3.2.1 Teacher Performance

Total Page:16

File Type:pdf, Size:1020Kb

3.2.1 Teacher Performance Report No. 67201-CM Public Disclosure Authorized Cameroon GOVERNANCE AND MANAGEMENT IN THE EDUCATION SECTOR Public Disclosure Authorized Public Disclosure Authorized March 2012 Africa Region Public Disclosure Authorized ACKNOWLEDGMENTS This report is the result of a collaborative effort between the Government of Cameroon, the Cameroon Country Management Unit and the Education Unit, Africa Region (AFTED). The Ministry of Basic Education and the Ministry of Secondary Education fully supported its development, during field visits and dissemination workshops. The insights and contribution of Paul Emog Valentin (Director, Human Resources, Ministry of Basic Education) are particularly acknowledged. The World Bank team comprised Michel Welmond (Lead Education Specialist), Daniel Murphy (Senior Country Officer), Cia Sjetnan (Senior Country Officer), Fadila Caillaud (Education Economist), Abel Paul Basile Bove (Governance Specialist), Victoire Ngounoue (Consultant), and Natalie Tchoumba Bitnga (Program Assistant). The study was designed and conducted by Prema Clarke (Consultant) and Vincent Perrot (Consultant). Norosoa Andrianaivo (Program Assistant) provided document processing support. Valuable advice and comments were also provided by the report’s peer reviewers: Fabien Eboussi Boulaga (Professor, University of Cameroon and Governance Advisor), Verena Fritz (Governance Specialist), Cornelia Jesse (Operations Officer), Sahr Kpundeh (Senior Public Sector Specialist, Africa Region Operational Quality and Knowledge Services), Elizabeth Ninan (Human Development Specialist), Emiliana Vegas (Senior Education Economist) and Tony Verheijen (Senior Public Sector Management Specialist). Finally we gratefully acknowledge the Governance Partnership Facility for providing financial support for the preparation of this report. TABLE OF CONTENTS ACKNOWLEDGMENTS .............................................................................................................. ii TABLE OF CONTENTS .............................................................................................................. iii ACRONYMS AND ABBREVIATIONS ....................................................................................... v EXECUTIVE SUMMARY ........................................................................................................... vi Introduction ................................................................................................................................ vi Key Findings .............................................................................................................................. vi Potential Areas for Governance Reform .................................................................................. viii Chapter 1 SETTING THE SCENE ..................................................................................... 10 1.1 Country Background ........................................................................................................... 10 1.2 The Education Sector in Cameroon ................................................................................. 11 1.3 Objectives and Analytical Framework ................................................................................ 14 1.4 Study Methodology .......................................................................................................... 17 Chapter 2 GOVERNANCE OF PUBLIC EXPENDITURE IN EDUCATION .................. 19 2.1 Introduction ...................................................................................................................... 19 2.2.1 Budget Allocations ................................................................................................. 19 2.2.2 Central Financial Transfers to Regional Levels of Government ..................... 20 2.2.3 Central Financial Transfers for Regional Administration ................................. 22 2.3 Central Financial Support to Schools ............................................................................... 22 2.3.1 Infrastructure Development .................................................................................. 23 2.3.2 Minimum Package .................................................................................................. 24 2.3.3 Financial Support for Primary and Secondary Schools ................................... 25 2.4 Public Procurement and Expenditure in the Education Sector ........................................ 26 2.4.1 Expenditure below CFA 5 Million ......................................................................... 26 2.4.2 Expenditure above CFA 5 Million ........................................................................ 27 2.4.3 Textbook Procurement .......................................................................................... 28 2.5 Central Monitoring of Expenditure .................................................................................. 29 2.6 Conclusions ...................................................................................................................... 31 Chapter 3 GOVERNANCE OF SYSTEM FUNCTIONING IN EDUCATION ................. 32 3.1 Teachers ........................................................................................................................... 32 3.1.1 Teacher Recruitment ............................................................................................. 32 3.1.2 Registration of Recruited Teachers ..................................................................... 33 3.1.3 Teacher Deployment and Transfers .................................................................... 