Original Article

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

Fru Angwafo III, Andreas Chiabi, Assumpta Bella, Evelyn M. Mah, Julius S. Dohbit, Willy Tafen, Immaculate Bih Geh, Samuel Lele, Charles N. Mba, François-Xavier Mbopi-Kéou
Journal of Public Health in Africa | Vol 11, No 1 | a549 | DOI: https://doi.org/10.4081/jphia.2020.1214 | © 2024 Fru Angwafo III, Andreas Chiabi, Assumpta Bella, Evelyn M. Mah, Julius S. Dohbit, Willy Tafen, Immaculate Bih Geh, Samuel Lele, Charles N. Mba, François-Xavier Mbopi-Kéou | This work is licensed under CC Attribution 4.0
Submitted: 24 April 2024 | Published: 29 April 2020

About the author(s)

Fru Angwafo III, 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
Samuel Lele, Yaounde Gynaeco-Obstetric and Pediatric Hospital, Cameroon
Charles N. 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

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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.

Keywords

Performance Based Management; tertiary hospital; Cameroon

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