Supply Chain Governance Advisor, USAID/Cameroon

HIV/AIDS: Through PEPFAR, USAID Cameroon supports community-based HIV prevention and mitigation across the HIV continuum. USAID focuses these efforts on key and priority populations, those most vulnerable to acquiring HIV and most likely to face stigma and discrimination. Key areas of focus for HIV programming include: Key Populations: USAID Cameroon focuses primarily on community-based programming including outreach, prevention, testing and linkage to treatment for key populations (female sex workers and men who have sex with men), clients of female sex workers, and children of female sex workers. Orphans and Vulnerable Children (OVC): USAID Cameroon’s programming provides a robust community platform to respond to the socio-economic, health, educational, legal, and psychosocial needs of children and families infected and affected by HIV. Interventions range from educational support and economic skills building to psychosocial programs and referrals to clinical services. Malaria: Cameroon was selected as a new President’s Malaria Initiative (PMI) focus country in FY 2017 and now represents USAID’s largest health investment with an annual budget of $22 million. Operations began in June-July of 2018 and focus on the North and Far North regions where malaria related morbidity and mortality are highest. Key activities include routine distribution of insecticide-treated nets, improved entomological monitoring and resistance management, improved case management in health facilities and at the community level, strengthening programs to prevent malaria in pregnancy and build the capacity of the NMCP to manage the malaria control program, and our flagship activity, seasonal chemoprophylaxis for children under five. Supply Chain: Leveraging both PEPFAR and PMI funds, USAID implements an integrated approach to strengthening supply chain systems in Cameroon. Activities in Cameroon currently focus on two issues: (1) building supply chain management capacity at the central, regional, district, and health facility level; and (2) closely monitoring stock-levels of key HIV, malaria, family planning, and other commodities, to assure continuous service delivery for current and future patients. Additionally, through PMI, USAID directly procures approximately $5 million worth of insecticide-treated mosquito nets, malaria rapid diagnostic tests, and drugs for both prophylaxis and treatment of malaria. Procurement of PEPFAR commodities is more limited (under $1 million) focusing on ensuring buffer stocks of viral load reagents, test kits, and ARVs. Health Financing: USAID Cameroon is supporting the Government of Cameroon to design and implement its Universal Health Coverage (UHC) plan and sustainable health financing strategy. The goal is to provide access to quality primary health care services to all Cameroonians through sliding-scale contributions to a national system rather than the current fee-for-service approach. In collaboration with other donors such as the World Bank, International Labor Organization, and bilateral partners, USAID is providing targeted technical assistance to the Ministry of Health in the design and implementation of the UHC system. Family Planning: While USAID/Cameroon does not receive any direct funding for family planning (FP), the office leverages USAID centrally funded activities in this area.