Guinea-Bissau is a tropical country on West Africa’s Atlantic coast that’s known for national parks and wildlife. The forested, sparsely populated Bijagós archipelago is a protected biosphere reserve. Its population is 2 million and GDP per capita of USD 563.
Guinea-Bissau is a malaria-endemic country, with the entire population at risk, especially pregnant women and children under the age of five. To date, the Global Fund has financed two mass distribution campaigns of bed nets and is funding ongoing prevention and treatment programs. These interventions have led to a significant drop of malaria incidence and mortality. The HIV epidemic is generalized, with the national prevalence estimated at 3.7 percent with significantly higher rates among key affected populations (sex workers, men who have sex with men and truck drivers). Key challenges are to increase voluntary testing and counselling; move towards the elimination of mother-to-child transmission of HIV; establish effective TB/HIV interventions; and ensure availability of antiretroviral treatment in all treatment centers.
AHO PRIORITIES FOR HEALTH DELIVERY PLAN IN GUINEA BISSAU
- Continue strengthening municipal development in terms of public health through local government, social, and community participation, strengthening the primary health care subsystem and advancing family medicine, priority programmes, and food security.
- Prioritise the development of human resources for the Health System, emphasising integrated general medicine and the development of the School of Public Health.
- Strengthen the Health System for sustainable development of health and the quality of life and the promotion of health and the network
- Promote and systematize environmental health actions aimed at protecting environmental and population health, including the struggle against disease vectors, prioritizing measures to combat communicable diseases.
- Prioritise the Immunisation Programme, maintaining national coverage according to the national vaccination plan.
- Prioritise the Program on Communicable Diseases, with emphasis on STIs, HIV/AIDS, tuberculosis, and zoonoses.
- Develop the Drug Programme, as well as natural and traditional medicine, pharmacoepidemiology, and research on the health system and drug services.
- Strengthen national capacity with respect to scientific, technical, and health information for monitoring and analysing the health situation.
- Enhance national plans for disasters.
- Bolster international cooperation efforts to mobilize financial, physical, human, political, and institutional resources, favouring local, national, and international initiatives aimed at addressing national priorities.
PROGRAMMES & PROJECTS
1. MANAGEMENT AND COORDINATION OF THE COUNTRY PROGRAM
To improve managerial capacity in the AHO Office to the development needs of the Health System.
• The project for full development of the AHO Office implemented
2. SUPPORT FOR NATIONAL HEALTH DEVELOPMENT
To support national health development.
- Staff development program implemented.
- Project coordination activities implemented.
- Projects for technical cooperation among countries and resource mobilization in general implemented.
- Scientific and technical capacity of the Health System and other health-related sectors promoted internationally.
3. MUNICIPAL DEVELOPMENT
To help strengthen local development processes through the decentralisation of technical cooperation, prioritising improvements in primary health care, inter-sectoral action, and social and community participation.
- Contribution made to annual monitoring and consolidation of the Municipal Development Program (MDP), as well as to decentralization within the municipalities to health areas and family medicine programs.
- Health and development activities consolidated in the projects and centres, and support provided for their expansion to other economic areas with common issues.
- Decentralization of technical cooperation strengthened and the experience of the focal points for cooperation systematized. Territorial decentralisation consolidated, and the decentralization of health programs, research, education, and human resources development expanded and intensified.
- Local initiatives developed through multi-sectoral projects for solving priority problems in health promotion, environment, gender, adolescent health, health of older adults, health services, rehabilitation, and other areas suggested by local governments.
4. STRENGTHENING OF THE NATIONAL HEALTH SYSTEM
To effectively guide technical cooperation to improve the performance of the health system.
- Problem-solving capacity improved with respect to knowledge of the situation and health surveillance, as well as the control of risks and threats, at the national and subnational levels of the NHS and other sectors related to health and environment.
- Health promotion strategy strengthened, emphasizing multisectoral community participation, with the aim of improving the quality of life of the population.
- Regulatory and control processes strengthened, as well as health policy, planning, and management development at national and subnational levels of the AHS.
- Technical cooperation to improve the quality of health services at the national level strengthened, ensuring their efficiency and effectiveness and raising the level of popular satisfaction.
- Scientific and technical capacity strengthened through human resources development and the national research process.
AHO GUINEA BISSAU BUDGET 2020 (USD million)* based on 2018 pop 1.861 million World Bank
|1||Combating communicable diseases||
|2||Tackling non communicable diseases||
|3||Addressing determinants of health & risk factors||
|4||Modernising health system and health service||
|5||Improving preparedness, surveillance and response||
|6||Developing good governance & corporate services||
AHO estimates that it needs to spend at least USD100 per capita on health to meet the basic health needs of the people in Africa. This is too far below developed countries e.g. in England it is US$1,300 per capita (2017)