Nazarene
edition 8: September 2010
a newsletter for the Swaziland Nazarene Health Institutions (SNHI)
RFM Launch wellness Programme
T
he launch of Raleigh Fitkin Memorial
Hospital wellness programme for its
workers was held at the Nazarene
st
playground, on the 31 of July 2010, on a beautiful
sunny day that began with a march from the main
gate led by the Salesian brass band and hospital
management team.
The programme was coordinated by Voice of the
Church (VOC) personality Mr Sandile Malaza
and local doctor, Dr Tiri Thwala who kept the
crowd excited and entertained.
Those who attended the colourful event was the
hospital chief executive officer (CEO), human
resource (HR), chief medical officer (CMO),
chairperson of the board, Dr N. Mabuza,
representatives from ministry of health(MOH),
SNAP, national wellness coordinators and health
workers from other institutions with wellness
corners.
Entertainment was provided by the local
Lutsango group, choir, sibhaca and Christ
Worshippers from Emzimpofu School of the
disabled.Kids also graced the occasion and
enjoyed themselves jumping in the
jumping castle.
The guest speaker Dr Ncamile Mabuza
a celebration of where we have come from and where we are going www.snhi.org
Health News
To make Christlike disciples in the nations
PHOTOS: The RFMH CEO introducing
the wellness program Committee .TOP
RIGHT: RFMH Staff During the
wellness program launch BELLOW:
RFMH Lutsango Dancing during the
event.
who
repres
ented
the MOH applauded the hospital for taking on this
initiative and said that she believed in the committee
and management to take it to greater heights. “The
ministry is in full support of the programme and the
doors are always open for assistance”, said Dr
Mabuza.
The hospital CEO in her speech encouraged all
Swaziland National Health Institutions (SNHI)
employees to utilise the clinic and to take HIV tests
so as to get better treatment and care. “I hope that
from this day forth all our employees will be treated
through this clinic, and sick sheets from other
departments will no longer be accepted as the
hospital would like to keep track of its staff and their
ailments”, said Mrs Mdluli. To top it all a staff
member disclosed her status and encouraged others to
live openly with the status.
Vote of thanks was delivered by Dr M Mkhabela
chairperson of the board who also applauded the
event coordinators and hospital for taking on this
initiative.
Zandile Tsabedze
1
 CEO’s Message
It has been exciting few months, we welcome t he Ministry of Health Initiative of quality assurance recently. As RFM Hospital
we are delighted to join the Ministry while its strive to be the best in customer care. We therefore, hope to scope one of the
awards in one of the placed categories. I am grateful to witness the launch of the wellness program here at RFM while
promises a better health and care for our employees staff members. I hope that all employees will utilize the clinic as we
want to keep track of our staff and their ailments.
It was also interesting to witness the church celebrating the 100 years of the existence of the church of the Nazarene in
Swaziland. We ere also pleased to witness the COHSASA external survey at Mliba being a success. We would like to extend
our appreciation to Project Africa Global for donating the £1.2 worth of equipment to RFM and their participation in the
medical conference at RFM. We also wish to thank all those who continue to partner with us while we strive for quality care
to all our clients.

100 years celebration PHOTO: Swaziland Nazarene National Choir During the 100
years celebration

the country.
Among those in attendance of the celebration where twelve (12)
members of Sibhaha (schymelzenbach) family who travelled from
USA and South Africa to witness the occasion. They were direct
decedents of Harmon (Sibhaha) Schymelzenbach the founder of the
Church of the Nazarene in Swaziland.The General Superintendent of
the church of the Nazarene in Africa, Dr. David Graves travelled from
Kansas in America with his wife Sharon and preached a sermon which
encouraged the Nazarenes in Swaziland to go forward with God's
Ministry regardless of problems and devil's attacks to the churches'
Ministry. He added that God will hear the cries of the swazis during
hard times and answer to their prayers and deliver them from any
n Saturday August 14th 2010, more than 3000

O people converged at the Mavuso Trade centre

Ground in Manzini to celebrate the 100 years of the
existence of the Church of the Nazarene in Swaziland.The
celebration highlighted the significant contributions and
achievements of the Church of the Nazarene in the Kingdom
of Swaziland.The Church, health and education institutions of
the church of the Nazarene gathered to glorify the Lord for the
struggles endured to ascend to the current level. The slogan
for the commemoration was “KEEP THE HOLISTIC GOSPEL
ABLAZE”. That is a charge to the church and its institutions to
stand firm and be brave to go forward beyond the 100 years
with the denomination's Holistic Ministry among the people in
form of bondage.His Majesty King Mswati III, speaking through Prince
Masitsela applauded the church of Nazarene for the remarkable work
provided through health, educational and church institutions.The
Honorable Prime Minister, Dr. Sibusiso Dlamini revealed that the King
of Swaziland was born at the RFM Hospital.He called for a successful
collaborative partnership between RFM Hospital health workers,
government of Swaziland and other organizations.The RFM hospital
deserves recognition not only for what it has done in the past but its
current achievements such as the construction of the intensive care
unit. Nazarene products have displayed dedication to right
actions and best intentions for society and the country in their
workplaces.
Dr Makhubela

