Health in Angola
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Health in Angola is rated among the worst in the world. The Human Rights Measurement Initiative finds that Angola is achieving 55.4% of what it should be fulfilling in terms of the right to health based on what should be possible at its level of income. When looking at the right to health with respect to children, Angola achieves 79.0% of what is expected based on its current income. In regards to the right to health amongst the adult population, the country achieves only 71.0% of what is expected based on the nation's level of income. Angola falls into the "very bad" category when evaluating the right to reproductive health because the nation is fulfilling only 16.2% of what the nation is expected to achieve based on the resources (income) it has available.


History

Angola became a member of the
World Health Organization The World Health Organization (WHO) is a specialized agency of the United Nations responsible for international public health. The WHO Constitution states its main objective as "the attainment by all peoples of the highest possible level of ...
on May 15, 1976. USAID reported that the Angolan government has not had much success in developing an effective health care system since the end of the 27-year-long
Angolan Civil War The Angolan Civil War ( pt, Guerra Civil Angolana) was a civil war in Angola, beginning in 1975 and continuing, with interludes, until 2002. The war immediately began after Angola became independent from Portugal in November 1975. The war was ...
in 2002. According to USAID, during the War as many as 1 million people were killed, 4.5 million people became internally displaced, and 450,000 fled the country as refugees.http://www.usaid.gov/ao/about.html . Accessed April 10, 2012 Due to lack of infrastructure and rapid urbanization, the government has been unable to promote programs that effectively address some of the basic needs of the people. Health care is not available in much of the country. As of 2012, 54% of the population had access to an improved water source and 60% had access to improved/shared sanitation. In September 2014, the Angolan Institute for Cancer Control (IACC) was created by presidential decree, and it will integrate the National Health Service in Angola. The purpose of this new center is to ensure the health and medical care in
oncology Oncology is a branch of medicine that deals with the study, treatment, diagnosis and prevention of cancer. A medical professional who practices oncology is an ''oncologist''. The name's etymological origin is the Greek word ὄγκος (''à ...
, policy implementation, programs and plans for prevention and specialized treatment. This cancer institute will be assumed as a reference institution in the central and southern regions of
Africa Africa is the world's second-largest and second-most populous continent, after Asia in both cases. At about 30.3 million km2 (11.7 million square miles) including adjacent islands, it covers 6% of Earth's total surface area ...
.


Health status


Life expectancy

The 2014 CIA estimated average life expectancy in Angola was 51 years. Source: ''UN World Population Prospects''


Malaria

Malaria in Angola is very prevalent in the northern part of the country due to the climate and appears more seasonally in the south. The majority of the population lives in the northern areas, in cities such as
Luanda Luanda () is the Capital (political), capital and largest city in Angola. It is Angola's primary port, and its major Angola#Economy, industrial, Angola#Culture, cultural and Angola#Demographics, urban centre. Located on Angola's northern Atl ...
. Malaria is a huge concern for maternal health, contributing about 25 percent of the total maternal mortality alone. In 2009,
UNICEF UNICEF (), originally called the United Nations International Children's Emergency Fund in full, now officially United Nations Children's Fund, is an agency of the United Nations responsible for providing humanitarian and developmental aid to ...
, NMCP,
WHO Who or WHO may refer to: * Who (pronoun), an interrogative or relative pronoun * Who?, one of the Five Ws in journalism * World Health Organization Arts and entertainment Fictional characters * Who, a creature in the Dr. Seuss book '' Horton He ...
, and other organizations partnered together in an effort to reduce the malaria burden.USAID. Angola Malaria Report. President's Malaria Initiative. Angola. 2011. In 2008, the President of the United States Obama announced the
Global Health Initiatives Global Health Initiatives (GHIs) are humanitarian initiatives that raise and disburse additional funds for infectious diseases – such as AIDS, tuberculosis, and malaria – for immunizations and for strengthening health systems in developing coun ...
. One of these Initiatives includes the Malaria Operational Plan, which is a program that allocates funds to be used in order to improve health in Angola and other African countries afflicted with malaria. In Angola, the Malaria Operational Plan was implemented to decrease the number of women affected by malaria and improve maternal health. Angola was one of the first countries to receive aid and to have programs implemented to reduce the risk of malaria, as well as increase the number of healthy pregnancies.


