Wednesday, April 11, 2007

Tuesday 13th February part 2

We left Jerreh at the site, with his mobile glued to his ear, dealing with a vast myriad of administrative nightmares, and Dr Hannah Faal (West Africa Regional Eye Care Consultant) took me to the Royal Victoria Hospital, which had been the home of eye care in The Gambia for many years (she herself worked there). The comparison was very stark – two rooms and a veranda, plus a theatre.

We went back to the office and I held a surgery with the staff. Issues raised included the perennial of forecasting, which was perceived as very time consuming and rigid. It was felt that it was actually less rather than more flexible than the old budgeting system. It is clear that a re-launch and explanation of the forecasting approach, together with some tools to help people use it, is desperately needed, as this complaint comes up time and time again on my trips.

I was also asked about my views on user fees, and on why Sightsavers always rented offices overseas rather than building their own.

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