Female Medical Ward Wellness Clinic Visitation

I T
t's now two months since a new system of keeping
patients files was introduced in female medical ward.
Files are made to remain inside the ward in each
and every cubicle. A locker containing filed belonging
to t hat cubicle with space for keeping stationery. The
lockers are movable and some accessories are still to
be fixed like that to put the x-rays. This has improved
documentation in that it became easy for the nurses to
document immediately after performing their nursing
duties thus raising the nursing standards. This as well
relieves the nurses from having to carry the files
around when doing rounds with doctors.
he RFM Staff members enjoyed the presence of
Dr. Carly and nurse vermin from the United State
of America (USA) through project Africa Global.
This dedicated team was only at RFM
for three days from 1st – 3rd of September. They helped
to observe and review staff medical problems and also
reviewed medical forms that were done in August. Some
member of staff who benefited were those from the
community clinics which included Bhalekane clinic in
particular. Much appreciation is forwarded to both doctor
Carly and Nurse Vermah for their commitment towards
assisting mankind.

Tholakele Shongwe Zandile Tsabedze

Back Row L-R : William McCoy, Joshua Burley, David Barnard, Graham Fehr, and Jeff Graham
2 a celebration of where we have come from and where we are going www.snhi.org newsletter@rfmsz.org
 Health and Safety Service Element
Dear Reader

R
eflect on this question; what was the first thing that came into your mind when you walked into the hospital
premises to find it with a new appearance, paintings of different colors around the tar marks, corridors, pipes etc?
Yellow, Black, Green, White etc. Did you think that maybe its for wedding preparations (in a hospital ?) or a
preparation for a special event… or maybe just some decorations to make the hospital more “attractive”. Well the answer
lies not in any of the above.
It's about safety Demarcation Markings in the Hospital

T
hese demarcation lines are standardized
graphical symbols, colors and markings,
which communicate critical safety-related
information and are strategically placed in and
around the Hospital premises. You might have
noticed that they are on corridors, gangways, steps,
masts, poles, drainage covers, water and waste
pipes and other points where caution or note should
be taken. All the markings are in accordance to the
Organization of International Standardization (ISO)
principles and are very important to communicate
safe navigation in and around the Hospital
premises. The markings are also used alongside
information signs, which are also standard in terms
of color coding and size etc.
This project is being coordinated by the Fire
Marshals under the Supervision of the Health and
Safety Committee. The Swazi Pro-Fire Consultants
are carrying out the Markings.
It is therefore imperative for you dear reader, your
other workmates and visitors and patients alike, to
observe the markings for safety sake. Avoid
shortcuts, read signs, and understand the
demarcation markings and support the efforts of the
Hospital Management to improve the standards of
our Institution.
Thank you.
Noel Hlomula

Sixth Annual Ministry of Health & Project Africa Global Conference

treatment guidelines –Antiretroviral therapy and

T
his exercise is part of a project that was conceived
by the government of the United States of America
(US) for African countries especially those in the
Southern Africa region, which is the most afflicted by HIV
and AIDS. The conference is being offered as a
component of the project's continuing medical education
strategy. It is aimed at providing health care workers in
developing and low resource countries with current
information on HIV & AIDS in order to equip them to offer
the highest standard of compassionate care for HIV
infected patients. Swaziland as a country is still battling
with the HIV & AIDS epidemic, the current HIV prevalence
rate at 42%; this being the highest in the world. Therefore,
such a workshop was of utmost importance for the health
sector.
The conference was co facilitated by a team of doctors,
nurses and health care providers from the United States of
America and in- country.
Some of the topics that were covered includes;
Drivers of HIV infection in Swaziland with focus on
Multiple-concurrent partnership, HIV
pathophysiology, New World Health Organization
Prevention of mother to child transmission,
Reproductive health & HIV, Pain management &
symptoms of end of life, Swaziland Emergency
Preparedness National program, Tuberculosis (TB),
Multi Drug Resistance TB, Extreme Drug Resistance TB
and Cervical cancer screening in low resource.
The Ministry of Health was represented by Principal
Secretary (PS)'s office, who however could not attend
the conference. Mr. Mlondolozi Dlamini, the Manzini
Regional Health Administrator stood in for the PS.
RFMH was represented the hospital administrator, Mr.
Leonard Dlamini, who also introduced the speaker
from the ministry. In his opening remarks, Mr. M.
Dlamini expressed that the Ministry's mandate is to
ensure a healthy nation by providing quality health
care services to the nation. Central in the execution of
this mandate is the empowerment of the health
sector's workforce with new information, knowledge
and skills. He also applauded the milestone that has
been achieved in curbing the high death toll on people
living with HV & AIDS following the introduction of
antiretroviral therapy.

