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(N A D E VNkong Hill Top Association 4 DevelopmentN A D E V Nkong Hill Top Association 4 Development)
Training Workshop on Leadership and Communication for the Health Management Committees and Womens Associations at the Idenau Council
31st July to 1st August 2014
Organizer:Nkong Hill Top Association for Development (NADEV)
P.O. Box 340, Buea
Email: [email protected]
Web site: www.nadev.org
Sponsor: PADDL/GIZ
Table of Content.
1. Module 1: Opening and Introduction
Introduction3
Workshop objectives...3
Workshop participants4
2. Module 2: The Cameroon Health System and Its role...5
3. Module 3: Organization and Functioning of Health Systems..6-7
4. Module 4: Health Management Committees and Decentralization8
5. Module 5: Gender and Health Management committees8-9
6. Module 6: Leadership and Communication within the Health Management Committee..9-10
7. Participants Action Plan..10-12
Annexes ..11-34
1. Opening and Introduction
Introduction
In response to the GIZ PADDL call for proposal NADEV came up with the project Enhancing Council Participation in Health Service Delivery (ECoPah) in the Buea And Idenau Municipalities. Both councils have recently elaborated communal development plans including objectives on improving public health. This is in line with the mission of councils as stated in Law No. 2004/018 of 22nd July 2004 on the functioning of councils in Cameroon. Since 2010 the government has by Decree No 2010/0246/PM of 26 February 2010 transferred the following competences and resources to councils to improve health service delivery - the construction of integrated health centres, the equipment of health centres, the maintenance of health centres, and the management of health centres. The goal of ECoPaH is thus to enhance the capacity of the councils towards improved health service delivery. The specific objectives include: improving the knowledge and skills of Council Authorities and Staff in managing the transferred competences in the health sector, increasing collaboration between the Council and Health stakeholders, especially government technical services, and finally increasing access for the vulnerable, especially women, to health services in the Municipalities.
As one of the project activities NADEV organized a two day workshop with the theme: Leadership and Communication for Health Management Committees and Womens Associations in Idenau
Workshop Objectives
To strengthen Health Management Committees and Womens Associations to effectively carry out their role within the decentralization process.
Participants at the workshop
The workshop was attended by 18 participants made up of the 1st and 2nd Deputy Mayors, members of the Idenau and Bakingili Health Management Committees, Representatives of 5 Womens Associations within Idenau, Representatives of the Health Committee from the Bibunde Village Council and some Councilors and members of the Council Health Committees. (See attendance list in annex)
2. The Workshop Presentation
2. 1: The Cameroon Health System and itsRole
During this session which had as objective to improve on participants understanding of the organization and functioning of the District Health System, participants through a World Caf brainstormed on the structure of the health system in Cameroon and the roles of Health Management Committees. The results of this exercise are summarized as follows:
2.1.1. Structure of Cameroons Health System:
Participants were unanimous on the fact that the health system structure begins from the National level (Ministry of Public Health), then the Regional level (Regional Delegation of Public Health), the Divisional Delegation, the District Health Service and Health Areas.
2.1.2. The role of the Health Management Committee:
Participants equally supported that the Health Management Committee plays the following role:
Monitoring and evaluation of Health Centers activities
Participate in Health activities,
Carry out sensitization
Ensure timely implementation of the work plan,
Collect feedback from population
Improve on the health conditions of the local population,
.
3. Organization and Functioning of Health Systems
Focus here was on presenting a background of health system functioning and how health systems are sustained.
3.1At this point the facilitator presented a historical background of health system functioning noting that, in a bid to address global health challenges world leaders held several conferences aimed at improving quality health care. At these conferences it was concluded that to guarantee quality care, governments should emphasize on Accessibility, Availability, Affordability and Acceptability. This is to mean that essential health services should be made accessible to all individuals and families in an acceptable and affordable way and finally provision of quality, basic and essential health services.3.2.
3.2Definition of the Health System
A health system consists of all the organizations, people and actions whose primary intent is to promote, restore and maintain health.
3.3. Health System Building Blocks
These are pillars that work together to determine the viability of a health system. They include leadership/governance; health workforce, health information; financing; service delivery; medical products, vaccines; health technology; people (community participation and ownership); and research.
