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Recommendations 71st PBF course Douala

The 32 participants with the authorities of Douala Town

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.

Positive aspects of the course

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.

Aspects of the course that require improvements

Turning Point Question

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.

General recommendations of the course participants to the Ministry of Health

  • 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)

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Recommendations English spoken 68th PBF course Cameroon

The 51 participants from the English-spoken PBF course

The 68th performance-based financing (PBF) course took place from Monday, March 5 to Saturday, March 17, 2018. Hereby the detailed course report.

The main objective of this course was to train in PBF all the remaining DMOs and Regional Delegation staff of the two English speaking North West and South West regions. This to assure that by the end of 2018 the scale-up of PBF in the two regions can be completed in all districts.

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Recommendations french spoken 67th PBF course Cameroon

The 61 participants of the Doula PBF course

The 67th International PBF Course took place at Makepe Palace Hotel in Douala from 12 to 24 February 2018. Sixty-one participants took part in this course with six facilitators and three dedicated staff at the Secretariat. All participants were from Cameroon. The average score of the 61 participants who did the final test was 75%, which was slightly above the test scores of the last two years. Seven participants obtained a distinction with a score of 90% or more.

The course report (rapport du cours) can be downloaded from this site.

The positive aspects of the international PBF course in Douala

  • 92% of the participants said that “the objectives of the course were related to my professional activities”.
  • The duration of the course was considered satisfactory by 78%. This is a sharp increase compared to the March 2017 PBF course in Douala, which ended Friday instead of on Saturday.
  • The course book was considered good. This was the result of an intense editing of the French and the better harmonization between the book and PowerPoint slides.
  • The rooms and the internet at the Makepe Hotel have improved.
  • The course was attended by six Regional Health Delegates and 29 District Chief Medical Officers from seven regions, and we believe that all these health authorities have understood the rationale for the PBF and that they are ready to start or to improve the implementation of PBF in their various regions.

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Recommendations for PBF from 7 countries

The 32 participants and facilitation team in Cotonou

The 65th PBF course took place in Cotonou from 15 to 27 January 2018 with 32 participants from Guinea Conakry (12), Senegal (10), Madagascar (4), Chad (2), CAR (2x), Cameroon (1) and Burundi (1). Herewith the detailed course report (rapport du cours).

M. GUEYE El hadji Ndiaga from Senegal – Participant 2000

We had also the pleasure to welcome the 2000th participant to the PBF courses since 2007 and this was El Hadji Ndiaga GUEYE, the RBF portal expert from the Senegal programme.

The daily course evaluations and the final evaluation of the course were favorable compared to the previous course held in Cotonou in August 2017. The impact of the 65th PBF course has been reflected in the good quality of the action plans carried out by the groups of countries (see the detailed course report).

Two participants obtained a certificate of distinction with a score of 90% or higher for the end-of-training test. They were Dr. Mohamed CAMARA, who works in the project FBR pilot of Mamou in Guinea and Dr. Florent Eric RABEARITSOA, who works for Madagascar’s FBR program in the Ministry of Health. Continue reading

New approaches and content for the 2018 PBF courses

Kenya game parks

OVERVIEW OF THE NINE PBF COURSES DURING 2017

There were nine 14-day PBF courses in 2017, during which we welcomed 344 participants from 18 countries. Of these seven were French spoken courses with 285 participants and two were English spoken with 59 participants.

Five courses were open to any participant who applied (Douala, Cotonou, Bukavu, and Mombasa 2x). The other four courses were organized for participants selected by their respective governments (Gabon 2x, Cameroun Ngaoundéré and in the Central African Republic). 

In 2017, during the Bukavu October course in DRC, we celebrated that 10 years ago the first PBF course took place. Since then, close to 2000 participants attended 65 courses.

The first 2017 course was organized by the Gabonese government in Lambaréné in January and once again in July. The second course was organized with the Regional Fund for Health Promotion of Littoral in Douala in March. The other courses were organized with the Regional Fund for Health Promotion of Adamaoua in Ngaoundéré in Cameroun in July; with BEST-SD in Cotonou Benin in August; with the Agence d’Achat de Performance of South Kivu province in DRC in October and with the CAR government in Boali in November. 

The participants in 2017 came from Cameroun 94x, Gabon 73x, the Central African Republic 47x, Nigeria 30x, Thad 19x and the Democratic Republic of Congo 18x. Smaller groups came from Guinea 11x, Zimbabwe 8x, Senegal 7x, Burkina Faso 6x, Ivory Coast 6x, South Sudan 5x, Liberia 5x, Congo Brazzaville 4x, Lesotho 4x, Uganda 3x, Niger 3x and Ethiopia 1x. The details of the PBF programs in these 18 countries can be found in the course reports to be found at this website. Continue reading