Les 45 participants de Douala avec les autorités
The 53rd International Course PBF was held in Makèpe Palace Hotel in Douala, from the 23rd of May to the 3rd of June 2016. Hereby the course report.
Forty-five participants took part in this course and there were five facilitators. 35 participants came from Cameroon, 6 from Central African Republic, 3 from Gabon and 1 from Mauritania. The atmosphere was great during the course and the level was high compared to previous courses. We welcomed 11 participants, who obtained distinctions – which means a score of 90% or more for their final test.
The main recommendations were the following:
GABON
- Design a “pure” PBF project for the strengthening of the health system and with enough resources to ensure its adequate implementation.
- Create a technical PBF Unit within the Ministry of Public Health to spearhead the polit program and create Contract Development and Verification (CDV) Agencies at the regional level.
CENTRAL AFRICAN REPUBLIC
- Share the lessons learned from the 53rd international course PBF at several levels => Organize a feedback meeting within the Ministry of Health;
=> Organize a meeting with Parliamentarians to advocate for PBF;
=> Organize advocacy meetings with decision makers and partner organizations;
- Conduct the mapping and accreditation of pharmaceutical firms;
- Hold meetings to revise the legal framework governing the pharmaceutical sector with the aim to boost competition;
- Organize training sessions for 60 PBF trainers.
MAURITANIA
- Ensure that the new PBF pilot program obtains at least USD 4 per capita per year;
- Ensure that the design of the new PBF program includes the autonomous management of health facilities including for the buying of inputs from distribution centers operating in competition.
- Sign contract with various components of civil society such as for provision (in urban areas), patient satisfaction surveys and to perform the role of the newly to be created CDV Agencies
- Define clearly the responsibilities of the different stakeholders in PBF
- In conclusion, allow a system whereby those who produce more also get paid more.
Lonely at the top
CAMEROUN CENTRAL LEVEL
- Discuss and advocate with the Ministry of Finance and with Parliamentarians to ensure that PBF health facilities are allowed to autonomously manage their revenues;
- Conduct general and financial capacity building for health facility managers at all levels of the health pyramid;
- Increase the proportion of the health budget that will be transferred directly in cash towards the health facilities, community and districts;
- Better define the PBF management standards
- Strengthen and implement the integrated evaluation and supervision by the Ministry of the regions, districts and health facilities by the MOH directorates in collaboration with the national PBF unit;
- Update the mapping of pharmaceutical wholesalers and ensure their quality standards through an accreditation system
- Strengthen the capacity of providers in the management of medicines and pharmacy vigilance
- Organize awareness workshops for the different directorates within the ministry as well as for the regions and districts that will be enrolled in PBF
- Produce programs for television and other social media to explain and promote PBF for the population
CAMEROUN: CENTRAL HOSPITAL YAOUNDE
- Ensure the autonomous general and financial management in the hospital in general and the departments in particular so that the departments can improve their performance and operate efficiently;
- Improve good governance, transparency and accountability in all hospital departments;
- Improve both extrinsic and intrinsic staff motivation through both positive and negative incentives;
- Develop equity mechanisms in the work plan of the hospital to ensure the care for vulnerable people.
Happy moments
REGIONAL CDV AGENCIES AND FUNDS FOR HEALTH PROMOTION
- The MOH PBF Unit must develop and distribute the national PBF manual so that the CDV agencies and Regional Funds of Health Promotion know their roles;
- Authorities must facilitate as soon as possible the start of PBF in Adamaoua Region;
- The MOH must ensure that all PBF health facilities have the autonomy to manage their drugs purchases.
YAOUNDE HGOPY HOSPITAL
- Advocate with the MOH and the Ministry of Finance that the human resource and the financial management of the HGOPY hospital will become autonomous
- Increase the profits of the hospital departments by increasing the revenues and reducing non-justified expenses;
- Improve staff satisfaction and the transparency in the hospital by generating enough PBF performance bonuses and by using the indices management tool;
- Reduce the debts of the hospital.
LAQUINITINIE CENTRAL HOSPITAL DOUALA
- Conduct a feed back session in the hospital on the lessons learned of during the 53rd international course on PBF
- Creating a hospital PBF steering committee
- Develop PBF working tools for the hospital such as the department business plans, service contracts and the department indices management tool
- Sign performance contracts between the general directorate of the hospital and the departments
AD LUCEM PRIVATE HOSPITALS
- Share the lessons learned of the 53th PBF course with AD LUCEM decision makers
- Start a PBF pilot and sign contracts between the AD LUCEM central authorities and the Bali General Hospital as soon as possible
- Train the hospital staff
- Conduct a hospital-based quality assessment
The PBF village authorities
REGIONS AND DISTRICTS CAMEROUN
- Advocate for more autonomy in all health facilities and better monitor the implementation of the PBF;
- Further strengthen the autonomous use of revenues by the management of PBF health facilities;
- Advocate that religious health facilities are also free to purchase their medicines and other medical supplies from different suppliers instead of only from their own distribution centers;
- Further strengthen that the determination of user fees tariffs will be done by the health facilities and not centrally;
- Organize PBF meetings at regional and health districts levels.