3.4. Factors influencing resource allocation in health care
Within the health system, certain considerations come into play to ensure and guarantee quality health care or simply fairness and equality in health service delivery. The main objective of a health system at whatever level- strategic, interpretative or operational is to guarantee universal coverage to all segments of the population. They include; availability of resources, geographical accessibility, location of existing health infrastructure, disease burden among the population, and other demographic and ecological factors.
3.5. Sources of funding in Health Centers (HCs)
They consist of users fees/service charge, budgetary allocation, grants and development aids, Health Insurance schemes and other innovative mechanisms.
In order to lessen the burden of charges for health services on patients, the facilitator counseled members of the Health Management Committee on the necessity for them to inquire on the possibility of the Mutual Health Organization in Limbe extending its services to Idenau. Also, participants were advised to consider the option of switching the contributions called Trouble Funds made in most njangi groups and reserved for funerals into Solidarity Funds for the purpose of health. This can be a sort of semi-insurance scheme to support health charges.
3.6. Barriers to Universal Coverage
These are factors that will hinder effective health care delivery. They would include: out of pocket payment, waste of resources, low budgeting for health, limited infrastructure and poor resource distribution.
3.7. Group Work:
The group work following this presentation enabled participants to identify the strengths and challenges that hinder the effective functioning of the Health Management Committees in Idenau, with the goal of making proposals to promote effectiveness. The results of the exercise are as follow:
Strengths:
Good communication,
Regular monitoring and supervision of the Health Center.
Attention given to the population,
Monitor and evaluation of the different Health Services;
Motivate members,
Regular monthly meetings,
Challenges (external and internal
The inaccessibility of the HC,
Insufficient finances
Poor attendance (very few people use the HC)
Ineffectiveness of the management committee,
Absence of medical doctor
Mismanagement of resources
Proposals:
To encourage people to use the HC,
Reduce cost of drugs, reduce users charges,
Encourage the implementation of free screening of HIV/ family planning, and
Improve on service quality.
To ameliorate the state of the roads in the villages,
Hold regular and effective monthly meetings,
Update HC standards.
4. Health Management Committees and Decentralization
This session was dedicated to improving participants understanding of decentralization and the competences transferred to councils in the health sector. Emphasis was equally placed on highlighting councils role (cahier de charge) in the health sector following the Ministerial Order No. 0821/MINSNATE of 1st April 2011 on the list of specifications on the transfer of competences.(see details in annex)
5. Gender and Health Management Committee
Emphasis at this level was on enabling participants acquire basic knowledge on the concept of gender. Through role plays and a brainstorming session participants were able to identify gender differences at the level of the family and also gender taboos/stereotypes in their community. In a group exercise, using acquired knowledge participants carried out a quick gender assessment of access/use of health centers. Following is the restitution of the assessment:
Group one
Women and girls
Men and boys
Proposals to ensure girls have access to health care
Sensitization(inefficient)
Lack of jobs
Sensitization
Education
Education
Empowerment
Poverty
Ignorance
Self employment
Culture/tradition/beliefs/religion
Poverty
Need for vocational training
Ignorance
Culture/tradition/belief
/religion
Join good women association
Inaccessibility of roads
Inaccessibility of roads
Need for family love
Lack of quality modern equipments.
Wayward attitudes
Education
Pride
Group two
Women and girls
Men and boys
What can be done to improve women access to health care?
Finance
Drunkenness
Educate them
Ignorance
They use a lot of nicotine
(bad tobacco)
Carry out sensitization
Negligence
Lack of parental control and guidance
Increase moral education
Lack of sensitization
Self employment
Parents should support their girl children
They should take initiatives
6. Leadership and Communication
This presentation was articulated around two topics; communication and leadership.
Leadership
This section enabled participants to deepen their knowledge on who a leader is and the qualities of a good leader. Through role plays, they equally identified elements of good and bad leadership in their health management committees.
Communication
During this session, using what the facilitator termed the chair exercise, participants were drilled on the barriers to effective communication and how they can improve on the quality of communication within committees. The expose equally focused on the definition of communication, the communication channels, characteristics of effective communication and barriers to effective communication.
.
7. Participants Action Plans
The elaboration of action plans at the end of the workshop enabled participants to identify key concrete actions they would implement following the discussions and knowledge acquired during the working
Groups
Activity (s)
Dates
Partner
Idenau Health Management Committee
We will organize training for all members
9-08-2014
Chief of Post of the Sanje HC
We will carry out supervision at the Health Center.
