DENOSA welcomes the WHO call for countries to raise tax on sugar-sweetened beverages ...

    Media statement 
    Thursday, 13 October 2016 
    DENOSA welcomes the WHO call for countries to raise tax on sugar-sweetened beverages  
    The Democratic Nursing Organisation of South Africa (DENOSA) warmly welcomes the call by World Health Organisation (WHO) on Tuesday for countries to impose a tax of 20% on sugar-sweetened beverages as a way to fight and reduce non-communicable diseases like obesity and diabetes among citizens worldwide. 
    This move, once more, proves that South Africa is on the right path in terms of fighting diseases among its citizens, because it has already pronounced its intention to impose a 20% tax on sugar-sweetened beverages as of April next year. This move, however, does not seem to have gone down well with retailers who sell these beverages, on mere fears that their profit margins will go down when people don’t buy these dangerously sweet beverages. DENOSA once again reiterates its full support of this move by South African government, because the growth of this country is highly dependent on the health of the role-players of its economy – the working people, most of whom get affected by non-communicable diseases.
    Statistics from WHO have shown that obesity has more than doubled from 1980 to 2014, which is more than 500 million people worldwide. This is staggering and should concern any responsible retailer, unless it is hell-bent on massacring its very own customers with too much sugar. 
    DENOSA’s main concern is that when customers fall victims to obesity and diabetes as a result of excessively sweet beverages, they don’t become the responsibility of the retail companies that sell these beverages, but become permanent patients to nurses and a burden to governments who have to procure and provide chronic medication for their chronic non-communicable diseases. 
    Outpatient Departments in our health facilities are increasingly overflowing with patients, who are of working age, who collect chronic medication on a frequent basis. 
    DENOSA takes the health side on this issue, because health of the people is important than the profit of companies. DENOSA appeals to all South Africans to continue to try harder in looking after their health so that they achieve longevity and increased life expectancy. This is achieved by making hard choices, however, like defying the urge to drink sugared beverages instead of water when one gets thirsty.      
    Just as imposing tax on sugar-sweetened beverages has proven to decrease obesity tremendously, regular exercises equally keep obesity, diabetes and other lifestyle-related non-communicable diseases at bay.     
    Issued by the Democratic Nursing Organisation of South Africa (DENOSA)
    For more information, contact:
    Sibongiseni Delihlazo, DENOSA Communications Manager
    Mobile: 079 875 2663 
    Tel: 012 343 2315 
    Facebook: DENOSA National Page 
    Twitter: @DENOSAORG

    Read more
    DENOSA and COSATU Mpumalanga to lead nurses march to provincial Department of Health on 5 October over poor c...

    Nursing our critically-ill health system out of ICU…
    The Democratic Nursing Organisation of South Africa (DENOSA) in Mpumalanga, supported by COSATU, will be marching to the Mpumalanga Department of Health Provincial Offices in Nelspruit on Wednesday the 05th of October 2016 to handover a memorandum to the MEC for Health Mr. G Mashego. DENOSA Mpumalanga is calling all members of the society and progressive movements to join hands as we take to the streets on the issues below which seek to nurse and remove the province’s critically ill health system from the ICU it finds itself in. 
    Members of the media are cordially invited to attend the march and report on the issues the march will raise.
    Poor state of health in the province 
    We have observed with great concern and serious dissatisfaction the continued demoralizing state of the conditions in which health workers and nurses in particular are expected to render health services. As nurses, we cannot continuously pretend to act normally in the face of abnormal shortage of staff especially lower catergories in our health facilities. It saddened us that there are a number of unemployed Auxillary and Enrolled Nurses that are roaming the streets of our province while nurses are extremely overworked and suffering from severe burn-out, the same the burn-out is mis-diagnosed as bad attitude by the authorities. 
    We further could not fold our arms when the department continues to pay qualified Professional Nurses as Enrolled Nurses or in worst cases as Auxillary Nurses. We view that as cheap labour practice by the Department of Health. The march will therefore call for:
    -          Translation of all nurses who are long overdue and backdating retrospectively with effect from date of their qualification. 
    -          Implementation and appointment of the fully fledged Nursing Directorate in the province where nursing issues regarding practice, administration and education will be managed. 
    -          The relevant departments to speedily increase the reduced security personnel in the health facilities with failure. We have observed that the private security companies and their handlers in their quest to maximize profit have reduced the number of security personnel in health facilities and by so doing they have compromise the safety of the health workers and nurses in particular, the patients and the public property and resources including the community at large that are utilizing those facilities. 
    -          We are saying #NursesLivesMatter, hence we are calling for total scrapping on outsourcing of security services in health facilities.
    -          #BursaySystemMustFall. We oppose the contemplated Bursary System for student nurses in the province as it has caused nothing but chaos and regression in other provinces.  
    Slow pace on NHI 
    We are also seriously concerned and disappointed with the snail pace in the manner in which information is dispatched regarding the implementation of the National Health Insurance (NHI) to the health workers which are the implementers and the society at large as recipient of the Universal Health Coverage. We call upon all stakeholders and authorities to pull resources together and ensure that the NHI survives the onslaught and attacks from the capitalists who are benefiting on the current system and all out to ensure that the NHI does not see the light of day.   
    In Conclusion, the Department of Health in South Africa is advocating for provision of quality health care services. This can be achieved through adequate staffing in our health care facilities from primary health care facility to the last provider of health services. The Human Resources for Health of South Africa: HRH strategy for health sector 2012/2013-2016/17 clearly stipulate how the nursing staffing should be addressed by the Department of Health. 
    DATE: Wednesday 05 October 2016 
    VENUE: Provincial Department of Health Offices, Government Complex, Nelspruit
    TIME: 10h00 
    CONTACT PERSON: Nhlanhla Dladla, DENOSA Provincial Secretary in Mpumalanga 
    MOBILE: 082 821 1471
    Issued by Democratic Nursing Organisation of South Africa (DENOSA) in Mpumalanga 
    For more information contact:
    Nhlanhla Dladla, DENOSA Provincial Secretary
    Cell: 082 821 1471
    Telephone: 013 752 4942
    Mzwandile Shongwe, DENOSA Provincial Chairperson 
    Cell: 079 501 5131
    Facebook: DENOSA National Page  
    Twitter: @DENOSAORG

