17
The final instrument and the manual were taught to 10 rehabilitation technicians in the course of a 5day workshop. The trainees then returned to their stations and implemented their training. Each
trainee received visits from the supervising physiotherapists over the following two months, with
independent assessments of their work and supervision of ongoing cases being provided by the
Provincial Department of Physiotherapy.
The trainees returned for a 2 day supervision workshop after three months. This provided an
opportunity to evaluate the training, correct any problems, and obtain feedback from the trainees
about any difficulties or omissions in the training or the procedures. An interim evaluation will then be
carried out by the project team from AMANI and the Provincial Physiotherapy Department, and any
corrections needed to the manual, the protocol, or the training, were made.
It was hoped that this project would result in the production of a manual and protocol suitable for
Rehabilitation Technicians, which it did. Furthermore, the programme was extended to Matabelaland
in 1999 with the launch of the Matabeleland Programme of the Amani Trust. Attempts were made to
formalise the programme in the Ministry of Health, but this did not materialise. However, this little
initiative was a promising start to extending physical care of survivors, and demonstrated that
rehabilitation technicians could be useful cadre to involve in the community care of survivors of torture.
3.5
Forensic Nurses
The interest in forensic nursing grew both out of the understanding of the need for such a cadre of
professionals, and the exposure to such a programme at an Amnesty International conference in South
Africa. The Amani Trust sent a member of staff to participate in a forensic nurse training course in the
Northern Cape in 2000, and, on the basis of this experience, negotiated with the Zimbabwe Nursing
Association to hold a similar course in Zimbabwe. This programme was held in June 2001, following a
series of meeting with Provincial Nursing Officers and the Zimbabwe Nurses Association (ZINA).
In order to understand more clearly the need for forensic nurses, a survey was carried out to assess
the knowledge and attitude of Human rights violations and medical ethics among nurses. The results
were used to assist in the designing of the training programme in Clinical Forensic nursing. About 800
questionnaires were distributed to Nurses in the Harare City Clinics, Central Hospitals including
Chitungwiza, Independent and Occupational Health clinics. Secondly, several meetings were held with
Stakeholders to discuss the training objectives.
The survey provided interesting results, but generally vindicated both the need for forensic nurse
training and more teaching in the field of medical ethics18.
The course was conducted in accordance with the requirement of the International Association for
Forensic Nurses from 18th June – 13th July 2001, at the Medical School. The course had 4 expert
facilitators from the United States, as well as several local ones each with a specialty. 22 participants
from all Provinces, including 3 clinical Officers from Amani Trust, attended.
Supervision by Ms Hlatywayo, the Amani coordinator, started in September and continued to February
2002. She did monthly follow-ups to every participant at his/her station.
A refresher course was held in December 2001 for the participants. 19 of the 22 participants attended
to review progress, share experiences and recommend a way forward for the future development of
Forensic Nursing in Zimbabwe. Most of the participants said that they benefited from the course and
are using the skills gained.
18
See AMANI (2001), Knowledge, attitudes and experiences of nurses on human rights, their violations and medical ethics
in Zimbabwe. May 2001. HARARE: AMANI TRUST.
AMANI TRUST: Psycho-Social assistance to Survivors of the Liberation War.
A report on Mashonaland Central Province, Zimbabwe.
Select target paragraph3
Add to table of contents