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A Project of IPAC Eastern Ontario Presented January 19, 2016 at IPAC-PANA Chapter Meeting by Shirley McDonald ART CIC The Cameroon Twinning Project

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Page 1: The Cameroon Twinning Project - pana.ipac-canada.org€¦ · A project of IPAC Eastern Ontario The Cameroon Twinning Project Establishing the System •Chair/co-chair –coordination

A Project of

IPAC Eastern Ontario

Presented January 19, 2016 at IPAC-PANA Chapter Meeting

by

Shirley McDonald ART CIC

The Cameroon Twinning Project

Page 2: The Cameroon Twinning Project - pana.ipac-canada.org€¦ · A project of IPAC Eastern Ontario The Cameroon Twinning Project Establishing the System •Chair/co-chair –coordination

Objectives

• What is twinning and why should a chapter consider twinning?

• How can a chapter choose who to twin with?

• How does a chapter get started?

• What will it cost and how much time will it take?

• What are the first goals and priorities?

• Is twinning successful?

A project of IPAC Eastern Ontario

The Cameroon Twinning Project

Page 3: The Cameroon Twinning Project - pana.ipac-canada.org€¦ · A project of IPAC Eastern Ontario The Cameroon Twinning Project Establishing the System •Chair/co-chair –coordination

WHAT/WHY?• Support for ICPs in an low-resourced country• Sharing of resources/expertise

WHERE/WHO?• Cameroon, West Africa• Built on previous relationship• IFIC connections

WHEN?• First contact October 2010• Chapter & CBCHB approval November 2011

A project of IPAC Eastern Ontario

The Cameroon Twinning Project

Page 4: The Cameroon Twinning Project - pana.ipac-canada.org€¦ · A project of IPAC Eastern Ontario The Cameroon Twinning Project Establishing the System •Chair/co-chair –coordination

HOW?

• Formed chapter subcommittee

• Requested needs assessment from CBCHB

• Developed goals for first year

• Established the “system”

• Letter of Understanding between both parties

• Fundraising by chapter

• Established communication lines

A project of IPAC Eastern Ontario

The Cameroon Twinning Project

Page 5: The Cameroon Twinning Project - pana.ipac-canada.org€¦ · A project of IPAC Eastern Ontario The Cameroon Twinning Project Establishing the System •Chair/co-chair –coordination

Chapter Subcommittee

• Interested chapter members

• Meet over lunch on chapter meeting days

• Provide support, advice, assistance, suggestions

• Facilitate local fundraising initiatives

• Subcommittee reports to chapter

• Cameroon financial account established

A project of IPAC Eastern Ontario

The Cameroon Twinning Project

Page 6: The Cameroon Twinning Project - pana.ipac-canada.org€¦ · A project of IPAC Eastern Ontario The Cameroon Twinning Project Establishing the System •Chair/co-chair –coordination

CBCHB Needs Assessment

• ABHR containers

• Surgical supplies

• Housekeeping supplies

• Training materials

• Computers, printers, projectors

• Trolleys, trash cans, etc. etc….

Sent out to chapter members

A project of IPAC Eastern Ontario

The Cameroon Twinning Project

Page 7: The Cameroon Twinning Project - pana.ipac-canada.org€¦ · A project of IPAC Eastern Ontario The Cameroon Twinning Project Establishing the System •Chair/co-chair –coordination

First Year Goals

• Fundraising $$$$$$$$$

• Sponsor Cameroonian ICP as an IPAC Canada member

• Bring Cameroonian ICP to an IPAC Canada conference

• Develop electronic mentorship program

• Develop electronic discussion group

• Collect and ship medical and IPAC supplies

• Assist with establishment of point-of-care hand hygiene initiative

A project of IPAC Eastern Ontario

The Cameroon Twinning Project

Page 8: The Cameroon Twinning Project - pana.ipac-canada.org€¦ · A project of IPAC Eastern Ontario The Cameroon Twinning Project Establishing the System •Chair/co-chair –coordination

Establishing the System

• Chair/co-chair – coordination of initiatives

• Treasurer – keep records of funds and expenses, established a Cameroon account

• Collection points – wide geographical area

• Supplies cataloguing, warehousing and shipping

• Mentorship initiative coordinator

• Donations acknowledgement

A project of IPAC Eastern Ontario

The Cameroon Twinning Project

Page 9: The Cameroon Twinning Project - pana.ipac-canada.org€¦ · A project of IPAC Eastern Ontario The Cameroon Twinning Project Establishing the System •Chair/co-chair –coordination

