81307403-Améliorer l'accès au service de Santé et Droits Sexuels et Reproductifs (SDSR)

Despite the efforts and success of the past years, the maternal mortality rate remains high (782 deaths per 100,000 live births to 406 between 2011 and 2018) in Cameroon. The proportion of professionally attended births is 69 per cent nationally, the fertility rate is 4.5 children per woman, with considerable regional differences. Nearly one in four women between the ages of 15 and 19 have already become pregnant or given birth to a live child. 23% of all women in couples have unmet needs for family planning methods. Domestic violence is 23%. In 2018, 22% of women aged 15 to 49 reported experiencing physical and/or sexual violence (GBV) from a current or former intimate partner in the past 12 months. In general, the population's contribution to health care is 70% of the population (out of pocket payments), and only 26% of the population benefits of a health insurance. With a focus on health system strengthening in the area of sexual and reproductive health and rights (SRHR), Pro-PASSaR II (Project-Promotion of Actions for a Resilient Health System) is part of the BMZ's core thematic strategy "Health, Social Protection, Population Policy" (2023). It contributes to the objective of Action Area 3 "Population Policy; sexual and reproductive health and rights," improve access to reproductive health services (antenatal care, safe delivery, newborn health) and family planning. Pro-PASSaR II supports the Cameroonian Ministry of Health in the implementation of the first phase of universal health coverage (UHC). In this way, it contributes to action area 2 "Social security" of the BMZ's core thematic strategy. UHC includes the care of pregnant women, children and people living with HIV and is therefore closely linked to SRHR and BMZ Action Area 3. Pro-PASSaR II strengthens Cameroon's health system by promoting the accessibility, availability, quality and acceptability of reproductive health services for all, including disadvantaged populations. In doing so, it contributes to the implementation of the Federal Government's Global Health Strategy (2020), which focuses on strengthening health systems in Germany's partner countries, including non-discriminatory access to reproductive health services, as a strategic goal. Pro-PASSaR II aims to strengthen women's right to sexual and reproductive health. This includes the right to choose the number of children they have and to be protected from violence and harmful practices. It promotes access to SRHR services for poor and disadvantaged women. It strengthens women's participation in decision-making processes in the health sector. This is in line with the "three Rs" (rights, resources and representation) approach of the BMZ Feminist Development Policy (2023). In addition, Pro-PASSaR II contributes to the BMZ initiative "Self-Determined Family Planning and Maternal and Child Health" (2015) through its focus on SRHR. The priority regions of the project are the five regions where the first phase of UHC with the health voucher mechanism is already being implemented (Far North, North, Adamawa, East, South).