The constitution divides Cameroon into 10 semi-autonomous regions, each under the administration of an elected Regional Council. A presidential decree of 12 November 2008 officially instigated the change from provinces to regions.
The Ministry of Public Health in Cameroon is responsible for the maintenance of all public health services. Many missionaries maintain health and leprosy centers.
Education is free in state schools and compulsory between ages 6 and 12. Government funds are available to mission and private schools. Most secondary schools have been made bilingual, with instruction in both French and English. Working alongside the public schools are the missionary schools, which have been extremely important in the history of Cameroonian education. As of 1999, public expenditure on education was estimated at 2.6% of GDP.