are subsidised and sold at CFAF6000171 and CFAF40 000172 respectively. Considering that this mechanism is limited only to care during the time of childbirth, in 2014 the Health Voucher (Cheque Santé) was introduced. The Health Voucher provides care for women during pregnancy, at childbirth and thereafter for a period of 42 days. The cost of participation in the Health Voucher Programme is CFAF6000 but the actual cost of care is at least CFAF60,000173 (the services covered by the Health Cheque include consultations, tests, drugs, healthcare for expectant mothers). Due to actions undertaken in the area of pregnancyrelated care, the number of deliveries attended by a health staff rose. It increased, for instance, from 54.69% in 2013 to 63% in 2015. 250- The Delivery Plan which was published by the National Multisector Programme for Combating Maternal and Child Mortality in January 2017 was given to every pregnant woman during her first Prenatal Consultation. The goal of the Plan is to help future mothers prepare for childbirth including identifying warning signs. 251- Concerning capacity development activities, in 2015 for example, 4,455 health staff and 180 traditional midwives were trained on Sexual and Reproductive health and 617 health staff were trained on family planning techniques. 252- (Rec. 17) Also, the capacity of health staff was enhanced in Emergency Obstetric and Neonatal Care including 500 in 2016. 253- As regards medical abortion, it is authorized under Section 339 of the Penal Code, where it is performed by a qualified person in order to save the mother from grave danger to her health as well as in case of pregnancy resulting from rape. 3: Management of some Reproductive Health-Related Disorders 254- (Rec. 18) Article 14 (2) (a) Action was taken for the management of reproductive health related disorders including Obstetric Fistula. Within the framework of the National Strategic Plan for the Fight against Obstetric Fistula (2005-2015) and other policy documents, the Government has favoured a participatory and intersectoral approach by tackling early marriages, early pregnancies and striving to improve access to reproductive health services. 255- With the support of its partners, Government took measures for the clinical management of obstetric fistula. Health staff was trained on its management, including 200 in 2016. Surgical operations were done during regular consultations at health facilities and special campaigns as was the case for example in 2014 at the Protestant Hospital Ngaoundere wherein107 women benefitted from surgery. Furthermore, during the Mercy Ships Hospital mission in Cameroon between August 2017 and June 2018, 165 women were operated upon. As regards control of cancer of the cervix and breast, see § 4 on Disease control. 4: Family Planning and Sexual Education 256- Rec. 17 The capacity of health staff was strengthened in family planning. In 2017, for example, the capacity of staff of 3165 health facilities out of 4285 was strengthened in family planning, giving a coverage rate of 73.09%.A wide range of contraceptive methods was available at health facilities, commercial pharmacies as well as at some specialised civil society organizations. Contraceptives were made more affordable through the reduction of prices in public health facilities from 2014. 257- Some 20% of health facilities have at least 1 service provider trained in contraception technology. Besides, 71.3% of health facilities provide short-term contraceptive methods; 171 About 9,.6 Euros About 61 Euros. 173 About 91.60 Euros. 172 49

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