Angola

Description of Global Fund Project Components

Summary description of the Malaria Component

The goal of the Malaria component is to reduce the burden of the disease which is the major cause of mortality in Angola. Malaria is a key factor affecting under age 5 mortality - it is responsible for 61% of hospitalisations and 53% of institutional deaths in this age group. Therefore, the project is focused on children under 5 and pregnant women. Six specific objectives were defined as part of the national strategic malaria control plan:

Specific Objectives

• To ensure that at least 60% of the target population have access to prompt and effective treatment for malaria
• To ensure that at least 70% of pregnant women attending antenatal care services receive appropriate IPT according to national policy
• To ensure that at least 40% of children under the age of 5 years and pregnant women benefit from the use of ITNs to prevent malaria
• To increase the percentage of people in epidemic prone province of Namibe, sleeping in appropriately sprayed structures (15 000 houses sprayed)
• To strengthen and expand quality assurance for malaria diagnosis
• To establish sufficient capacity for the MOH, the National Malaria Control Programme and provincial health directorates for effective management, coordination and stewardship in malaria control

The objectives will be reached though a county wide cascade of trainings of public health personnel, equipment of laboratories, financing of WHO malaria focal points at central and provincial level, enhanced monitoring and evaluation efforts, a country wide campaign of distribution of mosquito nets, procurement and distribution of drugs (in particular Coartem)

Implementing partners: National Malaria Control Programme, WHO, UNICEF, PSI

Current status (start of project April 1, 2005): 430 000 mosquito nets arrived in Angola, other 700’000 ordered (to be distributed in a unicef vaccination campaign in July 2006), 2 studies on use of nets were initiated, Coartem and other drugs arrived, yet distribution not yet agreed upon. All WHO officer were recruited and started working on central level and in the provinces. 15 000 houses were sprayed by WHO in the Namibe province.

Summary Description of the Tuberculosis Component

The goal of the Tuberculosis component is to establish a strong foundation for Directly Observed Treatment (DOTS). This effort is to be accomplished by strengthening the functioning of laboratories through equipment and improved reporting capacity, training, enhanced administration of drugs and quality control. The project is implemented in eleven provinces in which 75% of Angola’s population is concentrated.

After extending and strengthening DOTS procedures within the 2 year project, the National Tuberculosis Program (PNCT) will turn to the special circumstances that challenge DOTS expansion, such as co-infection with HIV/AIDS and multiple-drug resistance.

Implementing partners: CUAMM (Italian NGO), National Tuberculosis Programme

Current status (start of project July 1^st, 2006): Trainings for health personnel are carried out according to the timelines. Since January 2006, the Dots treatment is distributed by the implementing partner. Two out of 6 clinics targeted were rehabilitated. Procured by the UNDP GF unit, equipment for the 60 laboratories targeted arrived.

Summary Description of the HIV / AIDS Component

The goal of the HIV/AIDS component is to prevent HIV transmission and reduce socio-economic impact of the HIV epidemic in Angola through the implementation of a multi-sectoral approach that extends existing efforts in HIV prevention, treatment and surveillance while increasing institutional capacity.