Country context

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Cameroon is a country of Central Africa; his territory covers nearly 475,650 k m². The country has nearly 590 km of coastline along the Atlantic seaboard and 4591 km of land borders including N igeria in the West (1690 km), Chad in the North East (1094 km), the Central African Republic In the east (797 km), and Congo (523 km), Gabon and Equatorial Guinea (189 km) in the south.

The country has a contrasted relief made of plateaus of unevenly distributed uplands and surrounded by narrow plains. Her relief is marked by two hydrographic areas on both sides of the Adamawa plateau: the Niger-Chad basin in the north and the Atlantic basins and the Congo in the south. The country has 03 climatic zones (Equatorial, Sudanese and Sudano-Sahelian).

Cameroon has 10 regions, 360 districts, 360 municipalities and 14 major city councils that make an estimated global population of 22,179,707 inhabitants in 2015 (BUCREP, 2010). On the economic front, the target that set the average growth rate around 5.5% for the first five years of the implementation of the Growth and Employment Strategy Paper (GESP) was not achieved. To achieve this, the government has elaborated a three-year emergency plan 2015-2017, which should help to remove the bottlenecks in the achievement of GESP objectives within a short timeframe. Cameroon's macroeconomic situation has experienced numerous fluctuations with a trade deficit and a steady rise in food prices.

Despite the misfor tunes of the financial and food crisis that the country experienced between 2005 and 2009, th e economy managed to leave timidly thanks to the emergency measures initiated by the government. These measures include, among others: raising the salaries of civil servants, a price control on staple products, a tax reduction on imports of some consumer products (rice, frozen fish , sugar, etc.). Some of these measures had a perverse effec t on the trade balance, Which led the Government to put in place strategies to strengthen the competitiveness of Cameroon companies both at the national and international levels (NIS, 2015).

The health information system is not good enough. The estimation of health indicators is highly dependent on sur veys carried out with coded but uncertain frequencies.

With regard to health financing, the government's contribution remains low (an average of 5% of the state budget allocated to health) in view of the international commitments made. In fact, health expenditure is mainly based on households (70.3% or about 474.5 billion CFA F) with a contribution of the TFPs (7.11%).