Reproductive and family health

Project description

Title: Reproductive and family health
Commissioned by: German Federal Ministry for Economic Cooperation and Development (BMZ)
Country: Guinea
Lead executing agency: Ministère de la Santé
Overall term: 2015 to 2017

Context

The quality of the reproductive health services provided in Guinea is very poor. The services are barely used by the population. Less than half of all births are attended by medical staff, and seven out of ten newborns receive no medical care whatsoever. Just five per cent of women use modern family planning methods, and only twelve percent of the population have taken an HIV test. The situation is considerably worse in Guinea’s rural districts than in the capital city: the population makes too little use of reproductive health services in general, but this is a particular problem in rural areas.

Objective

The quality of the reproductive health and HIV services provided in health centres and hospitals has been improved. Young women and men in particular are making greater use of these services.

Approach

The project works in three fields of activity:

  1. Improving the quality of the reproductive health and HIV services provided in health centres and hospitals
    These services should meet the national minimum standards. Particular value is being placed on linking the various reproductive health services with each other.
  2. Strengthening the supervisory and steering functions in the health sector
  3. Improving the service provision for young women and men in youth and health centres
    Young women and men should be able to access health services more easily. They also need to be made aware of a number of issues, for example that young women should not marry at too young an age, and that the genital mutilation of girls and women is unacceptable. The project is working closely in these areas with the basic education project being run as part of German development cooperation.

German development cooperation activities have so far focused primarily on HIV and quality management. Since 2005, the predecessor projects Rural Health and AIDS Control, Reproductive Health and Strengthening Women’s Rights, and Provision of Antiretroviral Drugs have been supporting the diagnosis and treatment of HIV infections in Mamou, Labé and Faranah. A series of training measures have been used to increase the ability of medical staff working in the regional hospitals and centres for voluntary HIV testing to diagnose and treat HIV/AIDS. In addition, the projects listed above have led to numerous actors in the health care sector attaining a more appropriate level of education. Work has also been done to initiate and support the establishment of community-based health insurance schemes in rural areas.