Khawulile Magagula

PHOTOS: Doctors from USA

Project Africa Global and
Health Care provides from
various institutions around
Swaziland who participated
during the Medical
Conference

a celebration of where we have come from and where we are going www.snhi.org 3
 Quality Health Awards program Launch

T
he ministry of health has initiated a programme
to award health facilities that are doing well
and it will be hosted annually. This is meant to
improve the health care service delivery in the country
and to address the challenges encountered. The
programme to be known as the Quality Assurance
Health Awards was launched by the minister of health
Hon. Benedict Xaba on Wednesday 11 August 2010 at
the Convention Center. The theme is “STRIVING FOR
EXCELLENCE IN HEALTH WITH PARTNERS AND
COMMUNITY PARTICIPATION”. RFM hospital
management and some members of staff were also
present during the launch.Awards are divided into 7
categories: A Regions, B Hospitals, C Health Centers,
D Public Health Units,E Programs
F Maternity and G Clinics.
Through this programme the public will also be able to
vote for the winning facility, thus the ministry is going
to strive to be the best in customer care.In order to
meet the latter customer care officers have been
introduced in most facilities.
In his speech the minister requested companies to
partner with ministry by pledging to support the
awards. Meanwhile roadshows will be held to
sensitize the public on this programme and music
group Mduduzi and Emagawugawu pledged to
perform during the road shows. At the end of the
event a company had already pledged to supply
hospital equipment. Times of Swaziland also pledged
to be partner with the ministry.
As RFM staff let us continue to work and sustain the
quality so that we collect those awards.
Fikile Shabangu

VCT ON THE MOVE

T he RFM's ART Department is always recognized by its

snake like queue both to the Pharmacy and in the
Reception Area . Gratitude goes to Icap for mentoring
and donating a Park Home and Office in the Department. The
VCT department will move to the Park home leaving enough
space for the ART Unit to get decongested.
A special dedication goes to the ever dedicated staff who
wake up as early as 4am to open the ART clinic doors by
5:00am to offer services to the working clientele, the clientele
who prefer the morning hours.
PHOTO:(L - R) Sister Phindile Khumalo, Matron Bhembe, Mrs Mkhatjwa and Mrs
Nobuhle Mthethwa. Dlamini during the quality health awards launch.

Be kindly be informed that all the newsletter readers are encouraged to vote for the favorite article by filling in the form
attached inside the copy of the newsletter and send it at the switchboard office. Those at the clinics must send them to the
nearby clinic or by postal services. You can still cast your vote electronically by sending an e-mail to
cvmbanze@nahecsz.org the deadline Is before December

Presentation on immunizations by
RFM Pediatricians

O
n Wednesday 28th July 2010, RFM Hospital had an
interesting scientific presentation on immunizations by one of
the experienced pediatrician Dr. N.L. Kunene. The presentation
was attended by doctors and nurses aiming to raise awareness and create
medical exchange of information. The presentation covered the
PHOTO: Dr Kunene During The Prentation
significant impact that immunization has on the reduction of diseases in
children and the expanded program of immunization (EPI) Schedule in Swaziland by World Health (WHO). These included vaccines
and dosage during birth, 6 weeks, 9 months, 18 months and 5 years for different diseases. Older children who miss immunization
during infancy and immunization of children with HIV/AIDS were also discussed at length. Contraindication of immunization and
conditions which are not contraindications were also covered during this presentation.Emphacy was made that all children need to
be immunized and must never miss. During the presentation Dr. Kunene delveged the development of new vaccines such as Rota
virus which she said was now available in South Africa and should be considered to be made available in Swaziland.She went on to
say pneumococcal conjugate vaccine will be made available in Swaziland by June 2011 by WHO.
Zakhele Thwala
4
 WINDOW OF PRAYER

I
n life there are times where doors are being closed by
God and a window is being opened for you to
communicate with God. That you must not forget
that He is our creator He knows everything about
our lives. He protects us day and night through our
prayers. When you are a child of God, you must
know that enemies will come from all directions
(John 10:10). One of the good times for an enemy
to attack is during the period of closed doors. As a
Christians try to understand the Love of God. He
want to make you strong, he want you to manifest
his power. According to (Genesis 7-16) God closed
the door of the Ark, and Noah did not understand
why God closed the door. But a window of prayer was left
for him to communicate with God.
So in life there is times when God closes the door, these
are times of fearful circumstances, bereavement,
unemployment and trials there are many more. In-spite all
of these as Christians we must choose to stay at the feet of
Jesus like Mary (Luke 10-38 -42). Never allow the evil
spirit to tell you that this is too hard for you, you can not
handle. Hay wait for the Lord, do not panic He will open
the way for you. You might think he has forgotten about
you but know that is not true. Just wait upon the Lord.
Think of the Children of Israel when they
crossed the Red Sea. There were mountains
on the sides the Sea in-front them and behind
them there were Egyptians who were coming
with their chariots. The Israelites were crying
with fear, but God knew why they used that root
which passed through the Red Sea. God
wanted to show His power. They crossed in
dry land (Exodus 14-13:31). In this place God
opened the way for the Children of Israel
through Moses who was their leader .God
buried the Egyptians army in the Red Sea with their
chariots for the Glory of His name. God is able to use
another person to open the window for you (psalms 27: 1-
6). So my friend God is there waiting for you just listen to
his voice. God loves you as He says I have plans to
prosper you not to harm you.
Sitakele Hlanze

