Cameroon
Areas eligible for SMC and areas where SMC is implemented

Cameroon |
# of children targeted |
# of children reached |
Coverage |
Cycle 1 |
1,941,722 |
1,877,838 |
97% |
Cycle 2 |
1,964,568 |
1,888,436 |
96% |
Cycle 3 |
2003510 |
1947069 |
97% |
Cycle 4 |
2025604 |
1922419 |
95% |
Data from the NMCP of Cameroon
Monitoring for coverage and compliance

Monitoring for coverage completeness
- In Cameroon, the results of CPS coverage are reported in DHIS2.
- The DHIS2 data are compared with the results of the external monitoring that is carried out at each cycle.
- The method used is the Lot Quality Assurance Sampling (LQAS).
- A coverage survey is performed every year.
Monitoring for compliance
- LQAS is used to monitor compliance.
Measuring effectiveness
- Efficacy is not monitored at yet.
Successes, action steps, challenges and solutions
Succeses
- Member of chosen household leader to sensitize 5 neighboring households for the administration of second and third dose in two health areas.
Challenges
- The change in timing with delay in finalizing strategies due to waiting for WHO guidelines.
- Delay in the delivery of COVID-19 prevention equipment as they were not initially planned and budgeted for
- Reduction in number of national supervisors to reduce risk of COVID-19 transmission
- Substantial Increase in the budget
- Insufficient domestic resources for SMC
- Delay in procurement of SMC tools due to delay of the validation of tools
- Lack of budget for pharmacovigilance activities
- Inaccessibility of some areas during rains due to flooding
- Limitation of mobile payment partner (network, coverage, hours, etc?)
Proposed solutions
- The NMCP with its partners decided to push back slightly the start of the SMC to allow for good preparation.
- The NMCP and PMI submitted a request to the Global Fund on SMC PPE kits. In the meantime, some kits were borrowed from other MOH services for the start-up of the SMC campaign
- Increase in local and regional supervisors
- Resources mobilization from other the government and other partners such as GF
- Advocacy by the resource mobilization committee
- Early validation of tools right after the validation of the strategy
- Diversification of funding sources for 2021 SMC campaign
- Organization of catch-up distribution in flooded areas
- Diversification of payment mechanism in the upcoming SMC campaigns
Research priorities for 2020
- Identify barriers to the implementation of SMC at the community level;
- Identify areas not, or poorly, covered and catch-up with missed children;
- Evaluate compliance of the SMC strategy by mobilizers-distributors;
- Assess the coverage of target children with the three doses of treatment;
- Access the feasibility and success of pilot approaches(leader-managed and electronic data collection)