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    Cameroon Country Brief - EN - FINAL

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    Delegation Société Civile CCM Cameroon
    Cameroon has some of the highest maternal and under-five mortality rates in the world, especially in northern regions impacted by conflict. The Ministry of Public Health used the GFF process to develop an Investment Case that prioritized expanding coverage of interventions like family planning and immunizations in these lagging regions. As a result, the government increased health budget allocations for reproductive, maternal, newborn, child, and adolescent health from 6% to 25% and attracted financing from development partners aligned with the Case's priorities. The GFF and World Bank are providing $127 million to fund expansion outlined in the Case, which has also strengthened private sector engagement and alignment between health planning and financing strategies.

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    Cameroon Country Brief - EN - FINAL

    Uploaded by

    Delegation Société Civile CCM Cameroon
    15 views2 pages
    Cameroon has some of the highest maternal and under-five mortality rates in the world, especially in northern regions impacted by conflict. The Ministry of Public Health used the GFF process to develop an Investment Case that prioritized expanding coverage of interventions like family planning and immunizations in these lagging regions. As a result, the government increased health budget allocations for reproductive, maternal, newborn, child, and adolescent health from 6% to 25% and attracted financing from development partners aligned with the Case's priorities. The GFF and World Bank are providing $127 million to fund expansion outlined in the Case, which has also strengthened private sector engagement and alignment between health planning and financing strategies.

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    Cameroon Country Brief_EN_FINAL

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    Cameroon has some of the highest maternal and under-five mortality rates in the world, especially in northern regions impacted by conflict. The Ministry of Public Health used the GFF process to develop an Investment Case that prioritized expanding coverage of interventions like family planning and immunizations in these lagging regions. As a result, the government increased health budget allocations for reproductive, maternal, newborn, child, and adolescent health from 6% to 25% and attracted financing from development partners aligned with the Case's priorities. The GFF and World Bank are providing $127 million to fund expansion outlined in the Case, which has also strengthened private sector engagement and alignment between health planning and financing strategies.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    15 views2 pages

    Cameroon Country Brief - EN - FINAL

    Uploaded by

    Delegation Société Civile CCM Cameroon
    Cameroon has some of the highest maternal and under-five mortality rates in the world, especially in northern regions impacted by conflict. The Ministry of Public Health used the GFF process to develop an Investment Case that prioritized expanding coverage of interventions like family planning and immunizations in these lagging regions. As a result, the government increased health budget allocations for reproductive, maternal, newborn, child, and adolescent health from 6% to 25% and attracted financing from development partners aligned with the Case's priorities. The GFF and World Bank are providing $127 million to fund expansion outlined in the Case, which has also strengthened private sector engagement and alignment between health planning and financing strategies.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    COUNTRY BRIEFS

    CAMEROON
    Cameroon has among the highest maternal mortality ratios in the world and over the past two decades it has
    dropped by only 20 percent, far below the MDG target. While under-five mortality has decreased in many regions
    of the country, it remains extremely high in the northern regions, which have rates about three times higher than
    the best performing regions.
    The Ministry of Public Health in Cameroon has used GFF to address these challenges. Multiple ministries, bilateral
    agencies, UN agencies, and civil society organizations participated in a highly inclusive process to develop an
    Investment Case. After a rigorous analytical process that made use of UNICEF’s EQUIST tool and that was also
    supported by the Primary Health Care Performance Initiative, the stakeholders reached consensus on an approach
    that used an equity lens to prioritize. This approach led to a focus on the parts of the country with the worst health
    indicators: three northern regions (which have lagged behind for a number of years, have recently been impacted
    by conflict related to Boko Haram, and have high numbers of refugees and internally displaced people) and the
    East region.
    The Investment Case sets ambitious targets for the expansion of coverage of high-impact interventions such as
    family planning, emergency obstetric care, and immunizations, and as well as for broader health systems
    strengthening. In addition, it highlighted approaches from outside the health sector that are important for
    improving health outcomes, including an existing social safety net program that is being expanded to include cash
    transfers to encourage adolescent girls to stay in school and an education initiative to improve the performance
    of schools, which can contribute to reducing child marriage and early pregnancy.
    As a result of this process, the government decided to increase the share of the health budget allocated to improve
    reproductive, maternal, newborn, child, and adolescent health from 6 percent to 25 percent between 2017 and
    2020. Development partners—including the governments of France, Germany, and the United States, as well as
    Gavi, the Global Fund, the Islamic Development Bank, UNFPA, UNICEF, and WHO—have demonstrated their
    support for the process by aligning their financing with the priorities of the Investment Case.
    The GFF Trust Fund is providing US$27 million and IDA is providing US$100 million to finance the priorities of the
    Investment Case. After a successful pilot, the government committed to scaling up performance-based financing
    nationwide to improve the efficiency and effectiveness of service delivery, and while the government has begun
    financing this from domestic resources, it would not be able to reach all of the priority regions without the
    resources from the GFF Trust Fund and IDA.
    The government has also used the GFF process to strengthen engagement with the private sector. This process
    has involved considerable consultation with local private companies on how they can support the Investment Case
    rollout, as well as collaboration with international partners on funding the expansion of a highly impactful
    intervention—kangaroo mother care—through a development impact bond.
    After the endorsement of the Investment Case at the central level, workshops were held in the regions to ensure
    local ownership over the process, with strategic activities included in the Investment Case being embedded in the
    district health plans. These plans are being prepared in the context of the National Health Development Plan
    (PNDS), showing close alignment and synergies between the Investment Case and PNDS planning processes.

    Country-powered investments for every woman, every child 1


    The GFF process has helped to bring all partners together in the joint platform, enhancing collaboration and
    strategy alignment at the regional level. For example, the GFF process facilitated the identification of synergies
    between a health voucher initiative supported by the French and German governments and a performance-based
    financing program that strengthens health services supported by the World Bank Group.
    The GFF process has also brought more focus to issues around the longer-term financing of the health sector,
    which is a pressing issue given the fact that a majority of health spending in the country is out-of-pocket
    expenditure by households. The country’s first health financing strategy, which explicitly looks at financing for
    universal health coverage, is nearing completion after a rigorous process that included studies on the fiscal space
    for health, public financial management, and the political economy of health financing reforms.
    Overall, Cameroon has shown how a country that takes ownership of the GFF process can use the approach to
    identify priority areas and then build alignment of a broad set of stakeholders around these priorities. As a result,
    the country is now in a stronger position to achieve the SDGs.

    Country-powered investments for every woman, every child 2

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