Below is a proposed organogram for the Chief Nursing Officer (Chief Nurse) structure for the Papua New Guinea health system. It is designed for a national health system that needs stronger workforce planning, data use, rural service delivery, and maternal health outcomes.
π Strategic Outcome
If implemented, this structure enables:
- Evidence-based workforce planning
- Strong rural midwifery distribution
- Real-time workforce data for decision-making
- Reduced maternal mortality
- Better nursing leadership accountability
- Alignment with Universal Health Coverage (UHC)
π₯ Chief Nursing Officer (Chief Nurse) Organogram – Papua New Guinea
Overall Position
Chief Nursing Officer (CNO) / Chief Nurse
National Department of Health Papua New Guinea
Reports to:
- Secretary for Health
- Deputy Secretary – Health Services
π§ HIGH-LEVEL STRUCTURE
Secretary for Health
│
Deputy Secretary – Health Services
│
Chief Nursing Officer (CNO) / Chief Nurse
│
────────────────────────────────────────────
│
│
National Nursing Directorate (CNO Office)
│
────────────────────────────────────────────
│
5 Core Technical Divisions
𧩠1. Chief Nursing Officer (CNO) Office
Functions:
- National leadership and governance
- Policy approval and coordination
- Strategic planning
- Liaison with Minister, WHO, donors
- National performance oversight
Direct Support Units:
- Executive Secretariat Unit
- Policy Advisory Unit
- Legal & Regulatory Liaison Unit
- International Partnerships Desk
π 2. Nursing Workforce Planning & Development Division
Head: Director – Workforce Planning
Units:
2.1 Workforce Planning & Forecasting Unit
- National staffing projections
- Nurse-to-population planning
- Facility staffing norms
2.2 Recruitment & Deployment Unit
- National posting coordination
- Rural deployment strategy
- Vacancy management
2.3 Retention & Incentives Unit
- Rural retention schemes
- Incentive programs
- Workforce motivation strategies
2.4 Nursing Establishment & HR Coordination Unit
- Position mapping
- Establishment control
- Liaison with HR authority
π Key Focus: solving PNG’s rural nurse-midwife shortages
π 3. Nursing Data, Monitoring & Health Indicators Division
Head: Director – Health Workforce Intelligence
Units:
3.1 Nursing Workforce Information System Unit
- National nurse registry
- Digital workforce database
3.2 Health Indicators & Analytics Unit
Monitors:
- Maternal mortality ratio
- Skilled birth attendance
- Nurse-to-population ratio
- Vacancy and attrition rates
3.3 Performance Monitoring & Evaluation Unit
- Annual workforce reports
- Provincial performance dashboards
3.4 Research & Evidence Unit
- Workforce research
- Policy evaluation
- Collaboration with universities
π Key Focus: evidence-based decision making
π₯ 4. Nursing & Midwifery Clinical Services Division
Head: Director – Clinical Nursing Services
Units:
4.1 Maternal & Newborn Health Nursing Unit
- Midwifery coordination
- Skilled birth attendance programs
- Emergency obstetric care support
4.2 Primary Health Care Nursing Unit
- Rural health service delivery
- Community nursing programs
4.3 Hospital Nursing Services Unit
- Hospital nursing standards
- Clinical supervision
4.4 Quality, Safety & Infection Control Unit
- Clinical audits
- Patient safety systems
- Infection prevention programs
π Key Focus: improving maternal and rural care outcomes
π 5. Nursing Education, Training & Professional Standards Division
Head: Director – Nursing Education & Standards
Units:
5.1 Nursing Curriculum & Accreditation Unit
- Training institution standards
- Curriculum alignment with workforce needs
5.2 Internship & Transition-to-Practice Unit
- Graduate nurse transition programs
- Clinical placement coordination
5.3 Continuing Professional Development (CPD) Unit
- CPD tracking system
- Professional licensing support
5.4 Leadership & Advanced Practice Development Unit
- Nurse leadership training
- Advanced midwifery roles
- Specialist training pathways
π Key Focus: aligning education with workforce needs
π️ 6. Nursing Policy, Regulation & Governance Division
Head: Director – Policy & Governance
Units:
6.1 Nursing Policy Development Unit
- National nursing policies
- Scope of practice updates
6.2 Regulatory Coordination Unit
- Liaison with Nursing Council
- Professional regulation compliance
6.3 Health System Integration Unit
- Alignment with national health plan
- UHC policy integration
6.4 Legal & Ethical Standards Unit
- Professional conduct
- Nursing ethics enforcement
π Key Focus: governance and system strengthening
π€ CROSS-CUTTING COORDINATION MECHANISMS
1. Provincial Nursing Coordination Committees
Each province has:
- Provincial Chief Nurse Focal Point
- Workforce reporting link to national CNO office
2. National Nursing Advisory Council
Includes:
- Chief Nurse (Chair)
- Provincial nursing leaders
- Universities
- Nursing Council
- Development partners
3. Technical Working Groups (TWGs)
- Maternal Health TWG
- Workforce Planning TWG
- Nursing Education TWG
- Data & Digital Health TWG
π Simplified Visual Summary
Secretary for Health
│
Deputy Secretary – Health Services
│
Chief Nursing Officer (CNO)
│
────────────────────────────────────────────
│ │ │ │ │
Workforce Data Clinical Education Policy Governance
Planning Systems & Training Division Division
Division Division Division
π― Key Strengths of This Structure for PNG
This organogram is designed to fix major system gaps in PNG:
✔ Workforce planning crisis
→ Dedicated Workforce Planning Division
✔ Lack of reliable data
→ Health Workforce Intelligence Division
✔ Rural maternal mortality
→ Strong Midwifery & Clinical Services Division
✔ Training not aligned to need
→ Education + Workforce integration unit
✔ Weak governance
→ Policy & Regulatory Division
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