    Read more
    The Mandoza ambulance ordeal is a daily reality for many patients who often die unnecessarily...

    Media statement 
    Tuesday, 20 September 2016   
    The Democratic Nursing Organisation of South Africa (DENOSA) notes with sadness the passing of Kwaito star, Mduduzi ‘Mandoza’ Tshabalala, and sends its sincere heartfelt condolences to his family and his music fans.   
    However, DENOSA would like to point out a serious concern in relation to media reports that he had to wait for an ambulance for three hours, to no avail. If these reports are true in the case of Mandoza, this highlights an embarrassingly grey area and a glaring weakness in our healthcare system – poor resource allocation in health. The stories of delayed ambulances get told in most funerals of patients, which unfortunately hardly get the media attention.   
    Many patients have long given up from calling ambulances in cases of emergencies because of bad previous experiences of delays. The shortage of resources in our facilities often leads to unnecessary deaths of patients, and DENOSA has been crying about this issue for years. Patients in rural areas are the worst hard hit by this and, regrettably, most have lost their lives because of this very shortage whereas they could have easily received attention at the point of care and, probably, would still be with us today. 
    DENOSA once again highlights this serious issue for communities to take note of. Similar to the shortage of nurses in facilities, the shortage of ambulances, and poor administration thereof, confront the vulnerable at the greatest time of need.  
    Simply put, if communities do not realise the seriousness of this matter and call for it to be addressed, there may be very few people left to raise the red flag when you are the one needing this help of an ambulance, because most would have passed away already!  It is the same issue with the shortage of health workers such as nurses. Patients may pitch at their nearest facility one day and find that there are no nurses, because they got sick because of heavy workload and depression. Who will take care of patients?    
    Issued by the Democratic Nursing Organisation of South Africa (DENOSA) 
    For more information, contact: 
    Oscar Phaka, DENOSA Acting General Secretary
    Mobile: 060 583 4691 
    Sibongiseni Delihlazo, DENOSA Communications Manager
    Mobile: 079 875 2663 
    Tel: 012 343 2315 
    Facebook: DENOSA National Page 
    Twitter: @DENOSAORG  

    Read more
    View More

    National changes in nursing training: South African perspectives 2015...

    Dr. Respect Mondli Miya,(D.Lit et Phil)

    Senior Lecturer: Psychiatry at Durban University of Technology, Department of Nursing Science


    Nursing is a career of love rooted in rich and fertile soil governed by caring ideologies and philosophies. Individuals within the profession have strong and inexplicable desires to serve and preserve humanity at all cost. The nursing profession drives the health care system and is forever in the forefront of preventing, promoting and management of various diseases.  Nurses have always been there and have survived trials and tribulations. Nursing demands not only the brain for cognitive purposes but a humble heart, selflessness in daily duty execution. An individual without passion for the sick will never survive a minute of nursing’s demanding tasks.

    Nursing novices are professionally socialized and groomed on their first day of training. Noble traditions of nursing are gradually unpacked and monitored up to graduation to enhance relevance and dignity of nursing profession. Nursing demands the utmost respect for humanity even after death itself. Most professions have minimum set of working hours yet nursing philosophy calls and promotes dedication beyond duty. Nursing is a way of living not just mere qualification written on papers but lived and experienced charisma. 