All Chiefs of the various villages
There will be a general health meeting
We will hold sensitization campaigns within the whole health area/community
Members of the community
We will prepare to distribute Metizan
Carry out censors
Unique Ladies Women Association
We will organize a joint meeting with the members of the community, women groups and our families to teach on specific issues on gender, leadership and communication
7-08-2014
Community members
We will invite the MBOO Women Association
Bakingili Health Management Committee
I will organize a meeting with HMC members to discuss all that I have learnt.
5-08-2014
staff of the Bakingili Health Center
I will hold meeting with the staff of the Health Centre especially on Hygiene and Sanitation
Cheew Women Association
We will organize a meeting with the other group members and discuss all that was taught in this workshop
4-08-2014
Health Committee of the Village Council
We will organize a meeting with all community members to learn more on what was taught in this training
30-8-2014
Community members of Bibunde Village
MBO women Association
We will organize a sensitization meeting
10-8-2014
Idenau Council
We will hold regular meetings
Every 2nd week of the month
We will inform other meeting members what was learnt
30-8-2014
We will give feed back to the council Health
Quarterly
Idenau council health committee
Health Management Committee
Idenau Council Health Committee
We will hold a 2 Days restitution of the training seminar within the council
13-8-2014
Hygiene and sanitation committee
Council Social committee
Head of the Health services
There will be monthly meetings
Per month
We will carry out visits to the various Health Centres
Monthly
Sanje and Idenau HCs
We will carry out monitoring and evaluation of the activities of staff of HCs
Monthly
The various Chiefs of Posts of HCs
We will ask for feedback from the Health Management Committee
Quarterly
Chairpersons and members of the HMC
Mother For All Women group
We will hold a meeting with all group meetings to discuss on workshop topics especially leadership in the group and our families
8-08-2014
Henrietta from Unique Ladies will be invites
Lebialem Women Group
We will organize a meeting with all members to discuss all that was learnt at the workshop
25-8-2014
We will invite Monica FON from Cheew Women
Smoke Women Group
We will sensitizes the other group members of all that was taught in workshop
10-8-2014
Idenau council
Cheew Women
We will organize regular meetings and discuss health issues.
Weekly
We will request feedback
Quarterly
Council Health committee
HMC
The table explains the activities, dates and possible partners that the various groups will engage with late
ANNEXES
WORKSHOP MATERIALS
Module 2: The Cameroon Health System and Its Role
Objective: Participants
Improve their understanding of the organization and functioning of the District Health System
World Caf On The Structure And Functioning Of The Health Management Committees
(Describe the role of the Health Management Committee?)
Historical background of the Health Structure.
(Where is this idea coming from?)
To guarantee quality care, government emphasizes on the (accessibility, availability, affordability and acceptability of health services)
Health services where people are
Essential health services to be accessible to all individuals and families in an acceptable and affordable way.
Provision of quality, basic and essential health services
Roles and Challenges of the Health System
(What are your roles and challenges?)
Roles
Challenges
Module 3: Organization and Functioning of Health Systems
WHAT IS A HEALTH SYSTEM?
A health system consists of all the organizations, people and actions whose primary intent is to promote, restore and maintain health.
1. Health Systems Building Blocks
Leadership/governance
Health workforce
Information
Financing
Service Delivery
Medical products, vaccines and technologies
People (community participation and ownership)
Research
Factors Influencing Resource Allocation in Health care
Available resources
Geographical Accessibility
Location of existing health infrastructure
Disease burden among the population
Other demographic and ecological factors
Sources of funding in Health Care
User fees/service charge
Budgetary allocation
Grants and Development Aids
Health Insurance Schemes
Other innovative mechanisms
Barriers to universal coverage
Out-of-pocket payment
Waste of resources
Low budgeting for health
Limited infrastructure
Poor resource distribution
Group work:
Strengths
-
-
Challenges
Mitigation strategy
Internal
-
-
-
External
-
-
-
-
Module 4:Health Management Committee and Decentralization
Decree No. 2011/0004/PM of 13 January 2011 further transfers powers on the construction, equipping, and management of sub divisional health centres.
1. Construction of Sub divisional health centres
The council is the project owner for the construction of the said centres
The council is in charge of:
Constructing of staff quarters
Installing and managing power back up units
Installing functional water supply systems
2. Equipment of Sub divisional health centres
The council ensures the provision of supplies and materials which are necessary for the delivery of health care services at the centres authorized by the Minister of Public Health.
