PRESENTATION OF THE INTERNSHIP PLACE

Historical
It is since 1994 that, to sensitize the national and international opinion to the fight against
poverty, disease, misery and exclusions of all kinds in urban and rural areas, Mrs. Chantal BIYA,
the wife of the head of the he Cameroonian State has decided to create the foundation that bears
his name. Apolitical, non-denominational, non-profit, humanitarian association, the Chantal
BIYA foundation, governed by law n°90/053 of 19 December 1990 on freedom of association in
Cameroon, has been recognized as being of public utility by decree n °99/098 of April 30, 1999.
From now on, the Chantal BIYA foundation benefits from the special consultative status of the
Economic and Social Council of the United Nations. The mother and child center was created on
February 23, 1999 within the Chantal BIYA foundation, which is also a member of the Mother
and Child network of the Francophonie.
Geographic location
The mother-child center of the Chantal BIYA Foundation is located in the center province
in Yaoundé rue Henri DUNANT at a place called Messa district to the right of the main entrance
of the Yaoundé central hospital and to the left of the main entrance from the pastoral center of
Yaoundé.

Situation in relation to the health pyramid

The mother-child center is located at the peripheral level of the health pyramid. It is
considered as a medical center with a structure for dialogue: the management committee.

See Appendix 1
Figure 1 : The health pyramid
Health training services
The Mother and Child Center of the Chantal Biya Foundation has several buildings
divided into different medical services, namely:
the emergency and minor surgery department
the multipurpose intensive care unit
neonatal intensive care unit
neonatology department A: low-weight newborn
 the neonatology department B: eutrophic neonates
the pediatric department A: pneumonia and cardiology
pediatric ward B: malnutrition
the pediatric department C: nephrology and general pediatrics
the pediatric department D: neurology
pediatric hematology and oncology department
endocrinology-diabetology department
average service
the pediatric ward E
prenatal consultation service
the service of autism and different children
the reference center for rare patients and orphans
the biological and clinical laboratory
the physiotherapy and functional rehabilitation service
radiology and imaging department
the dental care service
the vaccination service
the pharmacy

ORGANIZATIONAL STRUCTURE RECEPTION DEPARTMENT

ORGANIZATIONAL STRUCTURE

Mission of the health training

The mission of the Chantal BIYA foundation consists both in the provision of care to
mothers and children and in training, research and participation in the implementation of the
programs of the Ministry of Public Health.
Objectives of the health facility
 The prevention and alleviation of human suffering
Protection, education and social and health actions for mothers and children.
assistance to destitute and abandoned patients
assistance to the elderly
the fight against poverty and misery
family protection
assistance in materials and medicines to hospitals and health centers in need

Organization and Flowchart

see appendix 3
Figure 2 : Organization and Flowchart
Health facility resource
The CME works with the help of several resources which are human and material
Human ressources
The Mother and Child Center of the Chantal BIYA Foundation has qualified staff, we have

Pediatricians
Obstetrician gynecologists
Medical Biologist
Radiologist
General practitioners
Nurses
medical and health personnel
The caregivers
The interview agents
security guards
The cooks
 material resource
The CME is equipped with several material resources
The circuit of the patient
When the patient arrived at the CME-FCB, he first went to the reception department, then to the
cash desk, then to the emergency department, which was responsible for directing patients to
other departments after consulting them. .
see appendix 2
Figure 3 : Patient Circuit

RECEPTION SERVICE

Organization

Emergency
This service operates 7 days a week, 24 hours a day. It is made up of a paramedical team of 12
personnel including a major who works permanently and coordinates activities and a
coordinator. This service takes care of cases that come to consult in emergencies.
In this service we find: 6 consultation tables, 2 trolleys, trays, 3 sinks, tables and a cabinet.

Technical platform

Human ressources

CME Emergency Department staff count as a Major Specialist in Nursing.

This technical platform is competent for a good care of the children brought in consultation
Emergency material resources
As far as material resources are concerned, we will limit ourselves to the resources of the
emergency department
Table 1 : Summarizing the material resources of the Emergency department

Materials Units Role State

 Lookup tables 05 Furniture where patients lie Functional
down for the complete
examination

Person scale 01 Use to measure patient Functional

weight

Tensiometer Used to take blood pressure, Functional

pulse of patients

Register 02 Use for patient registration Old

trash cans 02 Used to put soiled Functional

equipment and other waste

Fridge 01 Used to store and preserve Functional

opened products

Neonatology A (NNA) and Neonatology B (NNB) services

These services deal with new premature babies with health problems and newborns and
eutrophic babies with health problems.
NNA Human Resources
Table 2 : human resources of the NNA service

Staff/rank workforce Role

Pediatrician 01 Head of department, orients
the doctor/resident and
chairs the rounds

Doctors 02 Consultation and

prescription officer
IDE 06 Provide care, nursing
Service Agent 01 Ensure cleanliness

Table 3 : NNA hardware resource

 Materials Role State

Lookup tables Furniture where patients lie Functional

down for the complete
examination

Person scale 02 Use to measure patient Functional

weight

Incubators 08 Used to take blood pressure, 03 Functional

pulse of patients

Registers 02 Use for patient registration Old

trash cans 02 Used to put soiled

equipment and other waste

Fridge 01 Used to store and preserve Functional

opened products

Cradles 02 Furniture where already Functional

stable babies sleep

Cart 02 Used to transport medication Functional

during treatment

Poupinel 01 Used to sterilize forceps and Functional

trays

radiant table 04 Is an electro-medical Functional

equipment that can warm up
newborn babies after birth

Trays 04 utensil used to arrange the Functional

equipment during spins

beans 03 used to dispose of sterile Functional

material

NNB Human Resource

Table 4 ; NNB Human Resources

Staff/rank workforce Role

 Pediatrician 01 Head of department, orients
the doctor/resident and
chairs the rounds

Doctors 02 Consultation and

prescription officer
IDE 06 Provide care, nursing
Bachelor of Nursing 04 Provide care, nursing
Service Agent 01 Ensure cleanliness

Bearing system
CME-FCB's NNA and NNB services operate 24/7. The working hours are the same in both
departments, namely divided into 03 shifts per day on the following sections:
a team that works from 7:30 a.m. to 12:30 p.m.
a team that works from 12:30 p.m. to 6 p.m.
a team that works from 6 p.m. to 7:30 a.m.
This rotation system is carried out between five teams, namely A, B, C, D, E. In the neonatology
departments, a team is made up of two staff in NNB and five teams of one-one staff in NNA. In
all these services the major and the coordinators are on duty. This shift system is the right system
to ensure good patient care by monitoring and administering care at agreed times.

Care planning
Care was provided in the emergency room based on the arrival of the child and his reaction to
first aid. When it happened that the children slept in the emergency room, care was planned
according to the time they received first aid
Care in the neonatology department took place at the following times: 9 a.m., 1 p.m., 5 p.m., 9
p.m., 1 a.m.

Daily activities of the emergency services, NNA and NNB

The CME emergencies are responsible for lifting the emergency, making a positive diagnosis
and referring to the various paediatrics depending on the problem for the continuity of care. For
example if there is administration of artesunate H0 at 8 a.m., H12 will be scheduled for 8 p.m.
The NNA receives premature newborns who are referred from emergencies to the neonatology
department A from where they are consulted and cared for.
The NNB receives eutrophic newborns who come for consultation by their relatives. In this
service, the newborn is consulted and care is started according to his needs.

Medical consumable supply system

The purchase of medical consumables could be made either at the Foundation's pharmacy or in
pharmacies outside the Foundation.