Community-based surveillance (CBS) has been used successfully in many situations to strengthen existing health systems as well as in humanitarian crises
The Anglophone crisis of Northwest Southwest Cameroon
targeting of health personnel and destruction of health facilities which
in combination with distrust for the government services led to a collapse of surveillance for outbreak prone diseases
We evaluated the ability of the CBS system to identify suspected cases of outbreak prone diseases (OPD) as compared to the facility-based surveillance
evaluated the timeliness of the CBS system in identifying an OPD
reporting of OPD to District Health Service (DHS) and timeliness in outbreak response
The paper also assessed the collaboration with the DHS and contribution of the CBS system with regards to strengthening the overall surveillance of the health district and also determine the interventions undertaken to contain suspected/confirmed outbreaks
In total 9 alerts of suspected OPDs were generated by the CBS system as compared to 0 by the DHS
Average time from first symptoms to alert generation by the CBS system was 7.3 days
Average time lag from alert generation from the CBS to the DHS was 0.3 days which was essentially within 24 h
There was extensive and synergistic collaboration with the DHS
CBS generated a higher number of alerts than traditional outbreak reported used in the region
and had timely investigations and if appropriate
Careful selection of CHWs with strong community engagement led to the success of the project
and the use of the mobile health team in situ allowed for rapid responses to potential outbreaks
as well as for feedback to CHWs and communities
CBS was also well utilized for identification of other events
CBS can help in outbreak identification as well as other events
and a mobile health team is crucial to the success of the CBS due to the ability to rapidly response to generated alerts
The mobile health team provided timely investigation of 8 of 9 alerts generated
Collaboration with existing DHS structures is important for systems strengthening in such settings
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2 December 2021, New York/Oslo/Yaoundé – Over 700,000 children have been impacted by school closures due to violence in the North-West and South-West regions of Cameroon, according to recent analysis by the United Nations humanitarian arm, UNOCHA
The Secretary General of the Norwegian Refugee Council
today called for an end to attacks on education in Cameroon during their joint visit to the country this week
“This is among the most complex humanitarian crises in the world today
Children and youth are having to flee their homes and schools
are threatened with violence and kidnapping
and being forced into early childhood marriage and recruited into armed groups,” said Yasmine Sherif
“We call for urgent support from donors to respond to this forgotten crisis
We call for the respect of human rights and adherence to the principles of international humanitarian law and the Safe Schools Declaration
and for partners to redouble efforts so all children and adolescents can get back to the safety
protection and hope that quality learning environments provide.”
Two out of three schools are closed in the North-West and South-West regions of Cameroon, according to UNOCHA
four children and one teacher were killed in an attack in Ekondo Titi in Cameroon’s South-West region
A recent lockdown imposed by a non-state armed group
limited access to basic services including health and education
OCHA reported a series of attacks in the North-West
and a girl’s fingers were chopped off after she tried to attend school
Five public school principals were also kidnapped
During the lockdown all schools and community learning spaces were closed
except for some schools in a few urban areas which operated at less than 60 per cent capacity
About 200,000 people did not receive food due to the interruption of humanitarian activities
The lockdown and insecurity have forced UN agencies and aid organisations - including the Norwegian Refugee Council - to temporarily suspend the delivery of lifesaving aid to people in need in both the North-West and South-West regions
Nine out of ten regions of Cameroon continue to be impacted by one of three complex humanitarian crises: the crisis in the North-West and South-West
and a refugee crisis involving people who have fled the Central African Republic
Over one million children need urgent education support because of these combined crises
made even worse by COVID-19 and climate change impacts
Education Cannot Wait (ECW) – the United Nations global fund for education in emergencies and protracted crises – is working closely with UN agencies
the Norwegian Refugee Council and civil society education partners to build a multi-year resilience programme in Cameroon
ECW is contributing US$25 million over three years and calls for other donors to fill the gap which is estimated at $50 million
the programme will provide approximately 250,000 children and adolescents with access to safe and protective learning environments in the most-affected areas
The programme builds on the impact from ECW’s ongoing First Emergency Response in Cameroon
the investment is designed to ensure refugee children fleeing from the Central African Republic receive access to quality
Video b-roll and high resolution photos of the visit and children in school is free to download here.
Anouk Desgroseilliers, adesgroseilliers@un-ecw.org
In Cameroon: Michelle Delaney, mide@nrc.no
NRC global media hotline: media@nrc.no
Education Cannot Wait (ECW) is the United Nations global fund for education in emergencies and protracted crises
We support quality education outcomes for refugee
internally displaced and other crisis-affected girls and boys
ECW works through the multilateral system to both increase the speed of responses in crises and connect immediate relief and longer-term interventions through multi-year programming
On Twitter, please follow: @EduCannotWait @YasmineSherif1 @KentPage
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Three members of the Cameroonian Navy have been killed in an ambush attributed to English-speaking separatists
The incident occurred on Sunday in Ekondo-Titi
a coastal town in the country's South West region
“Four soldiers belonging to the 21st battalion of the Navy were ambushed in the village Bekora Barombi in Ekondo-Titi
not far from their post,” Nwafua Laurence
“Three of the sailors were killed while the fourth was seriously injured.”
