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Management of Universal Health Coverage in Cameroon

Year 2022, , 673 - 681, 31.05.2022
https://doi.org/10.30621/jbachs.1011629

Abstract

Universal Health Coverage, (UHC), has proven to be an undeniable political and very ambitious health agenda aimed at ensuring that everyone has access to basic quality health care services irrespective of their socio-economic status and geographical location. The UHC concept is of upmost importance in Cameroon considering the very high levels of out-of-pocket health expenditures and fragile health systems. Achieving UHC in Cameroon will not only increase the life expectancy of Cameroonians but it will also increase the economic output of the country. Although Cameroon has set in place targets and agendas aimed at providing UHC to her citizens, they’re far from being implemented. With the country having a huge pool of informal workers coupled with the high level of mistrust citizens have for the governments Community-based health insurance, (CBHI), the concept of UHC in Cameroon remains more of a theoretical than practical phenomena. To cost effectively achieve UHC; aside increasing trained health care professionals, intersectoral collaboration between government authorities, civil society organizations like non-governmental organizations, community health workers, religious and cultural stakeholders should be prioritized.

Supporting Institution

None

Project Number

None

Thanks

We would like to thank to Eudes Anihouvi for his help

References

  • 1. WHO. Universal Health Coverage. (Health Science and Health Care2. 2019).p.2013 (cited 2021 Aug 18). Available from: https://www.who.int/health-topics/universal-health-coverage#tab=tab_1
  • 2. Gauld R, Blank R, Burgers J, et al. The World Health report 2008 - Primary healthcare: How wide is the gap between its agenda and implementation in 12 high-income health systems? Healthc Policy. 2012;7(3):38–58.
  • 3. UHC2030. SDG Indicator 3.8.1: Measure What Matters - 2020 (cited 2021 Mar 20). Available from: https://www.uhc2030.org/blog-news-events/uhc2030-news/sdg-indicator-3-8-1-measure-what-matters-465653/
  • 4. WHO. Tracking Universal Health Coverage: 2017 Global Monitoring Report: executive summary. World Health Organization and International Bank for Reconstruction and Development / The World Bank. 2017 (cited 2021 Mar 20). Available from: http://apps.who.int/bookorders.
  • 5. Nations-online. Administrative Map of Zambia - Nations Online Project. 2015. (cited 2021 Mar 21). Available from: http://www.nationsonline.org/oneworld/map/ecuador-administrative-map.htm
  • 6. Worldometer. Cameroon Population (2021) -worldometer. 2021 (cited 2021 Mar 21). Available from: https://www.worldometers.info/world-population/cameroon-population/
  • 7. World Bank. Report Urges a Rethink of Cameroon’s Informal Sector as Nation Longs for Full Employment. World Bank. 2012 (cited 2021 Mar 21). Available from: https://www.worldbank.org/en/news/feature/2012/02/21/report-urges-a-rethink-of-cameroons-informal-sector-as-nation-longs-for-full-employment
  • 8. USAID. Financing of Universal Health Coverage and Family Planning A Multi-Regional Landscape Study and Analysis of Select West African Countries: Niger. Usaid. 2017;(January). Available from: https://www.hfgproject.org/financing-universal-health-coverage-family-planning-multi-regional-landscape-study-analysis-select-west-african-countries-cameroon/
  • 9. Global Financing Facility. First-of-its-kind development impact bond launched in Cameroon to save newborn babies. Global Financing Facility. 2019 (cited 2021 Mar 21). Available from: https://www.globalfinancingfacility.org/first-its-kind-development-impact-bond-launched-cameroon-save-newborn-babies
  • 10. World Bank. Current health expenditure (% of GDP) - Cameroon | Data. 2018 (cited 2021 Apr 13). Available from: https://data.worldbank.org/indicator/SH.XPD.CHEX.GD.ZS?end=2018&locations=MX&start=2000&view=chart%0Ahttps://data.worldbank.org/indicator/SH.XPD.CHEX.GD.ZS?locations=NP%0Ahttps://data.worldbank.org/indicator/SH.XPD.CHEX.GD.ZS?locations=JP
  • 11. CNPS. Missions - Caisse Nationale de Prévoyance Sociale. 2014 (cited 2021 Mar 21). Available from: https://www.cnps.cm/index.php/fr/a-propos/missions
  • 12. PROMUSCAM. La Mutuelle Communautaire de Santé de Yaoundé : Un mécanisme solidaire de financement collectif d’accès aux soins de santé de qualité. ritimo. 2011 (cited 2021 Mar 21). Available from: http://base.d-p-h.info/fr/fiches/dph/fiche-dph-8716.html
  • 13. François Colin NKOA, ONGOLO‐ZOGO DP. Acknowledgements: Funding: International Development Research Centre (IDRC)-Ottawa, Canada The Alliance for Health Policy and Systems Research (AHPSR. Program for Policy Decision-Making. 2009.
