Project
| ID | INDIGO-POJ-0015 |
|---|---|
| Impact Bond Name - (Value) | Cameroon Kangaroo Mother Care Development Impact Bond (KMC DIB) |
| Stage of Development - (Value) | Implementation |
| Social Investment Prototype - (Value) | NO |
| Dates - Date outcomes contract signed - (Value) | 2018-12 |
| Dates - Start date of service provision - (Value) | 2019-02 |
| Dates - Anticipated end date of service provision - (Value) | 2021-03 |
| Dates - Actual end date of service provision - (Value) | 2021-09 |
| Dates - (Source ID's) | source1,source9 |
| Dates - (Notes) | It was extended by 6 months due to Covid 19. |
| Overall project finance - Total investment commitment - Currency - (Value) | USD |
| Overall project finance - Total investment commitment - Amount - Exact - (Value) | 800000 |
| Overall project finance - Total investment commitment - Amount USD - Exact - (Value) | 800000 |
| Overall project finance - Maximum potential outcome payment - Currency - (Value) | USD |
| Overall project finance - Maximum potential outcome payment - Amount - (Value) | 2430000 |
| Overall project finance - Maximum potential outcome payment - Amount USD - (Value) | 2430000 |
| Overall project finance - (Source ID's) | source9 |
| Overall project finance - (Notes) | $3.1 million dollars (USD) of programme outcomes were delivered , of which $2.43m were paid due to the contract cap. |
| Purpose and classifications - Intervention - (Value) | The KMC DIB’s objective was to identify a path to scale for and expand quality KMC to five regions in Cameroon to reduce infant mortality levels. Kangaroo Mother Care is a proven and globally recommended health practice for babies born early or small, which involves holding the baby skin-to-skin on the mothers or other caregivers chest, ideally feeding them only breastmilk, minimising time in hospital and having close follow-up of the mother and baby once they return home. It aimed to achieve this in two ways: 1. Roll out KMC in 10 hospitals across five regions in Cameroon, with the ultimate outcome of significant and verifiable improvements in LBW infant health. Intermediate outcomes include extended periods of skin-to-skin care for LBW and pre-term neonates, high rates of exclusive breastfeeding, and above-average weight gain by 40 weeks gestational age. 2. Integrate high-quality KMC into Cameroon’s public healthcare system to ensure the DIB investment’s long-term sustainability, including further expansion to hospitals nationwide. |
| Purpose and classifications - Policy sector - (Value) | Health |
| Purpose and classifications - (Source ID's) | source2,source5,source9 |
| Service and beneficiaries - Target population - (Value) | The project will be implemented across five regions in Cameroon targeting low birth weight (LBW) or preterm newborns. Those regions were chosen based on needs (i.e. newborn mortality rate level) and volume of infants admitted in hospitals. |
| Service and beneficiaries - Targeted number of unique service users or beneficiaries (total) - (Value) | 2200 |
| Service and beneficiaries - (Source ID's) | source7 |
| Delivery Locations 1: Service Provision ID - (Value) | servicedelivery1 |
| Delivery Locations 1: Location - Name - (Value) | Cameroon |
| Delivery Locations 1: Location - Country - (Value) | CM |
| Delivery Locations 1: Lat/Lng - Lat - (Value) | 3.792505 |
| Delivery Locations 1: Lat/Lng - Lng - (Value) | 11.490655 |
| Sources 1: Id | source1 |
| Sources 1: Name - (Value) | Save the children. September 2018. Investing in Maternal and Child Health: Development Impact Bonds. Available at: https://www.savethechildren.org/content/dam/usa/reports/health/maternal-and-child-health-sept-%202018.pdf; page 13. |
| Sources 2: Id | source2 |
