Impact Bond: Cameroon Cataract Bond
Stage of development: Implementation
Policy sector: Health
Intervention: 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. 
Start of service provision: 2018-03
Total investment commitment currency: USD
Total investment commitment: 2000000
Total investment commitment (USD): 2000000
Target population: 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.
Targeted number of service users or beneficiaries: 18000