  • 14. Ojong N. Healthcare Financing in Rural Cameroon. Societies. 2019;9(4):77.
  • 15. Noubiap JJN, Joko WYA, Obama JMN, Bigna JJR. Community-based health insurance knowledge, concern, preferences, and financial planning for health care among informal sector workers in a health district of Douala, Cameroon. Pan Afr Med J 2013. (cited 2021 Mar 20);16. Available from: /pmc/articles/PMC3909694/
  • 16. Kigali. RWANDA COMMUNITY BASED HEALTH INSURANCE POLICY. 2010.
  • 17. Nde CJ, Raymond A, Saidu Y, et al. Reaching Universal Health Coverage by 2035: Is Cameroon on Track? Univers J Public Heal. 2019;7(3):110–7.
  • 18. Ke Xu, David B Evans, Kei Kawabata, et al. WHO | Out-of-pocket payments, user fees and catastrophic expenditure. Who. 2018 (cited 2021 Mar 21). Available from: https://www.who.int/health_financing/topics/financial-protection/out-of-pocket-payments/en/
  • 19. World Bank/WHO. Out-of-pocket expenditure (% of current health expenditure) - Ethiopia. 2018 (cited 2021 Mar 21). Available from: https://data.worldbank.org/indicator/SH.XPD.OOPC.CH.ZS?locations=ET
  • 20. MEDCAMER. The Health System – MEDCAMER – Cameroon Medical Doctors. 2020 (cited 2021 Apr 13). Available from: https://www.medcamer.org/en/the-health-system/
  • 21. Tandi TE, Cho Y, Akam AJC, et al. Cameroon public health sector: Shortage and inequalities in geographic distribution of health personnel. Int J Equity Health. 2015 May 12 [cited 2021 Apr 13];14(1). Available from: /pmc/articles/PMC4440287/
  • 22. Sieleunou I, Turcotte-Tremblay AM, De Allegri M, et al. How does performance-based financing affect the availability of essential medicines in Cameroon? A qualitative study. Health Policy Plan. 2019 Dec 1 (cited 2021 Apr 13);34(Supplement_3):III4–19. Available from: https://academic.oup.com/heapol/article/34/Supplement_3/iii4/5670620
  • 23. World Bank/WHO. UHC service coverage index, 2017. 2021 (cited 2021 Mar 24). Available from: https://data.worldbank.org/indicator/SH.UHC.SRVS.CV.XD?locations=CM
  • 24. Id AH, Vogt V, Quentin W. Effect of corruption on perceived difficulties in healthcare access in sub-Saharan Africa. PLoS One. 2019;1–12.
  • 25. Saidu Y, Vouking M, Njoh AA, et al. The effect of the ongoing civil strife on key immunisation outcomes in the North West and South West regions of Cameroon. Confl Health. 2021;15(1):1–8.
  • 26. World Health Organization (WHO). Primary health care systems (PRIMASYS): case study from Cameroon, abridged version. Alliance for Health Policy and Systems Research. 2017 (cited 2021 Mar 20). Available from: http://apps.who.int/bookorders.%0Ahttp://apps.who.int/bookorders.%0Ahttp://apps.who.int/iris.%0Ahttp://apps.who.int/bookorders.
  • 27. Vinet L, Zhedanov A. A “missing” family of classical orthogonal polynomials. J Phys A Math Theor. 2011;44(8). Available from: 10.1017/CBO9781107415324.004
  • 28. IndexMundi. UHC service coverage index 2020. (cited 2021 Mar 24). Available from: https://www.indexmundi.com
  • 29. WHO. Primary Health Care on the Road to Universal Health Coverage: 2019 Monitoring Report 2019. (cited 2021 Mar 24). Available from: https://www.who.int/healthinfo/universal_health_coverage/report/2019/en/
  • 30. WHO. Algeria Country context* 1. eHealth foundations National policies or strategies Funding sources for eHealth Country response Global "yes" response § eHealth capacity building Country response Global "yes" response § Proportion** 2016. (cited 2021 Aug 16). Available from: http://www.who.int/goe
  • 31. Oxford Business Group. Updated Health Care Strategies and Prevention in Algeria. Oxford Business Business Group. 2017 (cited 2021 Aug 16). Available from: https://oxfordbusinessgroup.com/overview/shaping-updated-strategies-and-prevention-programmes-raise-health-indicators-while-new-reforms-aim
  • 32. Tinasti K. Morocco’s policy choices to achieve Universal health coverage. Pan Afr Med J. 2015 Aug 26 (cited 2021 Aug 16);21:1937–8688. Available from: /pmc/articles/PMC4564433/
  • 33. Aran M, Rokx C. TURKEY ON THE WAY OF UNIVERSAL HEALTH COVERAGE THROUGH THE HEALTH TRANSFORMATION PROGRAM (2003-13). World Bank Gr. 2003;
  • 34. Macdonald A. Cameroon’s Universal Health Coverage project. iAfrikan.com. 2020 (cited 2021 Aug 4). Available from: https://iafrikan.com/2020/09/18/cameroons-universal-health-coverage-project-and-the-place-of-technology/
  • 35. Lutte D, Le Vih C. Republique Du Cameroun Republic of Cameroon Plan Strategique National. 2011 (cited 2021 Aug 4);1–13. Available from: www.minsante.gov.cm//www.cm-minsante-drh.com
Year 2022, , 673 - 681, 31.05.2022
https://doi.org/10.30621/jbachs.1011629

