PlusNews HIV/AIDS news and analysis | Country Profile

AIDS Programmes

National Strategic Framework: 2003–2008
Various stakeholders—faith-based organisations, deputy governors, UN agencies, etc.— participated in drafting the National Strategic Plan (2003-2008). Alongside the NSP, which has a total budget of about US$ 160 million, all 18 provinces and some ministries have developed their own strategic plans. The NSP has been criticized for failing to adequately address issues like migration as well as vulnerable groups such as truck drivers, homosexuals and IDUs.

Overview:

Assessment of overall response and capacity

Political leadership in the response to HIV in Angola is at the highest level. The National Commission to Fight AIDS and other Endemic Diseases (CNLCSGE) is coordinated by the President of the Republic and is composed of 14 line ministries.

There is a network of nongovernmental organizations, Angola Network of AIDS Service Organizations (ANASO) that coordinates nongovernmental organizations involved in responding to AIDS. There are also other organizations such as Rede Esperança that represent all religious organizations.

In November 2004, a law on HIV and AIDS was approved, constituting a legal landmark for the strengthening of the national response to the epidemic and clearly spelling out the responsibilities of the State and the different national institutions. Prior to that, in July 2004, the Council of Ministers had approved a Decree with Regulations on HIV/AIDS, Employment and Professional Training.

Antiretroviral treatment, the designated responsibility of the government, was initiated into the health system in 2004. Coverage is still insufficient though it has gradually improved, as the basic conditions for its implementation are being created. Some support activities for orphans and other vulnerable children, such as placement in schools and providing food and medical assistance, have been implemented—mainly in Luanda—by civil society members with support from UNAIDS.

Critical issues and major challenges

The government’s response to HIV/AIDS has been severely hampered by years of conflict and a lack of resources. Angola emerged from 27 years of war in 2002 with its health system badly damaged and an estimated 65 percent of its primary health care centres out of service. In the post-war context, Angola is facing various challenges in combating poverty and famine, reconstructing economic and social infrastructure, socially reintegrating demobilized military personnel and promoting national economic development. The institutional capacity of the National AIDS Control Programme and human resource capacity across the health sector as a whole urgently need to be strengthened. Scaling up voluntary counselling and testing services is crucial. Additional support is needed in management, human resource planning, procurement and national supply chain management, surveillance and community preparedness and understanding. Services need to be expanded outside the capital city, especially to the provinces of Kunene and Uige, where HIV prevalence is high, and to Huambo and Huila, where the population has higher density. Stigma and discrimination remain barriers to scaling up access to HIV/AIDS services.

Sources: UNAIDS, WHO

HIV/AIDS Organisations
Ministry of Health
Contact person:		Tel:	+244 2 338 052
Location:	Rua 17 de Setembro C.P. 1201 Luanda, Angola		+244 2 338 835
			+244 2 339 507

What we do:

National Institute to Fight AIDS (INLS)
Contact person:	Dr Ducelina Serrano	Tel:	+244 2 390 485
Location:	Luanda, Angola	Fax:	+244 2 390 485


What we do:

Red Cross/ Cruz Vermelha Angolana (CVA)
Contact person:		Tel:	+244 2 336 543 333 991 392 637
Location:	Rua 1° Congresso no 27, Luanda Postal Address Caixa Postal 927	Fax:	+244 2 372 868
		Telex:	3394 CRUZVER AN
		Email:
What we do:

ACCAO Pela Vida
Contact person:	Mr Feliciano Jorge Martins	Mobile:	+244 91 514 102
Location:	P.O. Box 3985 Luanda, Angola	Fax:	+244 2 325 874
		Email:
		Web:
What we do:

Angola Network of AIDS Service Organisations (ANASO)
Contact person:	Rede Mulher/Mr Antonio Rodrigues Coelho Neto	Tel:	+244 2 339 335
	Cx: Postal No. 2366 Luanda, Angola	Mobile:	+244 92 302 696
Location:			+244 91 514 102
		Fax:	+244 2 339 335
		Web:
What we do:	Network of NGOs, community based organisations and people living with HIV/AIDS (PWAs) that promotes cooperation between civil society and government in order to expand the response to HIV/AIDS.

Associação Angolana de Luta Contra a Aida (AALSIDA)
Contact person:	Arnaldo Sebastião dos Santos Júnior	Tel:	+244 2 339 335
Location:	C.P 2366 Luanda, Angola	Fax:	+244 2 339 335
		Email:
		Web:
What we do:	Information; education and communication materials for prevention; counselling and psychological and sociological support especially aimed at young people, drug users, lorry drivers, soldiers and the police; advocacy.

Association of People Living with AIDS (APWA)
Contact person:	Mrs Eva Chaves	Tel:	+244 2 330 645
Location:	P.O. Box 5954-C Luanda, Angola	Fax:	+244 2 390 980
		Email:
		Web:
What we do:

Associacao Mutua de Educacao Global em Angola (AMEGA)
Contact person:	Miguel da Costa	Mobile:	+244 924 715571
Location:	C.P 6992 Luanda, Angola	Fax:
		Email:
		Web:
What we do:

CUAMM—Collegio Universitario Aspiranti Medici e Missionari
Contact person:		Tel:	+244 222 44 5015
Location:		Fax:	+244 222 44 5015
		Email:
		Web:	www.cuamm.org
What we do:	Training, assistance not only in terms of HIV/AIDS but also consultation on rebuilding Angola’s healthcare and sanitation infrastructure.

