Human Resources for Health and Access to Primary Health Care in Rural Areas of Cameroon : Case of Okola Health District

René-Hubert Mendo'o Medjo, Mazou Ngou Temgoua, Marthe Mballa Fouda, Micheline Marie-José Essi

Abstract


RÉSUMÉ
Introduction. Notre étude visait à décrire la situation des ressources humaines pour la santé au Cameroun, et en particulier dans un district rural de la ville politique, afin de décliner les interventions visant à un meilleur accès aux soins pour la population en général. Méthodes. Les données de l'unité d'information sur la santé, ainsi que les rapports officiels disponibles auprès du ministère de la Santé publique, ont été examinés afin de mettre en évidence les caractéristiques des ressources humaines pour la santé dans le district sanitaire d'Okola. Résultats.  Okola District Health compte 103 agents de santé pour une population d'environ 56 691 habitants, avec une densité estimée à 18,2 agents de santé pour 10 000 personnes. Les agents de santé sont principalement des ambulanciers, suivis des infirmières. Les sages-femmes et les dentistes sont inexistants dans tout le district sanitaire. Le déploiement d’agents de santé, notamment de dentistes, de sages-femmes et d’infirmières, reste la principale intervention pour améliorer l’accès des personnes aux soins de santé. En outre, une bonification substantielle de 75% du salaire de base et l'amélioration des conditions de travail ont été révélées comme les interventions ayant le plus d'effet sur l'attraction et le maintien en poste des agents de santé en zone rurale. Conclusion.  les réformes des systèmes socio-économiques et de santé, y compris l'introduction d'un bonus de séparation (rural), l'amélioration de la plate-forme technique des établissements de santé, le suivi stratégique du personnel de santé et la décentralisation du recrutement d'agents de santé, semblent être des interventions cela peut avoir des effets positifs sur le recrutement et la rétention d'agents de santé dans les zones rurales et isolées, ce qui est fondamental pour améliorer l'accès aux soins de santé. Ces interventions doivent être prises en compte dans l'approche "la santé dans toutes les politiques".
ABSTRACT
Introduction. Our study aimed to describe the situation of human resources for health in Cameroon, and especially in a rural district of the political town in order to decline interventions for better access to care for the general population. Methods. The data of the health information unit, as well as the official reports available from the Ministry of Public Health, were examined in order to highlight the characteristics of human resources for health in Okola Health District. Results.  Okola District Health account 103 health workers for a population covered about 56 691 inhabitants, with an estimated density of 18.2 health workers for 10 000 people. Health workers are mainly paramedics, followed by nurses. Midwives and Dentists are nonexistent in the whole Health  District. Deployment of health workers including dentists, midwives and nurses, remains the primary intervention to improve people's access to healthcare. In addition, a substantial bonus of 75% of the base salary, and the improvement of working conditions had been revealed as the interventions having the most effect on the attraction and retention of health workers in rural area. Conclusion. Socio-economic and health system reforms, including the introduction of a separation (rural) bonus, the improvement of the technical platform of health facilities , the strategic monitoring of health workforce and the decentralization of recruitment of health workers, appear to be interventions that can have positive effects on attracting and retaining health workers in rural and remote areas, which is fundamental to improving access to healthcare. These interventions must be considered in the " health in all policies " approach.


Keywords


Human resources, security, threats, areas of intervention, Okola, Cameroon.

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