[PDF] National Health Development Plan NHDP 2016-2020

View - Download National Health Development Plan NHDP 2016-2020

Previous PDF

Next PDF

NHDP

2016-2020

ii List of tables _______________________________________________________________ iv

List of figur

es ______________________________________________________________ iv List of abbreviations and acronyms ______________________________________________ v Preface ___________________________________________________________________ vii

Acknowled

gements _________________________________________________________ viii

Executive

summary __________________________________________________________ ix Introduction and methodology _________________________________________________ xiii PART ONE : SITUATION ANALYSIS ____________________________________________ xvii

Chapter

1: Background ________________________________________________________ 1

1.1. Geographical situation __________________________________________________ 1

1.1.1 Natural Environment, diversity of landscapes and ecosystems _________________________________ 1

1.1.2 Climate _________________________________________________________________________ 1

1.1.3 Hydrography _____________________________________________________________________ 1

1.2. Socio-demographic and ethnological situation ________________________________ 1

1.2.1 Demography _____________________________________________________________________ 1

1.2.2 Ethnography _____________________________________________________________________ 2

1.2.3 Socio-economic Situation ____________________________________________________________ 2

1.3. Political and administrative situation ________________________________________ 3

1.4. Communication means __________________________________________________ 3

1.5. Access and use of Information and Communication Technologies _________________ 4

1.6. Equity and social justice in health __________________________________________ 4

Chapter

2 : Health Situation ____________________________________________________ 5

2.1. Organization of the health sector in Cameroon ________________________________ 5

2.2. Epidemiological profile __________________________________________________ 6

2.2.1 Health Promotion _________________________________________________________________ 7

2.2.2 Disease Prevention and case management ______________________________________________ 8

2.2.2.1 Communicable diseases __________________________________________________________ 8

2.2.2.2 Non-Communicable Diseases (NCDs) _______________________________________________ 14

2.2.2.3 Maternal and child health _________________________________________________________ 16

2.2.3 Performance of the health system _____________________________________________________ 17

2.2.3.1 Health financing _______________________________________________________________ 18

2.2.3.2 Healthcare and service provision ___________________________________________________ 21

2.2.3.3 Pharmacy, laboratory, drugs and other pharmaceutical products _____________________________ 25

2.2.3.4 Human Resources for Health ______________________________________________________ 26

2.2.3.5 National Health Information System and Research in Health _______________________________ 29

2.2.3.6 Governance and strategic steering _________________________________________________ 30

iii PART TWO : INTERVENTIONS FRAMEWORK ______________________________________ 33 CHAPTER 3 : General strategic framework, ALIGNMENT, vision AND objectives OF THE 2016- 2020
NHDP ________________________________________________________________ 35

3.1. Institutional alignment of the 2016-2020 NHDP _______________________________ 35

3.2. Reminder on the strategic axes of the 2016-2017 HSS __________________________ 36

3.3. Objectives of the 2016-2020 National Health Development Plan ___________________ 37

3.3.1 General objective ___________________________________________________________________ 37

3.3.2.Specific

objectives __________________________________________________________________ 38

3.3.2.1 Health promotion __________________________________________________________________ 38

3.3.2.2 Disease prevention ________________________________________________________________ 38

3.3.2.3 Ca

se management ________________________________________________________________ 38

3.3.2.4 Strengthening of the health system _____________________________________________________ 38

3.3.2.5 Govern

ance and strategic steering _____________________________________________________ 39 CHAPTER 4: Logical framework of interventions ___________________________________ 40 PART THREE : IMPLEMENTATION AND MONITORING/ EVALUATION FRAMEWORK ________ 91

Chapter

5 : Implementation framework ___________________________________________ 92

5.1. Institutional framework for implementation and coordination mechanisms __________ 92

5.1.1. National level _____________________________________________________________________ 92

5.1.2. Centra

l level ______________________________________________________________________ 92

5.1.3. Devolved level _____________________________________________________________________ 94

5.1.3.1. At the

i ntermediate level: The Regional Committee for the Coordination and Monitoring/Evaluation of HSS implementation (COR ECSES) ______________________________________________________________ 94

5.1.3.2. At the peripheral level:

Operational Committee for Coordination and Monitoring/Evaluation of HSS implementation (COCSES) ________________________________________________________________ 95

Chapter 6 : Monitoring/

Evaluation framework ______________________________________ 98 PART FOUR : BUDGETARY FRAMEWORK _______________________________________ 99

Chapter

7. Funding of the 2016-2020 NHDP ______________________________________ 101

7.1. Budgetary framework _________________________________________________ 101

7.2. Projected costs of the 2016-2020 NHDP ____________________________________ 101

7.2.1 hypothesis _______________________________________________________________________ 101

7.2.2. Analysis of estimated cost ___________________________________________________________ 102

7.2.2.1. Estimated cost per component and sub-component _____________________________________ 102

7.2.2.2. Estimated cost per year _________________________________________________________ 103

7.2.2.3. Projected cost and impact _______________________________________________________ 104

7.3. Analysis of Financing gaps _____________________________________________ 105

7.4. Financial viability strategy ______________________________________________ 106

REFERENCES ____________________________________________________________ 118 iv T

able 1 : The different levels of the health pyramid and their functions............................................................. 5

T

able 2 : Contribution of diseases to mortality and morbidity in Cameroon in 2013 ........................................... 7

