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Angola

Country Situation Analysis

UN Support to the National Response

Contacts

UNAIDS Global Report 2006 Data



Country Situation Analysis


Political leadership in the response to HIV in Angola is at the highest level, demonstrating the clear commitment of the government and the fact that HIV is a priority in the national agenda. 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. It is therefore a political organ aimed at ensuring the engagement of all sectors of national life in the response to the HIV epidemic and other major diseases. Most provinces are represented by provincial committees, which have already been formed and are currently in the operationalization phase. In terms of technical coordination, in 2005, the National Institute to fight HIV and AIDS (NIFA, former PNLS) was created through the Decree of the Council of 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.

The National Strategic Plan was translated into provincial and ministerial operational plans. Currently all 18 provinces and some ministries have their own operations plans. Strategy implementation activities take place mainly in provincial capitals and the capacity to decentralize these activities at the municipal level is still limited.

Antiretroviral treatment, the designated responsibility of the government, was initiated into the health system in 2004, as a response to actions by civil society members, who were pioneers in supporting people living with HIV. 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.

Challenges include the need to structure the institutional framework of the National AIDS Council with a well-defined space for civil society and develop its strategic vision based on the Global Task Team recommendations and the results of the national consultation on universal access. The National AIDS Council also needs:

  • an executive secretariat with management and monitoring and evaluation capacities, linked to the National Institute to Fight HIV and AIDS, and outline regulations and guidelines of the central and provincial bodies of the National AIDS Council;
  • to support the National Institute to Fight HIV and AIDS to expand caring for people living with HIV including access to antiretroviral therapy to the 18 provincial capitals;
  • to expand and decentralize the prevention strategy, with emphases on school curricula development to include sexual education, gender and HIV-related topics and to implement the national campaign aimed at youth and free time; and
  • support the process of review and regulation of the national law on HIV and AIDS.

 

UN Support to the National Response


The Angolan UNAIDS Family has responded to the rising needs of the response by reinforcing the UN structure (Theme Group and Working Group) in its competencies, composition and agenda, and in drawing up a Joint Programme on HIV and AIDS to provide a concrete support and the needed expertise to the national response, ensuring harmonization and synergy. The Resident Coordinator and the Vice Minister of Health, Coordinator of the Technical Committee of the National AIDS Council, will shortly sign the JP document agreement.

In this context, and following the UNAIDS workplan, during 2005 the Theme Group has supported the government in reinforcing the “Three Ones” vis-à-vis the current institutional framework, in a central role in coordinating the national response. A technical working group integrated by Theme Group members, the Global Fund and the World Bank (HAMSET) Project has produced a draft of regulations that includes two sub-committees linked to the National Institute to Fight AIDS and to the Technical Committee of the National Commission to Fight AIDS and Endemic Diseases; the first one to support the implementation of the National Strategic Plan and the second one constituted by the National Technical Working Group in monitoring and evaluation, recently created with UNAIDS support.

The National Technical Working Group in monitoring and evaluation, actually placed at the National Institute to Fight AIDS, is actively working to put in place a national monitoring and evaluation framework, integrating the matrix developed by UNAIDS and updated regularly as a monitoring tool of the national response. This matrix will be harmonized with the Country Response Information System once the national monitoring and evaluation framework is approved and the system launched in 2006.

During 2005, UNAIDS continued supporting the pioneer experience of the Angolan Civil Society in providing holistic care to people living with HIV and in creating a solid platform for universal access implementation. The government commitment has been clearly demonstrated by the National AIDS Council in its recent resolution of scaling up access to antiretroviral treatment to the 18 provincial capital cities by September 2006.

In working towards universal access, the UNAIDS family has given substantial support to expanding and decentralizing voluntary counselling and testing and prevention of mother-to-child transmission services. UNICEF has supported the national institute in covering priority border provinces with these services to support decentralizing services to care for people living with HIV, including providing access to antiretroviral therapy.

To ensure a strong presence of the UN in supporting the national response, UNAIDS family will focus its energy in continue enhancing the UN capacities through the implementation of the UN Joint Programme.

In the context of national coordination mechanisms, a crucial action that UNAIDS will undertake next year is aimed to support the National AIDS Commission and the National Institute to Fight HIV in its coordinating function, ensuring participation of civil society, people living with HIV and international development partners. Furthermore, it is central to put in place an operational monitoring and evaluation framework to ensure accountability of funds and programme development based on results.

