Syndicate content

Cameroon

From the brink of bankruptcy to a model for performance-based management: The story of one Yaoundé hospital

Also available in: Français

We took over the management of the obstetrics, gynecology, and pediatric hospital in Yaoundé (HGOPY) in 2014, inheriting an institution that faced chronic structural debt, obsolete equipment, and dilapidated buildings. No debt repayment plan was in place and fixed expenses such as staff salaries and benefits were extremely high.

This situation was regrettably common in many institutions across Africa which were hit hard by the economic and social crisis that resulted from structural adjustment policies implemented in by several countries, including Cameroon. Furthermore, the decision to increase health care charges adversely affected the poorest, limiting their access to health care and leading to a rise in maternal and infant mortality rates.

In response, African countries signed the Abuja Declaration in 2000, committing to earmark at least 15% of their national budget to the health sector. In addition to the goal of providing universal health care, the sector was expected to enhance the performance, effectiveness, and efficiency of its services.

Internationally comparable learning tests pave the way for education reform in Africa

Makhtar Diop's picture
Also available in: Français



Most parents in Africa will tell you that their children’s education is the most important investment they can make. Over the past decade, great progress has been made in terms of getting children into school, with countries such as Benin, Cameroon, Rwanda and Zambia recording primary net enrollment of over 90 percent. But across the continent, primary school completion and youth literacy rates remain unacceptably low.

Niger and Lake Chad Basin countries take important strides towards building climate resilience, in line with Paris Agreement

Jennifer J. Sara's picture



Climate change imposes stark challenges in West and Central Africa, where droughts and floods are already frequent. Vast portions of the region’s populations are poor, dependent on natural resources for their livelihoods, and unable to prepare and respond adequately to extreme weather events. Weak monitoring and information systems, absence of proper infrastructure, and limited governance capacity render countries in the region unable to manage their climate risks, threatening food and energy security, economic development, ecosystem health, and overall regional stability.

Health Care in Cameroon: May Results Be Your Quest and May Change Be Your Result

Emmanuel Maina Djoulde's picture
Also available in: Français
An Innovative Approach to Health System Strengthening in Cameroon: Performance-Based Financing (PBF)


As President of the Steering Committee for Cameroon’s Health Sector Support Investment Project, I was pleasantly surprised by the innovative character of the Performance-based Financing (PBF) approach; and by its transformative potential.

The King Baudouin African Development Prize

Kristina Nwazota's picture
The King Baudouin Foundation has just announced that it is accepting nominations for its 2014-2015 African Development Prize. The Prize awards innovative initiatives that help local communities take development into their own hands and that improve quality of life. The Prize is worth 150.000 Euros and is awarded every other year. Previous winners include women's rights advocate Bogaletch Gebre of Ethiopia and Dr.

Relaunching Africa Can and Sharing Africa’s Growth

Francisco Ferreira's picture

Dear Africa Can readers, we’ve heard from many of you since our former Africa Chief Economist Shanta Devarajan left the region for a new Bank position that you want Africa Can to continue highlighting the economic challenges and amazing successes that face the continent. We agree.

Today, we are re-launching Africa Can as a forum for discussing ideas about economic policy reform in Africa as a useful, if not essential, tool in the quest to end poverty in the region.

You’ll continue to hear from many of the same bloggers who you’ve followed over the past five years, and you’ll hear from many new voices – economists working in African countries and abroad engaging in the evidence-based debate that will help shape reform. On occasion, you’ll hear from me, the new Deputy Chief Economist for the World Bank in Africa.

We invite you to continue to share your ideas and challenge ours in pursuit of development that really works to improve the lives of all people throughout Africa.

Here is my first post. I look forward to your comments.

In 1990, poverty incidence (with respect to a poverty line of $1.25) was almost exactly the same in sub-Saharan Africa and in East Asia: about 57%. Twenty years on, East Asia has shed 44 percentage points (to 13%) whereas Africa has only lost 8 points (to 49%). And this is not only about China: poverty has also fallen much faster in South Asia than in Africa.

These differences in performance are partly explained by differences in growth rates during the 1990s, when emerging Asia was already on the move, and Africa was still in the doldrums. But even in the 2000s, when Africa’s GDP growth picked up to 4.6% or thereabouts, and a number of countries in the region were amongst the fastest-growing nations in the world, still poverty fell more slowly in Africa than in other regions. Why is that?