T

able 3: Situation of hygiene and sanitation in Regions .................................................................................. 8

T

able 4: History of EPDs in Cameroon from 2011 to 2015 ............................................................................ 12

Tab

le 5: Contribution of partners in health financing (billion of FCFA). ........................................................... 19

Tab

le 6: Coverage rate of the main primary health care interventions ............................................................ 22

Tab

le 7: Distribution of health facilities per region in Cameroon in 2016 ......................................................... 24

Tab

le 8: Distribution of human resources for health per region ...................................................................... 28

T

able 9: Description of strategic axes ......................................................................................................... 36

T

able 10: Logical framework of 2016-2020 NHDPS ..................................................................................... 40

T

able 11 : Coordination bodies of the NHDP implementation ........................................................................ 96

T

able 12: 2016 - 2020 financing projections (in Billions FCFA) .................................................................... 101

Tab le 13: Breakdown of NHDP costs per a xis and strategic sub axis for the period 2016-2020 ...................... 103 Tab

le 14: Annual distribution of costs of the 2016-2020 NHDP per strategic axis .......................................... 104

T

able 15: Comparison between real needs and projected financing (FCFA billion) ........................................ 105

F

igure 1: Distribution of the health sector into components and sub-components .............................................. 6

F

igure 2: Evolution of the national budget allocated to the health sector and percentage of the national budget

from 2010 to 2015 .................................................................................................................................... 18

F

igure 3 : Overall distribution of 2016-2020 NHDP costs per component ..................................................... 102

Figure 4: Evolution of costs for the 2016-2020 NHDP per strategic axis ....................................................... 104

F igure 5: Cost of the 2016-2020 NHDP and impact on maternal mortal ity .................................................... 105 v

AWP Annual Work Plan

CHP Complementary Health Package

CSM Community-based Self-Monitoring

DALY Disability-Adjusted Life Years

D LMEP Department of Disease, Epidemics and Pandemics Control D D

ECAM Cameroon Household Survey

E mONC

Emergency Obstetric and Neonatal Care

EPD Epidemic-Prone Disease

EPI FCFA

Franc of the Financial Community of Africa

FP Family Planning

G

ESP Growth and Employment Strategy Paper

HDDP Health District Development Plan

HRDP Human Resource Development Plan

HSSI P Health Sector Support Investment Project (PAISS) IH

C Integrated Health Centre

IMCI Integrated Management of Childhood Illnesses

MCHNAW

MDG Millenium Development Goal

M

HC Medicalised Health Centre

MINAC Ministry of Arts and Culture

MINADER

Ministry of Agriculture and Rural Development

vi

MINDEF Ministry of Defence

M IN MINEPAT Ministry of Economy, Planning and Regional Development

MINEPIA

Ministry of Husbandry, Fisheries and Animal Industries MINPROFF Ministry of Women's Empowerment and the Family MINTP

Ministry of Public Works

MINTSS Ministry of Labour and Social Security

MOH Ministry of Public Health

NA ramme

NCD Non-Communicable Disease

NI S N N

NTD Neglected Tropical Disease

PETS Public Expenditure Tracking Survey

R

SDG Sustainable Development Goal

TFP Technical and Financial Partner

UNF ix

Technical drafting committee

- Mr André MAMA FOUDA

Minister of Public Health

- Mr Alim HAYATOU

Secretary of State for Public Health

General Supervision :

- Prof. Sinata KOULLA-SHIRO Secretary General of the Ministry of Public Health

Technical Supervision:

- Prof. Samuel KINGUE

Technical Adviser N°3, Vice-Chairman of TWG

vii will take place in an epidemiological context characterized by the predominance of communicable diseases, the most important being: HIV/AIDS, malaria and tuberculosis. An up canc ers and road accidents. next ĮǀĞ years while emphasizing key n e wborn, child and adolescent health; (ii) control of the main communicable diseases and the most frequent non-communicable diseases through greater community partnership; (iii) h e alth system pillars.

HSS requires all stakeholders to include in the ǀarious plans that will be drĂŌed during this

Technical and Financial Partners,

viii document. ix

EXECUTIVE SUMMARY

Thquotesdbs_dbs26.pdfusesText_32

[PDF] l 'organisation de l 'offre de soins, de la carte sanitaire et des

[PDF] République Tunisienne Ministère de la Santé - UNFPA Tunisie

[PDF] carte sanitaire annee 2015 - Ministère de la santé publique

[PDF] Dossier de presse - Collèges du Calvados, une carte scolaire ?

[PDF] Répertoire Académique des Etablissements Mutations 2017

[PDF] Méthode de préparation de la carte scolaire - unesdoc - Unesco

[PDF] La carte de résident longue durée- UE en Italie ( Permesso di - Gisti

[PDF] Parc national du Fjord-du-Saguenay

[PDF] Dispositif régional d 'accès aux transports Sésame Aquitaine Mobilité

[PDF] formulaire de demande d 'attribution de la carte regionale - SNCF

[PDF] Manuel de l 'utilisateur de Hisense C20

[PDF] Fiche d 'information standardisée - Prépayé - NRJ Mobile

[PDF] 6 12 Comment insérer ma carte SD? - Hisense

[PDF] Aide financière ? la pratique d 'activité régulière Attestation valable 1

[PDF] Cartographie des plates-formes sous-marines de - Infoterre - brgm