Cameroon evolved into one of Africa’s most prosperous nations following its triumphant independence in 1960; however, significant GDP reductions plunged the country into a 10-year recession. While economic recovery progressed in the early 2000s, Cameroon’s poverty reduction rates stagnated, where in 2022, a significant portion of the population lived on just $2.15 per day. The United States, a global leader in humanitarian assistance, responds to such inequity with relief initiatives from the U.S. Agency for International Development (USAID). Today, USAID programs in Cameroon actively improve health, maintain security and governance and ensure economic development for more than 27 million Cameroonians. 

Health Programs

Health crises remain the greatest threat to Cameroon, where communicable diseases like malaria, tuberculosis and HIV dominate the West African region’s total morbidity and death rates.

• Malaria claims the most lives of children under five .
• Cameroon had 164 tuberculosis cases per 100,000 people in 2021.
• Estimates in 2023 indicated that 500,000 people in Cameroon had HIV.

This regressive health trend eventually necessitated USAID programs in Cameroon that lowered health care costs, secured basic access and increased productivity and wages. 

The Global Health Supply Chain Program – Procurement and Supply Management (GHSC-PSM) is a USAID-sponsored initiative heightening the availability and accessibility of essential medicines and commodities by reinforcing the pharmaceutical supply network. GHSC-PSM subsidiaries like the U.S. President’s Malaria Initiative (PMI) deliver more than 8 million malaria preventive treatments annually. Additionally, the Last Mile Delivery (LMD) program of 2022 guaranteed regular deliveries of HIV commodities by developing optimized routes to “all 320 facilities across all 10 Cameroon regions.” From 2020 to 2021, the LMD program increased the health facility order submission rate by 76%.

Furthermore, the President’s Emergency Plan for AIDS Relief (PEPFAR) supports Cameroon’s efforts toward universal health coverage (UHC), ensuring unimpeded access to essential health services, especially for those living with HIV. PEPFAR initiatives and the UHC program help alleviate up to 70% of health care costs for Cameroonians, who statistically cannot afford direct payments. Among several key accomplishments, the UHC program, as of 2024, insures more than 2.5 million individuals in Cameroon.

Security and Governance Programs

Security is a primary concern for USAID and Cameroon, as the ongoing Anglophone-Francophone disputes continue dividing the Northwest and Southwest regions. Since 2016, the conflict has disproportionately affected women and children, resulting in at least 6,500 deaths. Violence is often rooted in extreme poverty in these rural areas, where disagreements erupt between Cameroon security forces and armed separatists jockeying over access to scarce government resources. As both sides vie for political power, students, teachers and humanitarian workers face invasions, human rights violations and restricted access to educational and health care services. The Global Centre for the Responsibility to Protect revealed that 1.8 million Cameroonians in 2025—both Francophone and Anglophone—lack humanitarian assistance, with approximately 583,000 internally displaced individuals.

Ultimately, USAID programs in Cameroon work to empower communities by circumventing violent, poverty-inducing extremism. The Cameroon Peace Promotion Project is a USAID-funded initiative dedicated to strengthening communities by working with radio stations to deter extremist rhetoric and encourage community engagement and peace throughout Cameroon. The CPP Project strengthens Cameroon’s governance over regional terrorist organizations, assists maritime security in the Gulf of Guinea, contributes to regional stability and promotes respect for education, democratization and Cameroonian human rights. In 2021 alone, more than 10 radio stations reached approximately 2.5 million listeners.

Economic Development Programs

Initially estimated at a 4% increase, 2023 revealed decelerated GDP in Cameroon, falling to 3.3% from 3.6% due to weak economic infrastructure, volatile inflation and persistent internal conflicts delaying the region’s financially gainful sectors. Prioritizing potential profitability, USAID programs in Cameroon restructure the country’s financial orientation to increase revenue, ensure economic safety and promote economic expansion: 

• Feed the Future (FTF): Feed the Future is a USAID-led initiative prioritizing agricultural and research development for increased productivity, agriculture optimization and enhanced land tenure and market accessibility. In Cameroon, agricultural transformation helps fiscally support more than two-thirds of the entire population.
• Prosper Africa: Prosper Africa is a U.S.-led initiative facilitating trade and investment between U.S. businesses and African countries, focusing on digital, agribusiness and renewable energy sectors. Prosper Africa supports projects in Cameroon that offer higher wages, new jobs and clean energy while preserving business relationships with the U.S. worth $22 billion.
• Power Africa Off-Grid Program (PAOP): This program is a USAID electrification expansion program providing technical assistance and targeted grant funding to private sector power generating companies. Despite having plentiful resources, Cameroon faces frequent electricity outages due to dated infrastructure. However, with PAOP, Cameroon could observe significant energy sector advancements while presenting opportunities for U.S. companies to capitalize on the prevalent hydropower in the region, which remains untapped at just 4%.

Concluding Thoughts

Founded in 1961 by President John F. Kennedy, USAID catapulted American influence and foreign policy globally. However, on March 10, 2025, Secretary of State Marco Rubio cut 83% of funding for USAID, effectively slashing humanitarian assistance to 160 countries and regions. Without USAID programs in Cameroon, this could weaken governance, increase conflict geography and social inequities and compromise economic and health security. While known as “Africa in miniature,” Cameroon could largely depend on U.S. competitors for foreign aid, should the Trump administration continue dismantling USAID — a vital bridge to prosperity for many impoverished nations.

– Marcus Villagomez

Marcus is based in Dallas, TX, USA and focuses on Business and Good News The Borgen Project.

Photo: Flickr