Guinea possesses a productive agricultural sector while also relying on mineral extraction for economic growth. After suffering from the Ebola epidemic, Guinea was declared Ebola-free in 2016. Going forward, the country must continue to address the widespread health, social, and economic impacts of the epidemic.
PSI/Guinea was established in 1991 with the goal of using social marketing to improve reproductive health and prevent the spread of HIV/AIDS. Since then, PSI/Guinea expanded its portfolio to include malaria, safe water, diarrheal treatment, and prevention of female genital cutting programs. PSI/Guinea’s social marketing activities in the fight against childhood diseases (such as diarrhea), unplanned pregnancies, HIV, and female genital mutilation/cutting have positively impacted the most vulnerable populations in Guinea. When Ebola reached epidemic levels in 2014, PSI/Guinea leveraged an existing program to contribute to the much-needed response.
PSI/Guinea estimates that in 2015, its products and services helped avert 95,679 DALYs, including, by health area:
- 6,093 HIV DALYs
- 55,071 FP DALYs
- 32,924 MNCH DALYs
- 1,591 WASH DALYs
PSI/Guinea’s family planning programs also provided 131,074 couple-years of protection.
When Ebola reached epidemic levels in 2014, PSI/Guinea leveraged an existing program to contribute to the much-needed response. The overall objective of the project was to improve the general health of the Guinean population, and PSI/Guinea applied multiple strategies. PSI/Guinea worked to raise awareness about preventative behavior, and about how to improve access to sanitary outlets and hygiene products. The program focused especially on women who tended to be on the front line of infection. PSI/Guinea used its procurement channels to provide large quantities of Sur’Eau water treatment solution, hydro-alcohol gel and soap for hand-washing stations. Guinea was finally declared Ebola-free in 2016.
Two hormonal contraceptives, Planyl and Equilibre, were sold in pharmacies nationwide. In order to improve the quality of family planning services, PSI/Guinea trained pharmacists and clinical health care providers in contraceptive technology and counseling for correct contraceptive use. PSI/Guinea worked with the Ministry of Health to ensure wide availability of contraceptives in public and private health facilities. In 2011, PSI/Guinea collaborated with a national NGO to implement community-based distribution activities to increase informed demand for reproductive health products and services. PSI/Guinea trained 100 community-based agents and 14 NGO workers, and equipped them with promotional and behavior change communication support materials and products for distribution in rural areas.
Diarrhea Treatment: Oral Rehydration Salts (ORS) and Zinc
In 1997, PSI/Guinea began programs to prevent diarrheal diseases and the treatment of dehydration caused by diarrhea by promoting the Orasel brand oral rehydration therapy and oral rehydration salts. In 2005, PSI obtained approval from the Ministry of Health to market Orasel privately in commercial outlets. Orasel was replaced by Orasel+Zinc in September 2012. The new branded product was financed through PSI/Guinea’s principal donor, KfW (the German government’s development bank). The zinc component was packaged jointly with an orange flavored oral rehydration salt to combat dehydration during diarrhea. The zinc component helps to prevent future cases of diarrhea, reduces risk of pneumonia, accelerates growth and stimulates appetite. Orasel+Zinc was marketed to mothers and caregivers of children under the age of five.
Diarrhea Prevention: Safe Water
With the launch and distribution of the water disinfectant Sur’Eau in 2006, PSI made significant contributions to the reduction of diarrheal diseases in Guinea. Since the population of Guinea has little access to safe drinking water, this product was a solution for households throughout the country to obtain potable water. PSI/Guinea initially piloted the product in 2006, and expanded its distribution nationwide in 2008. This work combatted the high incidence of diarrhea, water borne ailments, and the almost annual cholera epidemics in Guinea. Sur’Eau enabled PSI/Guinea to work closely with UNICEF to prevent the spread of cholera throughout Guinea.
In Guinea, HIV prevalence is largely concentrated among certain population groups. HIV prevalence among sex workers is 14.2% (2015), and 56% (2012) among men who have sex with men. This is compared to overall prevalence rates of 2.7% in urban areas and 1.2% in rural areas. Fortunately, the rate of condom use during sexual intercourse has increased among people aged 15 to 24 from 37.1% in 2012, to 60.6% in 2015. PSI/Guinea contributed greatly to this impact with its program promoting and distributing its Prudence Plus branded male condom. Other programs distribute condoms for free, which has contributed to an overall growth in the demand for condoms. This is a great success, especially given that PSI was a leader in the introduction and promotion of condoms in Guinea.
PSI currently contributes to the acceleration of universal access to prevention, care, treatment and support services to people living with HIV, particularly the key populations, with an emphasis on respecting human rights.
