Table 4.

Solutions agreed at workshop six

	Solution action points	Implemented by follow-up visit at 6 weeks
Improvements internal to nursing group
Maintain cooperation	• Arrange a meeting with doctors to explain the importance of working together and respect for each other. • Have regular meetings together to maintain respect and address issues.	• Meetings had taken place weekly with nurses and doctors, identifying respect as an issue particularly with nursing attendants. Used as a forum for problems with work.
Prevent infections	• Staff training on disease prevention. • Disseminate education on disease prevention to patients and mothers.	• 3/4 nursing staff had attended disease prevention training run by the MoH at the hospital.
Respect each other	• Be close to fellow staff. • Help each other on job allocation. • Observe punctuality.	• Improved assistance between staff was reported, although shortages persisted.
Work conscientiously	• Be active at work without thinking of low salaries.
Improvements via external forces
Low salary	Request from employer at staff meeting with Regional Administrative Secretary.	• Incremental increase agreed to be paid.
Allowances		• Not agreed. No budget.
Shortage of staff		• Problem persists.
Risk allowance		• Not agreed as not in MoH plan.
Inadequate equipment		• Request taken forward, but no action at this point.
Transport for staff		• Not agreed. Not allocated in government budget.
Staff house		• Not affordable for all staff, attributed to government budget.