Table 4.
Managerial and technical dimensions of DHs A and B performance
| Characteristics | District hospital A | District hospital B | |
|---|---|---|---|
| Governing bodies |
Committee |
Regional faith-based coordination committee of the Health |
Hospital management committee |
| Hospital Management Board | |||
| Leadership |
Leadership strength |
Strong |
Weak |
| Shared |
Centralised at the directorate level |
||
| Resources generation |
User fees collected |
222.49 million FCFA 86% of revenues managed by the hospital in 2010 |
37.9 million FCFA, 77% of revenues managed by the hospital in 2010 |
| |
Subsidies from the Ministry of Health |
Irregular funding (35.4 million FCFA in 2010) used on the basis of hospital needs |
Regular lump funding every six months used on the basis of directives from the central directorate (progressively decreased from 15.4 million FCFA in 2001 to 10.84 million FCFA in 2010) |
| No wages paid to staff |
Wages to technical staff |
||
| |
Search for external funding from donors |
Pro-active |
Low |
| Regular external support in terms of technical expertise, equipment, drugs, infrastructure rehabilitation and construction from foreign organisations |
Little support from local associations in 2010 (beds and mattresses) |
||
| Management |
Scope of management practices |
Related to faith-based values |
Administrative procedures |
| Financial resources |
Based on hospital needs and strategic plans |
Based on guidelines from the Ministries of Health and of Finances, and are bureaucratic |
|
| Human resources |
Decentralised management by hospital committees |
Centralised management |
|
| Feedback to staff |
Openly discussed at weekly meetings |
Rare, with some aspects withheld |
|
| Maintenance |
Well-equipped support services (e.g., woodwork, electricity and plumbing) |
Scarce support service |
|
| Support and administrative staff |
22 |
9 |
|
| Human resources |
Number of staff |
Technical staff: 41 |
Technical staff: 23 |
| Medical doctors |
2 (2003–2006); 3 (2007–2010) |
1 (2003–2006); 3(2007–2010) |
|
| Inhabitants per medical doctor |
50,872 inhabitants |
23,817 inhabitants |
|
| Equipment |
Number of beds |
157 |
49 |
| Technical equipment |
Good |
Poor |
|
| Radiograph, 2 echographs, Mammograph, cardiotopograph, 2 well-equipped surgical theatres, electronic sphygmomanometers in each ward, oxygen |
A small surgical theatre with little equipment |
||
| |
Amenities for patients |
High-quality ward |
Not available |
| Tap water and electricity permanently available | Tap water only available in the morning, frequent electricity cut-offs |