Cameroon

2010 to Present

Lolo, Mbile, Gado and Ngarisingo, Districts – Garoua Boulai, Betare Oya, Bertoua, Batouri, Ndelele and Yokadouma

105,333

Total Beneficiaries in 2018

2,504,168

Total Funds Spent in 2018

Programmes

Nutrition

Since the commencement of its operation in 2010, AHA Cameroon in partnership with the UNHCR and the support of the government of the Republic of Cameroon has been delivering comprehensive health care, nutrition and infrastructure development services to refugees in Kette, Ndelele and Batouri health districts, Kadey Department.

In early 2014, following the crisis in neighboring Central African Republic (CAR) which resulted in the migration of refugees crossing the border and seeking stability in Cameroon, AHA expanded its activities to Lolo and Mbile refugee sites. AHA also operates in Batouri, Yokaduma and Kentzou health districts; providing refugees and the communities in the vicinity with health care and nutrition services.

AHA’s strategic approach in Cameroon is to support government health facilities within its area of operations. AHA achieves this by seconding its personnel to government health centers in consultation with the ministry of health.

Since May 2015, AHA’s intervention areas have expanded to 7 health districts with 51 health facilities. Throughout 2018, AHA Cameroon supported directly 19 governmental health facilities namely 1 regional Hospital, 4 district hospitals, 13 Integrated Health Centers and 1 Health Post at Gado Site which is entirely under AHA responsibility. These health facilities are settled in 6 health districts (Garoua Boulai, Betare Oya, Bertoua, Batouri, Ndelele and Yokadouma). Our operation covers 4 sites (Lolo, Mbile, Gado and Ngarisingo) in which approximately half of the beneficiaries are settled.

In 2o18, AHA has contributed to the improvement of the capacity and working conditions of some health facilities by making their extension such as Mandjou Integrated Health Center (IHC), Gado IHC, and provided medical equipment to some health facilities such as Mandjou IHC and Garoua Boulai DH. AHA reimburses also the health care fees for refugees.

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Nutrition

Nutrition/Vaccination

Nutrition programme is one of AHA’s priorities. In the year 2018 under the scheme, community mobilization and village level malnutrition screening, community awareness on malnutrition and infant/young child feeding practices, more than 15,000 children, pregnant women and mothers have benefited. AHA has also continued monitoring the malnutrition status in refuges sites at Lolo and Mbile and intensified supplementary feeding programmes also for the benefit of the surrounding communities. In 2018, in partnership with UNHCR, community screening had taken place reaching 12,904 children aged from 6-59 months have been screened on monthly basis. To support the community management of acute malnutrition as well as the stabilization centres. 1,859 children with severe acute malnutrition and 187 children with severe acute malnutrition associated with medical complications have been treated. In the past nine years of service. AHA has made significant positive changes in reducing under five morbidity and mortality rates by increasing immunization coverage and improving accessibility of primary health care and nutrition services.

Wash

healthcare

RH&HIV/AIDS, communicable diseases and nutrition services

Since AHA started delivering its services in early August 2010, the number of outpatient consultations in the health centers has more than tripled. According to the newly adopted health and nutrition strategy, AHA continues to deliver health, RH&HIV/AIDS, communicable diseases and nutrition services. The delivery and amelioration of primary health care services being one of AHA’s main objectives, AHA has coordinated with the national health care system for effective implementation of its programmes. AHA maintained its support to the ministry of health through public health facilities by providing qualified health care professionals (medical doctors, nurses, laboratory technicians, midwives, and nutritionists, psychologists…) in order to improve the quality of health care services. It is currently providing assistance for refugees from Central African Republic (CAR) integrated within primary health care services in the 19 villages and settlements in the Kadey departments. These services are also extended to the local population- Gbakim, Mboumama, Toktoyo, Gbiti, Kole, Nyabi, Mbile, and Kentzou are amongst the 13 villages inhabited by CAR refugees. It is estimated that more than 105,333 CAR refugees have benefited directly or indirectly from the health services given by AHA in the year 2018. Figures for the year 2018 were: – Consultation: 97,396 – 4,254 referrals from Integrated health centers to district hospitals – Patients and attendants feeding: Total of 87,153 food rations in Bertoua hospital and patient shelter.

Livelihood

Capacity Development, Infrastructure

AHA has assessed the needs of the local health centers and has devised a programme to train the medical personnel, supply missing items such as laboratory equipment’s, and assist in consultations and other clinical activities. With technical assistance from UNHCR, AHA supported facilities, to develop improved clinical case management strategies to provide adequate healthcare and nutrition services. In the year 2017, AHA Cameroon finalised the construction of maternity block with an operating theatre in Mandjou health center, fully equipped with medical equipment. AHA Cameroon also trained and supported government health facilities to strengthen health systems and improve coverage of treatment for malnutrition. HIV/AIDS AND COMMUNICABLE DISEASE PREVENTION AHA’s interventions focus on the prevention of STI and HIV/ AIDS. In this regard, AHA organises campaigns to provide education and offers sensitization on prevention, care and treatment of HIV/AIDS in all AHA supported health facilities. Distribution and demonstration of condoms were parts of the campaigns’ programmes. AHA has also facilitated the opening of two new HIV/AIDS management units at Batare Oya and Kette District hospitals. Moreover, AHA strengthened the community sensitization and mobilization programme on disease prevention. Much emphasis was also placed on administering public health education about malaria, TB and other communicable diseases. Similarly the distribution of mosquito nets and the fixing of these nets in the homes were carried out. REPRODUCTIVE HEALTH SERVICES AHA works hard to insure access to information and to the services the population needs. It supplies health centers with reproductive health facilities, AHA trains and sets up capacities in reproductive health (medical staff and traditional midwives), and conduct sensitization campaigns. AHA also assists the local health centers in providing supplies of pre-packed delivery and baby kits. These act as incentive for women to make prenatal visits and to give birth at the health centers. Figures from the month of April 2019 were: Antenatal care: 699 total. 78.5% (549) of pregnant women received for their first antenatal care benefited from pre and post HIV test counseling during their visit Deliveries: 95. 6 % of deliveries have been attended by a qualified health professional (refugees). – Total deliveries: 392 – Assisted deliveries: 375 CAPACITY DEVELOPMENT AHA has assessed the needs of the local health centers and has devised a programme to train the medical personnel, supply missing items such as laboratory equipment’s, and assist in consultations and other clinical activities. With technical assistance from UNHCR, AHA supported facilities, to develop improved clinical case management strategies to provide adequate healthcare and nutrition services. INFRASTURCTURE In the year 2017, AHA Cameroon finalised the construction of maternity block with an operating theatre in Mandjou health center, fully equipped with medical equipment. AHA Cameroon also trained and supported government health facilities to strengthen health systems and improve coverage of treatment for malnutrition.

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