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