Angola is a country with an approximate area of 1247 thousand sq. km. (UNO, 2001). Its population is 14.078 million, and the sex ratio (men per hundred women) is 97 (UNO, 2004). The proportion of population under the age of 15 years is 48% (UNO, 2004), and the proportion of population above the age of 60 years is 4% (WHO, 2004). The literacy rate is 57% for men and 29% for women (UNESCO/MoH, 2004).
The country is a low income group country (based on World Bank 2004 criteria). The proportion of health budget to GDP is 4.4%. The per capita total expenditure on health is 70 international $, and the per capita government expenditure on health is 44 international $ (WHO, 2004). The main language(s) used in the country is (are) Portuguese, Bantu, Ovimbundu, Kimbundu and Kikongo. The largest ethnic group(s) is (are) Ovimbundu, and the other ethnic group(s) are (is) Mbundu, Bakongo, Fiote, Nganguela, Kuanhama and Tchokwe. The largest religious group(s) is (are) Christian (two-thirds of the population). The life expectancy at birth is 37.9 years for males and 42 years for females (WHO, 2004). The healthy life expectancy at birth is 32 years for males and 35 years for females (WHO, 2004).
There is a paucity of epidemiological data on mental illnesses in Angola in internationally accessible literature.
MENTAL HEALTH RESOURCES
Mental Health Policy A mental health policy is absent.
Substance Abuse Policy A substance abuse policy is present. The policy was initially formulated in 1989.
National Mental Health Programme A national mental health programme is present. The programme was formulated in 1989.
National Therapeutic Drug Policy/Essential List of Drugs A national therapeutic drug policy/essential list of drugs is present. Details about the year of formulation are not available.
Mental Health Legislation Details about the mental health legislation are not available.
Mental Health Financing There are no budget allocations for mental health.
Details about expenditure on mental health are not available. The primary source of mental health financing is out of pocket expenditure by the patient or family. The country has disability benefits for persons with mental disorders.
Mental Health Facilities Mental health is not a part of primary health care system. Actual treatment of severe mental disorders is not available at the primary level. There is no facility in the primary level due to the lack of a mental health policy. Regular training of primary care professionals is not carried out in the field of mental health. There are no community care facilities for patients with mental disorders. This inadequacy of community facility is due to lack of training of personnel.
Total psychiatric beds per 10 000 population
Psychiatric beds in mental hospitals per 10 000 population
Psychiatric beds in general hospitals per 10 000 population
Psychiatric beds in other settings per 10 000 population
Number of psychiatrists per 100 000 population
Number of neurosurgeons per 100 000 population
Number of psychiatric nurses per 100 000 population
Number of neurologists per 100 000 population
Number of psychologists per 100 000 population
Number of social workers per 100 000 population
Non-Governmental Organizations NGOs are involved with mental health in the country. They are mainly involved in advocacy
Information Gathering System There is no mental health reporting system in the country. The country has data collection system or epidemiological study on mental health. Data from the psychiatric hospital in Luanda is collected.
Programmes for Special Population The country has specific programmes for mental health for disaster affected population and children. There are some NGOs who work for people displaced by war, street children and victims of violence.Therapeutic Drugs
The following therapeutic drugs are generally available at the primary health care level of the country: carbamazepine, phenobarbital, phenytoin sodium, amitriptyline, chlorpromazine, diazepam, fluphenazine, haloperidol, lithium. Prices keep on fluctuating depending on the availability of drugs.