A ministerial order defines what supplies and materials are to be provided by the council.
3. Hygiene and Sanitation of Sub divisional health centres
The council takes all measures to ensure that there is proper hygiene and sanitation in and around the sub divisional health centres.
4. The Management of Sub Divisional Health Centres
The council participates in the Management of these Centres according to Articles 7 and 8 in two areas:
The Recruitment and payment of auxiliary personnel
Participating in the Management Committees of sub divisional health centres found in its territory
List of Specifications (Cahier de charges) on the Transfer of Competences in the Health Domain
The above powers have been further explained by Ministerial Order No. 0821/MINSNATE of 1st April 2011 stating the list of specifications to be followed by councils in exercising the powers transferred to them in the public health domain.
Key among the specifications is the following requirements:
Article 5: The council can constructs integrated and sub divisional health centres as well as staff quarters, following the log book of the public investment budget.
Any change of site or modification of the amount for any of the works must receive the prior approval of the Minister of Public Health.
Article 6: The council respects the norms and sample plans for health infrastructure as lay down by the Minister of Public Health.
The council respects the health map as defined by the Ministry of Public Health.
Personnel of the de-concentrated services of the Ministry of Public Health have to be involved in the implementation of these activities.
Article 11: The council must include priority actions/projects in the health sector in its communal/strategic development plan. The plan must indicate the resources to meet the primary health care needs of the population through the services of integrated and sub divisional health centres.
Article 15: The council can apply where there is need for special technical expertise, through the State representative (SDO) to the Minister of Public Health for such expertise.
Article: The de-concentrated services of the Ministry of Public Health carry out monitoring and evaluation of the council implementation of the transferred competences with the authorization of the representative of the State.
Article 19: The de-concentrated services of the Ministry of Public Health technically assist the council in preparing semester reports for the Minister of Public Health on the construction, equipment and maintenance of integrated and sub divisional health centres.
This report is forwarded by the SDO to the Minister of Public Health.
Article 20: Dialogue structures comprising partners and health sector actors promote the participatory and decentralized management of the health services through Health Area Management Committees, Health District Committees and Management Committees.
The Health Area Management Committee assists the health centre in finding solutions to health problems and plays a social control role in the monitoring and evaluation of the management of competences in the health sector.
The Management Committee of the Sub divisional Health Centre ensures the management of the said health centre.
Article 21: The Ministry of Public Health will take all necessary actions to ensure continuity of service delivery where the council fails to perform its duties in managing the transferred competences, especially in the construction, equipping and maintenance of health and sub divisional centres,.
Participating in the Management Committees in taking key decisions, strategic options and giving guidelines on how the day-to-day management of the centres should be done
Health Management Committees and Decentralization
Objective: By the end of this module participants can state the functions of the council especially its role in the provision of quality health care services.
Overview of decentralization in Cameroon.
The Republic of Cameroon shall be a decentralized unitary State (article 1(2)).
The Senate represents the regional and local authorities (article 20(1)), each region is represented in the Senate by 10 Senators (article 20(2
Definition of decentralization is Decentralisation shall consist of devolution by the State of special powers and appropriate resources to regional and local authorities.
Decentralisation shall constitute the basic driving force for promotion of development, democracy and good governance at the local level. The regional and local authorities of the Republic shall be the regions and councils. They shall carryout their activities with due respect for national unity, territorial integrity and the primacy of the State.
Role of the council
Defined in two laws and subsequent legislation and regulatory instruments:
Law N 2004/017 of 22nd July 2004 on the Orientation of Decentralization.
Law N 2004/018 of 22nd July 2004 to lay down rules applicable to councils.
The council is a decentralized authority. The council is set up by decree of the President of the Republic; the decree shall determine its name, area of jurisdiction and its chief town. Change of name, chief town, and boundaries may be effected by decree of the President of the Republic.
Certain urban centers, because of their special nature, may be granted a special status, in accordance with the provisions of the law (section 8).
General missions of the council
Promoting local development
Improving the living conditions of its inhabitants
The council (after deliberations and based on a relevant draft agreement) may request assistance from:
The population
Civil society organizations
Other local and regional authorities
The State and international partners
Local authorities receive powers necessary for:
Economic
Social
Health
Educational
Cultural and
Sports development
(Articles 15-20 of Law No 2004/018)
Module 5: Leadership and Communication in the Health care Management
Who is a leader?