Disaster Management

R
FMH has put together a
disaster management
plan. This is a
requirement under the National
Health Policy 2007 and the
subsequent Ministry of Health
(MOH)'s Emergency
Preparedness Response (EPR)
Strategy -2008-2013. The
MOH's EPR program subscribes
to the Swaziland Government's
Disaster Management Act of
2006, which follows the United
Nations International Strategy
for Disaster Reduction (Health
Emergency Preparedness &
Response Strategy 2008).
In this regard on 21-25 June
2010, the hospital's health &
safety service element in
collaboration with MOH's EPR
department and Police College
engaged staff members to an
orientation exercise. The
purpose of the activity was to
educate all RFMH employees
about handling disasters at challenges that are encountered
different levels based on at service delivery by
strategies that are in place in stakeholders involved in
these sectors. emergency care.
A total number of two hundred The contribution of both the MOH
and forty-two (51%) employees -EPR department and Police
were informed about various College in this activity is greatly
aspects of disaster management valued. It has yielded positive
during this event. The EPR outcomes towards current and
department was represented by future disaster containment
Mr. Bongani Tsabedze and Mr. initiatives for the hospital, region,
Mduduzi Lokothwayo from the health sector and nationwide.
national and regional office(s)
respectively. Mr. Sabatha Masuku Khawulile Magagula
represented the Police College.
RFMH's Chief Matron, Mrs. V.
Bhembe and Noel Hlomula;
health & safety coordinator stood
on behalf of the health & safety
service element.
Recommendations were
forwarded regarding restructuring
the referral system, strengthening
information dissemination
between EPR and health care PHOTO: RFMH Staff attending disaster
management training
facilities, and resolving

a celebration of where we have come from and where we are going www.snhi.org 5
 RENOVATIONS IN CLINICS

M
liba and Shewula clinics are undergoing renovations
which will improve space as
additional rooms will be added. Mliba
clinic has serious space limitations as
it is only a three roomed building. Shewula
clinic has a stand alone VCT centre and the
renovations will enhance integration of
services under one roof. The renovations are
a joint project venture between SNHI and
Nazarene Compassionate Ministries (NCM)
On another note, construction of a duplex
nurse's house at Ndzingeni clinic is ongoing.
This project was kick started by a donation of
Five Thousand Emalangeni by the Prime
Minister Dr. Barnabas Dlamini. Bethany First
Church is also currently funding the project.
The maintenance department is highly
commended for stretching itself and running
all three community health construction
projects at the same time.

PHOTO: Michael Mabuza and Andy from Bethany First Church Inspecting the
renovated Mliba Clinic

All Community articles by Agatha Mamba

Free Treatment At Siteki, Bhekinkosi, Ndwabangeni And

Mshingishingini Clinics

F
ree treatment was provided in the above clinics by a medical team from Bethany First Church of the Nazarene
(USA) on 28 29 July 2010. The team consisted of medical doctors, pharmacist, physiotherapist's nurses and
dentists. Tooth extractions were done at Bhekinkhosi and Ndwabangeni clinics.
Each clinic began with an orientation session for the nurses on management of measles which was facilitated by the
pediatrician in the team. This became a forum for experience sharing as community health nurses are well experienced
on the card room conditions.
A total of 466 patients were seen from
the four clinics of which 57 were tooth
extractions. Co munity Health is
grateful to the partners for contributing
towards improving the lives of the
under proving the lives of the under
privileged people in the communities.

PHOTO: Mr Gumedze Chairman of the health PHOTO: Ndvwabange Clinic staff with the Medical team from Bethany First
Committee at Ndvwabangeni and Paul Rothwell Church

6
 COHSASA External Survey At Mliba Clinic

T
ensured that
he long COHSAS journey
all needed
which began in 2007 resources
reached its climax for Mliba w e r e
clinic on 16-17 July 2010 during the received.
The day
final external survey. Preparations
finally came
for the big day had been ongoing but
ant it was
tension and positive stress became e x a c t l y
8 : 3 0 a m

