President's Malaria Initiative Country Action Plan, Angola, FY06

摘要

In July 2005, the United States Government announced that Angola had been selected as one of the first three countries in a new five-year, $1.2 billion initiative to rapidly scale up malaria prevention and treatment interventions in high-burden countries in sub-Saharan Africa. The goal of the Presidents Malaria Initiative (PMI) is to reduce malaria mortality by 50% by achieving 85% coverage of key prevention and treatment interventions in each country. Angolas health infrastructure was severely damaged during the civil war and it is estimated that only about 30% of the population has access to government health facilities. Malaria is a major health problem, accounting for an estimated 35% of the overall mortality in children under five, 25% of maternal mortality and 60% of hospital admissions for children under five. Malaria transmission is highest in northern Angola, while southern provinces are epidemic-prone. No up-to-date information is available on nationwide coverage of key malaria prevention and control measures. Although use of artemisinin-based combination therapy (ACT) and intermittent preventive treatment (IPT) for pregnant women have been adopted as official policies, they are only being used at scattered sites, and the Ministry of Health pharmaceutical management system is extremely weak. Insecticide-treated bed net (ITN) coverage rates are estimated to be less than 10% and no indoor residual spraying (IRS) has been done by the National Malaria Control Program (NMCP) for more than 10 years.