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.

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References

SINA HEALTH Performance based financing in Action, Theory and Instruments. http://www.worldbank.org/health/pbftoolkit Accessed 7 Aug 2018.

Wall BM. History of Hospitals in Mending Bodies, Saving Souls by Risse G.B. 1999 N.Y. Oxford Univ. Press.

Garner PA.: The Bamako Initiative. BMJ. 1989 Jul 29; 299(6694): 277–278.

Beogo I, Huang N, Gagnon MP, Amendah DD. Out of pocket expenditure and its determinants in the context of private healthcare sector expansion in sub-Saharan Africa urban cities: evidence from household survey in Ouagadougou. Burkina Faso. BMC Res. Notes (2016) 9:34.

Nouaga II TA. Evolution historique de la gestion hospitalière et sanitaire au Cameroun. Tropique Santé, Revue Scientifique de l’Ecole des Sciences de la Santé de l’Université Catholique d’Afrique Centrale. N°1 2015 p57-69. Presse Université Catholique de l’Afrique Centrale.

Paul E, Albert L, Bisala BN, et al. Performance-based financing in low-income and middle-income countries: isn’t it time for a rethink? BMJ Glob Health 2018; 3:e000664.

Sieleunou I, Turcotte-Tremblay AM, Taptué FJC, et al. Setting performance-based financing in the health sector agenda: a case study in Cameroun. Global Health, 2017 Aug 1;13(1):52.

Minutes of the validation meeting of the 2012 budget of the Yaounde Gyneco-Obstetrics and Pediatric Hospital. April 10, 2012.

YGOPH Human Resources Audit Report, April 2013.

Provisional diagnostic report on the finances and accounts of the YGOPH, August 2013.

National Institute of Statistics. National accounts of 2014-2015; Ministry of Public Health, Cameroon.

Cameroon: Poverty Reduction Strategy Paper. August 2010, IMF Country Report No. 10/257.

Decree No. 94/303 / PM of 14 June 1994 laying down the procedures for the allocation of quota shares on onerous assignments to certain medical and paramedical personnel practicing in public health establishments. Republic of Cameroon.

Press release of the Cabinet meeting of Thursday 25 February 2016. Cameroon Tribune n°11042/7241, February 26, 2016.

Law n° 2017/010 of 12 July 2017 to lay down The General Rules and Regulations Governing Public Establishment, Republic of Cameroon. Cameroon Tribune n°11389/7588, July 14, 2017.

Alimo-Metcalfe B., Alban-Metcalfe J., Bradley M., Mariathasan Chiara Samele J. The impact of engaging leadership on performance, attitudes to work and wellbeing at work: a longitudinal study. J Health Organ Manag. 2008;22(6):586-98.

Published
2020-10-27
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Original Articles
Keywords:
Performance Based Management, tertiary hospital, Cameroon.
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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