Guinea has a high incidence of tuberculosis and TB/HIV coinfection. According to the World Health Organization (WHO) 2015 Global TB Report, mortality from tuberculosis (HIV excluded) in 2014 was 29 per 100,000 population, a 68% decrease from 1990. The prevalence was 253 per 100,000 (a 57% decrease since 1990) and the incidence was 177 per 100,000 (29% lower than in 1990). The estimated number of all forms of TB cases (TTF) is approximately 22,000 per year (19,000 to 24,000) and the detection rate is estimated at 54% for all cases.
PSI/Guinea worked on the detection, management and prevention of tuberculosis, tuberculosis associated with HIV and drug resistant tuberculosis. The program aspired to reduce the morbidity and mortality of this disease, in accordance with the WHO global post-2015 strategy.
Female Genital Cutting
Female genital mutilation/cutting (FGM/C) is a grave issue in Guinea, touching 96% of women, who make up 51% of the population. PSI/Guinea’s strategy to address FGM/C focused on the involvement of religious and secular opinion leaders — such as the internationally acclaimed Guinean singer, Sekouba Bambino — who were actively and publicly engaging in the program.
In 2009, PSI conducted its seminal study on this issue, the results of which were lauded by other national and international partners such as Pathfinder, TOSTAN, the Ministry of Women and Children, and the Ministry of Public Health and Hygiene. In 2011, PSI conducted its second study which found the intention to not excise girls aged four to 12 years increased by 8%. The 2016 study found further improvements: the percentage of women who are aware of the adverse consequences of FGM/C increased from 46.8% in 2011, to 59.3% in 2015. In addition, the percentage of women who do not have an intention to circumcise a daughter of four to 12 years, significantly increased from 40.7% in 2011 to 52.51% in 2016.
PSI/Guinea trained local NGO workers by developing and reinforcing their communication skills who then implemented interpersonal communication activities with target groups. In addition to having completed activities in Middle and Upper Guinea, in 2012 PSI/Guinea extended its reach to the Forest Region to address a lack of interventions concerning female genital cutting in the region.
- Ministry of Health
- Ministry of Youth
- Ministry of Religious Affairs
- Ministry of Social Affairs
- Ministry of Foreign Affairs
- National Aids Council of Guinea (CNLS)
- United Nations in Guinea
- Peace Corps
- Plan Guinea
- World Education
- Child Fund
- BHP Billiton
- Rio Tinto
- Shaping the Family Planning Market by Strengthening the Public Sector
PSI considers total market approaches to be critical for achieving universal health coverage, especially when it comes to contraception. This program brief presents cases, supported by several different donors, which take into consideration the total family planning market.
- Developing Family Planning Markets in Francophone West Africa
In Francophone West Africa, PSI partners with Ministries of Health to achieve the goals set out by the Ouagadougou Partnership to reach at least 2.2 million additional family planning users by 2020. The pillars of our response are access, choice, quality, and equity.
- Enabling the Healthy Spacing and Limiting of Pregnancies: Programmatic Approaches to Expand Postpartum IUD Access
Under the Support for International Family Planning Organizations (SIFPO) project funded by USAID, PSI published a technical brief on 'Enabling the Healthy Spacing and Limiting of Pregnancies: Programmatic Approaches to Expand Postpartum IUD Access'. The brief introduces the need for expanded postpartum family planning options, reviews the advantages and disadvantages of the PPIUD, describes the components of successful initiatives to add PPIUD to the range of options for postpartum women, and illustrates three different models for PPIUD service delivery through case studies from the Democratic Republic of the Congo, Guinea, Zambia and Pakistan.
- 2012 Mid Year Region and Country Dashboards, West and Central Africa
Mid-year West and Central Africa region and country impact dashboards for 2012
- 2011 Region and Country Dashboards, West and Central Africa
West and Central Africa region and country impact dashboards for 2011
- Guinée (2006) : Déterminants de l’utilisation systématique du préservatif chez les filles libres du Km 36 et de Forécariah-Pamelap avec leurs clients. Premier passage.
- Guinea (2006) : Les déterminants de l’utilisation systématique des moustiquaires imprégnées par les femmes ayant en charge des enfants de moins de 5 ans en Guinée : Cas de la Préfecture de Boké. Deuxième Passage.
- Guinea (2006): Les déterminants de l’utilisation systématique des moustiquaires imprégnées par les femmes ayant en charge des enfants de moins de 5 ans en Guinée : Cas de la Préfecture de N’Zérékoré. Deuxième Passage.
- Guinea: PSI Spearheads Nationwide FP Partnership HTML
- “Project MAP – Measuring Access and Performance”