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provided; health information was disseminated; immunization actions were taken and new vaccines were introduced; diagnostics were improved; malaria, HIV/AIDS, and tuberculosis were combated.

  • Training and information for the public through awareness campaigns.

Therefore, in order to improve the public’s access to basic health services, or in other words, to reduce the inadequacy of health system services, the government must continue to build health stations, especially in rural and periurban areas and must continue to train health professionals and assign them to locations where there is the greatest need, such as those referred to above.

IV.2.3 Water and Sanitation

The NPRS matrix of indicators defines no annual targets for the nation as a whole, far less at the zonal (urban and rural) levels, either for treated water or for pipe-borne water.

However the information obtained from the sector indicates that close to 80 percent of the population has access to pipe-borne water—approximately 60 percent through EMAE connections and the other 20 percent through public water fountains. This number seems plausible if we take into account the interventions of NGOs in the communities in the fight against cholera, which led to the construction and rehabilitation of water fountains and latrines.

Table 10. Trend of Water and Sanitation Indicators

Indicators No. of persons receiving water from the EMAE system Rate of water supply coverage through the EMAEI Access to treated water in percent Rate of coverage of pipe-borne water by the EMAE No. of latrines built

Access to environmental sanitation in percent Source: EMAE/Ministry of Health



27, 070

10, 298



250 26%


2006 83, 513

150 -

59.6% 36.23* 23.42 1,047


V. Pillar V. NPRS Implementation, Monitoring and Assessment Mechanism

Concern with monitoring and evaluating the NPRS Priority Action Plan is reflected in the Government’s XI program. The main objective is to monitor implementation of the planned actions and assess their impact on improving the living conditions of the population. In that connection, the implementation, monitoring and assessment mechanism established by Decree 32/2005 underscored the importance of such a system as well as the role of the

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