FROM CHRONIC EMERGENCY TO DEVELOPMENT: AN ANALYSIS OF THE HEALTH OF THE URBAN POOR IN LUANDA, ANGOLA

There is a dearth of published literature on health care systems in Angola. Like many sub-Saharan African countries, Angola is experiencing rapid urbanization. The authors provide an analysis of the health status, environmental health conditions, and health-related behavior of the urban poor in Luan...

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Veröffentlicht in:International journal of health services 1992-01, Vol.22 (2), p.349-363
Hauptverfasser: Kanji, Najmi, Harpham, Trudy
Format: Artikel
Sprache:eng
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Zusammenfassung:There is a dearth of published literature on health care systems in Angola. Like many sub-Saharan African countries, Angola is experiencing rapid urbanization. The authors provide an analysis of the health status, environmental health conditions, and health-related behavior of the urban poor in Luanda, Angola. Although data are patchy and rarely disaggregated to reveal severe conditions in the shanty towns, a grave picture emerges. An average infant mortality rate of 104/1,000, with malaria and intestinal infections the main causes of death in children under 1 year old, reflects the poor environmental conditions, which are worsening as urbanization continues at a rapid rate. Use of health services is limited; for example, 50 percent of women give birth at home, mainly unassisted, and only 28 percent of children are covered by measles immunization (as validated by card). A discussion of existing health strategies, programs, and their constraints is set in the context of the future possibilities of the ending of the 15-year war and the introduction of structural adjustment policies.
ISSN:0020-7314
1541-4469
DOI:10.2190/DXVL-GKX4-RNXB-8C0J