Under the guiding principles of the Global Health Initiative, USAID seeks to strengthen the health system for improved service delivery. USAID interventions are implemented in close partnership with government institutions, NGOs and civil society to foster good governance, transparency and equity in the provision of health services.
Malaria is the primary cause of consultations, hospitalizations and death in Guinea – it affects especially children under five years of age. In 2011, Guinea was included in the President’s Malaria Initiative, enabling USAID to scale up proven preventive and treatment interventions, and to provide emergency supplies of life-saving medicines in response to nationwide stock-outs. USAID partners in Guinea are not only procuring malaria commodities, they are also helping to strengthen health and pharmaceutical systems to properly store, distribute and use these commodities. They are building lab capacity, training health service providers and community volunteers, and improving health seeking behaviors at the population level.
To date, training of trainers for malaria prevention and behavior change communication has reached more than 70 individuals. Close to 200 Health and Hygiene Committees were trained on data collection tools, and more than 60 lab technicians received training on microscopy and rapid diagnostic tests. The goal over the next years is to train at least 200 service providers and 100 community health workers in management of uncomplicated malaria.
Family Planning and Reproductive Health
USAID aims to integrate family planning services with maternal and neonatal health, including emergency obstetric and newborn care. Emphasis is placed on quality improvement, pre-service education by enhancing the teaching skills of medical faculty, and community awareness and mobilization for birth preparedness, complication readiness, and promotion of breastfeeding. We have helped make services and commodities for most contraceptive methods more widely available.
Maternal and Child Health
The maternal mortality rate of Guinea is one of the highest in the world. USAID aims to scale up evidence-based interventions and contribute to significant reductions in maternal, newborn and child mortality. In addition to services described above, USAID helps to expand access to quality integrated management of neonatal and childhood services and to improve infection prevention practices. This program includes fistula care activities encompassing prevention, surgical repairs and social reintegration.
USAID’s program focuses on the delivery of voluntary counseling and testing (VCT) centers, the development of a referral system for treatment, and the implementation of prevention activities through behavior change communication and collaboration with the private sector, mainly mining companies. USAID provides training to strengthen the capacity of service providers, communities and local governments. In 2011, 73 000 people received VCT services, including 45,000 women.
Last updated: October 01, 2013