Population Services International (PSI)
Contact person:	Diana Gourvenec	Tel:	+244 2 443 843 / 447 227 / 447 006
Location:	Rua Cambambe No. 13/15 Cruzeiro - Luanda, Angola	Fax:	+244 2 441 858
		Email:
		Web:
What we do:	PSI uses social marketing to deliver health products, services and information that enable low-income and other vulnerable people to lead healthier lives.

USAID
Contact person:	Diana Swain, Mission Director	Tel:	+244 222 641 119
Location:	Rua Houari Boumedienne, No. 32 Miramar – Luanda Angola	Fax:	+244 222 641 262
		Email:
		Web:
What we do:	USAID focuses on food security, democratic governance, improved maternal/child health, and economic reform often incorporating HIV/AIDS education in their programming. USAID is also involved in re-integrating former combatants in Angola, which also includes HIV/AIDS programming.

UNAIDS Country Coordinator
Contact person:	Alberto Alejandro Stella	Tel:	+244 222 33 11 18
Location:	Rua Major Kanhangulo, 197 P.O. Box 910 Luanda, Angola	Fax:	+244 222 33 70 37
		V-Sat:	004724136812
		Mobile:	+244 923 30 25 30
		Email:
		Web:	www.unaids.org
What we do:	UNAIDS leads, strengthens and supports an expanded response aimed at preventing transmission of HIV, providing care and support, reducing the vulnerability of individuals and communities to HIV/AIDS.

UN Theme Group on HIV/AIDS, Chair
Contact person:	Richard Corsino	Tel:	+244 2 311 338
		Mobile:	+244 91 500 3364
Location:	WFP Resident Representative Rua Joao de Barros, 26/28 Luanda, Angola	Fax:	+244 2 310 803
		Email:
		Web:	www.wfp.org
What we do:	Supports an expanded response and policy advice on preventing transmission of HIV; providing care and support; reducing the vulnerability of individuals and communities to HIV/AIDS.

Sources:

- Angola UNGASS Report
- The Presidents Emergency Plan for AIDS Relief (PEPFAR)
- The World Bank
- World Health Organization
- United Nations Educational, Scientific and Cultural Organization (UNESCO) Country Profiles
- United Nations Population Division, Department of Economic and Social Affairs. 2005.
- “World Population Prospects: The 2004 Revision.” New York.
- The Joint United Nations Programme on HIV/AIDS (UNAIDS)

Treatment Map
Adult HIV Prevalence Rate (%):	3.70%
No. Of People living with HIV/AIDS:	320,000
No. Of HIV Testing & Counseling Sites:	31
No. Of People in need of ART (Nov. 2006):	52,000 (120,000 people will need ARVs by 2010)
No. Of People on ART (Dec. 2006):	8,000
No. Of Sites Reportedly Distributing ARVs (Dec. 2006):	23
No. Of People on ART Public Sector:	8,000
No. Of People on ART Private Sector:
No. Of People on ART in Non-Government Programmes (Dec. 2006):	none, however the government may look into sub-contracting NGOs for home-based care and follow-up.
No. Of People Expected to be on ART (2006 End):	n/a. Targets have been set for 2008 (25,000) as well as 2010 (60,000) but efforts to increase access to ARVs are hampered by the limited health network and distribution of healthcare professionals.
Front Line Drug Regimen:	zidovudine + lamivudine + nevirapine
*PMTCT Regimen:	n/a

HIV/AIDS Fund Disbursements:
Total Funds Disbursed By The Global Fund as of Sept. 2006:	US$33,935,602
Total Funds Disbursed By The World Bank Multi-Country HIV/AIDS Programme (MAP) as of Sept. 2006:	US$ 20 million
Total Funds Disbursed By PEPFAR During 2005 Fiscal Year:	nil

Sources:

World Bank

Indicators
Demographics (United Nations Population Fund):
Population:	15,941,000
Population aged 15-59:	7,906,000
Urban population:	5,933,000

Under 5 mortality per 1000 births:	230
Male life expectancy:	38 years
Female life expectancy:	42 years
Combined average life expectancy:	40 years
Combined average life expectancy 1975-1980:	39.5 years

Education (UNESCO, 2004):
Males with secondary education as percentage of secondary school-age youths:
14% (1999 UNESCO Institute for Statistics estimate)
Females with secondary education as percentage of secondary school-age youths:
12% (1999 UNESCO Institute for Statistics estimate)

Literacy rates (UNESCO, 2004):
Percentage of literate males aged 15 or older:	n/a
Percentage of literate females aged 15 or older:	n/a
Combined literacy rate for aged 15 or older:	n/a

AIDS Programmes

HIV/AIDS Organisations

Treatment Map

Indicators