One Nurse, One Patient, One Room…

The organization of services using the ‘one nurse, one patient, one room’ model has the potential to improve nurse productivity 2.5 times, reduce patient waiting times by half, and reduce stigma and discrimination.

Namibia Nurse HIV SRHRNamibia’s Permanent Secretary of Health has endorsed integrated health care, saying that “the Primary Health Care model (one nurse, one patient, one room) in an integrated manner should be the way forward for the Ministry of Health.”

The statement is supported by evidence from the multi-country SRH & HIV Linkages project, which has been implemented in Namibia by the Ministry of Health and Social Services with financial support from the European Union and the Governments of Sweden and Norway, and technical support from UNFPA, UNAIDS and WHO.

The aim of this catalytic project is to strengthen the linkages and integration between Sexual Reproductive Health and Rights (SRHR) and HIV and to contribute towards the Maputo Plan of Action. A key goal is to work towards achieving universal access to sexual and reproductive health and rights by linking and integrating sexual and reproductive health and HIV at policy, system and service delivery levels.

A baseline study carried out for the project in five pilot sites analyzed the four dimensions of integration: who (provider) does what (service), where (setting) and when (time). It concluded that the organization of services using the ‘one nurse, one patient, one room’ model has the potential to improve nurse productivity 2.5 times, reduce patient waiting times by half, and reduce stigma and discrimination.

The baseline study included a time-motion client flow study and results suggest that improvements in infrastructure, patient flow, and capacity building have the potential to improve efficiencies and the overall quality of care provided to clients. This will be assessed through an endline study due to be carried out by the end of 2015.

Namibia is one of seven countries in eastern and southern Africa that have implemented this regional level project; the other countries are Botswana, Lesotho, Malawi, Swaziland, Zambia and Zimbabwe. To learn more about the project and access research findings, visit the free Research Library on sexual reproductive health and HIV integration from Integration Initiatives.