That more than 15 days without internet ... hard ...
Still alive ... despite many vicissitudes. Starting by Bassila. Tuesday morning as planned we leave for Bassila. On our arrival, we are very well received by the storekeeper. He asks us to call the depot manager who was on vacation for him to confirm our work. Very nicely, Sabrina handed me the phone because for the few conversations she had with this gentleman and explanations of the warehouse, we expect to have someone on the phone a bit unpleasant. So I call upon the dear gentleman ... and there is the drama, he spent 20 minutes yelling on the phone ... like what he did not want us to work at his deposition absence alors que nous l’avions prévenu de notre arrivée. J’ai donc été obligée d’appeler son supérieur hiérarchique pour que le gestionnaire nous laisse travailler. Il faut savoir qu’apparemment ce monsieur est désagréable avec tout le monde et qu’il a failli en venir aux mains avec un de ces collègues. Aurait-il des choses à cacher ? Nous y retournons donc le lundi 21 juin pour le rencontrer (300km dans la journée !) !!! Même pas peur d’abord ! A part ça, le magasin du dépôt est juste parfait : Climatisé, propre, bien rangé, pas de carton sur le sol, fiche de stock à jour !!! Coté informatique ils utilisent Médistock. To see the manager as the rest.
in SAVE, the work went well. No special adventures for a change. Team deposit invited us to eat pounded yam with sesame sauce because it is the region. Really delicious! A highly available and ready to do anything to help us. By cons, their working conditions are not easy. Indeed, the deposit (built by the state) is located at the area hospital while staff is responsible for filing at the box office which is 3 km from the hospital. In addition, there no staff dedicated specifically to the filing: the warehouse is committed to the SCA, the manager is accountable for the Area Office. There are so many problems in the overall management of the deposit. The coefficient of sales for the deposit is 1.1 (as for all DZ in this region). The deposit is not financially independent. All expenses are borne by the health zone. They use software Médistock as medication management. We were able to discuss with a person who provided the training on this software. Very informative. The software is generally tailored to the needs of the DZ. There remains some inconsistencies particularly in the calculation of the deposit needs to be done in months, not quantity. Moreover, prices are set by the computer (after setting the multiplier when setting) and therefore it is impossible to decreasing margins smoothed high prices (if you want to change the price of a product must do so at the time of billing every time!! Not Easy, is one reason that prevents most of DZ using this software for drugs other than CTA). The software allows to know the needs of health facilities (as PharMeg) DZ but finds himself facing the same problem Borgou-Alibori where health facilities do not provide the information necessary to calculate. The great strength of the software is having a maintenance Benin which moves in case of problems, and conducts supervision every 3 months with retraining. We sent our detailed comments to the president ... we expect his remarks. In addition, we hope to meet this week PISAF team to learn more about the software and their various actions at the DZ. You should know that they have funded the creation of a procedures manual for management of health zones in which a portion is devoted to DZ. This manual is being validated and should be released in January 2011. We were able to get the manual (we're good detectives ...) that seems very complicated ... to see!
We learned that after reshuffle at the Ministry of Health, no longer exists. Confirmation from Dr. Adonon we got on the phone. He is currently on stand-by. Still, the Health Zone and therefore the DZ have more direction at the central level. So we have more referent to the Department of Health. We are told that those responsible are now the Health Zone DDS (Departmental Directorate of Health). But this does not facilitate a harmonization action of DZ. On our return to Cotonou, we absolutely need to work again with the authorities of the department to create new contacts for PSF37.
Otherwise, next to the work, Geraldine wanted to show me his village of heart Kokoro for the weekend. She warned me that it would not be comfortable! We ended up sleeping in a room of motherhood that looks more like a closet than a room when it is 2. We still managed to cram our many bags. Being invited me Ge left the bed and took the mattress on the floor. We should like to point out that the household is not the strongest of the daughters of motherhood. First night: we emptied half of the insect spray and disinfect mattresses bleach. Basically, the night was almost quiet. Apart from the room, it should be noted that the toilets are a hole in the garden overrun with cockroaches at nightfall. Sabrina loves small animals, was very happy ... During our last night we made "attack" by mice. So we bravely fled and we slept under the porch of motherhood on cement benches, with bats above our heads. Having woken Rosalie (the carer) by our move, she wanted to sleep with us. So we slept with bats, mosquitoes and other critters ... and snoring Rosalie! A little hard! Despite these minor inconveniences, the weekend was really nice to Kokoro. We saw the nursery while Kokoro, all friends of Geraldine! It was full of peanuts, was offered a bottle of honey Ge home, we ate grout grout just too good. We lived in the village all its reality and we are divided memories Full head and heavy heart.
We arrived at Savalou a bit tired and we put much hope in the hotel but were disappointed: Hotel very clean (for a high price) and extremely noisy. A cook who wanted us to pay 2500 CFA spaghetti! "Yes of course ... but we still worked effectively Savalou. The team was available. The store is in fact a former local health center. Not really ideal for a dépôt.Nous have never seen a deposit with as many breaks. Over a year, almost 100% of drugs observed had at least one fracture. And the worst is that many of these drugs had more than 3 fractures (breaks and long ...). The satisfaction rate of health suffers automatically. It is here only 58%! According to the storekeeper would be the fault of the CAM. But we can not verify it because it does not keep track of his orders to the CAM. The deposit is not financially autonomous but aims to become one. In addition, the RAC would like there to be a depot manager for the warehouse is currently designated as the depot manager, but lacks the management skills needed (niveau scolaire 3éme sans le Brevet) et le comptable du bureau de zone qui est sensé le seconder est un peu perdu. Ils devraient utiliser Médistock mais le comptable ne maitrise pas le logiciel et le magasinier n’a pas accès à l’ordinateur. La personne qui a reçu la formation avec le magasinier est partie sur Savé.
Nous avons évolué à Dassa pour le week-end dans un hôtel très calme qui possède une autruche hermaphrodite (nous, on a toujours pas compris ?!).
Après un week-end de repos, de lavage et de travail, nous sommes prêtes à attaquer une nouvelle semaine qui commence demain par la rencontre du gestionnaire aimable de Bassila et en fin de week meeting with PISAF. We leave at Abomey Tuesday. We attack our last 4 DZ. Hopefully the logistics will be easier from now on ...
