Cameroon is pursuing financial sustainability for its routine immunization services through new financing arrangements, budget advocacy and resource tracking. The Sabin Sustainable Immunization Financing (SIF) Program began its efforts in Cameroon in October 2008.
Immunization Program Structure
Cameroon’s Expanded Program on Immunization (EPI) is a division within the Ministry of Health (MOH).
Cameroon’s Progress to Date
Over the period 2006-2014, Cameroon’s Gross National Income rose from US$960 to $1,350 per capita, a 41% increase. According to the WHO/UNICEF Joint Reporting Form (JRF), the Cameroonian government spent $6 on routine immunization per surviving infant in 2006. By 2014, this figure had increased 17%, to $7. During the same period, the government share of total routine immunization expenditures dropped from 57% to 21%. Since 2010, Cameroon has reported complete and consistent JRF financial data. The data show that Cameroon has progressed towards country ownership of its immunization program. Among SIF countries, Cameroon ranked fifteenth in terms of routine immunization spending per surviving infant in 2014.
The Constitution of Cameroon, Part X (Articles 55–62), states that 10 semi-autonomous regions, ruled by regional councils, have responsibility for “economic, social, health, educational, cultural and sports development.”
In July 2011, a committee designated by the Minister of Health and Parliament prepared a draft bill establishing a national immunization fund. In November, the council of ministers directed that the bill be revised to set aside funds for all communicable disease control programs, including immunization.
In 2013, an MOH-led working committee began drafting regulations for the proposed Health Support Fund, which would be included in a larger proposed Health Law.
In November 2014, the scope of the proposed fund was reduced to cover just vaccines and anti-retrovirals.
In September 2015, the EPI team used budget data to successfully advocate for an approved FY2016 immunization budget increase.
- September 2015: Senior Program Officer and EPI officials update SIF Budget Process Tool for 2012-2014
- June 2015: Cameroonian counterparts join Malian and Senegalese peers for Sabin-sponsored resource tracking workshop in Dakar, Senegal
- December 2014: Cameroonian counterparts join DRC, Congo, Malgache, Malian, and Senegalese peers in Sabin-sponsored peer review workshop
- November 2014: Senior Program Officer organizes legislative workshop
- September 2014: Senior Program Officer organizes cMYP workshop
- September 2014: Senior Program Officer, EPI team, and NGO Immunization Platform finalize cMYP costing tool
- August 2014: Senior Program Officer, WHO, and UNICEF train MPs & Women’s Association of Mayors in advocacy techniques
- May 2014: Senior Program Officer organizes briefing on co-financing issues
- August 2013: Cameroonian counterparts attend Sabin-sponsored colloquium
- November 2012: Cameroonian counterparts join Malian, Senegalese, DRC, Congo, and Malgache delegates in legislative peer review workshop
- May 2012: Senior Program Officers from Cameroon and DRC, WHO, UNICEF, and AMP co-organize a cMYP workshop for Central African countries
- May 2012: Senior Program Officer holds a legislative workshop
- July 2011: Senior Program Officer, WHO, UNICEF, and Helen Keller International (HKI) co-organize a cMYP and financing workshop
- June & July 2011: Senior Program Officer organizes parliamentary briefings
- March 2011: Cameroonian counterparts attend Sabin-sponsored colloquium
- September 2010: Cameroonian counterparts join DRC officials in financing peer exchange workshop
- December 2009: Senior Program Officer organizes sub-regional MP briefing
- August 2009: Senior Program Officer holds first parliamentary briefing
- October 2008: Senior Program Officer and Program Director introduce SIF program to government and parliament