The Cameroon Health Project: Results-Based Financing as a tool to advance health care
The ongoing Cameroon Health Project makes use of Results-Based Financing to improve health services, putting particular emphasis on maternal and child health and the prevention of transmissible diseases. The project aims to increase health service access and quality, covering about 2.8 million people in 26 health districts over five regions of Cameroon.
The number of immunized children in the Littoral, North-West, South-West and East regions of Cameroon went from 5364 in 2012 to 17 289 in 2013.
In targeted health facilities, the project contributed to a substantial decrease in the average cost of treatment (from $72 to $34) and utilization of medication significantly increased (from 52 to 75 percent) from 2011 to 2012. The rate of assisted births more than doubled over the same period, from 20 to 55 percent, and the proportion of fully vaccinated children rose from 5 to 45 percent.
A comprehensive impact evaluation of the project’s interventions is under way, with results available in 2015.
The National Community Development Program
The multidonor, IDA-funded National Community Development Program is an important instrument used in the implementation of the Government’s rural development strategy. The project assists the Government of Cameroon in setting up and implementing a decentralized financing mechanism to ensure participatory community development in rural areas and improve access to basic social services.
The first phase of the Program, approved in 2004, covered six out of the country’s 10 regions. A second phase, approved in June 2009 for US$40 million (World Bank financing), expands Program activities to all regions and small towns and consolidates the achievements of Phase 1. Overall, the program has generated strong local support from the towns and communities involved.
The project has helped to improve school infrastructure around the country, provided 270,000 people access to potable water, and improved access to roads and to basic social services for 20,000 households.
The Cameroon Agricultural Competitiveness Project
The six-year, US$60 million Agricultural Competitiveness Project was approved in 2009 to assist about 40,000 small-scale farmers and farm cooperatives to improve their competitiveness.
Thus far, the project has contributed to increasing production by 109 percent among targeted rice farmers, and corn production has increased by 112 percent. Egg production has also significantly intensified, rising from 198 to 273 eggs per chicken per year.
Producer organizations have made good progress in establishing 719 commercial partnerships (712 in November 2013) with suppliers and buyers to get inputs (fertilizers, seeds, small agricultural equipment) and sell their products (maize, rice, poultry, pig).
With the facilitation of the Project, about 101 conventions (80 in November 2013) have been signed between POs and micro-finance institutions to raise a credit in the total amount of more than CFA460 million (440 in November 2013) through the signed contracts.
CEMAC Transport-Transit Facilitation
The CEMAC Transport and Facilitation Project, is a regional IDA project of US$680 million equivalent with activities in Cameroon (US$409 million – 62%), Chad (5%) and the Central African Republic (33%). This project aims to enhance regional trade and integration as well as sub regional cooperation between CEMAC and the Economic Community of Central African States. It envisions providing the landlocked countries of Central African Republic and Chad with better access to the port of Douala by strengthening the CEMAC Customs Union and improving the logistics chain, including road and rail infrastructure, between the port of Douala and the hinterland.
Some 256 km of the Douala–Bangui/Douala–N’Djamena road corridors have been rehabilitated through the project. In addition, the transit time for goods through Douala port has decreased from 15 to seven days. The Customs bond time release improved from 57 days to 12 days in 2014.
The Kribi Gas Power Project
The Kribi Gas Power Project, a joint World Bank-IFC project (supplementing other financing), was approved in November 2011, with a committed IDA financing of US$ 82 million. The Kribi Gas Power Project can provide up to 216 MW of capacity that will be fed into Cameroon’s Southern Integrated Grid through a 100 km transmission line. The Project triggered the first commercial development of Cameroon’s substantial gas reserves which have the potential to complement Cameroons’ growth from oil, and has been in operation since March 2013.
The Project is complementary to the medium-term development of Cameroon’s hydropower potential, as it offers least cost thermal capacity to insure against the hydrological risks of a mainly hydropower-based system.
The Project will benefit 163,000 households including in rural areas and make 50 MW of capacity available to Alucam (through a Power Purchase Agreement with AES SONEL) at cost-reflective prices with positive benefits for the economy.
Last Updated: Apr 03, 2014