Infectious diseases

Due to Angola's location, the climate is ideal for many tropical diseases. Angola has a narrow coastal plain that rises into a high plateau in the country's interior. Rain forests are prevalent in the north, and in the south, the land is dry. The CIA reports that
malaria Malaria is a mosquito-borne infectious disease that affects humans and other animals. Malaria causes symptoms that typically include fever, tiredness, vomiting, and headaches. In severe cases, it can cause jaundice, seizures, coma, or death. S ...
and schistosomiasis are prevalent in the country.CIA Factbook
April 9, 2012
These diseases and others, such as tuberculosis and especially HIV/Aids, increase the complications and dangers faced by women during pregnancy.Jacobsen, Kathryn. Introduction to Global Health. Jones and Bartlett Publishers,2008. In 2014,
Angola , national_anthem = " Angola Avante"() , image_map = , map_caption = , capital = Luanda , religion = , religion_year = 2020 , religion_ref = , coordina ...
launched a national vaccination campaign against measles, extended to every child under ten years old in all 18 provinces in the country. The measure is part of the Strategic Plan for the Elimination of Measles 2014–2020 created by the Angolan Ministry of Health which includes strengthening routine immunization, proper dealing with measles cases, national campaigns, introducing a second dose of vaccination in the national routine vaccination calendar and active epidemiological surveillance for measles. This campaign took place together with the vaccination against
polio Poliomyelitis, commonly shortened to polio, is an infectious disease caused by the poliovirus. Approximately 70% of cases are asymptomatic; mild symptoms which can occur include sore throat and fever; in a proportion of cases more severe s ...
and
vitamin A Vitamin A is a fat-soluble vitamin and an essential nutrient for humans. It is a group of organic compounds that includes retinol, retinal (also known as retinaldehyde), retinoic acid, and several provitamin A carotenoids (most notably ...
supplementation.Angola lança vacinação nacional contra sarampo
Notícias ao Minuto (Source: Lusa Agency), September 18, 2014


HIV/AIDS in Angola

Angola , national_anthem = " Angola Avante"() , image_map = , map_caption = , capital = Luanda , religion = , religion_year = 2020 , religion_ref = , coordina ...
has a large
HIV/AIDS Human immunodeficiency virus infection and acquired immunodeficiency syndrome (HIV/AIDS) is a spectrum of conditions caused by infection with the human immunodeficiency virus (HIV), a retrovirus. Following initial infection an individual ...
infected population. The Joint United Nations Programme on HIV/AIDS (
UNAIDS The Joint United Nations Programme on HIV and AIDS (UNAIDS) (, ONUSIDA) is the main advocate for accelerated, comprehensive and coordinated global action on the HIV/AIDS pandemic. The mission of UNAIDS is to lead, strengthen and support an ...
) estimated adult prevalence at the end of 2003 at 3.9% – over 420,000 infected people. Angola's 27-year
civil war A civil war or intrastate war is a war between organized groups within the same state (or country). The aim of one side may be to take control of the country or a region, to achieve independence for a region, or to change government policies ...
(1975–2002), deterred the spread of HIV by making large portions of the country inaccessible. Angola was thus cut off from most contact with neighboring countries that had higher HIV infection rates. With the end of the war, transportation routes and communication are reopening, therefore enabling a greater potential for the spread of HIV/AIDS. Current statistics indicate that the border provinces, especially certain areas bordering
Namibia Namibia (, ), officially the Republic of Namibia, is a country in Southern Africa. Its western border is the Atlantic Ocean. It shares land borders with Zambia and Angola to the north, Botswana to the east and South Africa to the south and ea ...
and the
Democratic Republic of the Congo The Democratic Republic of the Congo (french: République démocratique du Congo (RDC), colloquially "La RDC" ), informally Congo-Kinshasa, DR Congo, the DRC, the DROC, or the Congo, and formerly and also colloquially Zaire, is a country in ...
, currently have higher prevalence than the rest of the country."Health Profile: Angola"
.
USAID The United States Agency for International Development (USAID) is an independent agency of the U.S. federal government that is primarily responsible for administering civilian foreign aid and development assistance. With a budget of over $27 bi ...
(December 2004).
Unhealthy individuals and populations pose a higher risk of infections when exposed to pathogens. Sexually transmitted diseases, including HIV/AIDS, are no exception to this rule. Stillwaggon states that many of the populations in Sub-Saharan Africa have a high prevalence of malnutrition, malaria, parasite infections, and schistosomiasis. These health conditions increase an individual's susceptibility of contracting HIV/AIDS. In that region, social conditions also play a major role in HIV transmission. Poverty, inadequate nutrition, unclean water, poor sanitation, and unsafe health care all play a major role in the prevalence of AIDS.Stillwaggon, Eileen. Feminist Economics. Race, Sex, and the Neglected Risks for Women and Girls in Sub-Sahara Africa. 2008.


Maternal health

Angola represents one of the highest maternal death rates in the world. Results vary, but the estimated maternal mortality ratio (MMR) toward the end of the Civil War was between 1,281 and 1,500 maternal deaths to 100,000 live births.Pettersson, Karne. Christensson, Kyllike. Freitas, Engracia da Gloria Gomes de. Johansson, Eva. Adaptation of health care seeking behavior during childbirth: Focus group discussions with women living in the suburban areas of Luanda, Angola. Health Care for Women International, 2004. Accessed April 9, 2012 Despite the improvements that have been made, the
Human Development Index The Human Development Index (HDI) is a statistic composite index of life expectancy, education (mean years of schooling completed and expected years of schooling upon entering the education system), and per capita income indicators, wh ...
for 2011 shows a poor level of maternal health in Angola. A high level of adolescent fertility and low use of contraceptives for women of all ages was reported. This is observed by the high
total fertility rate The total fertility rate (TFR) of a population is the average number of children that would be born to a woman over her lifetime if: # she were to experience the exact current age-specific fertility rates (ASFRs) through her lifetime # she were t ...
. These factors contribute to an elevated risk of health problems during pregnancy and childbirth.Human Development Report 2011 Tables. Human development statistical annex


See also

* Healthcare in Angola * COVID-19 pandemic in Angola


References

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