34 3.1.4 Teacher Work Force and Salary Payments ....................................................... 35 3.2 Schools ............................................................................................................................. 38 3.2.1 Teacher Performance ............................................................................................ 39 3.2.2 Sanctions and Incentives ...................................................................................... 40 3.2.3 Administrative Performance ................................................................................. 41 3.2.4 School Performance .............................................................................................. 43 3.2.5 Community Participation ....................................................................................... 44 3.3 Role of Extra-government Entities in Governance .......................................................... 46 3.4 Conclusions ...................................................................................................................... 48 Chapter 4 MAXIMIZING GOVERNANCE IN EDUCATION ........................................... 49 4.1 The impact of governance on education outcomes .......................................................... 49 4.2 Improving education outcomes through better governance: a roadmap .......................... 51 ANNEXES ..................................................................................................................................... 56 Annexe I: organisation du système et statistiques .......................................................................... 56 Annexe II : les trois régions ............................................................................................................ 58 Annexe III: gestion des infrastructures ........................................................................................... 60 Annexe IV: exemple de « carton » du Ministère des Finances ....................................................... 62 Annexe V: gestion des données dans la délégation départementale du Wouri ............................... 63 Annexe VI: Organigramme des services déconcentrés .................................................................. 67 Annexe VII: exemple de rapport confidentiel sur un enseignant ................................................... 69 Annexe VIII : fiche de suivi séquentiel des enseignants (MINEDUB) .......................................... 73 Annexe IX : rapport d’inspection (MINEDUB) ............................................................................. 74 Annexe X : rapport pour les inspecteurs (MINEDUB) .................................................................. 79 Annexe XI : restitution de l’étude ................................................................................................... 90 Annexe XII : proposition de plan d’action faisant suite aux ateliers .............................................. 92 BIBLIOGRAPHY ......................................................................................................................... 94 CURRENCY EQUIVALENTS (Exchange Rate Effective as of July 31, 2009) Currency Unit = CFAF US$1.00 = CFAF 464.13 FISCAL YEAR January 1 – December 31 ACRONYMS AND ABBREVIATIONS AFD Agence Française du Développement (French Development Agency) BAC Baccalauréat (General certificate of secondary studies, second cycle) BEPC Brevet d’études de premier cycle (General certificate of secondary studies, first cycle) CAP Certificate of Professional Aptitude CPDM Cameroon People’s Democratic Movement CEP Certificat d’études primaires (Primary studies certificate) CL Class level CPI Corruption Perception Index ECAM Enquête Camerounaise auprès des ménages (Cameroon Household Survey) EMIS Educational Monitoring Information System ESSP Education Sector
Recommended publications
  • United Nations (UN) Human Rights Council (Geneva, Switzerland)
    To Permanent Representatives of Member and Observer States of the United Nations (UN) Human Rights Council (Geneva, Switzerland) 12 May 2021 Multilateral action is needed to address the human rights crisis in Cameroon Excellencies, We, the undersigned civil society organisations, are deeply concerned over ongoing grave human rights violations and abuses in Cameroon. Ahead of the Human Rights Council’s (“HRC” or “Council”) 47th session (21 June-15 July 2021), we urge your delegation to support multilateral action to address Cameroon’s human rights crisis in the form of a joint statement to the Council. This statement should include benchmarks for progress, which, if fulfilled, will constitute a path for Cameroon to improve its situation. If these benchmarks remain unfulfilled, then the joint statement will pave the way for more formal Council action, including, but not limited to, a reso- lution establishing an investigative and accountability mechanism. Over the last four years, civil society organisations have called on the Government of Cameroon, armed separatists, and other non-state actors to bring violations and abuses1 to an end. Given Cameroonian institutions’ failure to deliver justice and accountability, civil society has also called on African and international human rights bodies and mechanisms to investigate, monitor, and publicly report on Ca- meroon’s situation. Enhanced attention to Cameroon, on the one hand, and dialogue and cooperation, on the other, are not mutually exclusive but rather mutually reinforcing. They serve the same objective: helping the Came- roonian Government to bring violations to an end, ensure justice and accountability, and fulfil its human rights obligations.
