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© 2008 International Monetary Fund - page 34 / 55





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doctors and nurses and to find a better system for assigning them to each area, on the basis of need.

2. The infant mortality rates of live births under one year old (47 per mil) and under five years old (53.8 per mil) declined significantly in 2006 and show a very encouraging trend relative to the MDGs (45 and 73 respectively).

3. Regarding the malaria prevalence rate, we can affirm that of every 1,000 people visiting health centers there was a significant decline in the number suffering from malaria in 2006. We see this as a positive outcome given that the aim is to reduce the number of people with malaria by 90 percent in 2010. This fight against malaria contributed to the reduction in the mortality of infant live births under one year old, the mortality rate of children under five years old, the mortality rate from malaria, and the proportion of malaria deaths in total deaths. This result represents the effort made to combat one of the diseases that has been a health problem for Sãotomeans and therefore an obstacle to the development of the archipelago given its economic and social impact. The government will therefore have to continue its policy of fighting malaria and other diseases in order to permanently eradicate them.

4. The maternal mortality rate also declined and we think it is due to an increase in assisted births and the effort on the part of the government and bilateral development partners to take such actions as vaccinating pregnant women, conducting awareness campaigns, and providing services in the area of reproductive health.

5. There was no change in the prevalence of HIV/AIDS in 2006. Notwithstanding, the government will have to continue its efforts to reverse the current trend given that the prevalence of this epidemic is still higher than the established goal.

This favorable trend in the indicators is a result of the government’s efforts in partnership with NGOs in the following areas:

  • Improved access to basic health care and equity for the entire population through the construction of health stations, intensive care projects, rehabilitation of the emergency bay, small infrastructural improvements, rehabilitation of six community health stations, construction of residences for specialists at the Porto Alegre company, and construction and outfitting of a laboratory for the EFQS.

  • Good-quality health by training 83 nurses. School health experts were trained; specialists were assigned to PNLS, CNES, and PNLCP; an IT network was setup to collect data; IT and educational materials were produced for the health delegations; some studies were revised and a communications strategy for combating HIV/AIDS was prepared; support was provided to the health districts; medicines, laboratory supplies and reagents were

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