| Sources 2: Name - (Value) | Information provided by Social Finance July 2019 |
| Sources 3: Id | source3 |
| Sources 3: Name - (Value) | Global Financing Facility. April 05, 2019. First-of-its-kind development impact bond launched in Cameroon to save newborn babies. Press Release. Available at: https://www.globalfinancingfacility.org/first-its-kind-development-impact-bond-launched-cameroon-save-newborn-babies. |
| Sources 4: Id | source4 |
| Sources 4: Name - (Value) | Grand Challenges Canada website, accessed on 2 Septmeber 2019) https://www.grandchallenges.ca/2019/first-of-its-kind-development-impact-bond-launched-in-cameroon-to-save-newborn-babies. |
| Sources 5: Id | source5 |
| Sources 5: Name - (Value) | Save the children. September 2018. Investing in Maternal and Child Health: Development Impact Bonds. Available at: https://www.savethechildren.org/content/dam/usa/reports/health/maternal-and-child-health-sept-%202018.pdf; page 13 and 16. |
| Sources 6: Id | source6 |
| Sources 6: Name - (Value) | Save the children. September 2018. Investing in Maternal and Child Health: Development Impact Bonds. Available at: https://www.savethechildren.org/content/dam/usa/reports/health/maternal-and-child-health-sept-%202018.pdf; page 13-15. |
| Sources 7: Id | source7 |
| Sources 7: Name - (Value) | Save the children. September 2018. Investing in Maternal and Child Health: Development Impact Bonds. Available at: https://www.savethechildren.org/content/dam/usa/reports/health/maternal-and-child-health-sept-%202018.pdf, page 14. |
| Sources 8: Id | source8 |
| Sources 8: Name - (Value) | Save the children. September 2018. Investing in Maternal and Child Health: Development Impact Bonds. Available at: https://www.savethechildren.org/content/dam/usa/reports/health/maternal-and-child-health-sept-%202018.pdf, page 14\nInformation provided by Social Finance July 2019\nDate\nContact |
| Sources 9: Id | sourcehackandlearn2021-08 |
| Sources 9: Name - (Value) | Hack and Learn - August 2021 |
| Sources 10: Id | source9 |
| Sources 10: Name - (Value) | Email correspondence with Social Finance UK. |
| Service Provisions 1: Id | serviceprovision1 |
| Service Provisions 1: Organisation ID - (Value) | INDIGO-ORG-0458 |
| Service Provisions 2: Id | serviceprovision2 |
| Service Provisions 2: Organisation ID - (Value) | INDIGO-ORG-0459 |
| Service Provisions 3: Id | serviceprovision3 |
| Service Provisions 3: Organisation ID - (Value) | INDIGO-ORG-0460 |
| Service Provisions 3: Notes | Those hospitals are: Garoua Regional Hospital, Ngaoundere Regional Hospital, Ngaoundere Protestant Hospital, HGOPY, Bafia District Hospital, Yaounde University Teaching Hospital, Laquintinie Hospital in Douala, Bonassama District Hospital, HGOPED and Buea Regional Hospital. |
| Outcome Payment Commitments 1: Organisation ID - (Value) | INDIGO-ORG-0465 |
| Outcome Payment Commitments 1: Maximum potential Outcome payment - Currency - (Value) | USD |
| Outcome Payment Commitments 1: Maximum potential Outcome payment - Amount - (Value) | 2000000 |
| Outcome Payment Commitments 1: Maximum potential Outcome payment - Amount USD - (Value) | 2000000 |
| Outcome Payment Commitments 2: Organisation ID - (Value) | INDIGO-ORG-0466 |
| Outcome Payment Commitments 2: Maximum potential Outcome payment - Currency - (Value) | USD |
| Outcome Payment Commitments 2: Maximum potential Outcome payment - Amount - (Value) | 800000 |
| Outcome Payment Commitments 2: Maximum potential Outcome payment - Amount USD - (Value) | 800000 |
| Investments 1: Id | investment1 |
| Investments 1: Organisation ID - (Value) | INDIGO-ORG-0467 |
| Investments 1: Investment Commitment - Currency - (Value) | USD |
| Investments 1: Investment Commitment - Amount - Exact - (Value) | 800000 |
| Investments 1: Investment Commitment - Amount USD - Exact - (Value) | 800000 |