    [Show full text]
  • (Fsw) and Men Who Have Sex with Men (Msm) in Burkina Faso, Togo and Cameroon
    EXAMINING RISK FACTORS FOR HIV AND ACCESS TO ServICES AMONG FEMALE SEX WORKerS (FSW) AND MEN WHO HAve SEX WITH MEN (MSM) IN BURKINA FASO, TOGO AND CAMerOON EXAMINING RISK FACTORS FOR HIV AND ACCESS TO SERVICES AMONG FEMALE SEX WORKERS (FSW) AND MEN WHO HAVE SEX WITH MEN (MSM) IN BURKINA FASO, TOGO AND CAMEROON March 2014 Authors: Erin Papworth, Ashley Grosso, Sosthenes Ketende, Andrea Wirtz, Charles Cange, Caitlin Kennedy, Matthew Lebreton, Odette Ky-Zerbo, Simplice Anato, Stefan Baral The USAID | Project SEARCH, Task Order No.2, is funded by the U.S. Agency for International Development under Contract No. GHH-I-00-07-00032-00, beginning September 30, 2008, and supported by the President’s Emergency Plan for AIDS Relief. The Research to Prevention (R2P) Project is led by the Johns Hopkins Center for Global Health and managed by the Johns Hopkins Bloomberg School of Public Health Center for Communication Programs (CCP). Examining Risk Factors for HIV and Access to Services among KP in West Africa ACKNOWLEDGEMENTS The study was implemented by USAID | Project SEARCH, Task Order No. 2: Research to Prevention (R2P). R2P is based at the Johns Hopkins University (JHU) in Baltimore, Maryland, USA. Stefan Baral with the R2P team at JHU designed the study and provided technical assistance during its implementation. In Burkina Faso, the study was implemented by the Programme d’Appui au Monde Associative et Communautaire de lute contre le VIH/SIDA, la tuberculose et le paludisme (PAMAC) in close partnership with l’Institut de Recherche en Sciences de la Santé (IRSS). In Togo, the study was implemented by Espoir-Vie Togo (EVT) in close partnership with Arc en Ciel and Force en Action pour le Mieux être de la Mère et de l'Enfant (FAMME).
    [Show full text]
  • GEF Prodoc TRI Cameroon 28 02 18
    International Union for the Conservation of Nature Country: Cameroon PROJECT DOCUMENT Project Title: Supporting Landscape Restoration and Sustainable Use of local plant species and tree products (Bambusa ssp, Irvingia spp, etc) for Biodiversity Conservation, Sustainable Livelihoods and Emissions Reduction in Cameroon BRIEF DESCRIPTION OF THE PROJECT The Republic of Cameroon has a diverse ecological landscape, earning her the title “Africa in Miniature”. The southern portions of Cameroon’s forests are part of the Congo Basin forest ecosystem, the second largest remaining contiguous block of rainforest on Earth, after the Amazon. In addition to extensive Mangrove belts, Cameroon also holds significant portions of the Lower Guinea Forest Ecosystems and zones of endemism extending into densely settled portions of the Western Highlands and Montagne forests. The North of the country comprising the Dry Sudano-Sahelian Savannah Zones is rich in wildlife, and home to dense human and livestock populations. Much of the population residing in these areas lives in extreme poverty. This diversity in biomes makes Cameroon one of the most important and unique hotspots for biodiversity in Africa. However, human population growth, migrations, livelihoods strategies, rudimentary technologies and unsustainable land use for agriculture and small-scale forestry, energy and livestock, are contributing to biodiversity loss and landscape degradation in Cameroon. Despite strong institutional frameworks, forest and environmental policies/legislation, and a human resource capital, Cameroon’s network of biomes that include all types of forests, tree-systems, savannahs, agricultural mosaics, drylands, etc., are progresively confronted by various forms of degradation. Degradation, which is progressive loss of ecosystem functions (food sources, water quality and availability, biodversity, soil fertility, etc), now threatens the livelihoods of millions of Cameroonians, especially vulnerable groups like women, children and indigenous populations.