A leader is anyone who influences and guides others towards the accomplishment of goals and targets. He /she is always going ahead of those he/she leads.
Qualities of a Good Leader
Ability to inspire others, establish trust, promote team work
Good communication skills, especially active listening and constructive feedback
Desire to empower others and provide opportunities for growth,
Must possess technical knowledge
Flexible
Open to new ideas
Ability to train or convey information to others
Must be visionary
(Role plays showing a 1. good leader 2.bad leader)
Definition of Communication:
What is Communication?
a) Definition: The process that moves from a source (sender) transmitted through a medium (channel) to a receiver (destination) and the process is completed with a feedback loop.
Characteristics of effective communication.
(Noise!!!)
(METHODS OF COMMUNICATION(Channels))
ENCODE DECODE
(SENDER) (RECEIVER) (MESSAGE)
FEEDBACK
Effective communication is the life wire of every organization/group
Channels of communication
Suggestion box
Telephone communication
Letters
Interpersonal communication
Emails
Meetings
Notice board
Circulars etc
Barriers to effective communication
Lack of communication equipment and channels
Absence of communication support equipment
The absence of a culture of information free flow
High power distance index
leaders with poor communication skills
Passive listening skills
Long lines of communication
Absence or delayed feedback
Pedagogic game: Chair Exercise
Module 6: Understanding the Concept of gender and Health Management Committee
Objective: Participants have a basic understanding of the concept of gender.
What is gender?
According to the World Health Organization (1998) Gender is related to how we are perceived and expected to think and act as women and men because of the way society is organized, not because of our biological differences.
Social construction of gender
This term refers to how society prepares boys and girls for their future roles. That is, ensuring that both boys and girls follow the orientation which is provided by the traditional picture of a good woman and good man
Responsible agents for the socialization of roles
This term refers to how society prepares boys and girls for their future roles. That is, ensuring that both boys and girls follow the orientation which is provided by the traditional picture of a good woman and good man
Sex versus Gender
Sex is biological gender is cultural
Sex is given by birthGender is learned through socialization
Thus thus
Cannot be changed can be changed
Example Example
Only men can impregnate men like women can take care of children
Some sayings, taboos proverbs in the society which defines the role of men and women in the society?
How are these sayings, taboos and proverbs transmitted in the society?
What are the effects of these saying on the society?
How can this problem be reduced?
The Gender Tree.
The Leaves: The leaves symbolize the negative effects of the gender discrimination between men and women in the society. For e.g fewer women are involved in decision making positions, early marriages among women etc.
The Trunk: The trunk which symbolizes those institutions which reinforces those traditional norms and tradition from the roots such as the church, school, media etc
The Roots: those invisible aspects that propagate gender gaps such as our traditional believes and norms.
Date/time
Module
Responsible
Day one
9:30 10:30
Module 1: Opening and introduction
Word of welcome
Introduction of participants
Presentation of workshop programme
Presentation of Workshop objectives
Working methods
Logistics
Presentation of NADEV and Project Back ground
Who is PADDL?
Gospel
11:30 - 11:00
Coffee Break
11:00 - 12:30
Module 2: The Cameroon Health System and Its Role
World Caf On The Structure And Functioning Of The Health Management Committees
Historical background of the Health Structure.
Roles and Challenges of the Health System
Samuel
12:30 2:30
Module 3: Organisation and Functioning of Health Systems
Definition of the health System
Health System Building Blocks
Factors influencing resource allocation in health care
Sources of funding in health care
Barriers to universal coverage
Group work: Identify the strengths and challenges that foster on hinder the effective functioning of management committees in Buea.
For each challenge, identify possible actionto address.
Samuel
2:30 - 4:30
Module 4: Health Management Committees and Decentralisation
The Role of the Council
Competences Devolved in the Health Sector
Stakeholders
Challenges in implementing the Devolved Competences
Vincent
4:30
Lunch /Closing
Day Two
9:00 - 9:30
Review of day
Gospel
9:30- 10:30
Module 5: Leadership and Communication within the Health Management
What is Leadership
Qualities of a Good Leader
Role plays showing a 1. good leader 2.bad leader
Definition of Communication
Characteristics of effective communication.
Barriers to effective communication
Group work: Chair Exercise
Samuel
10:30 11:00
Coffee Break
11:00 12:00
Module 5 continue
12:00 - 2:00
Gender and Health Management Committees
Clarification of the concept of gender
Gender consideration in primary health care
Sheron
2:00 - 2:30
Workshop Evaluation
Sarah
12:30
Lunch/Closing
Workshop Attendance
S/N
Name
Organization/Position
Tel/Email Address
1.
