Yodé Miangotar

Summary Background Peer-reviewed literature on health is almost exclusively published in English, limiting the uptake of research for decision making in francophone African countries. We used results from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2017 to assess the burden of disease in francophone Africa and inform health professionals and their partners in the region.

This study provides the first insights on the multiplicity of factors hindering implementation of Cameroon’s and Chad’s Gavi HSS programs. Chief among these were unpredictable Gavi processes and disbursements, poor communication between the countries and Gavi, insufficient country planning without adequate technical assistance, lack of country staff and leadership, and weak systems to manage finances and promote learning during implementation.