This paper examines the contributions of the Northwest Development Authority (NWDA) with its French acronym as MIDENO[1], to the development of the Northwest region of Cameroon through the Grassfields Participatory Decentralized Rural Development Project (GP-DERUDEP) and Livestock and Fisheries Development Project (LIFIDEP).The research was conducted by exploiting primary and secondary sources. Primary sources comprised of oral interviews. Secondary sources constituted published and unpublished books, dissertations and articles in journals. The study argues that MIDENO fell short in an ambitious government developmental agenda in the North West Region but more could be achieved in the near future if government policy in this domain is revisited.In its finding, both GP-DERUDEP and LIFIDEP served as effective avenues of intervention and meeting the objectives of MIDENO in the domain of infrastructure, livestock and fisheries development in the Northwest region but fell short of expectations. In its commitment to meet such ambitious developmental objectives, MIDENO through its different executing agencies faced several challenges. It is therefore necessary for government to revisit its development strategy within MIDENO and other developmental structures in order to achieve meaningful sustainable improvements in the prolonged state of economic quagmire shared by all rural milieus in the country.