Ndzegge Gabriel
Chairman of Health Management Committee
71961980
2.
Kinge Celine
Vice president of Village Health Committee
74805946
3
Che Mankaa
Mother For All women Association
74133249
4
Schola Okon
Village council health committee member
76152675
5
Momndze Henreita
Unique Ladies women association
79114899
6
Mbankowah Martin
Village council Health committee member
75932230
7
Fonchenela Marie Therese
Council Development Officer
75509722
8
Massango Elag Hoigue
Idenau Health management committee member
51370686
9
Agbor Gladys Ebock
Idenau council health committee member
77522553
10
Wong Alang Peter
Chairman of Bakingili Health Management Committee
75083117
11
Harriet Isoqwe Itoe
Idenau Council Ladies
72271876
12
Ako Ashu Lucy
Smoke Women group
77673827
13
Fonchenela Agatha
Mbo women association
77301894
14
Fon Monica Ndah
Cheeu women association
77155830
15
Agendia Atemkeng
Lebialem women
77890378
16
Yebila Fokumla Godfrey
Member of Idenau Health Management committee
74224531
17
Suzanne Zumafor
2nd Deputy Mayor
77454031
18
Ngoe Lydia
Smoke women association
75260082
QUESTIONS AND ANSWERS ON RESPECTIVE MODULES
Module 2:
FQ: what is decentralization?
PR: Decentralization is the process in which the government enables communities to properly take care of themselves that is autonomy or the government shares her powers by permitting management at the local levels.
FQ: What is the role of the District Health Service?
PR: They are in charge of providing nurses to HCs, ensure drug supply and vaccination, carry out crosschecks and monitor activities of HC staff, they provide programs on health issues or epidemics and they teach / educate on hygiene and sanitation practices (preventive medicine).
FQ: What are some of the challenges that HCs face now?
PR: Insufficient financial abilities, difficulties to control drugs (roadside drug hawkers), insufficient trained personnel, the absence of good roads, the absence of essential HC materials, language barrier of the personnel to the communities, difficulty to get portable water, inaccessibility of some HCs, low purchasing power of the members of the community and cultural/traditional beliefs.
Module 3
FQ: what is a system?
PR: a unit or an embodiment of several components, a way of life towards the masses and manner of approach.
FQ: what is the District Health system?
PR: It includes the workers, health, and the interaction of the different components that make up the health structure.
FQ: Is there any health community based insurance scheme in Idenau?
PR: there is none.
FQ: List some ways in which resources can be wasted at the HC?
PR: Some people buy drugs and not continue the dosage correctly and there are cases where Doctors make specific referrals for drugs to be bought at their private pharmacies thereby leading to the expiration and burning of drugs in HC Pharmacies.
FQ: How is the planning done at the Health Management committee?
PR: The District Health service drafts the major programs but the Chairman of the HMC jointly decides with the Chairman of the Health Committee to carry out activities like monthly checkup of the HC, getting updates of drugs and supervise HC activities.
FQ: what are the agenda or discussion topics during HMC meetings?
PR: focus is levied on epidemic control if there is an outbreak for example now Polio vaccinations have to be distributed especially in remote villages.
FQ: Is there any budget allocated for your activities?
PR: No. Instead most times, the Chairman and members provide their personal funds to carry out health activities within the municipality. For example, the HMC of Idenau faces a lot of problems because; the amount given by the District Health Service is insufficient to carry out all the designed plans. Also, the finances generated from the HC are very low given consultation and drugs sales amounts almost to nothing. On the other hand, the HMC in Bakingili realizes most of her plans because they have support from consultation and drugs as well as an obvious percentage from the World Bank Performance Based Financing (PBF) funds.
NB: Participants remarked that, the contribution given by the District is called credit which is at the level of giving materials to the HC. Worthy to mention is the fact that, since the some officials from the Public Health Ministry visited the HMC in Idenau to verify their work progress; they concluded that, there was inefficiency due to insufficient committed members. They promised assistance but nothing has been done since then.
Module 4
FQ: What is decentralization?
PR: It means becoming autonomous, sharing powers and management at local level.
FQ: what are the functions of the Idenau council?