PHOTO:(L - R) C Magagula,S Sbandze, Prisca Sbandze, Zandile Dlamini,

Agatha Mamba, Fortunate Mhlanga, Surveyor Ms C Kamela

when the two surveyors improving the quality of care. They

arrived. They spent the encouraged the staff to continue
two days thoroughly and not relax now that they survey
checking through has been conducted.
PHOTO:(L - R) Zandile Dlamini, S Sbandze, Fortunate everything (service Mliba clinic is grateful to
Mhlanga, Surveyor Ms P De Beer
elements, files, quality management at SNHI for all the
evident among team members improvement projects etc). support received. Special thanks
They also took a tour of the clinic also go to the entire staff of
immediately the survey dates were
and were impressed with the clinic Community Health Services who
m a d e k n o w n . have been supportive in many
structure which has been extended
After realizing that time seemed to different ways. It is also very
and renovates. They also
be flying the team began to utilize encouraging that the CEO has
witnessed community involvement
weekends to ensure that everything urged that the quality
by the presence of a member of the
was in order. Service elements to improvement/assurance program
Clinic Health Committee who had
be assessed at Mliba clinic were be rolled out to all the other clinics.
come to welcome them. The
Management, Risk Management,
exercise turned out to be exciting as
Clinic Care and Clinical Support
the surveyors applauded the staff
Services. On the other hand SNHI
for all the efforts they had made in
was in full support of the clinic and

Bulunga Clinic Gets a Makeover

A
team of students from Eastern Nazarene
University (USA) led by Dr. Bill Mc Coy spent
the day on 12/06/2010 at Bulunga clinic painting
the clinic, the duplex nurse's houses and patient's toilet.
PHOTO: A student from eastern Nazarene University USA
Painting the duplex Nurses House.
Dr. Bill Mc coy is a son of Dr. Bill Mc coy who was a
doctor at RFM in the 90's. The activity was facilitated by
Brent Lavign (BFC) who had approached Community
Health to say the team was willing to do a one day
project in the clinics. The team took a familiarization tour
to the clinic on 03/06/2010.
It was both hard work and fun the whole day as the team
painted the outside walls of all the structures.
Community members were present to participate as this
is a tradition in Primary Health Care.
Dr. Bill McCoy said it had been a great pleasure for the
team to spend the day doing work at Bulunga Clinic. He
left all remaining paint with the clinic to share with the
local church and also gave T. Shirts to all males who had
participated. The chairperson of the Health Committee
thanked the team and said God had answered their
prayers.

7
 Rotary Donate to RFMH Again

T
he Rotary Club of Manzini through their Ann's
donated clothing's for the newborn babies at
RFM Hospital. The donation was presented
and handed over on the 25th August 2010. The Rotary-
RFM partnership has actually been ongoing for a while
and patients have turned out to be the most
beneficiaries on such partnership.
The RFM Hospital is ever grateful to warmly accept
donations that are aimed at uplifting the quality of care
for the clients/patients. Hence the Manzini rotary club is
kindly implored to keep on doing well for mankind.
Bagezile Dlamini PHOTO: Rotary Club
Members

1.2 Million US Dollars worth of equipment donates to RFM.

T
operations USA, Hamiltow High
he Raleigh Fitkin
School in Los Angeles CA,
Memorial hospital
Alpha Kappa graduate chapter
was privileged to
Pittsburg PA, Metro Politan
receive a large consignment
outreach of Pittsharge,
of drugs, equipment and
University of Pitter burgh School
suppliers worth 1.2 million
of Medicine Dr. Bitchong the
US Dollars from Project
Chief Medical Officer reacting to
Africa Global (PAG).
this kind gesture shown by
Project Africa Global is a
Project Africa Global and work
non Governmental US
Project Africa Global and many alongside them. “Our Institution
based Organization which has
other supported continue to has greatly benefited from the
been partnering with the Ministry of
maintain their commitment to the support and assistance extended
Health of Swaziland for the past 11
people and government of by PAG”, said Dr. Bitchong he
years. This collaboration has
Swaziland. “our collaboration with further expressed sincere
enabled physicians and other
the Ministry of Health (MOH) and appreciation to PAG and The
volunteers from PAG to donate
RFM has enabled physicians and Ministry of Health for these mark of
valuable inimical services and
our team to donate valuable attention and support. In addition
expertise. Provide Medical
clinical services and expertise, said PAG has also provided clinical
education and receive important
Dr. Pettigre. The US based Services in three rural areas and
information about medical system
organizations that contributed to consultation services to the
in Swaziland. Speaking to Dr.
these donation included Global wellness program, emergency,
Margaret Pettigrew who was
links no Pihsburgh PA, Medwish in Preparedness and response
leading the team from Project
Cleveland OH, Machnonal program and maternal health
Africa Global and is a Vice
Women's Hospital and case program at RFT.
President of the Women Hospital
Western Univertiy in Cleveland Zakhele Thwala
in the US. She mentioned that
OH, Blessings International

PHOTO TOP:
Management
receiving
donations from
Project Africa
LEFT AND
RIGHT: Some
of the
8 donations
 Community Involvement

