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ECoPaH- Report of Workshop on Leadership and Communication for Health Management Committees and Womens Associations in Buea

(N A D E VNkong Hill Top Association 4 DevelopmentN A D E V Nkong Hill Top Association 4 Development)

TRAINING WORKSHOP ON LEADERSHIP FOR HEALTH MANAGEMENT COMMITTEES AND WOMENS ASSOCIATION IN THE BUEA MUNIICIPALITY

29th to 30th July 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

Introduction.3

Workshop objectives.3

Participants expectations and fear .4

2. Module 2: The Cameroon Health System and Its role.5

3. Module 3: Organization and Functioning of Health Systems..6-8

4. Module 4: Health Management Committees and Decentralization9

5. Module 5: Gender and Health Management committees..9-12

6. Module 6: Leadership and Communication within the Health Management Committee..12-13

7. Participants Action Plan.14-15

Annexes..15-34

- Attendance list

-Workshop Program

- List of abbreviations

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 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 centers. The goal of ECoPaH is thus to enhance the capacity of the councils for improved health service delivery. Its specific objectives would be to: improve the knowledge and skills of Council Authorities and Staff in managing the transferred competences in the health sector, increase collaboration between the Council and Health stakeholders, especially government technical services, and finally increase 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 Buea

Workshop Objectives

To strengthen Health Management Committees and Womens Associations to effectively carry out their role within the decentralization process

Participants expectations and fears

Participants included 16 representatives of Health Management Committees from seven Health Areas in the Buea Health District and 4 leaders of the Buea Womens Forum. These participants had the following expectations and fears from the workshop:

N

Expectations

Fears

1

Gain knowledge on the role of the dialogue structure and gain leadership skills

Rain and lateness of the participants

2

Get more knowledge on how to manage health area

None availability of handout

3

Strengthen knowledge as a community worker and learn more about health

None participation of participants

4

More knowledge on health issues and to take back the knowledge to the community, know what the council can do for the health centers

Fear that the facilitators may not finish prepared material due to late start

2. The Workshop Presentation

2. 1 the Cameroon Health System and its Role

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 agreed that the Health Management Committee plays the following role:

Monitoring and evaluation of Health Centres 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,

Organize meetings with staff and chief of centers

Oversee general supervision

Controlling of budget

Auditing of pharmacies

Take inventory

Employment of support staff

Improvement of health centers

3. Organization and Functioning of Health Systems

The focus here was on presenting a background of health system functioning and how health systems are sustained.

3.1Historical background of health system functioning

At 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.

3.2Definition 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 step up sensitization on the need to subscribe to available health insurances in the area namely the BEPHA and Mutual Health Organization. He also encouraged womens groups to gear their so called sinking fund and njangis in their groups more towards health than death related expenditures. This can be a sort of semi-insurance scheme to support health care.

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 Buea, with the goal of making proposals to promote effectiveness. The results of the exercise are as follows:

Strengths

Internal factors

Spirit of sacrifice and unity

Presence of infrastructure

Collaboration with traditional authorities

Proper management of finance

Positive response of community members

Committed members

Moral support

External factors

Existence of funding

Good collaboration with technical staff

Challenges

Internal factors

Laxity of some members of the HMC

Competition among members

No transparency in the management of the HC

Insufficient number of workers, drug and equipment.

Staff absenteeism from work

Bad roads and lack of water

External factors

Implication of hierarchy in the management of Health Centres.

Insufficient working materials

Proposal

Employ support staff

Write proposals for assistance

What can a community worker do to address the issue of road side medicine? (Participant)

As a community worker there is a need to educate your community on the dangers of road side medicine. Secondly educate them on the advantages of the Health Insurance Schemes. This will discourage them from buying road side medicine since their insurance will cover for their medication even in cases of emergency. (Facilitator)

(Participants brainstorming during group work exercise presentation) (Participant presenting group work results in plenary)

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 specification on the transfer of competences.(see details in annex)

5. Understanding the Concept of Gender within Health Management Committees

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:

(A cross section of participants at the workshop)

THE GENDER TREE

The Leaves: The leaves symbolize the negative effects of the gender discrimination between men and women in the society. For example: fewer women in decision making positions, early and forced marriages among women, women are timid, low level of income among women, under development etc.

The Trunk: The trunk symbolizes those institutions which reinforces and transmits tradition such as the church, school, media etc

The Roots: Those invisible aspects that propagate gender gaps such as our traditional believes and norms.

(Visible gender behavior in society (leaves)Women cannot speak out, women cannot own property, early and forced marriages, few women in decision making,)

(Structures (Stem)Traditional institutions, Religious institution, Media, Family, Social clubs Educational institutions, Secret societies, Financial Institutions, State institutions)

(Root Factors (Roots)Beliefs, Culture, Norms, Values, Taboos, interest, sayings)

Group work

What are the different obstacles women and girls, men and boys face in accessing health care?