Letter of Understanding (LOU)

• List of parties involved

• Program goals (long-term)

• Program Objectives

• Program Administration

• Term of LOU

• Signatures

Legal assistance obtained ‘pro bono’

A project of IPAC Eastern Ontario

The Cameroon Twinning Project

Page 10: The Cameroon Twinning Project - pana.ipac-canada.org€¦ · A project of IPAC Eastern Ontario The Cameroon Twinning Project Establishing the System •Chair/co-chair –coordination

Chapter Fundraising

• Silent auction

• Sale of African artifacts at 2011 & 2014 IPAC Canada conferences, 25th anniversary dinner and chapter education days

• “Pass the Bucket” at all chapter meetings

• Donations from chapter and from industry

A project of IPAC Eastern Ontario

The Cameroon Twinning Project

Page 11: The Cameroon Twinning Project - pana.ipac-canada.org€¦ · A project of IPAC Eastern Ontario The Cameroon Twinning Project Establishing the System •Chair/co-chair –coordination

Chapter Fundraising

A project of IPAC Eastern Ontario

The Cameroon Twinning Project

Page 12: The Cameroon Twinning Project - pana.ipac-canada.org€¦ · A project of IPAC Eastern Ontario The Cameroon Twinning Project Establishing the System •Chair/co-chair –coordination

Communication

• Designated “go-to” or lead person for communications to and from Cameroon

• Involved committee members in email discussions

• Maintained contact lists and email distribution lists

• Developed information brochure

• Created project website as part of chapter website

A project of IPAC Eastern Ontario

The Cameroon Twinning Project

Page 13: The Cameroon Twinning Project - pana.ipac-canada.org€¦ · A project of IPAC Eastern Ontario The Cameroon Twinning Project Establishing the System •Chair/co-chair –coordination

What Worked…

• Raised $$$$ to expand initiatives

• Jacob nkwan IPAC Canada member 2011 - present

• Shipped medical supplies annually from 2011 - 15

• Facilitated donation of plastic bottles for ABHR

• Purchased and shipped ABHR filler

• Assisted with implementation of facility-wide hand hygiene program

A project of IPAC Eastern Ontario

The Cameroon Twinning Project

Page 14: The Cameroon Twinning Project - pana.ipac-canada.org€¦ · A project of IPAC Eastern Ontario The Cameroon Twinning Project Establishing the System •Chair/co-chair –coordination

What Didn’t Work…

• Unable to obtain visa for Jacob to attend conference

• Could not always send supplies when requested due to shipping costs (e.g., Ebola)

• Electronic discussion boards did not work due to technical issues with equipment and internet

A project of IPAC Eastern Ontario

The Cameroon Twinning Project

Page 15: The Cameroon Twinning Project - pana.ipac-canada.org€¦ · A project of IPAC Eastern Ontario The Cameroon Twinning Project Establishing the System •Chair/co-chair –coordination

Benefits of Twinning to the Chapter• Better understanding of IPAC challenges in low-

resourced countries• Better appreciation of our own health care system• Opportunity to provide meaningful assistance and a

chance to give back• Encourages thinking “outside of the box”• Chapter members presented posters at IPAC Canada

conferences • Two chapter members visited Cameroon in 2012

which allowed personal growth

A project of IPAC Eastern Ontario

The Cameroon Twinning Project

Page 16: The Cameroon Twinning Project - pana.ipac-canada.org€¦ · A project of IPAC Eastern Ontario The Cameroon Twinning Project Establishing the System •Chair/co-chair –coordination

Avoiding the Pitfalls of Twinning• May not be able to achieve goals without adequate

funds• Expectations of the low-resourced country may be

unrealistic• Be prepared for a large time commitment • Consider aligning with other aid agencies to defray

shipping costs• Understand how requested materials are to be used,

repaired and sustained before sending• Explore technical issues with equipment and internet

A project of IPAC Eastern Ontario

The Cameroon Twinning Project

Page 17: The Cameroon Twinning Project - pana.ipac-canada.org€¦ · A project of IPAC Eastern Ontario The Cameroon Twinning Project Establishing the System •Chair/co-chair –coordination

Future Plans

• Additional visits to Cameroon by chapter members

• Expansion of ABHR to all health care facilities

• Provision of APIC membership and CBIC fee to Jacob

• Annual shipment of supplies (Ebola supplies 2015)