Abstract

Project Number

None

References

  • 1. WHO. Universal Health Coverage. (Health Science and Health Care2. 2019).p.2013 (cited 2021 Aug 18). Available from: https://www.who.int/health-topics/universal-health-coverage#tab=tab_1
  • 2. Gauld R, Blank R, Burgers J, et al. The World Health report 2008 - Primary healthcare: How wide is the gap between its agenda and implementation in 12 high-income health systems? Healthc Policy. 2012;7(3):38–58.
  • 3. UHC2030. SDG Indicator 3.8.1: Measure What Matters - 2020 (cited 2021 Mar 20). Available from: https://www.uhc2030.org/blog-news-events/uhc2030-news/sdg-indicator-3-8-1-measure-what-matters-465653/
  • 4. WHO. Tracking Universal Health Coverage: 2017 Global Monitoring Report: executive summary. World Health Organization and International Bank for Reconstruction and Development / The World Bank. 2017 (cited 2021 Mar 20). Available from: http://apps.who.int/bookorders.
  • 5. Nations-online. Administrative Map of Zambia - Nations Online Project. 2015. (cited 2021 Mar 21). Available from: http://www.nationsonline.org/oneworld/map/ecuador-administrative-map.htm
  • 6. Worldometer. Cameroon Population (2021) -worldometer. 2021 (cited 2021 Mar 21). Available from: https://www.worldometers.info/world-population/cameroon-population/
  • 7. World Bank. Report Urges a Rethink of Cameroon’s Informal Sector as Nation Longs for Full Employment. World Bank. 2012 (cited 2021 Mar 21). Available from: https://www.worldbank.org/en/news/feature/2012/02/21/report-urges-a-rethink-of-cameroons-informal-sector-as-nation-longs-for-full-employment
  • 8. USAID. Financing of Universal Health Coverage and Family Planning A Multi-Regional Landscape Study and Analysis of Select West African Countries: Niger. Usaid. 2017;(January). Available from: https://www.hfgproject.org/financing-universal-health-coverage-family-planning-multi-regional-landscape-study-analysis-select-west-african-countries-cameroon/
  • 9. Global Financing Facility. First-of-its-kind development impact bond launched in Cameroon to save newborn babies. Global Financing Facility. 2019 (cited 2021 Mar 21). Available from: https://www.globalfinancingfacility.org/first-its-kind-development-impact-bond-launched-cameroon-save-newborn-babies
  • 10. World Bank. Current health expenditure (% of GDP) - Cameroon | Data. 2018 (cited 2021 Apr 13). Available from: https://data.worldbank.org/indicator/SH.XPD.CHEX.GD.ZS?end=2018&locations=MX&start=2000&view=chart%0Ahttps://data.worldbank.org/indicator/SH.XPD.CHEX.GD.ZS?locations=NP%0Ahttps://data.worldbank.org/indicator/SH.XPD.CHEX.GD.ZS?locations=JP
  • 11. CNPS. Missions - Caisse Nationale de Prévoyance Sociale. 2014 (cited 2021 Mar 21). Available from: https://www.cnps.cm/index.php/fr/a-propos/missions
  • 12. PROMUSCAM. La Mutuelle Communautaire de Santé de Yaoundé : Un mécanisme solidaire de financement collectif d’accès aux soins de santé de qualité. ritimo. 2011 (cited 2021 Mar 21). Available from: http://base.d-p-h.info/fr/fiches/dph/fiche-dph-8716.html
  • 13. François Colin NKOA, ONGOLO‐ZOGO DP. Acknowledgements: Funding: International Development Research Centre (IDRC)-Ottawa, Canada The Alliance for Health Policy and Systems Research (AHPSR. Program for Policy Decision-Making. 2009.
  • 14. Ojong N. Healthcare Financing in Rural Cameroon. Societies. 2019;9(4):77.
  • 15. Noubiap JJN, Joko WYA, Obama JMN, Bigna JJR. Community-based health insurance knowledge, concern, preferences, and financial planning for health care among informal sector workers in a health district of Douala, Cameroon. Pan Afr Med J 2013. (cited 2021 Mar 20);16. Available from: /pmc/articles/PMC3909694/
  • 16. Kigali. RWANDA COMMUNITY BASED HEALTH INSURANCE POLICY. 2010.
  • 17. Nde CJ, Raymond A, Saidu Y, et al. Reaching Universal Health Coverage by 2035: Is Cameroon on Track? Univers J Public Heal. 2019;7(3):110–7.
