Country Health System Fact Sheet 2006 Angola

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Population Total fertility rate (per woman) Adolescent fertility proportion Adult literacy rate Net primary school enrolment ratio Gross national income per capita Population living below the poverty line DEMOGRAPHIC AND SOCIOECONOMICS STATISTICS a number annual growth rate in urban Largest urban agglomeration or Capital city : LUANDA Official language: PORTUGUESE Surface area (square kms) : 1246700 Population density (per square km): 13 (000) 2005 15 941 738 083 (%) 1995 2.3 2.2 (%) 2005 37 38 6.7 5.3 (%) 1997-11.7 (%) 2000 66.8 60.1 Males (%) 66 70 1998 Females (%) 57 63 (PPP Int.$) 2030 2 074 (% with <$1a day) 1997-44 Life expectancy at birth (years) Life expectancy at birth (years) Healthy life expectancy (HALE) at birth (years) Healthy life expectancy (HALE) at birth (years) Probability of dying per 1 000 population between 15 and 60 years (adult mortality rate) Probability of dying per 1 000 live births under 5 years (under-5 mortality rate) Infant mortality rate (per 1 000 live births) Neonatal mortality rate (per 1 000 live births) Maternal mortality ratio (per 100 000 live births) Cause-specific mortality rate (per 100 000 population) (Both sexes) Age-standardized mortality rate by cause (per 100 000 population) Years of life lost by broader causes (%) (Both sexes) HEALTH STATUS STATISTICS MORTALITY a Causes of death among children under 5 years of age (%) (Both sexes) (Both sexes) Males 38 47 Females 42 49 Males 32 40 Females 35 42 Males 591 519 Females 504 465 Both sexes 260 167 Both sexes 154 100 Both sexes 2000 54 43 Females 2000 1700 910 HIV/AIDS 140 313 TB among HIV-negative peo 25 53 TB among HIV-positive peop 7 28 Non-communicable diseases 982 800 Cardio-vascular diseases 486 404 Cancer 179 144 Injuries 231 133 Communicable diseases 84 59 Non-communicable diseases 8 10 Injuries 8 8 Neonatal causes 2000 22.2 26.2 HIV/AIDS 2000 2.2 6.8 Diarrhoeal diseases 2000 19.1 16.6 Measles 2000 4.8 4.3 Malaria 2000 8.3 17.5 Pneumonia 2000 24.8 21.1 Injuries 2000 1.4 1.9 Other 2000 17.2 5.6 Data not available or not applicable. a WORLD HEALTH STATISTICS 2006 http://www.who.int/whosis/en/

HEALTH STATUS STATISTICS MORBIDITY a HIV prevalence amond adults (15-49) (%) Both sexes 3.9 7.1 TB prevalence (per 100 000 population) TB incidence (per 100 000 population) of comfirmed polio cases Both sexes 310 518 Both sexes 259 356 Both sexes 2005 10 854 BEHAVIOUR AND ENVIRONMENTAL RISK FACTORS a Non-communicable diseases - Infobase for the country See ---> http://www.afro.who.int/dnc/infobase/.pdf Chilfren under-5 stunted for age (Both sexes) (%) 2001 45.2 Children under-5 underweight for age(both sexes) (%) 2001 30.5 Children under-5 overweight for age(both sexes) (%) Newborns with low birth weight(both sexes) (%) 2000-12 14 Adults ( 15) who are obese (%) Access to improved water sources (%) Access to improved sanitation (%) Population using solid fuels(%) Urban Urban Urban 70 56 84 58 Males Rural Rural Rural 40 16 45 28 Females Prevalence of current tobacco use (%) Adolescents (13-15) Both sexes Prevalence of current tobacco use (%) Adults ( 15) Condom use by young people (15-24) at higher risk sex (%) Males Males Females Females Data not available or not applicable. a WORLD HEALTH STATISTICS 2006 http://www.who.int/whosis/en/

Immunization coverage among 1-year-olds HEALTH SERVICES COVERAGE STATISTICS a Antenatal care coverage Births attended by skilled health personnel Contraceptive prevalence rate Children under-5 sleeping under insecticide-treated nets Measles (%) 64 66 DTP3 (%) 59 66 HepB3 (%) 35 At least 1 visit (%) At least 4 visits (%) (%) 2000 47 43 (%) 2001 6.2 (%) 2001 2.3 Antiretroviral therapy coverage (%) Dec 2005 6 17 TB detection rate under DOTS (%) 94 48 TB detection treatment success DOTS (%) cohort 68 72 Children under-5 with ARI symptoms taken to facility (%) Children under-5 with diarrhoea receiving ORT (%) Children under-5 with fever who received treatment with any antimalarial (%) 2001 63.0 Children 6-59 months who received vitamin A supplementation Births by Caesarean section (%) 87.5 (%) HEALTH SYSTEMS STATISTICS a YEARS ANGOLA Physicians Nurses Midwives Dentists Pharmacists Public and environmental health workers Community Health workers Lab technicians Other health workers Health management and support workers 1165 18485 222 919 2029 294 0.02 Density 0.08 1.19 0.00 0.00 0.14 256 0.02 Total expenditure on health as % of gross domestic product 2.8 General government expenditure on health as % of total expenditure on health 84.2 Private expenditure on health as % of total expenditure on health 15.8 General government expenditure on health as % of total government expenditure 5.3 External ressources for health as % of total expenditure on health Social security expenditure on health as % of general government expenditure on health Out-of-pocket expenditure as % of private expenditure on health Private prepaid plans as % of private expenditure on health Per capita total expenditure on health at average exchange rate (US$) Per capita total expenditure on health at international dollar rate Per capita government expenditure on health at average exchange rate (US$) Per capita government expenditure on health at international dollar rate Coverage of vital registration of deaths (%) Hospital beds (per 10 000) Data not available or not applicable. a WORLD HEALTH STATISTICS 2006 http://www.who.int/whosis/en/ 6.7 100 26 49 22 41 <25

