Saturday, May 27, 2017

COMMUNITY STUDY IN MANKON HEALTH AREA FROM 19 TO 21 JANUARY 2017













COMMUNITY STUDY IN MANKON HEALTH AREA FROM 19 TO 21 JANUARY 2017
By: Miss Menetsa Kerline Manole: Volunteer of ASCNP
Supervised by: Dr. Mfonfu Daniel: Dean of Studies, CAPITOL

Miss Kerline was a volunteer who was sent to CAPITOL to have some experience in Public Health by the ‘Agence du Service Civique National de Participation au Development’ (ASCNPD) which is an national institution responsible for the mobilisation of resources in view of the promotion of the economic, social et cultural development of the country and of the promotion in all the Cameroonians the national and patriotic spirit, and the dignity of work.

The proprietor of CAPITOL, Mr Ngalah Edward approved that she should perform community health internship in Mankon Health Area that consisted of collecting data from households for three days and analysing the data using the software developed for the purpose.

GENERAL OBJECTIVE (GOAL): Make a community diagnosis of health problems and health risk factors in Mankon Health Area by studying the environmental sanitation of households and health problems in households in the health area and study the vaccination coverage rate of children 0 – 23 month.

METHOD:
The data collection in the community was carried out by a team of three persons: Miss Kerline, Her bilingual friend, and the community mobiliser. The data collection took place in the Ntingkag zone on 19/01/2017, in the KikVung zone on 20/01/2017 and in Ntambeng zone on 21/01/2017 using the questionnaires on environmental sanitation and on evaluation of vaccination coverage rate in children 0-23 months in 10 households in each zone. Only households having children 0-23 months were chosen. Data collection started as early 06 hours in the morning in order to meet the mothers of children at home. The data on vaccination was obtained from the vaccination cards of children.

DISCUSSION:
Although the sample for the study was small, the analysis of the data collected provided some pertinent information that should be used to promote the health of the population.

Although only 30 households were studied from the three zones of Mankon Health Area we thought that it was necessary to analyse the data collected and write a report in order to have some information to educate the population pending an occasion when a more elaborate study would be carried in the health area.

This study was a good learning experience for the volunteer who showed an excellent enthusiasm in carrying out the study at all levels. The tools used in this study have been included so that such a study can be carried out elsewhere.

The English version of this report was written by Dr Mfonfu Daniel. This study shows an excellent attitude of transferring knowledge to the younger generation.

THANKS BE TO GOD!

Click on the pdf version to obtain the full report and tools used.


 

Monday, May 08, 2017

CASE-STUDY REPORTS FOR HND 2017 IN CAPITOL BAMENDA





CASE-STUDY REPORTS FOR HND 2017 IN CAPITOL BAMENDA
By:
-         MR. NGALAH EDWARD – CEO CAPITOL
-         DR MFONFU DANIEL – DEAN OF STUDIES, CAPITOL

Following the recommendations of the Regional Workshopon Clinical Internships (Placementsor Practicum) held at Bamenda on 15 November 2016, we in CAPITOL have tried to use the recommended tools and improved upon them; in this case the format for writing of case study report.

We have selected the following topics presented at HND defence on 25 April 2017 to illustrate the need and importance of using the recommended tool for writing the case study reports on:
-         

  •  sickle cell anaemia in a child;
  • appendicitis in an adult female 
  • postpartum haemorrhage; 
  •  pressure ulcer in a 62 years old male; 
  •  preeclampsia
All the case-studies were carried out at the Regional Hospital Bamenda from 27 September to 29 October 2016. Using this format gives uniformity to the reports and standardization that is enjoyable.

We believe that students should be helped to write standard scientific documents instead of troubling one’self with school of thoughts. The school of thought of the North West Regional Delegation of Public Health, defined in the report of the Regional Workshop on Clinical Internshipsheld at Bamenda  on 15 November 2016 and found at www.mfonfudaniel.blogspot.com should be adopted and used.

A case study report should always highlight more insight on the pathology and show the roles of each health team member in the management of the case.
It is necessary that the supervisors should coach the students in writing their case study reports starting at the data collecting level while on internship and writing of the report instead of scolding and humiliating them. In order to accomplish this mission of assistance one should be versed in computer science or ask for help from a more competent colleague.

We believe that it is this spirit of solidarity, learning from each other and collaboration, that always makes us shine.

The case study reports should always serve as a recent notes on the pathophysiology and management of the case by the health team to any reader.

We pray that our international partners should join us in training nurses of the health team instead of training nurses of competition with medical doctors.

