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Increasing Access to High-Quality Health Services in Angola

To reduce vulnerability among populations and hasten recovery from conflict in Angola, the Essential Health Services Program promoted health service quality, access, and expansion in Luanda, Huambo, and Lunda Norte.

​The Essential Health Services Program (EHSP) improved service delivery at community, municipal, and provincial levels by expanding and improving the quality of health services in the Angolan provinces of Luanda, Huambo, and Lunda Norte.

The USAID-funded program also fostered community outreach and local participation in health decision-making and improved health systems such as procurement, data management, supervision, quality control, and program monitoring. Ultimately, this work will increase access to high-quality health care as a process of reducing vulnerability among underserved populations, thus hastening Angola’s recovery from decades of conflict.

Nurse Paulo Nascimento (center), head of Vila Franca Health Post, and colleagues Armando Abelino and Paulino Marcos.

EHSP was able to work at the national and provincial levels to strengthen the capacity of the National Institute Against HIV and AIDS and to expand access to improved voluntary counseling, testing, and follow-up for HIV-positive individuals--the goal being to reduce maternal, newborn, and child mortality through better reproductive health practices and prevention and treatment of malaria, tuberculosis (TB), and HIV/AIDS.

Under this component of the project, EHSP helped the National AIDS Institute increase activities in 7 provinces with the highest HIV/AIDS prevalence. This resulted in establishing almost 25 percent of all available services for prevention of mother-to-child transmission and has helped support mobile clinics in the three targeted provinces and in Cunene. 
 
Project Results:

The project has worked to reduce maternal and child mortality by improving reproductive health practices and enhancing knowledge about prevention, diagnosis, and treatment of malaria, tuberculosis, and HIV/AIDS. Results to date include:
 
  • Trained 461 Master Trainers, 230 of which are certified to lead facility-level training and promotion of care and services across the four major disease areas.
  • Trained 11,000+ people on malaria prevention and treatment activities through expansion of training on rapid diagnostic tests for correct diagnosis, malaria prophylaxis for pregnant women, and national malaria microscopy and bacilloscopy.
  • Trained more than 9,000 people on tuberculosis (TB) prevention and treatment activities through expansion of lab training on TB culture.
  • Trained 10,000+ people in family planning and reproductive health interventions.
  • Trained nearly 21,000 teachers, students, and community health volunteers on healthy BCC for malaria, TB, FP/RH, and HIV messaging.
  • Established 50 private sector workplace committees that promote healthy behaviors.
  • Tested and provided HIV results to nearly 200,000 pregnant women, providing subsequent follow-up ARV treatment for close to 2,000 HIV+ women.
Project Duration: 2006 - 2011

    impact

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