Thursday, January 23, 2020

Our ambition in 2020 is to have a scam-free hospital in Yaoundé

During the celebration of excellence of the Yaoundé Central Hospital celebrated on January 17, the director of this health facility Pr Joseph Pierre Fouda took stock of the past year and spoke of the main challenge of the year who starts. The Yaoundé Central Hospital celebrated the 2020 edition of its celebration of excellence on January 17.

How do you read the quality of care and services within this health facility? 

Started with the previous directors, the history of the culture of quality in our hospital has been accelerating since 2015, an acceleration which led to the international certification of the blood bank of the Central Hospital of Yaoundé, the first in Cameroon, in Central and West Africa, with the support of the supervisory authority, the management committee, Pepfar, the Center for Disease Control and Prevention (CDC) and its technical bodies, Safe Blood for Africa and Jembi. This certification is very timely, when our country is preparing to host the African Championship of Nations (Chan) and the African Cup of Nations (Can), major events that will experience a great mobilization of delegations from different countries, and internal population movements. The national and international community must be reassured to have blood secured in our country, at the Central Hospital of Yaoundé. Some statistics ... In 2019, we put 10,789 secure blood bags in circulation, including 6,165 internally and 4,624 intended for other health facilities in the city of Yaoundé. In terms of labile blood products, we also served 207 fresh frozen plasmas and 104 standard wafer concentrates. 


Several lives have been saved. Our partnership signed with the company Will & Brothers will allow rapid and secure distribution of blood and blood products to other health facilities by air, using drones. We put 10,789 secure blood bags in circulation, including 6,165 internally and 4,624 intended for other health facilities in the city of Yaoundé. In terms of labile blood products, we also served 207 fresh frozen plasmas and 104 standard wafer concentrates. Several lives have been saved. Our partnership signed with the company Will & Brothers will allow rapid and secure distribution of blood and blood products to other health facilities by air, using drones. We put 10,789 secure blood bags in circulation, including 6,165 internally and 4,624 intended for other health facilities in the city of Yaoundé. In terms of labile blood products, we also served 207 fresh frozen plasmas and 104 standard wafer concentrates. Several lives have been saved. Our partnership signed with the company Will & Brothers will allow rapid and secure distribution of blood and blood products to other health facilities by air, using drones. Several lives have been saved. Our partnership signed with the company Will & Brothers will allow rapid and secure distribution of blood and blood products to other health facilities by air, using drones. Several lives have been saved. Our partnership signed with the company Will & Brothers will allow rapid and secure distribution of blood and blood products to other health facilities by air, using drones. 

What about the certification of other services? 

We have just embarked on the same path of accreditation, with the support of CDC, the central laboratory of our hospital, as well as the molecular biology laboratory set up by Expertise France and CDC, which today allows us to follow our patients by viral load. It should be remembered that the Central Hospital, through its Day Hospital unit, treats more than 10,000 patients on antiretroviral therapy. Tell us about the attendance at your hospital. Attendance is constantly increasing. This increased from 131,125 patients in 2018 to 191,216 in 2019; Likewise, we welcomed our emergency, medical, surgical or obstetrical services, 20,359 patients in 2019, i.e. 56 cases per day, compared to 18,000 in 2018, an increase of 2,359 cases. At the same time, the mortality rate, which had regularly decreased from 11.6% in 2015 to 5.5% in 2018, rose to 6.5% in 2019. This increase is explained by the fact that the Central Hospital of Yaoundé is the reference of desperate cases, sometimes coming from other structures. In addition, we hospitalized 20,746 patients in 2019 compared to 21,718 in 2018. This decrease is due to the reduction in our reception capacity which went from 492 beds in 2018 to 424 in 2019, the cause being the repair work undertaken at Pavillon Pasteur and Pavillon Leriche. At the main maternity hospital, we carried out 3,949 deliveries in 2019 for 52 deaths including 50 from 354 women referred from other structures arriving in a critical situation, although having benefited from total care, no longer having 'money. Our hospital is the national reference center for obstetric fistulas in Cameroon, both in care and in training. This is how our expertise has enabled approximately 800 of these women to regain their dignity. Our advantage in the management of vital emergencies is the existence of available drug kits and the operation of the hospital 24/24, with nurses, technicians and doctors taking effective care and present 24/24.

Has the year been rosy on all fronts? 

The difficulties have been numerous and remain so. The 56 retirees leave a difficult void to fill. Their departure leads to extra work for the rest of the staff; medical equipment planned for the African Nations Championship (Chan) and the Can are still pending. The company responsible for repairing the Leriche pavilion, resuscitation and the specialties building has failed and its replacement is awaited. In addition, the generator set at the Central Hospital, almost 30 years old, often leaves us in disarray in the event of a power outage. The hospital's water distribution circuit and certain electrical circuits date from the 1960s and have stood the test of time. The problem of indigence of the patients which today is akin to a headlong rush poses a real problem of individual and collective responsibility; The problem of insecurity of carers and cared for often stripped of their goods, sometimes abused either by users or by thugs, makes live in fear. The problem of abandoned bodies is suffocating our hospital. On August 26, 2019, we received authorization to bury 115 bodies having spent 4,100 days accumulated for a shortfall estimated at 309.907 million FCFA. What is being done to resolve these issues? Efforts are made both at the level of the hierarchy and the management of the hospital. I would like to thank the hierarchy which, aware of the lack of human resources, has assigned us around twenty staff of all grades. I would then like to thank the president of the Management Committee, whose support at all times has never been lacking. I would also like to thank all of our partners. 

What challenge for the year 2020? If it is true that the patient has the choice of his hospital and his doctor, the figures presented prove that the patients trust us and we are proud of it. Our ambition in 2020 is to have a hospital without scams, where the satisfaction rate is at least 95%. I would like to say thank you to all the staff for this commitment and ask them that together we continue this effort towards excellence which is a permanent quest. The services of the blood bank, the delivery room of the maternity and the morgue which have been recognized as "best services", are the proof that if we want, we can go far. All our gratitude to ours who have left us: Prof. Anatole Afane Ela, university professor, head of the anesthesia-resuscitation department, and Professor Philippe Nana Njotang, university professor, obstetrician gynecologist; but also to some of our collaborators: Thierry Nkoue and Clémentine Magne.


Source: Le Jour N ° 3096