  • 18. Ke Xu, David B Evans, Kei Kawabata, et al. WHO | Out-of-pocket payments, user fees and catastrophic expenditure. Who. 2018 (cited 2021 Mar 21). Available from: https://www.who.int/health_financing/topics/financial-protection/out-of-pocket-payments/en/
  • 19. World Bank/WHO. Out-of-pocket expenditure (% of current health expenditure) - Ethiopia. 2018 (cited 2021 Mar 21). Available from: https://data.worldbank.org/indicator/SH.XPD.OOPC.CH.ZS?locations=ET
  • 20. MEDCAMER. The Health System – MEDCAMER – Cameroon Medical Doctors. 2020 (cited 2021 Apr 13). Available from: https://www.medcamer.org/en/the-health-system/
  • 21. Tandi TE, Cho Y, Akam AJC, et al. Cameroon public health sector: Shortage and inequalities in geographic distribution of health personnel. Int J Equity Health. 2015 May 12 [cited 2021 Apr 13];14(1). Available from: /pmc/articles/PMC4440287/
  • 22. Sieleunou I, Turcotte-Tremblay AM, De Allegri M, et al. How does performance-based financing affect the availability of essential medicines in Cameroon? A qualitative study. Health Policy Plan. 2019 Dec 1 (cited 2021 Apr 13);34(Supplement_3):III4–19. Available from: https://academic.oup.com/heapol/article/34/Supplement_3/iii4/5670620
  • 23. World Bank/WHO. UHC service coverage index, 2017. 2021 (cited 2021 Mar 24). Available from: https://data.worldbank.org/indicator/SH.UHC.SRVS.CV.XD?locations=CM
  • 24. Id AH, Vogt V, Quentin W. Effect of corruption on perceived difficulties in healthcare access in sub-Saharan Africa. PLoS One. 2019;1–12.
  • 25. Saidu Y, Vouking M, Njoh AA, et al. The effect of the ongoing civil strife on key immunisation outcomes in the North West and South West regions of Cameroon. Confl Health. 2021;15(1):1–8.
  • 26. World Health Organization (WHO). Primary health care systems (PRIMASYS): case study from Cameroon, abridged version. Alliance for Health Policy and Systems Research. 2017 (cited 2021 Mar 20). Available from: http://apps.who.int/bookorders.%0Ahttp://apps.who.int/bookorders.%0Ahttp://apps.who.int/iris.%0Ahttp://apps.who.int/bookorders.
  • 27. Vinet L, Zhedanov A. A “missing” family of classical orthogonal polynomials. J Phys A Math Theor. 2011;44(8). Available from: 10.1017/CBO9781107415324.004
  • 28. IndexMundi. UHC service coverage index 2020. (cited 2021 Mar 24). Available from: https://www.indexmundi.com
  • 29. WHO. Primary Health Care on the Road to Universal Health Coverage: 2019 Monitoring Report 2019. (cited 2021 Mar 24). Available from: https://www.who.int/healthinfo/universal_health_coverage/report/2019/en/
  • 30. WHO. Algeria Country context* 1. eHealth foundations National policies or strategies Funding sources for eHealth Country response Global "yes" response § eHealth capacity building Country response Global "yes" response § Proportion** 2016. (cited 2021 Aug 16). Available from: http://www.who.int/goe
  • 31. Oxford Business Group. Updated Health Care Strategies and Prevention in Algeria. Oxford Business Business Group. 2017 (cited 2021 Aug 16). Available from: https://oxfordbusinessgroup.com/overview/shaping-updated-strategies-and-prevention-programmes-raise-health-indicators-while-new-reforms-aim
  • 32. Tinasti K. Morocco’s policy choices to achieve Universal health coverage. Pan Afr Med J. 2015 Aug 26 (cited 2021 Aug 16);21:1937–8688. Available from: /pmc/articles/PMC4564433/
  • 33. Aran M, Rokx C. TURKEY ON THE WAY OF UNIVERSAL HEALTH COVERAGE THROUGH THE HEALTH TRANSFORMATION PROGRAM (2003-13). World Bank Gr. 2003;
  • 34. Macdonald A. Cameroon’s Universal Health Coverage project. iAfrikan.com. 2020 (cited 2021 Aug 4). Available from: https://iafrikan.com/2020/09/18/cameroons-universal-health-coverage-project-and-the-place-of-technology/
  • 35. Lutte D, Le Vih C. Republique Du Cameroun Republic of Cameroon Plan Strategique National. 2011 (cited 2021 Aug 4);1–13. Available from: www.minsante.gov.cm//www.cm-minsante-drh.com
There are 35 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Reviews
Authors