    Historically, nursing was viewed as a religious vocation and was predominantly religious in nature which explains chapels, and meditation designated facilities utilized for prayers before commencing daily duties in old hospitals. Nursing training in South Africa before 1976 was hospital-based hence the notion of viewing nursing as a “hands-on” career has been accepted nationally and acknowledged by most prolific nursing scholars who remain sceptical to have nursing pitched at a degree level and offered in higher training of education in South Africa.   

    Such training exposed and subjected nurses to poor recognition as a career.  Nurses were abused and viewed as medical officers’ hand maids who were good for nothing but to offer a bed pan, bathing the sick, and carry orders as prescribed without being objective. The training at that time was strict and limiting, even the scope of practice was limited and nobody could imagine a degree in nursing or university based nursing teaching and learning. Hospitals mostly trained nurses in general nursing and later midwifery.

    Around 1987, nursing in South Africa was gradually introduced in tertiary education system and scope of practice and curriculum were amended. Nursing graduates were introduced to a 4-year degree obtaining general, psychiatry, midwifery and community health nursing. That made older nurses to feel bitter and never fully accepted university graduates as satisfactorily trained. Even medical officers were threatened and witness role change from nurses as hand maids into fully recognized members of the multidisciplinary health team with independent roles and functionality. These changes failed to bridge the gap of scope of practice and remuneration packages. Even to this date, the university and hospital trained nurses earn the same salary and follow same stream of training regulated by the same nursing Act 50 of 1978 as amended with specification stipulated in Regulation 425 (R.425).

    The nursing act 33 of 2005 introduced community service of one year post- training for both hospital- and university-trained individuals. Errors still exist within the nursing education such as same recognition of a hospital and university trained graduate have similar scope of practice, universities are allowed to implement R425 differently. For example, some South African universities train students for six months in midwifery while others dedicate two full years for midwifery and three years for community health nursing which is offered for six months in colleges and some universities. The problem in South Africa is that there is one R.425 and implemented differently from one university to the other.

    The current health ministry is proposing nursing training restructurization. In the proposal dated 23 July 2015, it recommends reintroduction of the old nursing training system with a hope of extending the nursing training duration and to phase out the R.425 of Act 50 (1978). The current proposal overlooks scope of practice and remuneration packages of such graduates irrespective of their qualification which is an error not even Occupational Specific Dispensation (OSD) could resolve in 2007. OSD failed to address issues of salaries in the nursing fraternity; an obvious error is that a nursing lecturer is graded as a nursing specialist.

    The unresolved question here is: Who teaches the other? And why do they earn same salary if the other is a teacher? Up to the very same date, the public health system continues to fail to distinguish university graduates from hospital nursing graduates yet continues to differentiate auxiliary social worker from a University graduate Social Worker, and experienced Medical Officer from a Master of Medicine graduate. Why not with nursing in South Africa? 

    The proposed training changes are as follows: general nursing and midwifery be done in a college over a period of four years without indicating whether that shall be Bachelor of nursing offered in a college which can never materialize as colleges do not offer degrees but universities do. If agreed upon, this will mean degrading the dignity of nursing as a profession over medicine which continues to be offered in the university without interruptions.

    According to the proposed plan, nursing training is extended to 9 years (four year of midwifery and general, 18 months of psychiatry and one year of community health) which is unnecessary waste of time for an undergraduate qualification yet medicines years of training have been reduced to 5 years (MBCHB).


    There is absolutely no need for such drastic changes in the nursing education.  It is alarming to witness MBCHB years of training have been reduced to five years and get paid a satisfactory remuneration package compared to Bachelor of Nursing graduates with stagnant remuneration. The introduction of Masters Degree in Medicines in South Africa is preparing sound clinical researchers and such projects (thesis and dissertations) are evaluated by nursing professors who in turn receive less recognition and degrading salaries compared to MMed graduates.

    The South African health system requires the following:

    1.     Strong and vocal task team of nursing professors who shall preserve the image and dignity of nursing as a profession and strongly oppose plans to change nursing training.

    2.     No college shall be allowed to offer a bachelor of nursing, strictly universities only.

    3.     Salary packages to be reviewed and sort clear distinction of a university graduate over a hospital trained graduate.

    4.     Revised scope of practice, degree holders be given more opportunity to execute complex clinical procedures and be given better remuneration packages.

    5.     Chief Nursing Officer to be more vocal and avoid external influences to disorganise nursing training.

    6.     Hospitals to create portfolios and acceptable remuneration packages for all nursing qualifications from a diploma to PHD level.

