20 August 2004

Press Release

The South African Nursing Council Response to the Amendment of the Choice on Termination of Pregnancy Act, 1996

The South African Nursing Council in response to the outcry regarding the impact the amendment to the Choice on Termination of Pregnancy Act, 1996 will have on the profession of nursing releases the following statement.

The replacement of the term “registered midwife” with the term “registered nurse” does not substantially change the situation with regard to the number of nurses that may or may not perform abortions.

The majority of the nurses on the South African Nursing Council register are registered as both general nurse and midwife i.e. 82 213 out of a total of 96 715 registered nurses.

The amendment to the Act effectively allows an additional 14 288 registered nurses who are not midwives out of a total number of 96 715 registered nurses on the South African Nursing Council register to carry out a termination of pregnancy.

A person who is registered as a midwife only is a person who has met the requirements to be registered as a midwife only and is not registered as nurse. There are currently no training institutions in South Africa that are training persons as midwives only.  The South African Nursing Council register had only 802 registered midwives in 2003 as compared to 1900 in 1997. The amendment to the Choice on Termination of Pregnancy Act, 1996 will therefore preclude these 802 registered midwives from carrying out a termination of pregnancy. 

The Choice on Termination of Pregnancy Act, 1996 clearly states that only a person “who has undergone prescribed training in terms of this Act;” may perform a termination of pregnancy. In this regard only registered nurses who have completed the necessary training to carry out a termination of pregnancy may perform such a termination and may only terminate pregnancies of up to and including 12 weeks of gestation. The amendment to the Act does not change these conditions under which a registered nurse may carry out a termination. 

Neither the Choice on Termination of Pregnancy Act, 1996 nor the Nursing Act, 1978 and the South African Nursing Council compels a nurse to conduct a termination of pregnancy. The intention of the Act is to provide a choice for women regarding the termination of a pregnancy and to enable a medical practitioner and a registered nurse to carry out such a termination.

A Registered Nurse has a choice to undergo the prescribed training and furthermore he/she also has a choice regarding whether to work in a facility that is approved to carry out a termination of pregnancy. 

(Signed)
Hasina Subedar
Registrar
South African Nursing Council

Contact the Communications Officer: Tel 012-420 1000 Fax 012-343 5400

© 2004 - 2020 South African Nursing Council (Under the provisions of the Nursing Act, 2005)

11 May 2004

To be released on 12 May 2004:

International Nurses Day – 12 May 2004

Message from the Registrar of the South African Nursing Council

Today 12 May 2004 is a day set aside internationally to commemorate nurses. Nurses have entered into the profession of nursing that is committed to serve people whose health status is compromised and to maintain the health status of those that are healthy.

The profession of nursing began humbly with the commitment of Florence Nightingale who sought to tend to and restore the dignity of the sick and injured in the Crimean War. Today nursing has grown into a fully-fledged profession that plays a significant role in health care delivery.

For this day of commemoration the international community has identified the theme “Nurses working with the Poor to combat poverty”.

This theme could not be more apt for us in South Africa where we as a nation are currently celebrating 10 years of Democracy.

Today we acknowledge and pay tribute to the contribution the 177 000 nurses in South Africa make to our health care system. These nurses often work in and overcome extremely adverse conditions. Despite this, they seldom receive any recognition for their service.

	Nurses work 24 hours a day, 7 days a week and 365 days a year to ensure that the health care needs of South Africans are met.
	They provide health care to all, rich and poor, young and old, sick and well and newborn infants and those that are dying.
	Nurses are the backbone of the South African Health care system and carry the burden of providing health care in very adverse conditions.
	They provide continuity of care and treatment in communities, residential health care facilities, clinics and hospitals.
	In many areas especially in rural communities the nurse is often the only health care provider available to meet the health care needs.
	Nurses play a critical role in restoring the dignity of the sick, the elderly, the young and the terminally ill.
	Whilst there are many nurses that have left South Africa to work in other countries there are thousands of nurses that have remained and are committed to serving South Africa.

While we acknowledge the contribution of nurses we need to look back and review how the profession of nursing has contributed to the 10 years of democracy in South Africa. Nurses are most suitably placed to take the lead in ensuring that the Constitutional rights of South Africans are promoted and maintained.

In this regard nurses can play a fundamental role in “Restoring the dignity of our people” over the next decade. Nurses can contribute to our democracy by taking the lead in implementing the Bill of Rights enshrined in the Constitution.

Nurses should look at:

	Improving access to health care and health care services;
	Improving the quality of life of South Africans through better health.
	Assisting and guiding the illiterate, the poor and vulnerable groups to gain access to the appropriate resources and assistance to improve their personal circumstances.

A small contribution by each of the 177 000 nurses can attain significant results over the next 10 years of our democracy.

“Let us make the slogan ‘nurses unite to work with the poor to combat poverty’ become our reality for the next 10 years of our democracy”.

Hasina Subedar

ENDS

Any enquiries should be directed to the Communications Officer.

Tel no: 012 420 1000

© 2004 - 2020 South African Nursing Council (Under the provisions of the Nursing Act, 2005)