Parallel to that, the UNAIDS Family will provide technical support to the implementation and decentralization of the national strategic plan, giving emphasis, in the context of universal access to prevention, treatment and care and support, to the following areas: institutional capacity enhancement in coordinating the response at all levels and in policy design including a prevention strategy and access to caring for people living with HIV: specific technical areas such as information, education and communication; voluntary counselling and testing; clinical care; and laboratory, procurement/management of drugs and supplies, and general management.

Contacts


Richard Corsino
Chair, UN Theme Group on HIV/AIDS
(WFP Country Director a.i.)
Tel: +244 2 311 338
Mobile: +244 91 5003364
Fax: +244 2 310 803
Email: rick.corsino@wfp.org

Alberto Alejandro Stella
UNAIDS Country Coordinator
Telephone: +244 222 33 11 81
Mobile: +244 923 30 25 30
Fax: +244 222 33 70 37
Email:
unaids.angola@undp.org

NAC
Jose van Dunem
Vice-Minister of Health
Mobile: +244 912517433

National Institute to fight HIV/AIDS
Ducelina Serrano
Director
Mobile: +244 92 343 2820, +244 91 2214922

Networks of organisations working on AIDS

Angolan Network of AIDS Service Organizations

Antonio Coelho
Executive Secretary
Mobile: +244 923 302696

Networks of people living with HIV

ONG Luta pela VIHda
(Fight for Life)
Ines Gaspar
Cell: +244 912 310537
Celso da Silva
Cell: +244 912 310477

ONG Acção Humana (Human Action)
Pombal Maria
Cell: +244 923 604869


UNAIDS Global Report 2006 Data

Estimated Population (thousands)

15 941

Population Growth Rate

2.8%

Life expectancy at birth

Men

Women


38

42

Human Poverty Index

Rank

Value


83

41.5

Human Development Index

160

Percentage of people living with less than US$2

–%

Per Capita Gross National Income

US$ 2030

Per Capita Government Expenditure on health

41

 

 

Number of people living with HIV

320 000 [200 000 – 450 000]

 

Adults aged 15 to 49 HIV prevalence rate

3.7 [2.3 – 5.3]%

 

Adults aged 15 and up living with HIV

280 000 [180 000 – 410 000]

 

Women aged 15 and up living with HIV

170 000 [90 000 – 260 000]

 

Deaths due to AIDS

30 000 [18 000 – 47 000]

 

GENERALISED EPIDEMICS

Children aged 0 to 14 living with HIV

35 000 [12 000 – 76 000]


Orphans aged 0 to 17 due to AIDS

160 000 [95 000 – 230 000]


 

GENERALISED EPIDEMICS

Expenditures

National funds spent by governements for domestic sources

US$ 8 897 303

National Programmes

Percentage of pregnant women receiving treatment to reduce mother-to-child transmission

2.3%

Percentage of HIV-infected women and men receiving antiretroviral therapy

6%

School attendance among orphans

73%

non-orphans

81%

Knowledge and Behaviour

Percentage of young people aged 15 to 24 who currently identify ways to prevent HIV

Men

Women


42.7%

35.2%

Percentage of young people aged 15 to 24 who had sex with casual partner inthe past 12 months

Men

Women


61.4%

32.7%

Percentage of young people aged 15 to 24 who had sex before 15

Men

Women


46.7%

24.3%

Percentage of young people aged 15 to 24 who used a condom last time they had sex with a casual partner

Men

Women


63.6%

55.2%

CONCENTRATED/LOW PREVALENCE EPIDEMICS

Expenditures

National funds spent by governements for domestic sources


Policy Development and Implementation Status

Policy information, education, communication and prevention for most-at-risk populations

No

Policy to expand access to essential preventive commodities among most-at-risk populations

Yes

National Programmes

Percentage of HIV-infected women and men receiving antiretroviral therapy


Percentage of most-at-risk populations reached by prevention programmes

Men who have sex with men

Sex workers


N/A

N/A

 

Country profiles provide key information on the status-quo of the HIV pandemic in the countries of the region. Data is updated by the UNAIDS Country Offices on a yearly basis.

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