PR: To ensure good roads, construct markets, provide portable water, ensure hygiene and sanitation, address health needs, care for the needy, orphans and widows, improve education, carry out sports/ recreational facilities, and ensure security, job creation among others.
FQ: What do you as members of the HMC do to assist council in the domain of health?
PR: We carry out sensitization campaigns on hygiene and sanitation within the municipality as well as we aid in the identification of health needs.
FQ: Are there representatives of the HMC who attend council sessions?
PR: None has ever done that because the Mayor has never invited anyone.
NB: the facilitator advised that, HMC members have the right to attend Open Council sessions but since they cant participate legally, they could mention their complaints to either any councilor who is part of the Social Committee in charge of health or the Deputy Mayor delegated with those powers. Equally, they could form a committee and visit the Mayor officially and give him updates or challenges of their activities. It is imperative that, they can attend meetings of the Council Health Committee or invite a member of this committee during their HMC meetings. Lastly, there should be frequent interactions between HMC members and the Mayor so that, at District Health Management Meetings, the Mayor will efficiently represent the municipality.
Module 5
FQ: What are some of the various traditional proverbial taboos commonly used which relegates women to the background?
PR: - women shouldnt be buried at their husbands lands but their fathers.
-women education ends in the kitchen.
- Women are property.
- Women cant inherit property
- Widowhood rites as opposed to men (widowerhood).
- womens urine do not go a distance
- ya mbanga no di commot oil.
-Women dont eat eggs
FQ: how are the taboos and proverbs transmitted in the society?
PR: this is done via culture/tradition, religion, community and family members
FQ: What are the effects of these taboos to the society?
PR: Has led to poor behavior, inability for her to express herself (timidity), poor marriage, and negative impact on the society, poor education on children, led to disgrace/shame to the husband and they cannot organize the home.
FQ: what are the mitigating strategies?
PR: Everyone should be given equal opportunity and there should be continuous sensitization.
FQ: what are the things that can cause men and women to be different?
PR: they include culture, beliefs, taboos, values and norms.
Module 6
FQ: who is a leader?
PR: he is the head of a group, the head of a family, one who is firm and determined the head of an association, one who gathers and administers a person, one who makes connections with his people and one who has a strong mind.
FQ: what are the qualities of a good leader?
PR: he should be tolerant, self respectful, manner of approach, caring, good listener, humble, visionary, serviceable, be a servant, sociable, straight forwardness, loving, impact others and have the fear of the Lord.
WORKSHOP PICTURES
(Welcome address by Project Coordinator Mrs. Gospel ANU and cross section of participants)
(Group work preparations, final conclusions and presentation by group head)
(NADEV staff facilitating Module 6 and GIZ PADDL representative giving final conclusions)
8.
Annexes
Attendance list.
Workshop Programme
List of Abbreviations
ECoPaH:Enhancing Council Participation in Health Service Delivery
FQ: Facilitators questions
HC: Health Centre
HS:Health System
HMC: Health Management Committee
PR: Participants response
Workshop Evaluation
Topics
Number of respondents per grade
Excellent
Very good
good
average
Poor
No response
Facilitation
11
1
1
1
Participation
10
3
1
Training materials
11
2
1
Writing materials
12
2
Workshop venue
9
1
2
2
Food
9
4
1
Relevance of the topic
The Cameroon Health System and its role
9
2
3
Organization and functioning of Health Systems
7
6
1
Health Management Committees and Decentralization
7
3
2
2
Leadership and communication within the health Management
8
4
2
Gender and Health Management committees
10
2
1
1
Module for Deepening
The Cameroon Health System and its role
9
2
3
Organization and functioning of Health Systems
8
5
1
Health Management Committee and Decentralization
7
4
3
Leadership and Communication within the Health Management
8
4
2
Gender and Health Management Committees
9
4
1
The table above explains, how the 14 respondents graded each of the topics
Suggestions
Comments
12 persons requested that; there should be workshops/trainings like this always
The facilitators were good
The workshop was great but I think holding it during the Dry Season will be better.
Am happy because I learnt a lot
I suggest that, NADEV should more workshops like this in other councils in the Fako Division
Knowledge learnt will improve on the health situation of my community
I suggest that such workshops should be held at least once after every 2 months.
At least, 4 people said the workshop was really good and successful
I suggest that the Government should continue and support such programs every three months
We need more training
The teachings were interesting and educative especially for the Health Area.
1