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Cameroon : Rapid Needs Assessment in Logone-et-Chari (Far North Region), oct. 2016

Overall, this evaluation will enable us to highlight the needs of the most vulnerable areas of the Logone & Chari Divisions. The results will be shared with the entire humanitarian community in Cameroon and will help IMC to refine its strategy of presence in the Far North region in 2017 in order to contribute significantly to improving the living conditions of communities Affected by the conflict in the region. More specifically, this evaluation will aid in the: - Identification of the priority needs of the most vulnerable communities living in the health districts of Goulfey, Kousséri, Mada and Makary; - Identification of the most disadvantaged health centers; - Analysis of gaps in terms of the humanitarian response currently being provided in the area; - Orientation of the decision-making with a view to adopting a strategy of efficient intervention in Logone & Chari.
Desk review Over the past two years, various reports have been published on the humanitarian situation in the Far North region of Cameroon in general and more specifically in the Division of Logone & Chari. In the context of this needs assessment, it was essential to review all the related documents in order to define the scope of the evaluation, to avoid asking the same questions to the beneficiaries, authorities and stakeholders and to avoid redundancies in the formulation of recommendations. To this end, the following documents were read and referenced: Data collection at national, regional and Divisional level - Mapping of actors at the national level - Cartography of actors at the regional level - Cartography of the actors at the Divisional level Data collection in health facilities - Collecting activity reports from health districts - Administration of the IASC7 evaluation questionnaire for health facilities - Direct observation Data collection at community level - Focus group discussion - Interview with key informants Evaluation Team Nine (09) people participated in this needs assessment: - Two(02) doctors - One (01) Monitoring & Evaluation Specialist - Three (03) women interviewers. They took care of data collection in the focus groups of girls and women. - Three (03) male interviewers. They took care of data collection in the focus groups of boys and men. Data analysis techniques Various methods were required for the analysis of the data. Data from the focus groups and interviews with key informants were uploaded to a text analysis platform. The data were then cross-tabulated by target population group and by location to highlight the needs of each group, each community. Data from health facilities were analyzed using Microsoft Excel spreadsheets to calculate and analyze key public health indicators. The geographic information was imported to a geographic information system in order to provide a better spatial view of the localities and health facilities visited. Photos were taken, such as: hospital buildings, water points and displaced persons' camps were used to support analysis derived from direct observation.
Key findings: 
The results of the evaluation show that food security and nutrition remain the main concerns of the internally displaced populations and of the host populations staying in the Division. The prevalence of severe acute malnutrition exceeds the 2% threshold in almost all the health areas visited and that of the MAG is 10.8%. In the area of health, responses in terms of primary health care and reproductive health are still insufficient. Indeed, geographical, financial barriers and lack of health resources (medical personnel, medicines, and equipment) make it impossible to access health services for displaced communities, especially for boys, girls and women. The gap in terms of drinking water infrastructure is estimated at 471 structures. Interviews with municipal authorities revealed the proliferation of poor hygiene practices, thus leading to major public health risks. Fifty percent of the districts of Logone & Chari do not yet have protection programs, yet women, boys, girls, and community leaders expressed their wishes to have basic protection services in the communities for the most vulnerable. Given the density of unmet needs in the Logone & Chari Division, there is an urgent need for multi sectoral responses to save the lives of displaced communities and host communities that are increasingly in distress because of the aftermath by Boko Haram, because of the famine, or because of the recurrent floods in the area. Emergency interventions are required in the areas of primary health, reproductive health, hygiene promotion, latrine construction, rehabilitation / construction of boreholes, creation of a more secure environment for girls, women and boys, prevention and management of acute malnutrition, epidemiological surveillance of vaccine-preventable diseases and rehabilitation of health structures. To achieve this, IMC would like to position itself in the areas of health, nutrition, WASH, child protection and gender-based violence to provide these services within four health districts as follows: - Mada Health District (Mada Health Areas, Blangoua and Hile Alifa) - Goulfey Health District (Goulfey, Gana, Afade, and Mara Health Areas) - Kousséri Health District (Dabanga Health Areas, Madiako, Zimado, Ngodeni, Zina, Pagui) - Makary Health District (Makary Health Areas, Fotokol, Biamo and Woulky).
Assessment Report: 
Publicly Available
Assessment Questionnaire: 
Not Available
Assessment Data: 
Not Available
Kelly Buchanan-Gelb
Assessment Date(s): 
18 Oct 2016 to 31 Oct 2016
Report completed
Unit(s) of Measurement: 
Collection Method(s): 
Key Informant Interview
Focus group discussion
Field Interview
Population Type(s): 
Host communities
Leading/Coordinating Organization(s): 
International Medical Corps
Other location: 
Logone & Chari, Far North Region
Community Management of Acute Malnutrition
Internally Displaced People (IDPs)
Needs Assessment
Rapid Response to Population Movements
Sexual and Gender based Violence