Cameroon - Investments in health infrastructure

As a lower-middle-income country, Cameroon is rolling out a network of hospital infrastructure in successive phases. This investment dynamic is also reflected in the private sector.

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The first phase, from 2000 to 2020, aimed to develop the network across the territory by creating first-contact infrastructure. The government is now focusing on modernizing urban facilities by leveraging telemedicine to expand into more remote areas, as well as adapting services to address non-infectious diseases.

Indeed, while cardiovascular diseases and cancer currently represent 43% of identified pathologies and the largest mortality factor in the country, they are underrepresented in terms of hospital consultations: only 38%. Hence a substantial budget of 5.6 billion euros planned by the Cameroonian State between 2021 and 2025, which owns 70% of health establishments.

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Already, 5.41 billion had been invested between 2016 and 2021. While two-thirds of investments depend on the State, the private sector has not remained inactive in recent years, with more than a hundred independent clinics created between 2010 and 2018. These clinic openings are largely the work of a few groups historically associated with religious organizations, such as the AdLucem group with a new 150-bed clinic in Mfou in the suburbs of Yaoundé and which will launch another university hospital project in Olémbé in 2023 specializing in oncology and cardiology. Overall, outstanding private investments over the period 2020-2025 are estimated at around 300 million euros.

However, private sector involvement in health sector development extends far beyond the aforementioned amounts and projects. Indeed, approximately a quarter of the current €5.6 billion public plan, or €1.5 billion, is expected to involve private financing through public-private partnerships.