    [Show full text]
  • Economic and Social Importance of Fuelwood in Cameroon
    52 International Forestry Review Vol.18(S1), 2016 Economic and social importance of fuelwood in Cameroon R. EBA’A ATYI1, J. NGOUHOUO POUFOUN1,4,5, J-P. MVONDO AWONO2, A. NGOUNGOURE MANJELI3 and R. SUFO KANKEU1,6 1Center for International forestry Research (CIFOR) 2The University of Dschang (Cameroon) 3Ministry of Forests and Wildlife (Cameroon) 4Bureau d’Economie Théorique et Appliquée (BETA), Université de Lorraine (France) 5Inra, AgroParisTech, Laboratoire d’Économie Forestière 6Laboratoire ESO, University of Maine (France) Email: [email protected] SUMMARY The study presented in this article focuses on firewood and charcoal in Cameroon. The study analyses subnational secondary data combined in some cases with additional collected data on firewood and charcoal consumption as well as their market prices. The findings estimate a total consumption of 2.2 million metric tons for firewood and 356,530 metric tons for charcoal in urban areas of Cameroon. Firewood and charcoal contribute to the GDP for an estimated amount of US$ 304 million representing 1.3% of the GDP of Cameroon. In addition, the sub-sector provides about 90,000 equivalent full time jobs while 80% of the people in Cameroon depend entirely on wood-energy for household energy supply. Unfortunately, there is no government policy to develop the wood-energy sub-sector. Keywords: wood-energy, firewood, charcoal, consumption, benefits, national economy Importance économique et sociale du bois-énergie au Cameroun R. EBA’A ATYI, J. NGOUHOUO POUFOUN, J-P. MVONDO AWONO, A. NGOUNGOURE MANJELI et R. SUFO KANKEU L’étude présentée dans cet article s’est intéressée au bois de feu et au charbon de bois au Cameroun.
    [Show full text]
  • Assessment of Prunus Africana Bark Exploitation Methods and Sustainable Exploitation in the South West, North-West and Adamaoua Regions of Cameroon
    GCP/RAF/408/EC « MOBILISATION ET RENFORCEMENT DES CAPACITES DES PETITES ET MOYENNES ENTREPRISES IMPLIQUEES DANS LES FILIERES DES PRODUITS FORESTIERS NON LIGNEUX EN AFRIQUE CENTRALE » Assessment of Prunus africana bark exploitation methods and sustainable exploitation in the South west, North-West and Adamaoua regions of Cameroon CIFOR Philip Fonju Nkeng, Verina Ingram, Abdon Awono February 2010 Avec l‟appui financier de la Commission Européenne Contents Acknowledgements .................................................................................................... i ABBREVIATIONS ...................................................................................................... ii Abstract .................................................................................................................. iii 1: INTRODUCTION ................................................................................................... 1 1.1 Background ................................................................................................. 1 1.2 Problem statement ...................................................................................... 2 1.3 Research questions .......................................................................................... 2 1.4 Objectives ....................................................................................................... 3 1.5 Importance of the study ................................................................................... 3 2: Literature Review .................................................................................................