Group Work Result

Group 1

Women

Girls

Tradition

Tradition

Poverty

Distance to health centre

Ignorance

Communication

Stigma\ shame

Educational background

Lack of information

Negligence

Lack of decision making

Lack finance

Lack of education

Cultural believes

Poor nurse and patient relationship

Men

Boys

Cultural beliefs

secretive

Poverty and creed

Stubbornness

Lack of information

Poor behavior of hospital staff

stubbornness

Lack of finance

Cultural and native beliefs

Men and boys think they can resist illness.

Too much responsibility

What can be done to increase women and girls access to health care?

More sensitization and education

Women should be involved in income generating activities

Health services should be available in villages

Should encourage women to register under the health insurance scheme

(Project staff facilitating the Module on Gender)

6. Leadership and Communication within the Health Management

Committee.

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 expos equally focused on the definition of communication, the communication channels, characteristics of effective communication and barriers to effective communication.

7. Participants Action plan

Health Area: Buea Town

Activities

Date

Partner

Sensitization and education in our community on what they learnt in the workshop

September

EkondeEmmal

Nkenmayi Peter

Nkenfac Francisca

Health Area: Bova Health Area

Activities

Date

Partner

Communicate with councilors and explain their problems

September

Elisabeth Mokake

Lucy Embola

Harry Lifambe

Health Area: Buea Road

Activities

Date

Partner

Training of health area management committee members

Training of health area management committee members

15/08/2014

29/08/2015

NADEV/ District health service

Health Area: Molyko

Activities

Date

Partner

Visiting the chiefs

Mid September

Chief of centre, members of management committees

Visiting the DMO of Buea

Early September

Visiting the Mayor

Mid August

Health Area: Bokwango

Activities

Date

Partner

Hold meeting with the HMC members, chief to inform them about the workshop

To be determined

The community

The council

The district/ NADEV

Make arrangements for improving the HC, negotiate for a good system for water supply and also for the extension of a maternity ward and fence

Apply for more competent workers and a visiting Doctor

Health Area: Muea

Activities

Date

Partner

Training of HCM

14/8/2014

Facilitator of this workshop

Training of management committee members

21/8/2014

Health Area: Tole

Activities

Date

Partner

Restructuring of committee

August

Nurse in charge

DMO

Quarter head and chief

BueaWomen Forum

Activities

Date

Partner

Meeting with forum executive members

September

NADEV

MINPROFF

Visit to all 10 zones and appointing forum members

October -November

NADEV

MINPROFF

Evaluation of all the zones

January / February 2015

NADEV

MINPROFF

(PADDL Technical Expert giving closing remarks as she encourages participants to be more committed to their work.)

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

-

-

-

-

Question and Answers

Are there Council representatives in the Health Management Committee?(facilitator)

Response: There are representatives but they are not very committed and do not attend meetings. (participant).

The HMC should ask the Deputy in charge of health or a member of the Health Committee of the Council to ensure that the Council is represented by a Councilor. (facilitator)

Question: Has there ever been any joint health stakeholders meeting? (facilitator)

Response: no

Question: Should there be a joint forum? (facilitator)

Response: No

Question: Is the DMO aware of HMC activities? (facilitator)

Response: No

Contribution from GIZ/PADDL Representative.

The HMC could channel their problems through the Councilor in their Health Area to the Council during Council sessions.

Challenges faced by the HMC

Disrespect by members of the community to respect clean up campaigns and general hygiene and sanitation around them.

Less collaboration between the Council and the HMC

Facilitators input

Council has the right to get involved and punish recalcitrant members of the community by requesting that they pay huge fines.

The HMC should also motivate the council to realize their projects through councilors of their communities.

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 laid 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 centres, 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 4: Health Management Committees and Decentralization

Role play

Conceive and stage a play showing how men, women, girls and boys behave in a typical Cameroonian family

Plenary Analysis of the role play

What did you see?

Female children do most of the house work

Girls are punished if they do not do their work

The male child doesnt do anything and is not punished

Mother depends on the decision of her husband

Father is only interested about the female child getting married and does not border about her going to school

Mother is very concerned about the gains from the daughters marriage

Boys are given the difficult work

Why is the situation like that?

Culture places boys in an opportunistic place

society demand for a boy to be strong and do the hard things

girls are groomed towards taking care of the home and her husband

society expects the woman to respect and obey her husbands decision

Is it correct?

No! Reason is that if a girl child is not educated she may in future be unable to assist her own children with their home work.

Input from the Facilitator

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, girls and boys 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 rolesFamily, relatives, community

Schools

Religion

Media

Legal structure

Community

Difference between Sex and Gender

Sex

Gender

Sex is biological

Gender is cultural

Given by birth

Learned through socialization

Cannot be changed. E.g only a man can impregnate , only a woman can bear children

Can change with time. E.g Both men and women can go to school and become Doctors and pilots

Plenary discussion

What are some sayings, taboos, proverbs in the society which define the role of men and women in the society?

Why you di cry like woman (Why are you crying like a woman?)

