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WHO in Cameroon

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WHO in Cameroon Summary : Pages List of abbreviations 3 Editorial 5 7 Highlights of 2016 6 Significant quotes in 2016 8 Figures , charts and tables 9 Introduction 10 1. Communicable Diseases 12 1.1. HIV / AIDS 1.2. TUBERCULOSIS 14 1.3. MALARIA 1.4. NEGLECTED TROPICAL DISEASES 15 1.5. VACCINE PREVENTABLE DISEASES 19 6 2. Noncommunicable Diseases 24 2.1. NONCOMMUNICABLE DISEASES 2.2. NUTRITION 25 3. Promoting health at all stages of life 25 3.1. REPRODUCTIVE, MATERNAL, NEWBORN, CHILD AND ADOLESCENT HEALTH. 4. Health Systems 31 4.1. NATIONAL HEALTH POLICIES, STRATEGIES AND PLANS 4.2. ACCESS TO DRUGS AND HEALTH TECHNOLOGIES, AND STRENGTHENING REGULATORY MEASURES 4.3. INFORMATION AND DATA ON HEALTH SYSTEMS 32 5. Preparedness, monitoring and response 33 5.1. ALERT AND INTERVENTION CAPACITIES 5.2. MANAGEMENT OF CRISES AND RISKS ASSOCIATED WITH EMERGENCIES 35 5.3. POLIOMYELITIS ERADICATION 36 6. Institutional and Support Services 42 6.1. PROGRAMME SUPPORT (COUNTRY SUPPORT UNIT) 6.2. HUMAN RESOURCES 43 6.3. FINANCIAL MANAGEMENT AND INTERNAL CONTROL 6.4. IMPROVEMENT OF THE WORKING ENVIRONMENT 45 6.5. INFORMATION AND COMMUNICATION TECHNOLOGIES 14 6.6. COMMUNICATION SUPPORT PROGRAMMES 46 >> The faces of the office 47 - 50 ANNEX 51 Acknowledgements Annex 1 : Obstacles and constraints 52 Throughout the year, we worked with the Lessons learned Ministry of Public Health, the Government Prospects for the year 2017 53 of Cameroon, numerous bilateral and Annex 2 : Support received from IST – AFRO - HQ 54 multilateral partners, governmental orga - nizations and the civil society. Annex 3 : Assistance Missions to the Country We therefore express to them our deepest Annex 4 : List of documents produced 55 appreciation. Conclusion 2 Abbreviations AFP : Acute Flaccid Paralysis EVD : Ebola Virus Disease AFRO : WHO Regional Office for Africa EWI : Early Warning Indicator ART : Antiretroviral therapy/treatment ARV : Antiretroviral FAIRMAID : Health for the Poor ATC : Approved Treatment Center FAO : Food And Agricultural Organization FDA : French Development Agency BO PV : Bivalent Oral Polio Vaccine BPM : Business Process Mapping FEI : France Expertise Internationale CA : Central Africa GATS : Global Adult Tobacco Survey CAFELTP : Central African Field Epidemiology and GAVI : Global Alliance for Vaccine and Immunization Laboratory GESP : Growth and Employment Strategy Paper CAMPHIA : Cameroon Population-based HIV GFATM : Global Fund to Fight AIDS, Tuberculosis and Impact Assessment Malaria CCM : Country Coordination Mechanism GFF : Global Financing Facility CDC : Centers for Disease Control GPEI : Global Polio Eradication Initiative CDI : Community Distribution Interventions GPS : Global Positioning System CDT : Community-Directed Treatment GSM : Global Management System CERF : Central Emergency Revolving Fund GYTS : Global Youth Tobacco Survey CERPLE : Regional Center for the Prevention and Control of Epidemics and Pandemics HAT : Human African Trypanosomiasis HD : Health District CHAI : Clinton Health Access Initiative HDDP : Health District Development Plan CM : Comprehensive Management HHA : Harmonization for Health in Africa CPC : Centre Pasteur of Cameroon HIV : Human Immunodeficiency Virus CR : Coverage Rate HIVDR : HIV Drug Resistance CRHDP : Consolidated Regional Health Districts HKI : Hellen Keller International Plan HQ : Headquarters CRVS : Civil Registration and Vital Statistics HRDP : Human Resources Development Plan CSU : Country Support Unit HSS : Health Sector Strategy DFC : Direct Financial Cooperation Agreement IC : Immunization coverage DPS : Department of Health Promotion IDP : Institutional Development Plan DRC : Democratic Republic of the Congo IEC : Information – Education – Communication DTC : Diagnostic and Treatment Center IEF : International Eye Foundation DVDMT : District Vaccines Data Management Tool IHP+ : International Health Partnership IMCI : Integrated Management of Childhood EmONC : Emergency Obstetrical and Neonatal Illnesses Care IST : Inter Country support Team EPI / R : Expanded Programme on Routine ITP : Implementing Through Partnership Immunization EPI : Expanded Programme on Immunization JPMS : Joint Program Monitoring System EPT : Emerging Pandemic Threats ESCA : Epidemiological Surveillance in Central LCIF : Lions Club International Foundation Africa LF : Lymphatic Filariasis ESPEN : Expended Special Project for Elimination LID : Local Immunization Day of NTDs LLIN : Long-lasting Insecticide treated net 3 MCHNAW : Maternal and Child Health Nutrition PMTCT : Prevention of mother-to-child transmis - Action Week sion of HIV MCT : Mother -to-Child Transmission RDPH : Regional Delegation for Public Health MINEPAT : Ministry of Economy, Planning Rota : Vaccine against Rotavirus