is regularly targeted by English-speaking separatists
The Central African country has been marred by protests and violence since 2016
with residents in English-speaking regions saying they have been marginalized for decades by the central government and the French-speaking majority
They are calling for independence or a return to a federal state
Violence in the Anglophone regions has claimed an estimated 3,000 lives and caused the displacement of over 730,000 civilians
the Norwegian Refugee Council (NRC) said for a second year running that Cameroon topped the list as the most neglected crisis on the planet
(Business in Cameroon) - In a decision signed on January 15
announced the termination of contracts awarded in 2016 to Soroubat and Bet Comete International
concern the supervision and construction of the Ekondo Titi-Kumba road (60 km) in the South-West region
They were terminated due to "force majeure" resulting from insecurity in the region
which led to attacks on company workers and vandalism of equipment
The road construction contract was awarded to the Tunisian company Soroubat
while Bet Comete International was responsible for overseeing and technically monitoring the construction works as part of the three-year emergency plan to accelerate economic growth in Cameroon
The responsibility for the project has been transferred to the Rapid Intervention Battalion (BIR) since last year
the presence of this unit for the execution of services covered by contracts constitutes a formal defect
explains a source at the Ministry of Public Works
provides an avenue for addressing any potential claims by Soroubat and Bet Comete International
The Ministry of Public Works states that both parties will engage in a collaborative settlement process outlined in a protocol agreement
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North-West and South West situation report (1-30 November 2021)
Four children and one teacher lost their lives in a NSAG attack on the Government Bilingual High School in Ekondo Titi
Incidents of diversion and looting of food supplies forced the World Food Programme (WFP) to temporarily suspend distribution in Meme and Menchum divisons
A 13-year-old boy was severely injured after picking up an improvised explosive device (IED) in Mezam division
The cholera outbreak in the South-West region continues to spread
At least two health districts have confirmed new cases
The situation in the North-West and South-West regions (NWSW) remains highly fluid
as fighting continues between State security forces (SSF) and non-State armed groups (NSAGs)
with 13 explosions reported by humanitarian actors across both regions
especially in divisions with high humanitarian presence such as Fako
While most incidents still targeted military personnel
some of the explosions were reported on roads that are regularly used by civilians and humanitarians
and civilian casualties have been reported
November saw explosive incidents targeting civilians
or indiscriminate explosions in public spaces
a 13-year-old boy was severely injured after picking up an IED in the Mezam division in the NW
Students and teachers continue to be targeted by NSAGs
NSAG fighters reportedly intruded the premises of the Government High School Oku in the NW and abducted the principal and two teachers
an IED exploded and injured 11 students in the amphitheatre of the University of Buea
unidentified gunmen attacked the Government Bilingual High School in Ekondo Titi in the SW
Four students aged between 12 and 17 years old
as well as an unconfirmed number of students and teachers were injured
the Humanitarian Coordinator condemned the attack and urged all parties to respect and promote the right to education
Insecurity continues to impede humanitarian access from 16 to 19 November and 23 to 26 November
with the latter closing 160 km of road between Kumba and Mamfe
Passengers could reportedly only cross checkpoints on foot
WFP food supplies could not be transported beyond Kumba
Humanitarian stakeholders advocated to open a humanitarian corridor to access the population in need of assistance
ambulances were granted access to the areas between both towns
a truck transporting humanitarian food commodities was intercepted and diverted at gunpoint by a NSAG commander in Mabanda village
A similar diversion by an armed group of an NGO truck transporting food was reported at Mile 6 Akum village
Protection continues to be a major concern as civilians continue to be arbitrarily arrested
abducted for ransom and denied access to basic services
Civilians are accused by both parties to the crisis of supporting the other side
NSAG attacks and military operations led to the displacement of over 1,000 persons in the NWSW
(Business in Cameroon) - The Rapid Intervention Battalion (BIR)
has been commissioned by the government to build the Ekondo Titi-Kumba road (60 km) in the southwest region
The latter is one of the country's Anglophone regions plagued by separatist war since late 2016
The government chose the military due to the security threat in the region
Work on the site was suspended several years ago after the crisis started
The BIR has already carried out such a mission in the same region
where it has been fighting separatist militia for years
instructions have been given for the immediate mobilization of the project team
and operational measures are underway to achieve the goal (...) A reconnaissance mission started on July 2 to ensure the effective start of work and the maintenance of traffic along the route," informs the Ministry of Public Works
Let's note that the construction of the Maroua-Mora-Dabanga-Kousseri road in the Far North region
The Military elite force is being hailed in the South West Region for taking over part of the abandoned road for construction to cost CFA 40.6 Billion
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(Business in Cameroon) - The Cameroonian government has just awarded to the Tunisian company Soroubat a contract worth FCfa 38.2 billion
to carry out the construction works for the Ekondo Titi-Kumba road
These works undertaken as part of the three-year emergency plan implemented since last year
will be executed over a period of 24 months
specifies the communiqué made public by the Minister of Public Procurement
Soroubat operates in the civil engineering sector
construction of civil engineering structures and buildings
This Tunisian company has subsidiaries in Côte d’Ivoire