Cameroon Health Department: Improving PMTCT Services in Littoral and Center Regions

Government Organizations:
• National Ministries of Health
• State and local governments or their Bona Fide Agents (this includes the District of Columbia, the Commonwealth of Puerto Rico, the Virgin Islands, the Commonwealth of the Northern Marianna Islands, American Samoa, Guam, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau) .
• American Indian/Alaska Native tribal governments (federally recognized or state-recognized)
• Political subdivisions of States (in consultation with States)

Non-government Organizations:
• American Indian/Alaska native tribally designated organizations
• Alaska Native health corporations
• Tribal epidemiology centers
• Urban Indian health organizations
• Nonprofit with 501C3 IRS status (other than institution of higher education)
• Nonprofit without 501C3 IRS status (other than institution of higher education)
• Research institutions (that will perform activities deemed as non-research)

Colleges and Universities

Community-based organizations

Faith-based organizations

For-profit organizations (other than small business)

Hospitals

Small, minority, and women-owned businesses

All Other

Government Organizations:
• National Ministries of Health
• State and local governments or their Bona Fide Agents (this includes the District of Columbia, the Commonwealth of Puerto Rico, the Virgin Islands, the Commonwealth of the Northern Marianna Islands, American Samoa, Guam, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau) .
• American Indian/Alaska Native tribal governments (federally recognized or state-recognized)
• Political subdivisions of States (in consultation with States)

Non-government Organizations:
• American Indian/Alaska native tribally designated organizations
• Alaska Native health corporations
• Tribal epidemiology centers
• Urban Indian health organizations
• Nonprofit with 501C3 IRS status (other than institution of higher education)
• Nonprofit without 501C3 IRS status (other than institution of higher education)
• Research institutions (that will perform activities deemed as non-research)

Colleges and Universities

Community-based organizations

Faith-based organizations

For-profit organizations (other than small business)

Hospitals

Small, minority, and women-owned businesses

All Other

Cameroon has developed a national roll out plan. The national plan for phased-in Option B+ roll-out would cover 247 sites in the four PEPFAR-supported regions (500 sites nationwide) in 2014, 691 (1,500) sites in 2015, 1,141 (2,500) sites in 2016, and 1,379 (3,000) sites in 2017. Necessary training and site preparedness to roll out B+ would follow the same phase-in approach and would result in training 7,500 providers, including 3,447 at PEPFAR-supported sites.

The model of PMTCT/ART service delivery to be implemented requires that HIV-positive pregnant women and mothers and their HIV-exposed or -infected infants receive their care and treatment at the mother-and-child unit until 24 months post-partum and then be referred to HIV care and treatment services for long-term treatment and follow-up (SDM 1). So far, only 22 sites in Cameroon where Option B+ is currently being piloted implement this model. All other sites, pending their enrollment as per the national Option B+ roll-out plan, are still implementing Option A, referring treatment-eligible pregnant women (CD4 < 350/mm3) to ART services to receive ART while continuing their follow-up at the MNCH service (SDM 2). Their HIV-infected children are also referred to the nearest ART site as soon as their HIV diagnosis is confirmed. These sites will switch to SDM1 in line with the B+ roll-out.