• Purchase and ship alcohol thermometers

• Encourage other chapters to “twin”

• Expand mentorship program

A project of IPAC Eastern Ontario

The Cameroon Twinning Project

Page 18: The Cameroon Twinning Project - pana.ipac-canada.org€¦ · A project of IPAC Eastern Ontario The Cameroon Twinning Project Establishing the System •Chair/co-chair –coordination

On the Ground…

A project of IPAC Eastern Ontario

The Cameroon Twinning Project

Page 19: The Cameroon Twinning Project - pana.ipac-canada.org€¦ · A project of IPAC Eastern Ontario The Cameroon Twinning Project Establishing the System •Chair/co-chair –coordination

What was in place for hand hygiene at the time?

• Soap and chlorinated water were used

• Bucket with spigot, towel, home-made soap

• First steps in preparing in-house ABHR had been taken

A project of IPAC Eastern Ontario

The Cameroon Twinning Project

First Project :Alcohol-based Hand Rub (ABHR)

Page 20: The Cameroon Twinning Project - pana.ipac-canada.org€¦ · A project of IPAC Eastern Ontario The Cameroon Twinning Project Establishing the System •Chair/co-chair –coordination

Soap and Water…

A project of IPAC Eastern Ontario

The Cameroon Twinning Project

Page 21: The Cameroon Twinning Project - pana.ipac-canada.org€¦ · A project of IPAC Eastern Ontario The Cameroon Twinning Project Establishing the System •Chair/co-chair –coordination

Preparation of Soap…

A project of IPAC Eastern Ontario

The Cameroon Twinning Project

Page 22: The Cameroon Twinning Project - pana.ipac-canada.org€¦ · A project of IPAC Eastern Ontario The Cameroon Twinning Project Establishing the System •Chair/co-chair –coordination

Rudimentary ABHR…

A project of IPAC Eastern Ontario

The Cameroon Twinning Project

Page 23: The Cameroon Twinning Project - pana.ipac-canada.org€¦ · A project of IPAC Eastern Ontario The Cameroon Twinning Project Establishing the System •Chair/co-chair –coordination

Moving forward…point-of-care ABHR

• Problem: no local suppliers

• Problem: lack of sustainability

• Solution: On-site production of ABHR following the recipe from World Health Organization

• Solution: Source obtained for plastic bottles and method for reprocessing

A project of IPAC Eastern Ontario

The Cameroon Twinning Project

Page 24: The Cameroon Twinning Project - pana.ipac-canada.org€¦ · A project of IPAC Eastern Ontario The Cameroon Twinning Project Establishing the System •Chair/co-chair –coordination

A project of IPAC Eastern Ontario

The Cameroon Twinning Project

Page 25: The Cameroon Twinning Project - pana.ipac-canada.org€¦ · A project of IPAC Eastern Ontario The Cameroon Twinning Project Establishing the System •Chair/co-chair –coordination

A project of IPAC Eastern Ontario

The Cameroon Twinning Project

Page 26: The Cameroon Twinning Project - pana.ipac-canada.org€¦ · A project of IPAC Eastern Ontario The Cameroon Twinning Project Establishing the System •Chair/co-chair –coordination

A project of IPAC Eastern Ontario

The Cameroon Twinning Project

Page 27: The Cameroon Twinning Project - pana.ipac-canada.org€¦ · A project of IPAC Eastern Ontario The Cameroon Twinning Project Establishing the System •Chair/co-chair –coordination

Education was given…

Procedures for reprocessing (ABHR bottles, filler) were developed

A project of IPAC Eastern Ontario

The Cameroon Twinning Project

Page 28: The Cameroon Twinning Project - pana.ipac-canada.org€¦ · A project of IPAC Eastern Ontario The Cameroon Twinning Project Establishing the System •Chair/co-chair –coordination

A project of IPAC Eastern Ontario

Future Plans…

• Produce sufficient ABHR to supply all health facilities

• Sell ABHR in the community to defray costs

• Increase mechanization of process

The Cameroon Twinning Project

Page 29: The Cameroon Twinning Project - pana.ipac-canada.org€¦ · A project of IPAC Eastern Ontario The Cameroon Twinning Project Establishing the System •Chair/co-chair –coordination

Questions?

A project of IPAC Eastern Ontario

The Cameroon Twinning Project