Equatorial Guinea is a Central African country comprising the Rio Muni mainland and 5 volcanic offshore islands. Capital Malabo, on Bioko Island, has Spanish colonial architecture and is a hub for the country’s prosperous oil industry. Its population is 757,014 and GDP per capita of USD 20,581.
The national health system of Equatorial Guinea consists of four levels: health posts in each village of 600 people, dispensaries in health centres with a qualified nurse at the intermediate level, district level hospitals, and two referral hospitals at the most centralized level. In 2004, there were an estimated 25 physicians, 40 nurses, 1 dentist, 1 pharmacist, and 2 midwives per 100,000 people. Major health problems (1992 data) are preventable diseases, mainly malaria (increasingly chloroquine resistant), parasitic disease, upper respiratory infections, gastroenteritis, and complications of pregnancy. In the continental zone, sickle cell anaemia is common.
AHO PRIORITIES FOR HEALTH DELIVERY PLAN IN EQUATORIAL GUINEA
- Health systems.
- Chronic, noncommunicable diseases.
- Food, nutrition, and physical activity.
- Family health, with special emphasis on the health of the elderly.
- Environment and health.
- Institutional services.
- Mental health and substance abuse.
- Human resource development and management.
- Communicable diseases, including HIV/AIDS.
PROGRAMMES & PROJECTS
1. HEALTH SYSTEMS DEVELOPMENT
To improve health systems to deliver efficient, effective, and quality services
- Management systems strengthened.
- Financial systems improved to achieve equity, sustainability, and efficiency.
- CQI programs established in all health institutions.
- Comprehensive health information system improved.
- Acquisition and maintenance programs developed.
- Procurement, inventory, and distribution systems improved.
- Program to address multi-hazard disasters and emergencies strengthened.
- Policies, plans, and procedures for the management of human resources improved.
2. FAMILY HEALTH
To develop and implement national family health programmes , based on health promotion, disease prevention, and life cycle approaches.
- Plans, projects, and policies developed and implemented to strengthen community-based programs for health of the elderly.
- Methods, models, and technologies implemented to strengthen mental health and substance abuse programs.
- Support provided to plans, projects, and policies to prevent and control CNCD.
- Standards and guidelines promoted in nutrition and physical activity.
- Plans, projects, and policies regarding the oral health program strengthened.
- Surveillance systems strengthened.
3. COMMUNICABLE DISEASES/ENVIRONMENTAL HEALTH
To strengthen programs to prevent environment-related communicable diseases, STIs, and TB.
- Support provided to promotional campaigns for environmental health.
- Support provided for standards and guidelines for the food safety program.
- Support provided to critical elements for improving waste management.
- Support provided for evaluation and research to manage the vector control program.
- Program for clinical management of STIs (not including HIV/AIDS) and other communicable diseases including TB strengthened.
- General cooperation activities implemented.
AHO EQUATORIAL GUINEA BUDGET 2020 (USD million)* based on 2017 pop 1.268 million World Bank
|1||Combating communicable diseases||
|2||Tackling non communicable diseases||
|3||Addressing determinants of health & risk factors||
|4||Modernising health system and health service||
|5||Improving preparedness, surveillance and response||
|6||Developing good governance & corporate services||
AHO estimates that it needs to spend at least USD100 per capita on health to meet the basic health needs of the people in Africa. This is too far below developed countries e.g. in England it is US$1,300 per capita (2017)