Adanze Nge Cynthıa 0000-0003-3802-9653

Bülent Kılıç 0000-0001-7032-1422

Project Number None
Publication Date May 31, 2022
Submission Date October 18, 2021
Published in Issue Year 2022

Cite

APA Cynthıa, A. N., & Kılıç, B. (2022). Management of Universal Health Coverage in Cameroon. Journal of Basic and Clinical Health Sciences, 6(2), 673-681. https://doi.org/10.30621/jbachs.1011629
AMA Cynthıa AN, Kılıç B. Management of Universal Health Coverage in Cameroon. JBACHS. May 2022;6(2):673-681. doi:10.30621/jbachs.1011629
Chicago Cynthıa, Adanze Nge, and Bülent Kılıç. “Management of Universal Health Coverage in Cameroon”. Journal of Basic and Clinical Health Sciences 6, no. 2 (May 2022): 673-81. https://doi.org/10.30621/jbachs.1011629.
EndNote Cynthıa AN, Kılıç B (May 1, 2022) Management of Universal Health Coverage in Cameroon. Journal of Basic and Clinical Health Sciences 6 2 673–681.
IEEE A. N. Cynthıa and B. Kılıç, “Management of Universal Health Coverage in Cameroon”, JBACHS, vol. 6, no. 2, pp. 673–681, 2022, doi: 10.30621/jbachs.1011629.
ISNAD Cynthıa, Adanze Nge - Kılıç, Bülent. “Management of Universal Health Coverage in Cameroon”. Journal of Basic and Clinical Health Sciences 6/2 (May 2022), 673-681. https://doi.org/10.30621/jbachs.1011629.
JAMA Cynthıa AN, Kılıç B. Management of Universal Health Coverage in Cameroon. JBACHS. 2022;6:673–681.
MLA Cynthıa, Adanze Nge and Bülent Kılıç. “Management of Universal Health Coverage in Cameroon”. Journal of Basic and Clinical Health Sciences, vol. 6, no. 2, 2022, pp. 673-81, doi:10.30621/jbachs.1011629.
Vancouver Cynthıa AN, Kılıç B. Management of Universal Health Coverage in Cameroon. JBACHS. 2022;6(2):673-81.