It is often said that doctors are the leaders of health care teams, they give the instructions and nurses carry them through. This assertion is being questioned in various circles in the developing world. In Ghana, for example, the debates rages on as to who makes a better District Director of Health Services (DDHS) nurses and doctors.
The Gambia is not well endowed as far as health personnel are concerned. Nurses are in short supply, but doctors are much scarcer. Most of the health facilities and health tasks in the country are carried out by nurses. This leaves Gambian nurses with a wealth of experience and expertise. Indeed, nurses are the backbone of the healthcare system in the Gambia. Gambian nurses are known to do exceptionally well when they relocate to more developed nations.
Lots of lives have been saved owing to the intervention of Gambian nurses and with improved training and better equipment, many more lives will be saved in coming years.
Interventions such as better working conditions will go a long way in stemming the exit of these invaluable professionals from the Gambian healthcare system.
With the knowledge, expertise and confidence of our nursing professionals, it is very clear that any doctor hoping to assert his dominance will clearly have to earn it though a clear display of knowledge, experience and humility.