    [Show full text]
  • “These Killings Can Be Stopped” RIGHTS Government and Separatist Groups Abuses in Cameroon’S WATCH Anglophone Regions
    HUMAN “These Killings Can Be Stopped” RIGHTS Government and Separatist Groups Abuses in Cameroon’s WATCH Anglophone Regions “These Killings Can Be Stopped” Abuses by Government and Separatist Groups in Cameroon’s Anglophone Regions Copyright © 2018 Human Rights Watch All rights reserved. Printed in the United States of America ISBN: 978-1-6231-36352 Cover design by Rafael Jimenez Human Rights Watch defends the rights of people worldwide. We scrupulously investigate abuses, expose the facts widely, and pressure those with power to respect rights and secure justice. Human Rights Watch is an independent, international organization that works as part of a vibrant movement to uphold human dignity and advance the cause of human rights for all. Human Rights Watch is an international organization with staff in more than 40 countries, and offices in Amsterdam, Beirut, Berlin, Brussels, Chicago, Geneva, Goma, Johannesburg, London, Los Angeles, Moscow, Nairobi, New York, Paris, San Francisco, Sydney, Tokyo, Toronto, Tunis, Washington DC, and Zurich. For more information, please visit our website: http://www.hrw.org JULY 2018 ISBN: 978-1-6231-36352 “These Killings Can Be Stopped” Abuses by Government and Separatist Groups in Cameroon’s Anglophone Regions Map .................................................................................................................................... i Summary ........................................................................................................................... 1 Recommendations .............................................................................................................
    [Show full text]
  • WEEKLY BULLETIN on OUTBREAKS and OTHER EMERGENCIES Week 8: 17 - 23 February 2020 Data As Reported By: 17:00; 23 February 2020
    WEEKLY BULLETIN ON OUTBREAKS AND OTHER EMERGENCIES Week 8: 17 - 23 February 2020 Data as reported by: 17:00; 23 February 2020 REGIONAL OFFICE FOR Africa WHO Health Emergencies Programme 0 68 56 12 New event Ongoing events Outbreaks Humanitarian crises 91 0 14 7 20 0 3 0 84 0 Senegal Niger 1 276 14 1 0 Mali 41 7 336 7 Guinea Burkina Faso 53 0 Chad 1 251 0 4 690 18 26 2 Côte d’Ivoire Nigeria Sierra léone 12 0 895 15 South Sudan 1 873 593 110 167 2 2 549 6 7 4 139 0 Central African 12 0 Liberia Ghana Cameroon Benin Republic 19 0 4 732 26 Ethiopia 1 618 5 1 364 62 5 724 83 Togo 1 170 14 2 1 Democratic Republic Uganda 7 0 1 0 31 14 84 0 of Congo 1 0 83 13 Congo 15 5 Kenya 3 444 2 264 2 2 Legend 253 1 7 0 38 34 202 0 331 883 6 283 Measles Humanitarian crisis 637 1 11 600 0 2 651 43 Burundi Hepatitis E 8 892 300 3 294 Monkeypox Seychelles 105 0 Yellow fever Lassa fever 79 0 Dengue fever Cholera Angola 222 4 Ebola virus disease Rift Valley Fever Comoros 117 0 2 0 Chikungunya Malawi 218 0 cVDPV2 Zambia Leishmaniasis 3 0 Anthrax Plague Malaria Zimbabwe Crimean-Congo haemorrhagic fever Namibia Floods 286 1 Cases Meningitis Deaths 7 063 59 Countries reported in the document Non WHO African Region N WHO Member States with no reported events W E 3 0 Lesotho South Africa 20 0 S Graded events † 3 15 1 Grade 3 events Grade 2 events Grade 1 events 42 22 20 31 Ungraded events ProtractedProtracted 3 3 events events Protracted 2 events ProtractedProtracted 1 1 events event Health Emergency Information and Risk Assessment Overview This Weekly Bulletin focuses on public health emergencies occurring in the WHO Contents African Region.