Friday, December 30, 2016

WORKSHOP ON CLINICAL INTERNSHIPS (PLACEMENTS OR PRACTICUM)








WORKSHOP ON CLINICAL INTERNSHIPS (PLACEMENTS OR PRACTICUM)

By - Dr Manjo Matilda: Regional Delegate of Public Health, North West
-          Dr Mfonfu Daniel: Consultant for the Workshop 



The workshop was organized for managers of training schools for health personnel and laboratory sciences, and managers of practicum sites in the North WestRegion.

Context
§  Numerous training schools for health personnel
§  Poor identification of stakeholders
§  Overcrowding of Health facilities by students on internship
§  Problems faced with management of these students
§  Incoherent content and tools
§  Some students on internship do not have written objectives
§  Poor quality of health care offered

General objective
To improve on the management of field experience of students in our region

Specific objectives 
Ø  To ensure better prospection for clinical experience
Ø  To ensure administrative procedure are clarified
Ø  To ensure students are well oriented for field experience
Ø  To ensure better in-service placement of student
Ø  To ensure effective monitoring and supervision of students
Ø  To elaborate internship tools
Ø  To ensure proper reporting and feedback at all the levels
Ø  To come up with resolutions binding to all

Implementation of workshop
The workshop was coordinated by the North West Regional Delegate for Public Health, Dr Manjo Matilda. It took place in the conference hall of the North West Special Fund for Health Promotion, at Bamenda on 15 November 2016, starting at 08:30. She highlighted the reasons and objectives of the workshop. The workshop ended at 16:30. Dr Mfonfu Daniel was recruited as a consultant for the workshop.



Method:
Relevant topics were presented by facilitators, discussed and adopted to ensure that internships are harmonized and well-coordinated for the efficient training of health personnel
Dr Mfonfu Danielpresented the Generalities on Internship with emphasis on the tools used during internships.

Mme NCHIFOR MARY, TSSI,BNS,MPH, presented a paper on Administrative Procedures for Practicum

Mrs Njini Rose, (SRN, TSSI, PGD, MBA ;HlthMgt), General Supervisor; Regional Hospital Bamenda,made a presentation on In service placement and effective monitoring and Supervision of Students

Lange Innocent, (BNS, MPH), presented an article on the Orientation of students for practical experience.

EVALUATION OF WORKSHOP ORGANIZATION AND FACILITATION

STRENGTHS
Ø  Invitations distributed in due time as such 90% of the Training Schools administrators and Health Facility Managers were in attendance.
Ø  Time to a greater extent was respected especially the presentations from the Facilitators as well as the comments/remarks and discussion.
Ø  Active participation of members in the deliberations.
Ø  Well organized including the Venue and the refreshments.
Ø  The deliberations of the workshop were bunt on CDs and distributed to the institutions

WEAKNESSES
·         Invitations did not contain the venue as well as the agenda.
·         Not all the Training Schools approved by the Ministry of Higher Education were invited for the Workshop, notably; CATUC Bamenda, Cameroon Christian University Bamenda, TANIFORM University Bamenda.

RECOMMENDATIONS
·         Next time invitations should be more specific including the Venue and the Agenda attached so that each invitee know ahead of time what to prepare.
·         This particular Venue should be maintained for subsequent workshops with these same standards of organization.
·         After this workshop all the stakeholders should work in synergy to make sure that all their students come out well trained as per the stipulated norms.


INTERNET PUBLICATION
This internet publication involves the internship tools presented by Dr Mfonfu Daniel because some of them have been improved upon, paper on Administrative Procedures for Practicumby Mme Nchifor Mary, and a presentation on in-service placement and effective monitoring and Supervision of Studentsby Mrs Njini Rose. Wewant to provide these internship tools to nursing training schools beyond the North West Region and improve the quality of internshipscarried by student nurses.

The health internship is an important experience that allows students to Integrate knowledge and skills developed in the classroom to apply them in a professional health setting.

TYPES OF INTERNSHIP
LEVEL-one internships :( Second semester of year one)
a)      Level-one clinical internship
b)      Level-one laboratory internship
Level – two internships (First Semester)
a)      Level-two clinical internship
b)      level-two laboratory internship
Level – two internships (Second Semester)
a)      Level-two  clinical internship
b)      level-two  laboratory internship
c)      Community health internship
Level-three internship
v  Case study internship – Case study report

Requirementsfor all these internships
ü  Written objectives for each internship to be taken by students to the field
ü   Format for writing of the report of each internship
ü  Written guide for assessing students by health facilities
ü  Software for community health internship (environmental sanitation and evaluation of vaccination coverage in children 0-23 months).
Standardizing internship tools enhances uniformity in health promotion, increases the intensity of communication of health facts to the population and prevents unnecessary destructive competition.
A written document of internship objectives will oblige students to work within the frame work of these objectives. These tools will enable us to eventually harmonize nursing procedures in the Region.


Click on the appropriate Tools and Presentations below: