The 71stInternational PBF Course was held in Makepe Palace Hotel in Douala from 7 to 19 May 2018. Thirty-two participants attended the course with six facilitators and three dedicated staff at the Secretariat. Three participants were from the Central African Republic and twenty-nine from Cameroon. The average score of the 32 participants who took the final exam was 75% which is slightly higher than the previous test results of the PBF courses. Three participants were awarded the certificate of distinction.
Hereby the detailed course report rapport du cours.
The daily course evaluations by the participants were good. Also at the closing of the course, we received positive feedback from several participants on the content and methodology of the course.
The quality of the action plans was better compared to previous courses because there was more time for the participants to work on them supported by coaching by the facilitators during the late afternoons and evenings. In particular, the action plans of the Division of Cooperation (DCOOP), the General Inspectorate of Medical and Paramedical Services, the National Malaria Control Program, the Regional Funds for Health Promotion and the General Directorate of the Ministry of Health from the Central African Republic were of a high standard.
The Makepe Hotel was rated better by the participants compared to previous courses. The hotel has invested in improving the rooms and the conference center. Food services were considered satisfactorily.
During the final evaluation of the course, 30% of participants said that “the objectives of the seminar were not related to their professional activities”. We did not really understand this feedback but it could be linked to the fact that some directorates and programs are not yet fully engaged in the PBF program.
The duration of the course was considered too short for 39% of the participants; which means that despite the extra Saturday it is still difficult to share the main elements of the course within 14 days.
There were printing errors in the course book whereby some lines at the bottom of the pages were not visible and some tables and figures were fussy.
- Restitution of the PBF course recommendations in the respective workplaces including in CAR (all participants);
- Start PBF contracts with the Directorates and Programmes, which are not yet enrolled (all participants)
- Introduce PBF in the course curriculum of medical training schools, nursing schools, ENAM, etc (all participants)
- Harmonize the tax laws for both public and private health facilities and create an equal playing field (DRFP with MINFI)
- Advocate with the Ministry for a more rational division of the health districts (DOSTS / DRSP / DMOs / CIS)
- Advocate that training schools select and train students to become health entrepreneurs capable of advancing PBF best practices and innovation (all participants)
- Integrate the PBF quality reviews and accreditation in the work of the Inspectorates of the Ministry of Health (IG with support PBF Unit)
- Disseminate the circular of October 2017 of the Ministers of Health and Finance circular on the financial management of health facilities in Cameroon and make sure the new procedures are implemented (IGSA / PBF Unit)
- Develop or update the current laws and procedures of the Ministry of Health to support the PBF reforms (IGSA / DAJC / DCOOP)
- Review the community verification interviews by local NGOs and make sure that they abide by ethical standards such as confidentiality (PBF Unit, CDV Agencies, DOST)
- Put the municipalities under performance contracts to assist with the PBF community activities such as household visits (PBF Unit)
- Assure that there is sufficient funding for supplementary feeding indictors in the nutrition whereby health facilities buy the required inputs (Directorate of Health Promotion)
- Add more information at the PBF / HMIS portal such as health facility revenues and number of qualified personnel (CDV Agencies, PBF Unit, CIS)
- Disseminate the national PBF manual towards all contracted structures (PBF Unit / Regional Directorates / DMOs)