GLI Cubal (Angola)

GLI Cubal started in 2017 in collaboration with the "Vall d'Hebron Institut de Recerca (VHIR)" and the hospital " Nostra Senhora da Paz de Cubal (HNSP)". This is a private hospital belonging to the public health network, through a cooperation agreement with the Provincial Directorate of the Ministry of Health of Angola, whose purpose is to offer health care in the areas of maternal and child and internal medicine with emphasis on the Infectious and Parasitic Diseases of the area.

Cubal context
Cubal is one of nine municipalities in the province of Benguela, one of the eighteen provinces in which Angola is divided administratively. Benguela has an area of 31,788 km2 and an approximate population of 2,036,000 inhabitants. For its part, the municipality of Cubal is made up of the Cubal headquarters and three commonwealths: Yambala, Tumbulo and Capupa. The rural area of the municipality receives 97% of the population.

The city of Cubal presents worrying indicators, especially in the rural area. A serious increase in infectious diseases (Tuberculosis (TB) and HIV/AIDS) is associated with determinants classic of health such as poverty, polygamy, lack of health education, unhealthiness, difficulty shown in access to health systems and a high percentage of chronic malnutrition. To all this we must add that 70% of the population does not have access to treated water, that only 12% have latrines and that 78% do not have mosquito nets. The general lack of health education programs, the critical situation for women in terms of sexual violence, domestic violence, illiteracy and the lack of jobs opportunities for young people are other indicators that give an idea of the conditions in which the community lives.

The hospital in the area has an admission capacity of about 200 people. Annually, between 5,000 and 6,000 people is admitted and there are about 25,000 assisted on an outpatient basis. The highest mortality is in infectious and poverty-related diseases, with emphasis on malaria, tuberculosis, diarrhoea, malnutrition and AIDS/HIV.

The project's goals
The main objective is to strengthen the diagnostic capabilities of the Hospital Nostra Senhora da Paz. But also, with the GLI project it is wanted to:
  • Improve the diagnosis, treatment and monitoring of the prevalent diseases in the area (TB, HIV, Malaria, etc).
  • Improve the organization of the laboratory for proper management of personnel and rational use of resources.
  • Promoting an epidemiological surveillance network to share the results from the Directorate General of Public Health.
  • Train laboratory technicians and residents.

The project's phase
The GLI Cubal has already completed the first phase -Diagnosis of the situation-and currently is in phase 2 -Reinforcement of infrastructures and provision of laboratory equipment-. This one consists in improving the laboratory infrastructure as water installations, electricity and waste facilities, as well as provide the necessary equipment for basic diagnosis of the most prevalent diseases.

The three remaining phases will be carried out as the previous stages are satisfactorily concluded.

One of the added values of the GLI project in this area of Cubal is that it will allow the integration of the laboratory within the healthcare network in the country in order to strengthen the health system.

On the other hand, the GLI Cubal will improve the diagnosis of Tuberculosis, one of the most prevalent disease and incidence in the area and consequently its treatment and follow-up.