Governance
Separate strategy from operations, lengthen mandates, professionalise the executive, and open three advisory bodies.
An association that rests on one person’s strength dies with that person. Our modernisation plan has a single purpose: to make the founder’s work independent of those who carry it — and therefore durable.
Separate strategy from operations, lengthen mandates, professionalise the executive, and open three advisory bodies.
Move from a grant-dependent association to an integrated operator across the sector, from training to service delivery, with five profit centres.
Adaptive training that works offline, and preventive home monitoring, both aligned with the WHO ICOPE framework.
An audit of the founding documents identified seven structural weaknesses. The chief one: the 2005 constitution gave the executive committee both strategic direction and day-to-day management, with no salaried executive post. The reform separates the two.
Three bodies created so that decisions are informed both by those who know and by those who live with the care provided.
An economic interest grouping constituted under OHADA law carries the commercial activities. Its administrator is the president of the executive committee and its oversight rests with the association’s statutory auditor: strategic alignment is structural, not declaratory.
Until now the association trained care workers without capturing any value from the sector it was feeding. The new model places it across the whole chain: it trains, it places, it supports — and it reinvests.
| Activity | Carried by | Year 5 |
|---|---|---|
| Certified care worker training | Association | 38 |
| Placement and worker support | Grouping | 35 |
| Home care services | Association | 42 |
| Group purchasing and distribution | Grouping | 18 |
| Consultancy across the CEMAC region | Grouping | 9 |
| Consolidated total | 142 |
Revenue in millions of FCFA. Association projections, strategic plan 2026–2031, § 5.1.
Four beneficiary segments share the same service. The best-off families — notably diaspora families arranging care at a distance for a parent who stayed behind — pay a premium rate. That rate funds access for households of modest means and free provision for those without resources.
This is not optional generosity: it is the very mechanism that lets us hold to the principle of universal access written into our charter.
| Segment | Monthly rate (FCFA) | Target share |
|---|---|---|
| Premium — diaspora families | 100,000 – 200,000 | 10 % |
| Standard — urban professionals | 30,000 – 60,000 | 25 % |
| Subsidised — modest incomes | 5,000 – 20,000 | 35 % |
| Solidarity — people without resources | No cost to the family | 30 % |
Source: 3A strategic plan 2026–2031, § 5.4.
The French data show it beyond doubt: where nothing makes demand solvent, using a home-help service becomes a class marker. It rises from 2.9 % among the poorest households to 40.9 % among the wealthiest — a ratio of one to fourteen.
Technology is only of interest here if it works with an unstable network, power cuts and an entry-level phone. That is the specification we set ourselves.
Monitoring maps the domains of intrinsic capacity defined by the World Health Organization’s Integrated Care for Older People programme — locomotion, cognition, vitality, psychological state, sensory function. Those observations feed directly into each beneficiary’s personalised care plan.
Data protection. Health data is classified as sensitive under Cameroonian Law no. 2024/017. Our compliance timetable provides for a data protection officer, a register of processing activities, informed consent forms and responses to access requests within thirty days.
The plan’s milestones, year by year.
| Indicator | Yr 1 | Yr 3 | Yr 5 |
|---|---|---|---|
| People supported | 60 | 300 | 700 |
| Care workers in post | 20 | 100 | 220 |
| Students per year | 25 | 60 | 60 |
| Reliance on grants | 58 % | 12 % | 0 % |
Source: 3A strategic plan 2026–2031, § 5.6.
Extraordinary general meeting for statutory reform, registration of the economic interest grouping, recruitment of the executive director and data protection officer, renewal of accreditation with the two specialisations, the first “Sara Murielle” cohort, pilot deployment of home monitoring.
Milestone: 60 people supported, 20 care workers in post.
Monitoring extended to one hundred homes, launch of the placement service, rollout of the continuing-education platform, mobile payment across all client segments, partnerships with mutual insurers and institutional employers, establishment of the scientific committee and the diaspora council.
Milestone: 300 clients, 100 care workers, break-even passed.
Opening of a branch in Douala and a rural site, consultancy for CEMAC-region countries, a formalised quality-assurance system, advocacy with public authorities for statutory recognition of the social care worker profession.
Milestone: 700 clients, 220 care workers, financial self-sufficiency, a model replicable across the sub-region.
Institutional partnership, giving, volunteer expertise on the scientific committee, diaspora backing: we are looking for allies, not only supporters.