diarrhoea and Regional Development RRG-MTNP : Regional Review Group of the MTN Programme MINFI : Ministry of Finance RRT : Rapid Response Team MINTSS : Ministry of Labour and Social Security MNCH : Maternal, Neonatal and Child Health SDG : Sustainable Development Goals MOH : Ministry of Public Health SDH : Social Determinants of Health MOU : Memorandum of Understanding SHS : Strengthening of the Health System MU : Management Unit SLIPTA : Stepwise Laboratory Improvement Process Towards Accreditation NCB : National Coordinating Body SMNMR : Surveillance of Maternal and Neonatal NCD : Non-communicable Disease Mortality and Response NCEHO : National Center for Emergency Health SSA : Special Services Agent Operations SUN : Scaling-Up Nutrition NDTG : National Diagnosis and Treatment Guide SYNAME : National Essential Drugs Supply System NGO : Non Governmental Organization NID : National Immunization Day TAS : Transmission Assessment Survey NIS : National Institute of Statistics TB/VIH : Tuberculosis and HIV NMCP : National Malaria Control Programme TOPV : trivalent Oral Polio Vaccine NOCP : National Onchocerciasis Control TP : Training Programme Programme TSC : Technical Supervision Committee NPMP : National Pharmaceutical Master Plan UHC : Universal Health Coverage NPO/EDM : National Professional Officer for Essential Drugs and Medicines UN System : United Nations System NPO/EPI : National Professional Officer for Expanded UN : United Nations Programme on Immunizations UNAIDS : Joint United Nations Programme on NPO/FHP : National Professional Officer for Family HIV/ AIDS Health Programme UNESCO : United Nations Educational, Scientific NPP : National Pharmaceutical Policy and Cultural Organization NSPCM : National Strategic Plan for the Control UNFPA : United Nations Fund for Population of Malaria UNHCR : United Nations High Commissioner for NTD : Neglected Tropical Disease Refugees UNICEF : United Nations Children’s Fund OASIS : Organizational Assessment for Improving UNWomen : United Nations Entity for Gender Equa - and Strengthening Health Financing lity and the Empowerment of Women OPV : Oral Polio Vaccine VAR : Anti-Measles Vaccine PCR : Polymerase Chain Reaction WASH : Water Sanitation and Hygiene PCT : Preventive chemotherapy WHD : World Health Day PENTA3 : Pentavalent Vaccine, 3rd dosel WHO : World Health Organization PEPFAR : President’s Emergency Plan For AIDS Relief WIW : World Immunization Week PLWHIV : People Living with HIV WPV : Wild Polio Virus PM : Pediatric management 4 Editorial Since September 2015, the internatio - nal community set 17 Sustainable Development Goals (SDGs) by 2030, which transitioned from the Millen - nium Development Goals (MDGs). Objective 3, which aims to "enable everyone to live in good health and promote the well-being of all people of all ages", demonstrates to a sufficient extent, the transversality of health, which is at the heart of all policies. At the center of the SDGs are the 5 "Ps": population, planet, prosperity, peace and partnership, the aim being to eradicate poverty, reduce inequality and injustice and take action to combat climate change. The 2016-2027 health sector strategy and the 2016-2020 health development plan of Cameroon are aligned with these new orientations. Dr Jean-Baptiste Roungou The WHO Office supports Cameroon to achieve the objectives set out in these core documents Representative through its cooperation strategy. To achieve this, it is essential to have a country office that is aligned with the requirements of the Transformation of values such as integrity, honesty, excellence and humility; a Agenda of the WHO Regional Director for Africa, "Dream team" spirit, patiently built, in an improved professional Dr Matshidiso Moeti, and in search of High environment. In addition, a gym and a medical rest room will Performance. It is a process that requires innovation, soon be equipped, for use by the staff . audacity in the face of challenges, and better preservation of achievements. But there are still challenges. The year 2017 calls for more discipline, self-sacrifice and innovation, more excellence, speed Throughout 2016, meetings with the Prime and efficiency in quality. In addition, we need to support targeted Minister and other members of Government, field health districts to make them models among others. Universal trips in 4 of the 10 regions of Cameroon, confirmed health coverage, which is still in its early stages, and which aims the need to initiate a process to upgrade the health to enable populations to receive quality healthcare without districts so that they regain their vital role in the incurring excessive financial burdens, needs to be fully implemen - functioning of the health system, and thus restore ted. The 2015-2020 Africa Health Transformation Programme, the confidence
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