E
very academic year our students at the Nazarene College of Nursing are encouraged and given an opportunity to
give- this is mainly done in Leves II and III where students are assigned to the community areas for clinical
practise. They identify a family/individual with special needs and try to meet those needs, a good example would
be when our students constructed a pit latrine for one of their families. In Level III students are exposed to Community
Resource areas i.e. Cheshire Homes of Swaziland, Ekululameni and Swaziland Hospice at Home. Alternatively students
would make a special contribution to one of these areas. Last academic year, this gesture was extended to Cheshire
Homes of Swaziland where some clothing and E500.00 cash was donated ( see special pictures). The whole college
community is also given a chance to give through such activities. This endeavour is in line with compassion which is one
of our core values at the college since it supports the scriptures that when Jesus saw the multitudes, He had compassion
for them.
Sr CJ.Sihlongonyane

The Luke Commission (TLC)

T
he Luke Commission (TLC) is pleased to announce limited access to healthcare facilities. RFM Hospital and
the donation of medical supplies and equipment to the 17 community clinics in the Swaziland Nazarene
RFM Hospital in collaboration with Heart to Heart Health Institutions (SNHI) serve more than 30% of the
International and Nazarene Compassionate rural population in Swaziland and have supported the
Ministries, Inc. TLC provides mobile Comprehensive Care mission of TLC to ensure that patients found in rural
Clinics to communities receive access to care. TLC is grateful for
isolated the continuing commitment and leadership of SNHI to
rural improve the quality and access to health care for all
communit Swazis. The partnership between TLC and SNHI is a
ies who blessing!
have Harry & Echo VanderWal
PHOTO:(L - R) Evelyne Chagonda, Echo VanderWal, Dr
Motuma, Dr Bitchong, Harry VanderWal, Bongani

Mother to mother (M2M) at RFM

M
other to mother is a non-governmental organization aiming to increase
the number of pregnant women, who use prevention of Mother to Child
transmission of HIV (PMTCT) services. The organization hope that
mothers with HIV can live longer by maintaining a health life style and take good
care of their families. The role of M2M at RFM is to educate mothers living with
HIV and about how to take care of themselves and the babies. They are also encouraged to know their status and accept it. RFM
M2M has also a support group which trains mothers that have undergone the PMTCT program and graduate them once their
babies reaches two (2) years. Thereafter, they are being referred to the communities to teach others.M2M's target is to make sure
that every pregnant and breastfeeding mother is seen by M2M staff before leaving the facility. This is one of the ways used to fight
against the spread of HIV/AIDS in the country. The M2M organization is located at PNC, ANC, Children ward and
maternity ward.

THE LAST EDITION’S

FAVORITE ARTICLE ISdo
you love Yourself by
Dr Paulos

THE LAST EDITION’S BEST

ARTICLE IS
Manzini Rotary Club
Donates to RFM By
Bagezile Dlamini
PHOTO: (L- R) Mandlekosi Moyo, Dr Jabu Mavundla, Make Futhi Mdluli CEO, Matron
Veronica Bhembe Receiving donations from ASD medical

a celebration of where we have come from and where we are going www.snhi.org 9
 First aid training at RFMH

A
standard requirement under emergency and support and paramedical staff on basic first aid and
services is that transport operators, porters, resuscitation skills. However, training at Levels I, II & III
support service and paramedical personnel are is provided by Baphalali Swaziland Red Cross Society.
skilled in providing first aid and resuscitation care. Since A most recent Level I training was conducted in June 21
2009, RFMH has been engaged in training all support -25 & June 28 - July 2 this year, whereby twenty staff
and paramedical personnel in first aid and resuscitation members were trained. Participants included 13 drivers,
care. 7 porters and a ward aide. The training course was
The First aid course is being offered at various levels; conducted in succession over two weeks, thus training10
basic, Level I and Level II & III. At the basic level people per week. This ensured staff coverage and
employees are exposed to the simplest and most minimal disruption of services in concerned
essential aspects of first aid and resuscitation care. departments.
Since 2009 to date, 86% personnel have been trained. PHOTO: (BACK
ROW L - R)
Level I prepares the trainee as a generalist in first aid Almon Magagula,
Simanga Zewula,
care. Thirty people have so far been trained in this Clement Ndzinisa,
cadre. Levels II and III are advanced First Aid courses Zandile
,Elmon.
Magagula

that equip trainees with some specialty skills that may be Ndzimandze,
Sabelo Mavusc.
required in an emergency situation. Five staff members (FRONT ROW L -
R) Noel
drawn from Level I trainees of 2009 benefited in this Sihlongonyane,
category. A certificate is awarded for Levels I,II & III, and Chris
Ndzimandze,
it should be renewed every three years. The latter group
is further responsible for providing in-service training to

Understanding HIV/AIDS

I
s the Human Immune Deficiency Virus, it is found in the fluids of an infected person which are blood, sex fluids
(semen vaginal fluids) as well as breast milk.

Mode of Transmission
.Through sexual intercourse (unsafe sex)
.From mother to child
.Direct contact with blood of person who is infected
.By sharing piercing objects with an infected person
.HIV cannot be transmitted through;
-Casual contact, sharing toilets, domestic utensils, eating together,
-mosquitoes, playing together, socializing and working in the same office.

