATION

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A newsletter for the SNHI. Tel: +268 25052211

PHOTOS: Kholiwe During

her Fairwell function

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By: Vusi Thwala

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