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European Civil Protection and Humanitarian Aid Operations

Cameroon: dedicated humanitarian health staff showing the way to universal health coverage

According to the World Health Organization (WHO), at least half of the people in the world do not have access to essential health care. Moreover, 344 million people are going deeper into extreme poverty each year because they cannot afford the health fees.

No wonder the United Nations has set a goal for its member states to achieve universal health coverage by 2030, giving all people access to essential health services without financial hardship. The EU’s Global Health Strategy also prioritises strengthening resilient and equitable health systems and advancing universal health coverage.

Cameroon has embarked on a universal health coverage roadmap to fulfil this vision. Almost 70% of the cost of health services is paid out of pocket by Cameroonians according to the World Bank. This represents a significant barrier to accessing health care, especially since over 1/3 of Cameroonians are severely impoverished, many of them in the remote and conflict affected North.

People need access to health services without prohibitive costs, but trained and motivated staff should also be on hand to treat them. Yet, many doctors and qualified health staff practice in the more stable central part of the country.

This is why, in the volatile Far North region, where people have faced insecurity, displacement and need humanitarian aid, the EU supports the medical organisation ALIMA. This photo essay is a tribute to the daily work of their humanitarian healthcare staff.

Dr. Landry standing in the garden. Some trees in the background.
“I worked in a clinic in the Centre region before coming to Makary district hospital. By coming here, I accepted something new. 2 years on, I can confirm that the population and authorities are committed, and infant mortality has decreased.” – Dr Landry.
© Daniel Beloumou / ALIMA. All rights reserved. Licensed to the European Union under conditions.
Hadja and her daughter in front of a window at the health centre.
“In my experience doctors are treating our sick children free of charge. We have prenatal consultations and medicines. Deliveries are also free. I came to the centre today because my daughter, Ita, has diarrhoea.” – Hadja.
© Daniel Beloumou / ALIMA. All rights reserved. Licensed to the European Union under conditions.
Aïssatou listening with a tool on a pregnant lady's belly.
“For me, this profession is a real passion. I’ve always wanted to be a midwife. It’s a long way from my hometown but I love my job. I go where I’m needed, which is here.” – Aïssatou, substitute midwife at the integrated health centre in Biamo.
© Daniel Beloumou / ALIMA. All rights reserved. Licensed to the European Union under conditions.
Aïssatou sitting at a desk while writing.
“During my training, I had the opportunity to do an internship for ALIMA in an integrated health centre. I really enjoyed it and when I had the opportunity to come and work here, I didn't hesitate for a second,” says Aïssatou.
© Daniel Beloumou / ALIMA. All rights reserved. Licensed to the European Union under conditions.
Djirita holding her child while sat in the health centre.
“We arrived 10 days ago. I’m here with my children Saley and Emat. I couldn’t leave Emat at home; he’s only a month old. Saley is much better. He’s getting medicines and milk, we’re fully looked after and we don't have to pay for all this care.” – Djirita
© Daniel Beloumou / ALIMA. All rights reserved. Licensed to the European Union under conditions.
Mounira standing in the garden of the health centre. In the background some trees.
“During my first 2 months in the maternity ward at Makary hospital I only did antenatal consultations. Gradually, the major started to entrust me with deliveries, and now I do several a week.” – Mounira, midwife at the Makary district hospital.
© Daniel Beloumou / ALIMA. All rights reserved. Licensed to the European Union under conditions.
Danaya sitting outside with another woman and 2 children.
“We left early on foot. Our children are enrolled in the severe acute malnutrition programme. We’ve had trouble feeding them this year. The Plumpy'Nut I got last time finished and when I did the test with the bracelet, it was still in the red.” – Danaya.
© Daniel Beloumou / ALIMA. All rights reserved. Licensed to the European Union under conditions.
Dr Angara checking a small child, kept in the arms of the mother.
“At the end of my studies, I got a job in the Littoral region. I always wanted to work in a nutrition centre to follow in my mother’s footsteps. She was a nurse and loved looking after children.” – Dr Angara.
© Daniel Beloumou / ALIMA. All rights reserved. Licensed to the European Union under conditions.
Dr Angara seated at a desk. In the background an open cupboard.
“There are stressful times, especially during drought peaks when we have to redouble our efforts. You must adapt all the time here, but that suits me. It’s only been 6 months, enough to learn how to work as a team and treat people from all walks of life.”
© Daniel Beloumou / ALIMA. All rights reserved. Licensed to the European Union under conditions.
Dr Angara checking a small child, kept close by it's mother.
“At times we're short-staffed, but my motivation hasn't wavered. There’s still that passion, the desire to help and provide a solution. I do everything I can to encourage the mother to continue treating her child once released from hospital.” – Dr Angara.
© Daniel Beloumou / ALIMA. All rights reserved. Licensed to the European Union under conditions.
Djibri feeding her child while sat on a bed in the health centre.
“My husband borrowed a motorbike to come here. Since a few days our son Abagana was vomiting and had diarrhoea. The doctors immediately took care of him. It was thanks to the chief of our village that I learned of the existence of this hospital.” – Djibri
© Daniel Beloumou / ALIMA. All rights reserved. Licensed to the European Union under conditions.
Logo of ALIMA, The Alliance for International Medical Action

Story and photos by ALIMA.

Publication date: 12/12/2023