CD4 Bench mark

- According to the National Guidelines, of Art will be at less than or equal 350 cells/mm
(Anti Retrieval Therapy) or if there is Aids-defining illness such as Kaposi's sarcoma
Art does not cure HIV but halts the Virus republication thus prevent for all children less than 12 months with a
positive DNA PCR WAART is initiated irrespective of CD4.
Benefit if ART
1. Decreases number of orphans
2. Business and Household stay intact
3. Reduces mother to child transmission
4. Prolongs life and improves quality of life.
5. Increases motivation of Health workers as they feel they can do more for HIV positive patients.
6. Less money to spend on treating opportunities infections and palliative care.
7. Post exposure prophylaxis
8. Increased number of people who accept HIV-testing and counseling
9. Decreased stigma surrounding HIV infection.
Adherence is very important when taking ART.

(Ministry of Health, 2007)

By Family Nurse Practitioner Nobuhle Mthethwa.

10 www.snhi.org
a celebration of where we have come from and where we are going
 The Southern Africa Nazarene University: New Developments

I
n April 2010 the Boards of Governors (BOG) of the
proposes Southern Africa Nazarene University
(SANU) held its annual meeting. The meeting was
preceded by the meetings of the standing committees.
The standing committees as well as the BOG
deliberated on one major aspect, that is the launching of
the University. To achieve that goal important decisions
were made and it is hoped that the University will be
launched in the near future.
The launching of the university will be beneficial to the
Church of the Nazarene in Africa and especially the
RFM hospital in the hospital will become the major
University's Teaching Hospital an aspect that will
evaluate its status. On the other hand, in corroboration
with other current developments that ate taking place,
the RFM hospital will take a step higher in achieving its
goal, which is to provide quality health services.
This is once upon life privilege that God is placing on
the hospital and God through these development will be
able to reach many people even those beyond the
borders. Let us pray for a better success of the
developments leadership of the Swaziland Nazarene
Health Institutions and Southern Africa Nazarene
University as they strives for better heights.
Carlos V. Mbanze.

Advantages of the new Hospital Email accounts.

M
SN Hotmail, Gmail, Yahoo! Mail and similar types of widely-used (and free) e-mail accounts are popular and easy to set up.
However, despite their popularity, such e-mail accounts present their users with a number of inconveniences;
inconveniences that can be avoided with our NEW robust, versatile and richly featured RFM e-mail accounts.
Users of MSN Hotmail, Yahoo! Mail and similar types of e-mail accounts may have to deal with any of the following types of
inconveniences and annoyances:
· With mass-market e-mail accounts, including MSN Hotmail and Yahoo! Mail users share their e-mail domains (e.g.,
"@hotmail.com," "@msn.com," or ".yahoo.com") with millions of other users, which makes it impossible to create a truly unique e-
mail identity for the hospital.
· Users of Hotmail, Yahoo! Mail, etc. are frequently being pestered with unwanted and intrusive on-page
advertisements. Ad placement is one of the main reasons that these providers can offer their services for free.
· Hotmail and Yahoo! Mail networks are prone to attacks by phishers, pharmers, hackers, crackers and other cyber
crooks who attempt to steal sensitive information or plant e-mail worms, Trojan Horses and other malware.
· You might lose your account if you do not use it within a certain time.
· It is next to impossible to get an e-mail address that is easily useable, let alone memorable. Because of the large
amount of users that share these domains, the risk of selecting an e-mail address that is already taken is very high. There are simply
too many variations in circulation. In many cases, users are forced to find an alternative address as addresses like
"sicelo@gmail.com," "dlamini@hotmail.com," or "rfm@yahoo.com" may well be unavailable.
· Some of these e-mail accounts may include unwanted advertising insertions in your outgoing e-mail.
· Because users of Hotmail and Yahoo! Mail accounts share their Internet domains with millions of other users across the
Web, they run the risk of having their e-mail addresses accidentally blacklisted by recipients that decide to block entire domains
from their inboxes, rather than just specific e-mail addresses. Such blanket blacklistings thus may hurt users that aren´t guilty of
spamming or any other netiquette breaches.
The Best Alternative The best alternative to the inconveniences of Hotmail, Yahoo! Mail, and similar e-mail accounts is have one of
our hospital email for your department with is @rfmsz.org which allow you to pick the exact e-mail address you want, including
our own Hospital domain name that you may use for business use. All of our e-mail accounts are 100 percent ad-free and include
generous disk space, Webmail access, as well as state-of-the-art anti-spam and anti-phishing technology.

