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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
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.
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
Health Management Committees and Decentralization
8
6
4
1
Leadership and Communication Within the Health Management Committee
9
4
4
4
Gender and Health Management Committees
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
Health Management Committees and Decentralization
8
3
6
2
1
Leadership and Communication Within the Health Management
5
7
7
Gender and Health Management Committees
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
15
Mojoko Martha Kaume
Small Soppo
78467477
16
Tangah Anya .C.
MolykoHealth Center(Chairman)
79966204
17
Lem Akongnwi
Paddl
76293022
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
1