Health System Development Support
- Reference: P-GQ-IBE-002
- Approval date: 29/10/2008
- Start date: 02/04/2010
- Appraisal Date: 29/02/2008
- Status: OngoingOnGo
- Implementing Agency: MINISTER DE LA SANTE PUBLIQUE GUINEE EQUATORIALE
- Location: Ensemble territoire
The Republic of Equatorial Guinea (REG) covers a surface area of 28,051.46 km² with a population of 1,014,999 inhabitants (2005 projection based on the 2001 general census of the population and housing). According to the Human Development Index (2007/2008), the REG is ranked 127th out of 177.
Although its macroeconomic performance has improved the past few years, the population’s social situation has not followed. Indeed, the maternal mortality rate rose to 680 deaths per 100,000 live births according to the 2007-2008 Human Development Report compared to 352/100,000 in the National Development Plan. Paradoxically, prenatal and obstetric coverage rates are 86% and 65%, which raises the issue of quality of care provided by staff, and consequently the importance of staff training and supervision.
Despite the 1996 adoption of the Family Planning Act to guarantee access to modern contraceptive methods, the contraceptive prevalence rate is about 2.8% and population growth is estimated at 2.4% (2005). According to data for 2007 available from the Expanded Programme on Immunization, 54% of under one year-old children have been vaccinated against tuberculosis, 40% against diphtheria, tetanus, and whooping cough (DTC 3) and 37% against measles.
The Government strategy, defined in the National Economic and Social Development Plan for 2020 (NESP), is based on the following priority thrusts:
- Strengthening of the organization and coordination and management mechanisms of the national health system;
- updating, validation, and implementation of a National Health Development Plan (PNDS);
- improvement of health services supply, access, and quality for the entire population; and
- intensifying the fight against malaria, HIV/AIDS, tuberculosis, and other diseases.
The Bank has a comparative advantage over the other partners due to its experience in Africa and Equatorial Guinea in the priority intervention areas defined in the NESP: Support for the preparation of health policies and programmes, personnel training, health infrastructure construction, etc. It is also positioning itself in the country as the most significant and most experienced multilateral partner in the sector through the two previously financed operations. The first operation concerned the inventory of existing health infrastructure was completed in December 1998; the second operation, based on the results of the first and completed in September 2006, helped strengthen basic health infrastructure and the training of personnel.
The Project's specific objective is to improve the efficacy of health care delivery by the national health system and to build its capacities to fight communicable diseases.
The project aims to improve the population’s health status by reducing child mortality. The project goal is to build the national health system’s capacities to fight communicable diseases and provide quality health care. The expected outcome is an improvement in the population’s health status and well-being by:
- a study on the health information system that will allow improved planning and management of the system;
- the study on alternative methods of financing health care which will provide information on possible ways of increasing utilization of the services by the most vulnerable segments of the population.
The project will contribute to the country’s economic development by increasing productivity. The fight against disease, especially malaria and HIV/AIDS, will lead to a reduction in the number of disease episodes and of new HIV infections. Construction of health centers, promotion of maternal health, and making blood transfusions safe will result in improved maternal health against a background where care of postpartum complications occurs in only 10.3% of the population. Coverage rates for prenatal and obstetric consultations will be increased from 86% to 95% and from 65% to 90% respectively by the project's completion: fistulas, the psycho-social burden of which on individuals and families requires no further proof, will also be prevented and treated.
SANOGO Ibrahim - OSHD3