EVALUATION OF CUSS; THE UNIVERSITY CENTER FOR HEALTH SCIENCES, YAOUNDE, CAMEROON

TRAINING OF NURSES IS PRIMARILY IN ADMINISTRATION AND SUPERVISION. TRAINING IN PARA-MEDICAL SUBJECTS HAS BEEN NEGLECTED AND IS JUST BEGINNING TO ENROLL STUDENTS AND TURN OUT GRADUATES. HARVARD-RECRUITED TECHNICIANS HAVE PLAYED A CATALYTIC ROLE AND HAVE ASSISTED CUSS TO REDUCE TIME OF MATURATION BY YEARS IN TRAINING, RESEARCH AND MCH DELIVERY SERVICE.THE ORGANIZATION AND MANAGEMENT OF OUTPATIENT CLINICS HAVE PROVIDED A WORKING LABORATORY FOR TRAINING IN PREVENTIVE MCH. THE CHILD SPACING CLINIC HAS SUPPORTED THE ENERGING LIBERALIZATION OF GOVERNMENT POLICY TOWARD PREVENTIVE FAMILY PLANNING. FAILURE TO COMPLETE THE HOSPITAL, TO FULLY IMPLEMENT A TEAM APPROACH, AND TO CONDUCT EVALUATION FOR FEEDBACK WERE OUTPUTS WHICH DID NOT SUPPORT THE ORIGINAL TIMETABLE. OTHER PURPOSE INDICATORS -- TRAINED MEDICAL GRADUATES, RESEARCH REPORTS, AND IMPROVED ATTITUDES TOWARD CHILD SPACING -- WERE TARGETS WHICH ARE ON SCHEDULE. GRADUATES ARE BEING POSTED TO RURAL POSTS AND A SYSTEM OF ROTATION SPEAKS WELL FOR SUBGOAL ACHIEVEMENTS. BECAUSE OF THE ESTABLISHMENT OF OTHER AFRICAN COUNTRY MEDICAL CENTERS SINCE THE INCEPTION OF CUSS, IT IS NOT THE REGIONAL TRAINING CENTER IT WAS PLANNED TO BE. THE HARVARD TEAM HAS HAD AN UNMISTAKABLY BENEFICIAL EFFECT ON THE GROWTH AND DEVELOPMENT OF MCH TRAINING, RESEARCH, AND SERVICE WITHIN CUSS. THE EVALUATORS RECOMMENDED THAT THE PROJECT BE CONTINUED. THEY PROVIDED A REVISED LOGFRAME, SUGGESTED A NEW EMPHASIS ON INSTITUTIONALIZATION AND DE-EMPHASIS OF SERVICE, AND MADE RECOMMENDATIONS ABOUT THE MINISTRY OF HEALTH, CUSS, AND AID.