After the conclusion of its 30-year civil war in 2002, Angola is working hard to rebuild and revitalize its public health infrastructure. Despite this good work, over half the population lacks access to public health services and infant mortality is among the highest in the world.
PSI/Angola was established in 2000 initially working in HIV/AIDS prevention and later broadening its scope to include malaria and diarrheal disease prevention in 2004 and 2008 respectively. In coordination with the Angolan Ministry of Health and many other partners, PSI/Angola is increasing access to essential health commodities and implementing targeted behavior change communications. By leveraging commercial and community distribution channels, PSI/Angola complements public sector distribution efforts and contributes to increasing coverage levels.
Child Survival, Diarrheal Disease, HIV, Malaria
As of November 2010, PSI/Angola’s programs have generated 153,391 DALYs, or years of healthy lives. Specifically, 129,407 DALYs were generated from malaria prevention through mosquito nets use; and 18,452 and 5,532 DALYS from condom and point-of-use water treatment sales and distribution respectively.
PSI began working in malaria prevention in Angola in 2004 and has since successfully delivered more than 860,000 long-lasting insecticide-treated nets (LLINs), helping to maximize coverage among high-risk groups by leveraging private sector and community distribution channels, including free distribution campaigns. PSI has used a two-tiered approach to product distribution by promoting subsidized LLINs under two brands: Seguro e Salvo, targeted at pregnant women and children under five mostly in the provinces, and Joia, distributed exclusively via the commercial sector focusing on Luanda. In 2006, with support from ExxonMobil and the President’s Malaria Initiative (PMI), PSI began working with the National Malaria Control Program (NMCP) to increase malaria prevention messaging via television and radio. As part of promotional communication activities, the Comandante Seguro e Salvo (pictured in the top right corner) is an element of the superhero team that protects children from malaria by providing mosquito nets. PSI is now a major contributor to information, education and communication (IEC) activities in Angola as part of Global Fund Round 7, and has been re-elected vice president in the National Malaria Partner’s Forum (a position held since April 2007).
In March 2008, PSI launched its most recent health intervention which aims to reduce diarrheal disease among children under five via a highly effective, easy-to-use and affordable point-of-use water treatment product called Certeza. This simple and robust technology was created by the U.S. Centers for Disease Control and Prevention in the late 1990s and has been brought to scale by PSI in more than 23 countries. Over 780,000 bottles have been locally produced in Luanda and distributed throughout the country at a subsidized price. In 2010, Certeza got a new look with an updated logo and label. Aquatabs water purification tablets, to be locally named Certeza Comprimidos para Agua, will be launched at the beginning of 2011, providing a different option for water treatment. Capitã Certeza (bottom right picture) is the superhero that protects from waterborne illnesses; the Capitã has become famous overnight with little girls playing the superhero role in playgrounds and kindergartens everywhere.
PSI started its HIV/AIDS prevention program in 2000 by promoting risk-reduction and safer sexual behaviors. By 2001, PSI launched Legal brand condoms and in 2004 added a second branded male condom, Sensual. To date, more than 61 million condoms have been sold between the two brands. PSI has also produced numerous behavior change campaigns and materials and has provided technical assistance and training to over 20 national partner nonprofit organizations (NGOs) in implementing community-based interpersonal communications activities with high-risk groups such as commercial sex workers, truckers, police and youth. These activities add to long-term sustainability and health impact by creating capacity in local organizations to design and manage their own projects. To this end, many of PSI’s NGO partners now receive donor grants directly.
In FY 2011, PSI/Angola launched two new HIV prevention projects – one continuing to cater to Most At Risk Populations (MARPs) and the other focusing on HIV prevention among members of the General Population, including youth. The MARPs project will continue to promote risk-reduction and safer behaviors among target high risk groups such as commercial sex workers and their clients, truckers and, for the first time in Angola, men who have sex with men. HIV prevention among members of the General Population, including youth, will also include prevention work with mobile men with money, workplace training programs to promote safer behaviors within the general population as well as a radio program promoting the reduction of risky behaviors among youth.