The new hospital e-mail account enables you to create your very own, instantly recognizable e-mail address e.g.,
"newsletter@rfmsz.org.". If you are working or doing any other type of business, this rfmsz.org e-mail accounts allow you to use
the hospital name as your e-mail domain, which allows people , business partners and other recipients to immediately recognize your
incoming e-mail messages´ origin. The generic "@gmail.com," "@hotmail.com" and "@yahoo.com" domains do not provide e-mail
senders and recipients with this convenience.
This new Hospital e-mail account further ensures that no one will mistakenly put you on their e-mail blacklists as part of blanket
blacklistings of entire domains. Thus: You are unlikely to be blacklisted unless you actually do distribute spam or have made yourself
or your communication unwanted somehow. In short, this hospital e-mail account unlike the free accounts offered by MSN,
Yahoo!, et all allows you build a distinctive, unique Web presence for yourself or your hospital business. The e-mail account
will shield you from the spam barrages Hotmail and Yahoo! Mail users are forced to live with.
So, if you are relying on MSN Hotmail, Yahoo! , Gmail Mail or a similar e-mail account, it´s time to reconsider. I recommend selecting
one for you department of our robust, unique, new RFM Hospital e-mail accounts. It is paid for by the
hospital. A hard copy Email directory is available. For more info or question come to the IT office.
I would like to conclude by reminding everyone who is using any hospital
computer type to make sure that his/ her computer is running an Antivirus. It must
be having Kaspersky 2010 antivirus or Norton 2010 if not report such to the IT
office.
. Sicelo Dlamini
itrfm@rfmsz.org

a celebration of where we have come from and where we are going www.snhi.org 11
 New Faces at RFMH

T
he hospital wishes to acknowledge and welcome staff members who joined RFMH at different
intervals from March to August 2010, and were subsequently oriented to the organization. Mr.
Leonard Dlamini -hospital administrator, Dr R. Bitchong -Senior Medical Officer and Deputy Matron
Mrs. J. Thwala were amongst members of the senior management who welcomed the staff informing them
about different aspects of the institution in the process. Staff members in this category are as follows:

Mantenga Mantenga - Pharmacy

Promise Dube - Intensive care/Renal Unit
Memory Ndlovu - Male circumcision
Webson Madawo - Antiretroviraltherapy
Samkelisiwe C. Simelane - Antiretroviraltherapy
Sikhulile Sibanda - Baylor Children's Clinic
Mcebisi Sukati - Operation Theatre
Juliet Ngwenya - Female Medical ward
Prisca Amaechi - Postpartum Ward
Thobile Hlatshwayo - Male Medical Ward
Precious Dlamini - Operation Theatre
Samkelisiwe P. Khumalo - Operation Theatre
Ihuarulam Jovita - Laboratory
Mpumelelo Mbona - Physiotherapy
Cynthia T. Ngubane - Tuberculosis Clinic
Hellen Dlamini - Maternity
Bhembe Mphile - Intensive care/ Renal Unit
Nkosingiphile Mkhonta - Intensive care/Renal Unit PHOTO:(TOP AND BOTTON) NEW EMPLOYEES DURING THEIR ORIENTATION
Sandisile Ntshangase - Intensivecare/Renal Unit
Linda Cindzi - Inensivecare/Renal Unit Breast Cancer Awareness
Andile Mthethwa - Intensivecare /Renal Unit Month
Sanele Gama - Intensivecare/Renal Unit
Tenaye Eshete - Postpartum ward
Sindie Shongwe - Operation Theatre
Lewis Nhlabatsi - Emergency
For breast cancer education and checkups
Sicelo Dlamini - Information technology
please visit Mbabane City Council every
Cyril Dlamini - Male Medical Ward
Tuesday & Manzini City Council clinic
Phumlile Methula - Male Medical Ward
every Thursday from 9 am – 12 pm.
Carol Grant - General Outpatient Department

Customer care at RFMH

T
he ministry of health in its effort to improve quality care to all citizens of Swaziland has introduced the customer care
service to all hospital including RFMH. This is evidence through their slogan which says do it right the first time. This
initiative will improve the health status of all men, women children who require treatment. The main objective of this
service is to understand staffing, daily operation, service provided, challenge faced and recommendations applicable to
each department. And to obtain a base line data so that
monitoring and evaluation of the intentions care be done. newsletter committee
Lastly it is to equip the customer care provider with
knowledge needed for the interventions in order to keep Chief editor Make Futhi Mdluli
pace with customers' needs. Customers include stakeholders Sub-editor Mr C V Mbandze Dr Thwala
(this means anything from home interaction is done with),
internal customers (meaning health care provides), external Proof Readers Dr Getahun Sr Sibandze
customers and indirect customers. Sr Mavimbela
Deadlines Design & Layout Mr T Simelane Sicelo Dlamini
3 December 2010
ADVERTISE HERE CONTACT 5052211 4 February 2011 Advertising Mr Z Thwala
OR newsletter@rfmsz.org 4 March 2011
Circulation Mr Z Thwala Sicelo Dlamini
To receive an electronic copy of this newsletter, please subscribe by sending an e-mail with subject line “subscribe”to newsletter@rfmsz.org
something to share? for more pictures & news find RFMH on facebook
articles for this newsletter are always welcome. Just send and e-mail to Zakhelethwala@yahoo.com or newsletter@rfmsz.org with your story and/or pictures.
12 a celebration of where we have come from and where we are going www.snhi.org