Yvette Nlyoncaba
Role Midwife

The University of Edinburgh together with the African Palliative Care Association is training health workers in palliative care in four countries in Africa. 

I have been working here at the Univeristy Teaching Hospital of Kigali (CHUK) since 2008. I am a midwife and trained here at CHUK in 2006.

 I became a midwife because I like the profession and want to help women who are suffering.

 Some of the challenges are that we don't always have the tools that we need and there are gaps in the provision of clinical services that our department provides.

 The midwife team is big enough for needs but the Doctors and clinical officers are not really enough.

 I am motivated by good birth experiences for women.

 I took part in palliative care training in December. The training was good and it responds to some of the practical experiences and issues we have in our work. I came to understand how people suffer across all dimensions of pain and the provided us with useful clinical knowledge.

I came to understand that people from different departments and hospitals have different experiences and we shared experience.

The training helped me to appreciate how people with chronic disease need palliative care. Before, I didn't look at individuals with chronic conditions from an holistic point of view. This has helped me to find a way of delivering a good result.

One patient who was HIV positive with cervical cancer. When she was diagnosed, she refused to acknowledge her condition on many occasions. When the palliative care team came, they provided psychological support, they worked to understand her diagnosis, to lead her to acknowledge her condition. They counseled her with coping strategies and she was discharged home with her family there to support her.