So then ...
commotion battle goes nothing ... upheaval in the program for the umpteenth time!
Let's go back and tell you everything ...
Thursday, May 27, we left for Tanguieta Natitingou. Natitingou work was somewhat disturbed by the unexpected visit of the NMCP (National Programme for the Fight against Malaria) which has totally monopolized the staff as to Tanguieta only worse. To believe they are following us ... For lodging, we were able to retrieve information but not necessarily in the best circumstances. We had to redo our program every day and see every hour of the day. Not easy to remain effective. But the work was done! In summary, the current deposit was built in 2008 according to plans by the state but with a layout (shelves) much more functional than in the Borgou-Alibori, where all space is occupied. The deposit is like Tanguieta, highly integrated office area but with a coefficient of drug sales more reasonable 1.2. It is still important to you to note that this deposit is near (within 10 m) of the CAM. It is difficult to understand what is relevant to health facilities to go to the deposit rather than CAM. Especially that the calculation of satisfaction of health facilities at the depot is only 64%! But the filing date of 1994 and therefore predates the establishment of the CAM Natitingou. The area has therefore developed with the financial support of the deposit. Computer side, the staff consists of a clerk (CM2 level) and one count filing that uses the software Médistock for the management of malaria commodities. Management of other drugs is done with Excel. There is therefore no real computer management of medicines.
All right, this led us to Friday night, end of our workweek. We dined at the Breach of Nati, a small restaurant in a Tata Somba (traditional dwelling of the region) and enjoying a superb view of the mountains and Natitingou. Saturday morning stroll to town. Then move to the market for tomato salad and tuna-lawyer-banana for dessert. At the moment we eat mangoes Morning and Evening as they are just delicious! We ended our day with la visite du musée de Nati où sont expliqués les us et coutumes de la région. Très intéressant surtout en vue de notre balade du dimanche… La nuit de samedi à dimanche fut, comment dire, légèrement bruyante : en gros, on n’a pas dormi de la nuit pour cause de rites funéraires qui se traduisent par le bruit du tam-tam toute la nuit juste derrière le mur de notre chambre! Un peu dur pour des Yovos mais ça nous a permis d’aller les voir le lendemain matin et de découvrir en quoi consistent les rites funéraires ici. Puis nous sommes parties pour plus de 100 kms de piste à moto à la rencontre des Tatas Somba avec un très bon guide nommé Baba. La journée s’est terminée par la visite des chutes de Kota (pour y accéder, nous avons fait du moto-cross et de l’escalade !). Très bonne journée où on s’en est pris encore plein les yeux…que de souvenirs !!!
Un bon week-end pour démarrer une semaine intense de travail. Lundi, dernier jour à Natitingou.
Mardi départ pour Djougou. Nous avons été accueillies par le CAR. Nous avons travaillé avec l’équipe de Djougou toute la semaine. Cette équipe un peu atypique (Un comptable comme gestionnaire, un commis/magasinier et une opératrice de saisie (présente que pour taper les commandes des formations sanitaires sur l’ordinateur) a vraiment été très disponible. Ce fut un réel plaisir de travailler avec cette équipe dynamique et très sympathique. Nous avons eu toutes les informations nécessaires pour notre étude. Ici aussi le Dépôt est très intégré au bureau de zone. Suite à des détournements de médicaments, le dépôt a connu des difficultés financières nécessitant la prise en charge de ses dépenses par le bureau de zone jusqu’en décembre 2009. L’objectif du CAR est qu’à terme le dépôt devienne autonome. Le dépôt est vraiment très bien rangé. Il utilise un coefficient de prix de vente des médicaments de 1,1. Le dépôt n’utilise aucun logiciel medication management. Despite Medistock training received, the software does not give satisfaction to the team. There is work to be PSF37 especially as the "motel lake" Djougou is just a small haven of peace (despite the number of mosquitoes that love Yovos). We spent a weekend very studious. We enjoyed the quietness of the hotel to start comparing the different data collected in the first 5 deposits. Good for 6th
not won! Indeed, we had to go Bassila Monday. When we phoned 10 days ago we learned that the accountant (who serves manager filing) was on vacation until June 21 (not easy to retrieve all information related to finance the deposit). Moreover, today we learned that the RAC is not available until Tuesday night (luckily we phoned this morning to the RAC. It would be arriving tomorrow morning Bassila for nothing ...). Finally, the deposit is far from all other places of our investigation, it is difficult to make return trips. You think that's it ... it would be too easy. We had to reverse and Savé Savalou in the order of our visits because staff is supervised during Savalou 15 days. Not easy to catch these Beninese ... one wonders how do the health facilities when they need medication. In all cases we remain focused and hopefully come to the end of the study within the allotted time.
PS: RAC Djougou wanted to introduce ourselves to the director of the hospital area. How you say it was a bit violent. We'll explain. This hospital is run by the Order of the Cross of Malta well known people who have followed the debates about MNU. Indeed, they were very vocal against the decision to stop MNU because it was their stock in trade. In short, we found that virulence to the director of the hospital (one French) who has literally assaulted when we arrived in his office. These are people that no discussion is possible. We still tried to defend the position of PFS ...
RAC was a little embarrassed by this altercation (where we stayed calm and got excited when the director himself!). But we explained the reason for this debate that ignited the French associations for some time.
In conclusion, ENJOY THE END OF MNU !!!!!
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