MCSP Guinée : Évaluation Rapide du Système de Santé en Guinée

The assessment aimed to identify the strengths and weaknesses of the health system, as well as areas for improvement. The health system in Guinea is characterized by high morbidity and mortality rates, particularly among vulnerable groups, including the mother-child couple. The country has a limited coverage of essential health services, with questionable quality, and an inefficient and inequitable health offer. The environment is marked by significant obstacles and constraints. Prior to the Ebola outbreak, Guinea's health indicators were already weak. According to the Multiple Indicator Cluster Survey (MICS), the country had a high maternal mortality rate of 560 deaths per 100,000 live births, and a high under-five mortality rate of 104 deaths per 1,000 live births. The country also had a low coverage of skilled birth attendants, with only 34% of births attended by a skilled provider. The assessment identified several key areas for improvement, including governance and leadership, financing, human resources, service delivery, and information systems. The report highlights the need for improved governance and leadership, including the development of strategies and the decentralization of decision-making. The assessment also emphasizes the importance of strengthening the health financing system, including the mobilization of community resources and the use of external funding. In terms of human resources, the assessment notes that the country has a shortage of skilled health workers, particularly in rural areas. The report highlights the need for improved training and retention of health workers, as well as the development of a comprehensive human resources strategy. The assessment also identifies several challenges related to service delivery, including the lack of access to essential health services, particularly in rural areas. The report highlights the need for improved infrastructure, including the construction of new health facilities and the upgrading of existing ones. Finally, the assessment emphasizes the importance of strengthening the health information system, including the collection, analysis, and use of data to inform decision-making. The report highlights the need for improved data quality and availability, as well as the development of a comprehensive health information strategy. The rapid assessment of the health system in Guinea provides a comprehensive overview of the country's health challenges and opportunities for improvement. The report highlights the need for a multi-faceted approach to addressing the country's health challenges, including the strengthening of governance and leadership, the improvement of health financing, the development of human resources, and the enhancement of service delivery and information systems.