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Table 1 Table of ARC grantees by Country, number of Grants, regulatory function and advancement

From: Evaluation of the impact of the ARC program on national nursing and midwifery regulations, leadership, and organizational capacity in East, Central, and Southern Africa

Country

# ARC grants received

Primary regulatory function (Secondary)

# Stages advanced on RFF

Highest RFF stage reached

Resulting regulatory product

Impact on HIV Care

Botswana

2

CPD

1

Stage 2

CPD Framework requiring HIV content; Scope of Practice including HIV tasks;

CPD requirement for re-licensure

5 HIV-related CPD points are required; Task sharing included; CPD needed to re-license

1

SOP

2

Stage 5

Ethiopia

1

CPD

1

Stage 2

CPD Manual, including HIV content

Quality improvement

Kenya

1

Registration

0

Stage 4

Establishment of decentralized council offices;

Pediatric HIV CPD module;

Convenient re-licensing;

HIV CPD to recertify

1

CPD

0

Stage 3

Lesotho

3

CPD

(Licensure)

3

Stage 5

Trainings to increase CPD compliance; CPD requirement for re-licensure and CPD provider accreditation application; CPD Framework and Logbook

Increased CPD compliance;

3 of 12 CPD points are required in HIV-related CPD;

Instituted CPD for nurses

Malawi

1

CPD

1

Stage 4

Trainings to implement CPD mandate

Increased CPD compliance

Mauritius

1

Legislation

1

Stage 2

Regulation of Profile for Educators

Quality nursing education

Mozambique

2

Licensure (Accreditation)

0

Stage 1

Objective Structured Clinical Exam (OSCE) assessment for new nursing graduates; Law establishing Nursing Council

Assessment of PMTCT competencies for new nurses;

Professional regulation

0 (TA only)

Legislation

2

Stage 3

Namibia

1

CPD

1

Stage 3

Survey assessed CPD compliance factors

Data to drive compliance

Rwanda

1

SOP

1

Stage 3

Scope of Practice, including HIV tasks; CPD module on HIV services

Task sharing included;

HIV CPD available

1

CPD

1

Stage 2

Seychelles

1

Legislation

4

Stage 5

Proposed amendments to Nursing Act; Scope of Practice for HIV Generalists and Specialists;

CPD Framework including HIV content

Clear HIV practice scope;

CPD available to nurses;

Improve education/practice

1

SOP

0

Stage 2

1

CPD

1

Stage 2

South Africa

1

CPD (Accreditation)

1

Stage 2

HIV Specialization for nurses;

CPD accreditation for nurse led ART

Incentive for task sharing;

Quality ART task sharing

1

Accreditation

0

Stage 3

South Sudan

1

SOP

0

Stage 1

Scope of Practice, including HIV tasks

Clear HIV practice scope

Swaziland

2

CPD

2

Stage 4

CPD Framework, including HIV content;

Entry to practice license exam includes HIV

HIV CPD required to relicense; HIV competencies required

1

Licensure

2

Stage 4

Tanzania

2

CPD

1

Stage 2

CPD Framework, including HIV content;

Task Sharing Policy, includes HIV services

HIV CPD required to relicense; Increased HIV task sharing

Uganda

2

SOP

2

Stage 3

Scope of Practice for Nurses and Midwives, Uganda Nursing Council, 2015

Nurses are authorized to initiate patients on ART

Zambia

2

CPD (Licensure)

1

Stage 2

CPD requirement for licensure renewal; Nurse led ART accreditation guidelines

HIV CPD required to relicense; Quality ART task sharing

Zimbabwe

2

CPD

2

Stage 5

NIMART Mentorship Training Program; CPD requirement for licensure renewal

Quality ART task sharing;

CPD required to relicense