Cameroon

A cross-sectional prevalence survey will be carried out during the 33rd AFCON in Cameroon in January and February 2022. The study will take place in the Littoral and Center regions (Douala and Yaoundé), in the fan zones dedicated to the AFCON supporters. Mandatory SARS-Cov-2 Ag-RDT will be offered to all supporters attending the selected fan zones. Those testing negative will be allowed to enter the fan zone and enjoy the match, while those testing positive will be denied access to the fan zone by the MoH sanitary pass controllers. A Reverse Transcriptase Polymerase Chain Reaction (PCR) test will be offered to supporters with a positive SARS-Cov-2 Ag-RDT result. Among those who consent, the sample for this PCR test will also serve as the sample used to perform whole genome sequencing for strain identification and characterization. The objectives of the study are as follows:

Primary objectives:

1. To determine the SARS-CoV-2 case detection rate (number of SARS-CoV2 infections detected per 10,000 individuals tested) among potential study Fan Zone attendees using SARS-CoV-2 Ag-RDT during the Africa Cup of Nations.

2. To describe trends on SARS-CoV-2 positivity rate among potential study Fan Zone attendees tested over approximately 2-4 weeks during the Africa Cup of Nations using SARS-CoV-2 Ag-RDT.

Secondary objectives:

3. To describe symptom and comorbidity profiles of attendees with SARS-CoV-2 infection and to describe factors associated with infection, such as demographics, exposure risk, and vaccination status.

4. To describe SARS-CoV-2 variants among SARS-CoV-2 positive attendee

With funding from Johnson & Johnson and in partnership with the Cameroon MOH, EGPAF provides technical assistance on pediatric second- and third-line ART access. This project aims to improve sustainable ART service delivery for children, and confront challenges faced by adolescents around disclosure, adherence, and psychosocial support. The heart of the Collaborative is a darunavir/etravirine donation program, which increases availability of third-line pediatric and adult ART for children and adolescents failing second-line treatment.

In 2022, the NH will transition to a new phase of New Horizons 2.0, EGPAF as a key implementing partner along with other current partners including Partnership for Supply Chain Management, Imperial Logistics, CIPHER Paediatric HIV Matters, Right to Care, and the Paediatric European Network for Treatment of AIDS.

In 2021, the NH will transition to a new phase of New Horizons 2.0, EGPAF as a key implementing partner along with other current partners including Partnership for Supply Chain Management, Imperial Logistics, CIPHER Paediatric HIV Matters, Right to Care, and the Paediatric European Network for Treatment of AIDS.

EGPAF provides direct financial support and technical assistance, through private donor funding, to CBCHS to enhance PMTCT services in the West, North West, and South West Regions. Activities supported under this project include: implementation of psychosocial support groups for both children and adults; and women’s health programs, which provide cervical cancer screening and treatment, breast cancer screening, and management of reproductive tract infections. We also support a youth health education network to ensure prevention of HIV among children and adolescents.

Unitaid is funding the CaP TB project, which aims to improve TB screening in children, and accelerate access to TB diagnosis and new child-friendly treatments for both active and latent TB - a disease which affects one million children. This project, launched in 2017, will bring new child-friendly TB drug formulations and improved diagnostic technology to 10 countries.

Under Project DELTA, through CDC funding, EGPAF is leveraging its role within the Pediatric Training Centers of Excellence in Cameroon to develop strategies to address gender-based violence (GBV) and implement post-violence clinical services into the health care system

EGPAF provides support to CBCHS on this CDC-funded project to increase HIV-free survival among infants, and reduce HIV-related morbidity and mortality among families in all 17 districts of the Southwest Region and 18 districts of the Northwest Region of Cameroon. EGPAF provides technical assistance to implement PMTCT services, program monitoring and evaluation, and health worker capacity-building initiatives.

With support from UNICEF, EGPAF is providing targeted technical assistance to improve systems for monitoring and evaluation (M&E) of prevention of mother-to-child transmission of HIV (PMTCT) programs in Cameroon, Lesotho, and Zambia.

With funding from the United States Agency for International Development (USAID) and the U.S. President's Emergency Plan for AIDS Relief (PEPFAR), EGPAF implemented the eight-year global Call to Action (CTA) project in 12 countries, including Cameroon (from 2006 through 2007).

The ECHO (Extension for Community Healthcare Outcomes) model uses teleconferencing (via Zoom) to link less experienced providers with subject matter experts to provide quality clinical mentorship focusing on case based learning and promotion of best practices.

Under DELTA, EGPAF’s technical assistance to Cameroon has been focused on strengthening health worker expertise in the management of pediatric HIV and implementation of the World Health Organization’s (WHO) 2015 guidelines recommending lifelong ART initiation among all infected with HIV – as opposed to previous guidelines recommending access to ART in the case of advanced disease, pregnancy or breastfeeding.

Through ViiV funding, EGPAF applies lessons learned from our Kenya and Malawi ViiV-funded programs to support CBCHS in implementing a community-focused PMTCT project in the northwest, southwest, and central regions. CBCHS and EGPAF partner with local, community-based organizations, to optimize PMTCT service delivery through trainings and mentorship activities offered to health care workers.

Through this CDC-funded project, EGPAF supports CBCHS in focusing on reduction of HIV-related maternal and child mortality through the integration of PMTCT services within reproductive health services and expanding HIV care and treatment services in Littoral and Centre regions.

EGPAF provides direct financial support and technical assistance, through private donor funding, to CBCHS to enhance PMTCT services in the West Region