    [Show full text]
  • Regional Representative Soil Project for Cameroon: Incorporation of Cultural Identity Into Earth Science Education
    © C.A. Che, E.A. Mikhailova, C.J. Post, M.A. Schlautman, and T.O. Owino Citation: Che, C.A., Mikhail ova, E.A., Post, C.J., Schlautman, M.A., and T.O. Owino. 2014. Regional Representative Soil Project for Cameroon: Incorporation of Cultural Identity into Earth Science Education. On-line publication. Regional Representative Soil Project for Cameroon: Incorporation of Cultural Identity into Earth Science Education C.A. Che1, E.A. Mikhailova1*, C.J. Post1, M.A. Schlautman2, and T.O. Owino2 1Department of Forestry and Natural Resources, Clemson University, 261 Lehotsky Hall, Clemson, SC 29634, USA. Tel. 864-656-3467, Fax: 864-656-3304. 2Department of Environmental Engineering and Earth Sciences, Clemson University, 342 Computer Court, Anderson SC, 29625-6510, USA Tel. 864-656-3276, Fax: 864-656-0672 Corresponding author. Current address: Department of Forestry and Natural Resources, Clemson University, 261 Lehotsky Hall, Clemson, SC 29634, USA. Tel. 864-656-3467, Fax: 864-656-3304. Email address: [email protected] (E.A. Mikhailova). ABSTRACT Representative regional soils have agricultural, cultural, economic, environmental, and historical importance to Cameroon. We have identified 27 regional representative soils 1 © C.A. Che, E.A. Mikhailova, C.J. Post, M.A. Schlautman, and T.O. Owino Citation: Che, C.A., Mikhail ova, E.A., Post, C.J., Schlautman, M.A., and T.O. Owino. 2014. Regional Representative Soil Project for Cameroon: Incorporation of Cultural Identity into Earth Science Education. On-line publication. in Cameroon, and developed a set of laboratory exercises, assignments and exam questions utilizing the Regional Representative Soil Project (RRSP) that gives students an opportunity to practice interpretation of soil series descriptions, taxonomic classes, soil forming factors, and soil physical and chemical properties.
    [Show full text]
  • Cameroon Country Study
    CAMEROON COUNTRY STUDY Humanitarian Financing Task Team Output IV April 2019 1 Introduction ............................................................................................................................... 3 1. Key features of the context ............................................................................................... 4 2. HDN policy and operational environment ......................................................................... 6 2.1. Scope of the HDN ....................................................................................................... 6 2.2. Policy, planning and prioritisation environment ....................................................... 8 2.3. Coordination, leadership and division of labour ..................................................... 11 3. Financing across the nexus .............................................................................................. 12 3.1. Wider funding environment .................................................................................... 12 3.2. Funding across the HDN ........................................................................................... 14 3.3. Other considerations in funding across the HDN .................................................... 22 4. Gaps and opportunities ................................................................................................... 23 5. Conclusions ...................................................................................................................... 27
    [Show full text]
  • For More Information, Please See the Cameroon Food Security Outlook
    CAMEROON June 2020 to January 2021 Food Security Outlook A fourth consecutive season of below-average production in the Northwest and Southwest regions KEY MESSAGES • Cameroon is among the epicenters of the COVID-19 pandemic in Current food security outcomes, June 2020 Central and West Africa, with 12,592 confirmed cases and 313 deaths as of June 29, 2020. Although some social-distancing restrictions (curfew, travel restrictions and gatherings) were lifted in April, depressed economic conditions are negatively impacting everyday income-generating opportunities for poor households. • COVID-19 continues to take the heaviest toll on poor households in the two largest cities (Yaoundé and Douala), where some food prices have risen above seasonal levels as a result of disruptions to local supply chains and speculative trading practices. Poor households in these cities are Stressed (IPC Phase 2), while a percentage of internally displaced persons (IDPs) and urban refugees are in Crisis (IPC Phase 3) on account of their reduced purchasing power. However, the Government has taken measures to contain price increases to below 10 percent. Source: FEWS NET • As of late June, most poor households in the Northwest and FEWS NET classification is IPC-compatible. IPC-compatible analysis Southwest regions have depleted their food stocks and staple food follows key IPC protocols, but does not necessarily reflect the prices are 30 percent higher than they were in the same period prior consensus of national food security partners. to the onset of the conflict. Since the second week of June, however, some poor households have begun to harvest beans and potatoes.
