-
80% of community relays implement the “community-based management of
malaria” package in at least four-fifths of health areas in each district;
60% of health facilities apply malaria management standards and norms in at least
four-fifths of health districts in each Region.
Other measures relate to the evolution of the budget allocated to the Ministry of Public
Health between 2011 and 2014. During the period under consideration, the operating
budget recorded a net increase, from 74.6 billion CFA Francs to 91.4 billion CFA Francs.
Conversely, the investment budget recorded a slight drop over the same period,
decreasing from 77.1 billion CFAF to 74.5 billion CFAF (Cf. Table in Annex)
Between 2011 and 2013, the proportion of national budget allocated to the Ministry of
Public Health dropped from 5.9% to 4.41%. In the absence of data on the health budget of
healthcare and related sectors, it is difficult to determine exactly how much resources are
allocated by the State to the health sector. However, it is worth stating that Cameroon is
still very far from implementing the Abuja Declaration that recommends that 15% of the
national budget be allocated to the health sector.
Health of the mother
Regarding mothers' health, actions focused on:
- intensifying the CARMMA by integrating the community-geared component and
introducing the National Programme to Control Maternal, Neonatal and Infant Mortality;
- the implementation of the strategy to pre-position obstetrical kits;
- the free surgical repair of obstetric fistulas from 2010 to 2013 (300 women benefited
from this measure);
- providing psycho-social support and ensuring the socio-economic integration of women
with obstetric fistulas or who have had their repaired;
- training MINPROFF staff and community relays in the psycho-social management and
social reintegration of women with obstetric fistulas and producing a management
guide for obstetric fistulas;
- training care providers in EMONC/PMTCT/FP, a measure that helped to increase the
number of qualified reproductive health care providers. ;
- training care providers in the Active Management of the Third Stage of Labour
(AMTSL).
All these measures contributed in increasing the rate of attendance at birth by trained
health care providers by 63.6%.
In the field of training, it is worth mentioning:
- the introduction, since 2012, of the ICATT courseware within the framework of the
implementation of the Integrated Management of Childhood Illnesses (IMCI);
the training of care providers in clinical IMCI and community health workers in communitybased IMCI;
- the re-opening, in 2011, of 8 midwifery training schools (200 midwives currently
completing training); increasing
the number of trained gynaecologists and
paediatricians;
- Introducing the IMCI module in the training of doctors.
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