From administrative hospital management to performancebased management: Paradigm shift at the Yaoundé Gynaeco-Obstetric and Pediatric Hospital, Cameroon

  • Fru Angwafo III | fobuzshi@yahoo.com Yaounde Gynaeco-Obstetric and Pediatric Hospital, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Cameroon.
  • Andreas Chiabi Yaounde Gynaeco-Obstetric and Pediatric Hospital, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Cameroon.
  • Assumpta Bella Yaounde Gynaeco-Obstetric and Pediatric Hospital, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Cameroon.
  • Evelyn M. Mah Yaounde Gynaeco-Obstetric and Pediatric Hospital, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Cameroon.
  • Julius S. Dohbit Yaounde Gynaeco-Obstetric and Pediatric Hospital, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Cameroon.
  • Willy Tafen Yaounde Gynaeco-Obstetric and Pediatric Hospital, Cameroon.
  • Immaculate Bih Geh Yaounde Gynaeco-Obstetric and Pediatric Hospital, Cameroon. https://orcid.org/0000-0003-4241-4765
  • Samuel Lele Yaounde Gynaeco-Obstetric and Pediatric Hospital, Cameroon.
  • Charles Nsom Mba Yaounde Gynaeco-Obstetric and Pediatric Hospital, Cameroon.
  • François-Xavier Mbopi-Kéou Faculty of Medicine and Biomedical Sciences, and UNAIDS Strategic and Technical Advisory Committee (STAC), University of Yaounde I, Cameroon. https://orcid.org/0000-0003-4510-8018

Abstract

The Yaoundé Gynaeco-Obstetric and Pediatric Hospital (YGOPH) faced challenges of high debts and sub-optimal care delivery. Performance-Based-Management (PBM) provides an environment of checks and balances, increased transparency, competition and autonomy, thereby improving clinical as well as financial indicators. We describe the transition from resource-based to PBM at the YGOPH over a seven-year period. There was an increase of 4.5% in OB/GYN and 8.1% in prenatal consultations, 8.4% in C-sections, 6.1% of children vaccinated, and 30.5% of women seen for family planning, 51.1% of people living with the Human Immunodeficiency Virus on treatment and 29.4% of indigent patients. These results occurred in spite of a 14% reduction in staff. Annual revenue increased by 5.75%. The share of hospital income from care on overall hospital revenue increased from 55.11% to 60.00%. With this self-financing PBM model, the hospital remains a social, humane and financially viable structure delivering improved quality care.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.
Published
2020-10-27
Info
Issue
Section
Original Articles
Keywords:
Performance Based Management, tertiary hospital, Cameroon.
Statistics
  • Abstract views: 46

  • PDF: 48
How to Cite
Angwafo III, F., Chiabi, A., Bella, A., Mah, E. M., Dohbit, J. S., Tafen, W., Bih Geh, I., Lele, S., Nsom Mba, C., & Mbopi-Kéou, F.-X. (2020). From administrative hospital management to performancebased management: Paradigm shift at the Yaoundé Gynaeco-Obstetric and Pediatric Hospital, Cameroon. Journal of Public Health in Africa, 11(1). https://doi.org/10.4081/jphia.2020.1214