Manga Léon Jules Owona, Fouda André Arsène Bita, Mbida Lucien, Mvogo Come Ebana
Faculty of Medicine and Pharmaceutical Sciences, The University of Douala.
Faculty of Medicine and Biomedical Sciences, The University of Yaoundé, Cameroon.
J Public Health Afr. 2018 Jul 6;9(1):760. doi: 10.4081/jphia.2018.760. eCollection 2018 May 21.
The performance based financing approach is being tested in four regions of Cameroon, including the Littoral region. Our study aimed to study the effects associated with the implementation of the performance based financing approach within the health facilities based in the health district of Edea in the Littoral region in Cameroon. We've carried out a crosssectional analytical study among 178 health personnel from 21 health facilities under PBF-contract within the health district of Edea. We have studied their sociodemographic characteristics, the individual and collective effects resulting from the performance based financing subsidies and the level of job satisfaction. Participants' job satisfaction was measured with the French version of the Minnesota satisfaction scale. The results were presented in a descriptive and analytical form at the alpha = 5% and the P-value 5%. We recruited 113 women and 65 men. The mean age was 39.19 ± 8.95 years. The individual results of the performance based financing were the regular collection of subsidies between F CFA 20-40.000 (42.1%), the improvement of working conditions (74.2%) and living conditions (67.4%) and the acquisition of new skills (69.7%). Collectively, participants confirmed the increase of the users attendance (65.7%), the improvement of the internal organization (79.8%), the purchase of new equipment (84.3%) and the improved quality of health care (86%). Satisfaction is influenced by age (P=0.016), gender (P=0.01), occupational category (P=0.04), type of health facility (P=0.02) and the amount of subsidies (P=0.03). The healthcare personnel's were satisfied with the improvement of their social conditions (66.67%), working conditions (62.88%), the transparency in health centers management (69%) and their involvement in the health centers' functioning (76.6%). Participants were dissatisfied with their salaries (70.2%) and the lack of opportunities for advancement (47.8%). The positive effects of the performance based financing approach contributed to the job satisfaction of the healthcare workers in the Edea health district. These results should prompt the government to extend the performance based financing approach to communities and other health districts in Cameroon.
基于绩效的融资方法正在喀麦隆的四个地区进行试点，包括滨海地区。我们的研究旨在探讨在喀麦隆滨海地区埃代阿卫生区的医疗机构中实施基于绩效的融资方法所产生的影响。我们对埃代阿卫生区内21家签订了基于绩效的融资合同的医疗机构的178名卫生人员进行了横断面分析研究。我们研究了他们的社会人口学特征、基于绩效的融资补贴所产生的个人和集体影响以及工作满意度水平。参与者的工作满意度通过明尼苏达满意度量表的法语版本进行测量。结果以描述性和分析性形式呈现，显著性水平α = 5%，P值<5%。我们招募了113名女性和65名男性。平均年龄为39.19 ± 8.95岁。基于绩效的融资的个人成果包括定期领取20,000 - 40,000非洲法郎的补贴（42.1%）、工作条件的改善（74.2%）和生活条件的改善（67.4%）以及获得新技能（69.7%）。总体而言，参与者确认患者就诊人数增加（65.7%）、内部组织得到改善（79.8%）、购买了新设备（84.3%）以及医疗保健质量得到提高（86%）。满意度受到年龄（P = 0.016）、性别（P = 0.01）、职业类别（P = 0.04）、医疗机构类型（P = 0.02）和补贴金额（P = 0.03）的影响。医护人员对社会条件的改善（66.67%）、工作条件的改善（62.88%）、卫生中心管理的透明度（69%）以及他们参与卫生中心的运作（76.6%）感到满意。参与者对他们的工资（70.2%）和缺乏晋升机会（47.8%）不满意。基于绩效的融资方法的积极影响有助于提高埃代阿卫生区医护人员的工作满意度。这些结果应促使政府将基于绩效的融资方法推广到喀麦隆的社区和其他卫生区。