HUMAN RESOURCES FOR HEALTH Country Fact Sheet Total numbers and densities of the health workforce in () Physicians Nurses Dentists Pharmacists Environmental and public health workers Laboratory technicians Other health workers Community health workers Health management and support Sum total Total number Density per 1000 Density per 1000 AFRO 1165 0.077 0.217 18485 1.190 1.172 222 0.000 0.035 919 0.002 0.063 n.a. n.a. 0.049 2029 0.144 0.057 294 0.020 0.173 n.a. n.a. 0.449 256 0.018 0.411 23370 1.452 2.626 Densities of health workers in and in the African Region per 1000 population 1.400 1.200 1.000 African Region 0.800 0.600 0.400 0.200 0.000 Physicians Nurses Dentists Pharmacists Environ. and public health Laboratory technicians Other health workers Community health Management and support Distribution of health workforce by cadre African Region Physicians 3.9 0.9 0.0 1.3 0.0 1.1 8.7 5.0 11.2 12.5 9.7 Nurses Dentists Pharmacists Environ. and public health 7.5 Laboratory technicians 2.6 1.5 2.8 50.7 Other health workers Community health 79.1 1.5 Management and support

MILLENIUM DEVELOPMENT GOALS a YEARS ANGOLA GOAL 1: ERADICATE EXTREME POVERTY AND HUNGER 4. Prevalence of underweight children under five years of age 5. Proportion of population below minimum level of dietary energy consumption GOAL 4: REDUCE CHILD MORTALITY 13. Under-five mortality rate (per 1000 live births, %) 2001 30.5 26 1990 260 171 260 167 14. Infant mortality rate (per 1000 live births, %) 1990 130 154 154 100 15. Proportion of one-year-old children immunized against measles, % 62 63 64 66 GOAL 5: IMPROVE MATERNAL HEALTH 16.Maternal mortality ratio (per 100 000 live births) 1990 1500 1995 1300 2000 1700 990 17. Proportion of births attended by skilled health personnel 2000 47 43 2001 45 43 GOAL 6: COMBAT HIV/AIDS, MALARIA AND OTHER DISEASES 18. HIV prevalence among pregnant women aged 15-24 - HIV prevalence among adults (15-49) %, both sexes 3.9 7.1 19. Condom use rate of the contraceptive prevalence rate - Contraceptive prevalence rate 2001 6.2 20. of children orphaned by HIV/AIDS 21. Prevalence rate associated with malaria - Death rates associated with malaria (per 100 000) 2000 383 22. Proportion of population in malaria-risk areas using effective malaria prevention and trreatment measures 23. Prevalence rate associated with tuberculosis (per 100 000) 1990 520 317 2000 577 310 518 - Death rates associated with tuberculosis 1990 65 41 2000 64 32 81 24. Proportion of tuberculosis cases detected under DOTS 118 50 94 48 - Proportion of tuberculosis cases cured under DOTS 74 73 68 72 GOAL 7: ENSURE ENVIRONMENTAL SUSTAINABILITY 29. Proportion of population using solid fuels 30. Proportion of population with sustainable access to improved water source, urban - Proportion of population with sustainable access to improved water source, rural 31. Proportion of urban population with access to improved sanitation - Proportion of rural population with access to improved sanitation GOAL 8: DEVELOP A GLOBAL PARTNERSHIP FOR DEVELOPMENT 46. Proportion of population with access to affordable essential drugs on a sustainable basis >95 76 70 84 40 45 56 58 16 28 Data not available or not applicable. a THE WORLD HEALTH REPORT UPDATED WITH THE WORLD HEALTH STATISTICS 2006 http://www.who.int/whosis/en/

Progres towards MDG Under-5 Mortality target ANGOLA 300 Under-5 Mortality Rate 250 200 150 100 50 260 260 260 Target 87 0 1985 1990 1995 2000 2005 2010 2015 2020 Year Maternal mortality ratio 1800 1600 1400 1200 1000 800 600 400 200 1500 Maternal mortality ratio (per 100 000 live births) ANGOLA vs Africa 1300 1700 870 910 1000 0 1988 1990 1992 1994 1996 1998 2000 Year Africa