Woman e piss nodi cross road (A womans urine cannot cross the road)

Woman nodi slip for front bed (A woman does not sleep on the front part of the bed)

A Womans place is in the kitchen

Woman nodi climb palm tree (A woman does not climb a tree)

How are these sayings, taboos and proverbs transmitted in the society?

Through our parents (the family)

The Media

The Church (Religion)

Social clubs

Schools

Community

What are the effects of these sayings on the society?

Because of this women stay behind

Women are not active

Women are afraid to take position of decisions making

Women are poor

Women are shy

Under development

Wife battering

Maltreatment of widows

Illiteracy among women

Forced marriages

Early pregnancies

How can these problems be reduced

Give women a chance

Send female children to school

Stop negative cultural practices

Module 5: Understanding the Concept of Gender within the 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


Responsible agents for the socialization of roles


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.

Module 6: Leadership and Communication in the Health care Management

Plenary Discussion

What are the qualities of a good leader?

Lead by example and time conscious

Responsible

humility

accepts criticism

good listener

patient

be a servant

decision power

spirit of sacrifice

patriotic

good communication skills

good manager

confidential

transparent

Facilitators input

Flexible

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

Role plays showing a good and bad leader

Group 1 (Failure to take part in cleanup campaign)

Analysis of the role play in plenary

What happened and what did you see?

Team work

Organized group

Good manner of approach

Generosity

Welcoming

Politeness

Educative

Group 2 (Employment opportunity)

An analysis of the role play in plenary

What happened and what did you see?

Refusal to employ degree holder in favor of a relative

Corruption

Dictatorship

Poor approach

tribalism

greed

personal interest

no team work

no organization

Communication

What is communication?

Input from participants

Information

Expression of thoughts and feelings

Distribution of information

Exchange of ideas

Facilitators input

Communication is the process by which information moves from a source (sender) transmitted through a medium (channel) to a receiver (destination) and the process is completed with a feedback loop

Channels of communication

Plenary

Radio

Telephone

Face to face

Telegrams

Letter

Messenger

Talking drum

Megaphone

Sign post

Facilitators contribution

Emails

Meetings

Notice board

Circulars etc

etc

Barriers of communication

Language

Illiteracy

Speech problem

Network

Means of transportation

Facilitators contribution

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

Workshop Programme

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 Evaluation

Excellent

Very good

Good

poor

Very poor

No response

Comments

Grades

5

4

3

2

1

Facilitation

16

3

Participation

16

2

1

Training materials

12

3

4

Writing materials

12

4

3

Workshop venue

17

1

1

Food

16

1

2

The Cameroon Health System and Its Roles

9

4

5

1

Organization And Functioning of Health Systems

7

5

2

1

4


8

6

4

1

Leadership and Communication Within the Health Management Committee

9

4

4

4


12

2

4

1

The Cameroon Health System and Its Role

5

4

7

3

Organization and Function of the Health System

5

6

5

3


8

3

6

2

1

Leadership and Communication Within the Health Management

5

7

7


9

1

3

6

Suggestion for next workshop

More members of the health area should be invited next time

NADEV should provide handouts after workshop (3)

The meeting with other health stakeholder should not be delayed (1)

Workshops of such magnitude should be organized more often (6)

Time consciousness by members (1)

Content should be precise

Follow up so that identified problems can be looked in to

NADEV should act as middle man between DMO and HMC

The council should be represented so that some of the problems faced by the health area should be answered or known directly

List of participants

SN

Name

Abdress

Contact

1

DadjiRigobert

BueaRoad Health Center(Chairman)

75649398

2

Annette Mbua

BueaRoad Health Center(Treasurer)

74886361

3

Harry Mbua

Bova H.C

78579602

4

Fonteh Florence

Tole H.C

77590731

5

NdulaGalaba

Tole Health Center(Area Chairman)

75757963

6

TamfuhSallianEnanga

BokwangoHealth Center(Chairperson)

77650800

7

Nkengfac Francisca

BueaTown Health Center(Treasurer)

95296303

8

Nkenmayi Peter

BueaTown Health Center

76105565

9

Elsie .N.Jackai

BueaWomans Forum President

77103833

10

Lucy Embola

Bova H/C

78838194

11

Youdjeu Joseph

Chairman Muea Health Area

77966861

12

13

Fonteh Florence

Tole H/C

95296303

14

Eko Otto

Molyko H/C

99951747

[email protected]

15

Mojoko Martha Kaume

Small Soppo

78467477

16

Tangah Anya .C.

MolykoHealth Center(Chairman)

79966204

17

Lem Akongnwi

Paddl

76293022

[email protected]

18

Ewonde Brian

Buea Road

75274281

19

Lum Justine

Buea Road

50441421

20

Ekonde Emma

Buea Town H/C

76385374

21

EnangaMatute

Small Soppo

51713039

22

Nanje John

Bokwaongo

94934915

23

Ticha Magdalene

BueaWomens Forum

77151092

24

Tangah Anya

Molyko

79966204

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

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