The Muskoka Initiative on Maternal, Newborn & Child Health financed an accelerated progress towards achieving the Millennium Development Goals 4 & 5 and reducing maternal, infant & child mortality in developing countries until 2015. Respective figures on mortality are particularly high in Cameroon, and midwifery training had been interrupted since 20 years and was only reestablished in 2011. The programme managed by GIZ aimed thus at improving reproductive health services for the population by increasing the use of modern contraceptives and of births which are accompanied by qualified personnel. The technical assistance supported Family planning (FP) services in the four regions of Western, South-Western, Far North and Adamaoua and assisted Midwifery schools to:
Improve access to modern contraceptive methods by increasing the availability of contraceptives at family planning services and by increasing the distribution by community based services and
Support quality improvement of three midwifery schools in Buéa, Douala and Maroua.
The team of international and local experts was primarily based at the Regional Health Delegations of the target regions and the supported newly established Midwifery Schools.
The Family planning (FP) component addressed the following:
Increase of contraceptive prevalence.
Improvement of the quality of reproductive health services (training of personnel; adequate equipment in the health centers; increased availability of contraceptives; elaboration of a monitoring handbook for improving organizational and managerial quality of reproductive health services; introduction of a monitoring system).
Improvement of access to reproductive health services (increased supply with and increased density of reproductive health services offered in health centers; standard tariffs for reproductive health services; availability of reproductive health services at community level).
Increased demand for reproductive health services (organization of community mobilization activities).
The Midwifery component included:
Improvement of the training curriculum and didactic material (adaptation of the training curriculum; completeness of didactic materials).
Strengthening of the organization and functional development of the midwifery schools (improvement of equipment of midwifery schools and related maintenance; improved access of students to midwifery schools; increase financial capacity).
Improved teaching quality at midwifery schools (application of a quality assurance system; lecturing by qualified personnel; improved quality of teaching and mentoring).