![\"Douala](\"http:\/\/www.sina-health.com\/wp-content\/uploads\/17-Douala-Participants-with-authorities-and-facilitation-team-e1416651848640.jpg\")
<\/a>Douala Participants with authorities and facilitation team<\/p><\/div><\/p>\n
Hereby the report (Rapport du cours PBF Douala V261114<\/a>)<\/span> of the 41st PBF course in Douala. SINA Health in collaboration with the Regional Fund of Littoral finished this course at the 7th of November. There were 17 participants: 10 from Cameroon, 5 from the Central African Republic, 1 from Burundi and 1 from Congo Brazzaville. \u00a0All 17 participants passed the final test and 5 obtained distinctions.<\/p>\n It was a very pleasant and dynamic group in Douala and this PBF course became\u00a0special due to its\u00a0focus on a miscellaneous number of topics such as notably PBF in education (CAR), \u00a0PBF in administration\u00a0e.g. police and local tribunals (Burundi), Ebola prevention as well as on PBF in emergency situations in the Central African Republic and East Cameroon. It shows how varied PBF has become and how fast PBF expanded during 2014.<\/p>\n PBF course role play<\/p><\/div>\n The atmosphere during the course\u00a0was that of hope whereby PBF has the potential to\u00a0provide instruments\u00a0to advance good governance, to directly inject money in communities and social services, to\u00a0better manage health facilities, schools and administrative structures and to stimulate the local economy.<\/p>\n There is still a lot of work. PBF\u00a0instruments must be further developed and tested in each specific situation and country and we need more people to do this work. The outstanding issues are notably how to select the vulnerable at low cost; how to strengthen community PBF; the development of the standard quality and business plan tools in the education and the administration sectors.<\/p>\n Closing ceremony with authorities from Littoral and NW Regions<\/p><\/div>\n We congratulate the authorities in Cameroon and the Central African Republic with the fact that PBF seems in their countries to be the<\/em> future reform approach. Cameroon will expand during 2015 the number of PBF regions from 4 to 7 and in CAR it seems PBF is the preferred way forward in the health and education sectors.<\/p>\n Moreover, it is also encouraging that the Burundi PBF experience since 2005\u00a0has now finally produced\u00a0three scientific papers in respectively Social Science & Medicine, Health Affairs and the Global Journal of Health Science. This confirms what all those active in Burundi since 2005 already knew, which is that PBF produced very\u00a0visible positive results. Yet, this\u00a0was somehow difficult to “prove” scientifically. The three papers all show that the PBF approach produced encouraging results in Burundi and in particular by improving the quality of care. Yet, the papers also recommend\u00a0more\u00a0action research on specific topics such as targeting the vulnerable and thereby to further perfect the PBF system.<\/p>\n<\/a><\/a>