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Arlington, Virginia, Partnership for Child Health Care, Basic Support for Institutionalizing Child Survival [BASICS], 1998. , 6,  p. (Report; USAID Contract No. HRN-C-00-93-00031-00)This report pertains to a consultant visit to Douala, Cameroon, during October 1998, to fulfill World Health Organization objectives. The goals were to evaluate the implementation of recommendations made during a February conference in Chad, to examine the status of acute flaccid paralysis (AFP) surveillance in participating countries, to assess progress toward a vaccine independence initiative, and to set an agenda for 1999. The consultant participated in a workshop among representatives of Cameroon, Congo, Gabon, Equatorial Guinea, Central African Republic, Democratic Republic of Congo, and Chad. Representatives made presentations at the workshop on their current national situation on the state of preparedness for 1998 National Immunization Days (NIDs), implementation of the Chad conference recommendations on surveillance systems (SS), implementation of a sustainable integrated national SS, and reinforcement activities for routine immunization services. Plenary topics included certification criteria for eradication of polio, active surveillance of AFP, management tools for AFP surveillance, case investigation, sensitizing clinicians, reimbursing the cost of transporting samples, interagency collaboration, and vaccine independence. NIDs are planned for areas in the Congo where security risks are at the lowest, which would include coverage of about 54% of the country's population. Logistical evaluation needs to be performed before NIDs occur. A new budget needs to be drafted to meet the realities of the emerging situation. About 30 recommendations are listed for NIDs, routine EPI, and surveillance.