Created by Decree No. 74/458 of 10 May 1974 and adopted in the wake of the first oil shock, CSPH operates for several years as a "light structure". Its management bodies were then made of Management Committee enjoying extensive powers for CSPH management. CSPH was headed by a Director of price with the role of executing the decisions of the Committee. He is supported in its mission by a service: Financial Commission responsible for the management control of the corporation. CSPH was then under the supervision of the Ministry of Commerce.
On 31st December 1980, by order No. 43, MINEP/ SG/ SAC, the corporation is extended with the establishment of the accounting and documentation Bureau. In January 1988, Decree No. 88/150 sets up a Steering Committee. Also, to ensure an effective and efficient management of CSPH, new organs are planned to be set up. A serious reform took place in 1998 with Decree No. 98/165 of 26 August 1998, reorganizing CSPH as a modern and autonomous institution whose operation obeys to public institutions classic rules of management.
Also, a Management Board entrusted with traditional powers and Management headed by a Director General assisted by a Deputy Director General and an external auditor were set up, (the CSPH Director General is now separate from the Director of price).
This reorganization is extended by the adoption by the Board of an organizational chart which divides the Fund in two Departments, four Services, an Economic and Technical Unit, having three Assistant Chargés d’Etudes with rank and prerogatives of Head of Department, two Executive assistants with rank and prerogatives of Service Head. A branch was also set up in Douala and is under the coordination of a Branch Head with rank and prerogatives of Service Head, he is assisted by two Bureaus, seven Bureaus and two administrative officers with rank and prerogatives of Bureau Head.
On 12 December 2002, the CSPH Board of Directors met in its 6th extraordinary session under the Chairmanship of Louis Marie ABOGO NKONO. During this session, a new organization chart was adopted and restructured CSPH in four Departments, two Chargé d’Etudes, eleven Services; two Executive Assistants and nineteen Bureaus. On 22 December 2005, the Board redevelops and adopts the organization chart which therefore comprises two Chargés de missions, four Departments, one Division, one Chargé d’Etudes, ten Services, one assistant Chargé d’Etudes , one Unit, two Executive Assistants, sixteen Bureaus and a Board Secretary. On 13th December 2010, the Board met on its 16th extraordinary session during which its redevelops the organization chart as follows: Two Charges de Missions, one Chargé d’Etudes, five Departments. As major innovation, we have the establishment of an Internal Audit Department, one Division, two Units, twelve Services, two Executive Assistants, one Board Secretary. The current chart was adopted by the Board during the 18th Extraordinary Board session of 20 December 2012, and innovated with the creation of the technical advisor position, the set up of a Translation and Communication Unit and the establishment of a Health Care Service.