    [Show full text]
  • In Southwest and Littoral Regions of Cameroon
    UNIVERSITY OF BUEA FACULTY OF SCIENCES DEPARTMENT OF GEOLOGY AND ENVIRONMENTAL SCIENCES MARKETS AND MARKET CHAIN ANALYSIS FOR ERU (Gnetum spp.) IN SOUTH WEST AND LITTORAL REGIONS OF CAMEROON BY Ndumbe Njie Louis BSc. (Hons) Environmental Science A Thesis Submitted to the Faculty of Science of the University of Buea in Partial Fulfilment of the Requirements for the Award of the Degree of Master of Science (M.Sc.) in Natural Resources and Environmental Management July 2010 ii DEDICATION This work is dedicated to the Almighty God who gave me the ability to carryout this project. To my late father Njie Mojemba Maximillian I and my beloved little son Njie Mojemba Maximillian II. iii iv ACKNOWLEDGEMENTS I wish to thank the following people: Dr A. F. Nkwatoh, of the University of Buea, for his supervision and guidance; Verina Ingram, of CIFOR, for her immense technical guidance, supervision and support; Abdon Awono, of CIFOR, for guidance and comments; Jolien Schure, of CIFOR, for her comments and field collaboration. I also wish to thank the following organisations: Food and Agricultural Organisation of the United Nations (FAO), the Netherlands Development Organization (SNV), the World Agroforestry Centre (ICRAF) and the Commission des Forets d‟Afrique Centrale (COMIFAC) for the opportunity to work within their framework and for the team spirit and support. I am also very grateful to the following collaborators: Ewane Marcus of University of Buea; Ghislaine Bongers of Wageningen University, The Netherlands and Georges Nlend of University of Neuchâtel, Switzerland for their collaboration in the field. Thanks also to Agbor Demian of Mamfe.
    [Show full text]
  • The Effect of the Ongoing Civil Strife on Key
    Saidu et al. Conflict and Health (2021) 15:8 https://doi.org/10.1186/s13031-021-00341-0 RESEARCH Open Access The effect of the ongoing civil strife on key immunisation outcomes in the North West and South West regions of Cameroon Yauba Saidu1,2* , Marius Vouking3,4, Andreas Ateke Njoh5,6, Hassan Ben Bachire3, Calvin Tonga3, Roberts Mofor7, Christain Bayiha3, Leonard Ewane3, Chebo Cornelius7, Ndi Daniel Daddy Mbida5, Messang Blandine Abizou8, Victor Mbome Njie8,9 and Divine Nzuobontane1 Abstract Background: Civil strife has long been recognized as a significant barrier in the fight against vaccine preventable diseases in several parts of the world. However, little is known about the impact of the ongoing civil strife on the immunisation system in the Northwest (NW) and Southwest (SW) regions of Cameroon, which erupted in late 2016. In this paper, we assessed the effect of the conflict on key immunisation outcomes in the North West and South West regions of Cameroon. Methods: Data were obtained from the standard EPI data reporting tool, the District Vaccine and Data Management Tool (DVDMT), from all the districts in the two regions. Completed forms were then reviewed for accuracy prior to data entry at central level. Summary statistics were used to estimate the variables of interest for each region for the years 2016 (pre-conflict) and 2019 (during conflict). Results: In the two regions, the security situation has deteriorated in almost all districts, which in turn has disrupted basic healthcare delivery in those areas. A total of 26 facilities were destroyed and 11 healthcare workers killed in both regions.
    [Show full text]