Project

IDINDIGO-POJ-0016
Impact Bond Name - (Value)Cameroon Cataract Bond
Stage of Development - (Value)Implementation
Dates - Start date of service provision - (Value)2018-03
Dates - (Source ID's)source2
Overall project finance - Total investment commitment - Currency - (Value)USD
Overall project finance - Total investment commitment - Amount - Exact - (Value)2000000
Overall project finance - Total investment commitment - Amount USD - Exact - (Value)2000000
Purpose and classifications - Intervention - (Value)The Cameroon Cataract Bond is a pay-for-performance loan designed to provide funding to build a hospital to prevent blindness through the provision of cataract surgeries, with the ultimate goal of making the hospital self-sufficient after five years. In order to help prevent avoidable blindness in Cameroon, the hospital has adopted the Aravind model of cross-subsidisation pricing, high service volume, and revenue diversification strategies to provide quality cataract treatment services to the poor at low or no cost in Cameroon. In order to operationalise the cross-subsidisation pricing model, the hospital has two target groups: low-income patients and middle-income patients.
Purpose and classifications - Policy sector - (Value)Health
Purpose and classifications - (Source ID's)source2,source3
Service and beneficiaries - Target population - (Value)In order to operationalise the cross-subsidisation pricing model, MICEI has two target groups: low-income patients and middle-income patients. The funds generated will enable MICEI to provide cataract surgery for free or at a subsidised price for patients that are unable to pay for transport to the hospital and for the treatment itself. At least 40% of surgeries provided to individuals belonging to the bottom two wealth quintiles of the population in Cameroon by the end of year 5.
Service and beneficiaries - Targeted number of unique service users or beneficiaries (total) - (Value)18000
Service and beneficiaries - (Source ID's)source3
Delivery Locations 1: Location - Name - (Value)Cameroon (Nationwide)
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: Idsource1
Sources 1: Name - (Value)Ecorys (2019) Cameroon Cataract Bond: A case Study produced as a part of the Cameroon Cataract Bond Evaluation. P. Cover page.
Sources 2: Idsource2
Sources 2: Name - (Value)Ecorys (2019) Cameroon Cataract Bond: A case Study produced as a part of the Cameroon Cataract Bond Evaluation. P.1.
Sources 3: Idsource3
Sources 3: Name - (Value)Ecorys (2019) Cameroon Cataract Bond: A case Study produced as a part of the Cameroon Cataract Bond Evaluation. P.3-4.
Sources 4: Idsource4
Sources 4: Name - (Value)Ecorys (Forthcoming) Independent Evaluation of the Development Impact Bonds (DIBs) Pilot programme. P.21.
Sources 5: Idsource5
Sources 5: Name - (Value)Ecorys (2019) Cameroon Cataract Bond: A case Study produced as a part of the Cameroon Cataract Bond Evaluation. P.7.
Sources 6: Idsource6
Sources 6: Name - (Value)Ecorys (2019) Cameroon Cataract Bond: A case Study produced as a part of the Cameroon Cataract Bond Evaluation. P.4.
Sources 7: Idsourcehackandlearn2021-08
Sources 7: Name - (Value)Hack and Learn - August 2021
Sources 8: Idsource9
Sources 8: Name - (Value)Email correspondence with Sagana on 24th October 2022
Service Provisions 1: Idserviceprovision1
Service Provisions 1: Organisation ID - (Value)INDIGO-ORG-0434
Outcome Payment Commitments 1: Organisation ID - (Value)INDIGO-ORG-0438
Outcome Payment Commitments 1: Maximum potential Outcome payment - Amount - (Value)2240000
Outcome Payment Commitments 2: Organisation ID - (Value)INDIGO-ORG-0439
Outcome Payment Commitments 2: Maximum potential Outcome payment - Amount - (Value)280000
Outcome Payment Commitments 3: Organisation ID - (Value)INDIGO-ORG-0440
Outcome Payment Commitments 3: Maximum potential Outcome payment - Amount - (Value)280000
Investments 1: Idinvestment1
Investments 1: Organisation ID - (Value)INDIGO-ORG-0441
Investments 1: Investment Type - (Value)Loan
Investments 2: Idinvestment2
Investments 2: Organisation ID - (Value)INDIGO-ORG-0442
Investments 2: Investment Type - (Value)Loan
Intermediary services 1: Organisation ID - (Value)INDIGO-ORG-0435
Intermediary services 1: Organisation Role Category - (Value)Performance management
Intermediary services 2: Organisation ID - (Value)INDIGO-ORG-0436
Intermediary services 2: Organisation Role Category - (Value)Performance management
Intermediary services 3: Organisation ID - (Value)INDIGO-ORG-0437
Intermediary services 4: Organisation ID - (Value)INDIGO-ORG-1405
Intermediary services 4: Organisation Role Category - (Value)Performance management
Outcome Metrics 1: Idoutcomemetric1
Outcome Metrics 1: Outcome Definition - (Value)Number of cataract surgeries. Record of number of cataract surgeries provided.
Outcome Metrics 1: Targeted number of service users Or beneficiaries (total) - (Value)18000
Outcome Metrics 1: Primary SDG goal - (Value)3
Outcome Metrics 1: Primary SDG target - (Value)3.4
Outcome Metrics 1: Secondary SDG targets - (Value)3.8
Outcome Metrics 2: Idoutcomemetric2
Outcome Metrics 2: Outcome Definition - (Value)Quality of the surgeries. At least 50% of surgeries achieve a ‘good’ outcome according to WHO guidelines for visual acuity of cataracts patients post-surgery.
Outcome Metrics 2: Primary SDG goal - (Value)3
Outcome Metrics 2: Primary SDG target - (Value)3.4
Outcome Metrics 2: Secondary SDG targets - (Value)3.8
Outcome Metrics 3: Idoutcomemetric3
Outcome Metrics 3: Outcome Definition - (Value)Financial sustainability. Assessed only in year 5 using the normalized EBITDA ratio.
Outcome Metrics 3: Primary SDG goal - (Value)3
Outcome Metrics 3: Primary SDG target - (Value)3.c
Outcome Metrics 3: Secondary SDG targets - (Value)3.8
Outcome Metrics 4: Idoutcomemetric4
Outcome Metrics 4: Outcome Definition - (Value)Performance bonus: Equity target. At least 40% of surgeries provided to individuals belonging to the bottom two wealth quintiles of the population in Cameroon by the end of year 5.
Outcome Metrics 4: Primary SDG goal - (Value)3
Outcome Metrics 4: Secondary SDG goals - (Value)1
Outcome Metrics 4: Primary SDG target - (Value)3.8
Outcome Metrics 4: Secondary SDG targets - (Value)1.4
Documents 1: Title - (Value)Case Study - Cameroon Cataract Bond
Documents 1: URL - (Value)https://golab.bsg.ox.ac.uk/knowledge-bank/case-studies/cameroon-cataract-bond/
Documents 2: Title - (Value)Publication - A case study produced as part of the Cameroon Cataract Bond Evaluation
Documents 2: URL - (Value)https://golab.bsg.ox.ac.uk/knowledge-bank/resources/cameroon-cataract-bond-eval/

Download Form