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Município De Bailundo Município de Bailundo Junho – 2014 1 Bailundo, Huambo Este documento foi possível graças ao apoio da Agência dos Estados Unidos para o Desenvolvimento Internacional (USAID), sob o Programa de Fortalecimento do Sistema Angolano de Saúde – ForçaSaúde (Cooperative Agreement No. AID-654-A-11-00001). As opiniões aqui expressas são as dos autores e não reflectem necessariamente a declaração política oficial ou de Governo dos Estados Unidos ou da USAID. 2 Bailundo, Huambo Município de Bailundo, Huambo 3 1 Prefácio No quadro do despacho presidencial de 84/11 de 27 de Outubro sobre a elaboração do Plano nacional de saúde Pública e das instrutivas existentes sobre a elaboração dos planos municipais para o desenvolvimento sanitário para o período 2013-2017, foi criada a comissão multissectorial municipal coordenada pelo titular da Administração Municipal, Ireneu Cândido Leonardo Sacaála. Nesta conformidade, a Administração Municipal do Bailundo, considera importante os esforços empreendidos pelo Executivo Angolano, que visam melhorar os indicadores económicos e sociais do País, no cômputo geral e particularmente para a população do Bailundo, no tocante a consolidação dos programas do sector da saúde, de acordo com o consagrado na Constituição da República de Angola. Para o Bailundo, a implementação deste plano Municipal, trará melhorias na qualidade de vida e sobretudo na redução da morbimortalidade materno – infantil e aumentará a esperança de vida. A sua materialização na extensão territorial do Município dará avanços significativos no crescimento da rede sanitária, o que nos propõe esforços extraordinários na formação de quadros, para corresponderem as exigências e o reforço da capacidade institucional á todos os níveis da saúde do Município. Acreditamos termos grandes desafios, principalmente nas zonas onde existem condições mínimas. Por esta razão deveremos empreender mais esforços, dedicação e força de vontade, para garantir que os cuidados primários de saúde, sejam abrangentes ä toda população, atingindo desta forma as metas preconizadas pelo Executivo. A visão do PMDS é de considerar a saúde como factor primário de crescimento do Município, no domínio da justiça social. Nesta ordem, procuraremos colocar as exigências técnicas em acção, trabalhando dentro dos programas e projectos prioritários e estruturados em função das necessidades do Município, com destaque para a mulher, a criança e a 3ᵃ idade. Desta forma estaremos a dar o nosso contributo no desenvolvimento do País, da Província e do Bailundo em particular. MAIS SAÚDE, MELHOR DESENVOLVIMENTO PARA O MUNICÍPIO O ADMINISTRADOR MUNICIPAL IRENEU CANDIDO LEONARDO SACAÁLA 1 Bailundo, Huambo Índice Prefácio.................................................................................................................................................... 3 Abreviaturas ............................................................................................................................................ 6 Resumo .................................................................................................................................................... 8 1. Introdução ......................................................................................................................................... 13 1.1 Caracterização física e demográfica do Município .................................................................. 13 1.1.1 Localização geográfica ............................................................................................... 13 1.1.2 Superfície e fronteiras ............................................................................................... 13 1.1.3 Clima .......................................................................................................................... 14 1.1.4 Hidrografia e recursos naturais ................................................................................. 14 1.1.5 Vegetação e fauna ..................................................................................................... 15 1.1.6 Riscos ambientais ...................................................................................................... 15 1.1.7 Agro-pecuárias e pescas ............................................................................................ 15 1.1.8 Dados demográficos .................................................................................................. 16 1.2 Caracterização Institucional .................................................................................................... 17 1.2.1 Composição da equipa da Direcção Municipal de Saúde.......................................... 17 1.2.2 Autoridades tradicionais ........................................................................................... 19 1.2.3 Sociedade civil ........................................................................................................... 19 1.2.4 Sector privado ........................................................................................................... 20 1.2.5 Parcerias .................................................................................................................... 20 1.3 Determinantes sociais da saúde .............................................................................................. 22 1.3.1 Educação e cultura .................................................................................................... 22 1.3.2 Habitação................................................................................................................... 24 1.3.3 Água ........................................................................................................................... 25 1.3.4 Saneamento .............................................................................................................. 25 1.3.5 Energia ....................................................................................................................... 26 1.3.6 Protecção social ......................................................................................................... 26 1.3.7 Acesso, transportes e comunicações ........................................................................ 27 1.3.8 Políticas transversais ................................................................................................. 29 1.4 Perfil sanitário do município ................................................................................................... 32 1.4.1 Malária....................................................................................................................... 33 1.4.2 Doenças Diarreicas Agudas ....................................................................................... 35 2 Bailundo, Huambo 1.4.3 Doenças Respiratórias Agudas .................................................................................. 36 1.4.4 Tuberculose ............................................................................................................... 37 1.4.5 Sarampo .................................................................................................................... 38 1.4.6 VIH/SIDA .................................................................................................................... 39 1.4.7 Tripanossomíase ........................................................................................................ 40 1.4.8 Cólera ........................................................................................................................ 40 1.4.9 Lepra .......................................................................................................................... 41 1.4.10 Doenças negligenciadas ............................................................................................ 41 1.4.11 Saúde materna e infantil ........................................................................................... 42 1.4.12 Doenças crónicas não transmissíveis ........................................................................ 45 1.5 Serviços de Saúde e Sistema de Gestão .................................................................................. 46 1.5.1 Infra-estruturas ......................................................................................................... 46 1.5.2 Recursos humanos .................................................................................................... 48 1.5.3 Gestão e Distribuição dos Medicamentos ................................................................ 49 1.5.4 Medicina Tradicional ................................................................................................. 51 1.5.5 Sistema de informação .............................................................................................. 51 1.6 Principais Problemas e Prioridades ......................................................................................... 53 1.7 Enquadramento do PMDS ....................................................................................................... 54 2. Principais Programas e Projectos do PMDS 2013-2017 .................................................................... 56 Programa I: Prevenção e Luta Contra as Doenças Prioritárias ...................................................... 59 Subprograma de doenças transmissíveis ...................................................................................... 60 Projecto 1: Prevenção e controlo das doenças imunopreveníveis com destaque
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