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Women from the "regroupements féminins" (sanitation, market gardening, nutrition, etc.) in the village of Bossou, in the Nzérékoré region of Guinea, welcome the UNICEF mission with signboards bearing their messages. UNICEF Guinea country office in collaboration with UNICEF WCARO regional office and UNICEF New York headquarters, conducted a field mission in October 2022 to review the status of the effective implementation of primary health care and the Child Friendly Communities (CFC) initiative in Nzérékoré region, Guinea.
The administrative region of Nzérékoré, located in the southeast of Guinea, 954 km from the capital Conakry, includes 6 health districts and has an estimated total population of approximately 2 million inhabitants. The epidemiological profile of this region is characterized by outbreaks of epidemics, including cases of measles, Ebola virus disease, Lassa hemorrhagic fever, and Marburg. Over the past two decades, the Ministry of Health and Public Hygiene in Guinea has been committed to making maternal, newborn, and child health a priority. However, insufficient progress has been made based on the results of the DHS from 1999 to 2018. There has been a slight decrease in neonatal mortality rates from 48 to 32 per 1,000 live births, infant and child mortality from 177 per 1,000 to 111 deaths per 1,000 live births, and infant mortality from 98 deaths to 67 per 1,000 in 2018. Only 27% of children under 5 years of age sleep under Long Lasting Insecticidal Nets (LLINs). 55% of children under 5 with diarrhea received treatment with Oral Rehydration Solutions (ORS) and only 22% with ORS-Zinc. Only 83% of children with Acute Respiratory Infections (ARI) received treatment or counseling and 30% on the same day. Only 24% of children aged 12-23 months received all vaccinations with persistent measles outbreaks. Low rate of exclusive breastfeeding 33%. High prevalence of stunting at 30%, 9% are emaciated or acutely malnourished and 16% are underweight. Low level of sanitation, 52% of households have an improved sanitation facility. The Ministry of Health's main strategy for Universal Health Coverage (UHC) is based on primary health care. In 2018, UNICEF in collaboration with the Ministry of Health and Public Hygiene (MSHP) operationalized this new policy in 40 communes known as convergence communes with the Ministry of Territorial Administration and Decentralization (MATD).