Nursing Education Partnership Initiative (NEPI)

The Nursing Education Partnership Initiative (NEPI) is an initiative developed to address the critical shortage of health care workers in sub-Saharan Africa by strengthening the quality and capacity of nurses and midwives throughout Africa. In support of the goal of the President’s Emergency Plan For AIDS Relief (PEPFAR) to train at least 140,000 new health care professionals and paraprofessionals, NEPI intends to strengthen the quality and capacity of nursing and midwifery education institutions, increase the number of highly skilled nurses and midwives, and support innovative nursing retention strategies in African countries.

Objectives of NEPI:

  • Conduct countrywide assessments of nurse training capacity in selected countries.
  • Support Ministries of Health and Education to:
    1. identify 3-6 nursing schools in each of the countries to receive funding;
    2. prioritize interventions that strengthen nursing and midwifery programs; an
    3. scale up innovative approaches in nursing and midwifery education.
  • Provide training and continuous quality improvement support; design and implement an evaluation strategy in collaboration with the partner educational institutions; provide methodological consultation and technical support across countries and institutions.
  • In collaboration with the World Health Organization (WHO), build an evidence base to inform the development of policy guidelines, review and analyze existing evidence and gain consensus on areas of intervention, and develop evidence-informed global policy guidance on transformative scale up of nursing and midwifery education.
  • Conduct costing studies to gather information about the cost of nursing education in sub-Saharan Africa.
  • Implement NEPI in Zambia, Malawi and Lesotho, and expand to three additional countries.


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