    7.     All South African universities to adopt and implement similar training structure  that is two years of midwifery, two years of psychiatry and two years of community health nursing

    8.     Develop a Nursing Ministry by nurses with nurses and for nurses.

    9.     MBCHB degree be afforded same status as B.Cur degree thereafter if need be.

    10.  South African nursing council to be headed by prolific PHD holders and nursing qualifications be regulated and registered up to PHD level.

    11.  Any qualification obtained outside university be regarded as either associate professional nurse and associated medical office until related exam has been endorsed by the regulating body.

    Read more


    We are professionals, and let us fight to be recognised as such… 
    Vuyolwethu Mashamayite - 20150728_073623
    By Vuyolwethu Mashamaite 
    Ever since I joined nursing in 2005 I have heard nurses say nursing is a ‘calling’ and it's not about money. I couldn't understand why they said so and I still don't.   
    I believe that everyone is called by God to be in the profession or job they are doing, unless nurses consider themselves in the same umbrella as ‘Sangomas’ and ‘Preachers’. Those are the people who will leave their profession or jobs and focus on their calling or do both, regardless of whether they are paid or not. 
    Perhaps this could be the reason why nurses are under-paid and left to work in extreme unfavourablecircumstances ...because it’s a "Calling".
    Don't get me wrong; I have passion and great respect for human life as a nurse. But I cannot keep quiet. Nurses are the most abused professionals by the employer because they consider themselves "called" instead of being employed professionals.
    Nurses you are jack of all trades doing everyone's jobs from a cleaner to a doctor but come pay day you are the ones who cry the most because you are underpaid while doing everyone's jobs. I guess it's the consequences of having been “called" instead of being professional.
    We feel so comfortable working out of our scope of practice to an extent that we run a risk of performing tasks that we are not equipped to do. When told it's not your scope of practice you tell us of how long you've been doing this and you didn't kill anyone. But the South African Nursing Counci (SANC) is out there nailing nurses and not considering your "calling" but rather your profession and scope of practice.
    What hurts the most is the fact that you studied for four years and someone from another discipline who studied the same years is treated and paid better than you. I guess they are professionals and you are in a "calling". 
    Nurses, let's STOP hiding behind "CALLING" and start taking our profession seriously. If you don't do it, no one will do it for you. Like it or not we are professionals and let us fight to be recognised as such. 
    Vuyolwethu is a nurse based in Kimberley, Northern Cape   

    Read more



    From Ntandane Nyebe, a nurse in Cape Town. 

    As the backbone of any healthcare system in the world, it is my honest opinion that nurses deserve proper compensation for the hard work they put in in improving the health of South Africans. After all, nurses are the proverbial Alpha and Omega. The following 10 points are the reasons.    

    1. We are short staffed- one person does a work that should have been done by 4 people.

    2. We have gone through formal education, we have got degrees etc, we are accountable to a nurses' board, we got to be paid decent salaries like Pharmacists and doctors- YES.

    3. The health institutions do not have enough of the unskilled workers e.g. porters and cleaners- Nurses are then forced to work as unkilled workers-on top of their scope of practice, when the need arises.

    4. There are many instances where doctors go & do shopping at the malls when they are on call, or simply some institutions have shortage of doctors- when an emergency situation arises- a nurse does a work that was supposed to be done by the doctor to save the client. Same case when there no social workers- nurses must run around doing what was supposed to be done by a social worker.

    5. We do a risky job - I've heard of many nurses & docs who died from contagious diseases- especially trauma staff.

    6. The governing party admitted in 2011 that there is a dire shortage of nurses in SA, which means nursing is a scarce skill in SA and the last time I checked professionals with scarce skills were getting paid higher salaries in SA.

    7. We work under bad conditions- institutions with no proper security, lack of proper equipment etc. But we always try and do our best to improvise for the benefit of the clients.

    8. Nurses who go & work overseas they don't go there just for fun or to experience different culture- they leave because they feel they are being overlooked by Government in terms of salary- meanwhile SA loses specialised nurses with experience - Government who cares about its people would try and keep nurses by raising salaries.

    9. We deserve better. Our Government can afford to increase our salaries by 100%. There is money in SA- we have seen structural developments in SA & they have been built by companies who have been paid millions and billions.

    10. ANC Government promised to increase salary of Nurses when they were in Mangaung in 2012/13. 

    I Thank You


    Read more
    View More


    Nursing Update

    January 2016

    Nursing Update is jointly published by the Democratic Nursing Organisation of South Afr... More.



    Curationis provides a forum for cutting-edge theories and research models related to th... More

    About us

    The Democratic Nursing Organisation of South Africa (DENOSA) in its current form was established on 5 December 1996.

    The organisation was formed through political consensus after the transition to democracy and was mandated by its membership to represent them and unite the nursing profession. Prior to this, the South African Nursing Council (SANC) and the South African Nurses Association (SANA) were statutory bodies which all nurses had to join. It was also important after the transition to democracy to incorp... Read more