Introduction

In Zambia, at the Lusaka College of Nursing and Midwifery, college head Dr Priscar Sakala-Mukonka is training the next generation of nurses in their new Critical Care department. Once qualified, her students will join a health care system that is critically short-supplied and short-staffed - not due not to a lack of new nurses, but due to a shortage of paid positions. Despite decades of investment, there is still only 13 nurses per 10,000 people in Zambia, compared to 175 in Switzerland. Many qualified nurses are officially unemployed, and those with jobs do the work of many. Feeling demoralized and undervalued, many have left to pursue nursing careers overseas. What can be done to reverse this trend?