| Intermediary services 1: Organisation ID - (Value) | INDIGO-ORG-0063 |
| Intermediary services 1: Organisation Role Category - (Value) | Impact bond design |
| Intermediary services 1: Notes | As performance management advisor to KF Cameroon. Also co-designed the impact bond. |
| Intermediary services 2: Organisation ID - (Value) | INDIGO-ORG-0760 |
| Intermediary services 2: Organisation Role Category - (Value) | Impact bond design |
| Intermediary services 3: Organisation ID - (Value) | INDIGO-ORG-0463 |
| Intermediary services 3: Organisation Role Category - (Value) | Legal counsel |
| Intermediary services 4: Organisation ID - (Value) | INDIGO-ORG-1247 |
| Intermediary services 4: Organisation Role Category - (Value) | Other |
| Intermediary services 4: Other Role Description - (Value) | Evaluator |
| Intermediary services 5: Organisation ID - (Value) | INDIGO-ORG-1248 |
| Intermediary services 5: Organisation Role Category - (Value) | Legal counsel |
| Outcome Metrics 1: Id | outcomemetric1 |
| Outcome Metrics 1: Outcome Definition - (Value) | Increase in access to quality KMC (Kangaroo Mother Care): extended skin-to-skin care, exclusive breastfeeding and early discharge. |
| Outcome Metrics 1: Targeted number of service users Or beneficiaries (total) - (Value) | 2200 |
| Outcome Metrics 1: Primary SDG goal - (Value) | 3 |
| Outcome Metrics 1: Primary SDG target - (Value) | 3.8 |
| Outcome Metrics 1: Secondary SDG targets - (Value) | 3.2 |
| Outcome Metrics 2: Id | outcomemetric2 |
| Outcome Metrics 2: Outcome Definition - (Value) | Improvements in weight gain for LBW (low birth weight) or premature newborns. |
| Outcome Metrics 2: Primary SDG goal - (Value) | 3 |
| Outcome Metrics 2: Primary SDG target - (Value) | 3.2 |
| Results 1: Outcome Metric Id - (Value) | outcomemetric1 |
| Results 1: Result level - (Value) | Outcome level |
| Results 1: Outcomes achieved - (Value) | 1221 |
| Results 1: Other Description of result - (Value) | The DIB successfully equipped 10 hospitals to deliver quality KMC, trained 47 neonatal clinicians and 121 community health workers to support carers to use KMC with low-birth-weight and pre-term babies. As a result, 1,221 babies received quality KMC, 28% percent above the DIB target of 951 babies. Hospital clinicians reported high levels of patient satisfaction and lower infant morbidity and mortality at programme hospitals, although this was not independently assessed. The Cameroon Ministry of Public Health is now working to embed national roll-out of KMC in their strategy for Maternal and Newborn health. |
| Results 2: Outcome Metric Id - (Value) | outcomemetric2 |
| Results 2: Result level - (Value) | Outcome level |
| Results 2: Outcomes achieved - (Value) | 0.8 |
| Results 2: Other Description of result - (Value) | 80% of babies were exclusively breastfed at point of discharge from hospital and 80% percent of babies returning for check-ups showed appropriate weight gain at 40 weeks gestational age. Hospital clinicians reported high levels of patient satisfaction and lower infant morbidity and mortality at programme hospitals, although this was not independently assessed. The Cameroon Ministry of Public Health is now working to embed national roll-out of KMC in their strategy for Maternal and Newborn health. |
| Documents 1: Title - (Value) | Case Study - Cameroon Kangaroo Mother Care Development Impact Bond |
| Documents 1: URL - (Value) | https://golab.bsg.ox.ac.uk/knowledge-bank/case-studies/kangaroo-mothercare-dib/ |
| Documents 2: Title - (Value) | Factsheet - Cameroon Kangaroo Mother Care Development Impact Bond |
| Documents 2: URL - (Value) | https://s3.eu-west-2.amazonaws.com/golab.prod/documents/kangaroo_mother_care_factsheet.pdf |