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A summery of the GSS 2021 on health delivery and access

in Angola The General Social Survey (GSS) in 2021 assessed the state of health delivery and access in Angola, providing important insights into the country's healthcare system. The survey revealed significant challenges faced by the country in terms of health access and delivery, as well as disparities in healthcare provision across different regions. Healthcare Facilities The GSS showed that the majority of Angolans have access to healthcare facilities, with 52% reporting that they live within 5 kilometers of a health facility. However, there is a significant disparity in access between urban and rural areas, with 68% of urban residents living within 5 kilometers of a healthcare facility compared to only 34% of rural residents. Quality of Healthcare The survey also found that there are concerns about the quality of healthcare received in Angola. Only 45% of respondents reported that the quality of healthcare in their community is good or excellent, while 26% rated it as fair, and 18% as poor. This is a particular concern in rural areas, where access to quality healthcare services is even more limited. Health Insurance Coverage The GSS revealed that only 13% of Angolans have health insurance coverage, with the majority (69%) of them being covered by public insurance. Private insurance coverage remains very low, indicating a lack of trust in the private healthcare system and limited affordability. Barriers to Healthcare Access The survey also identified several barriers to accessing healthcare in Angola. The most common barrier reported by respondents was cost, with 38% stating that they could not afford healthcare services. Other barriers include long wait times (15%), difficulty in transportation (13%), and distance to health facilities (11%). Perceptions of Government's Role in Healthcare When asked about the government's role in healthcare, 47% of respondents believed that it is the government's responsibility to ensure access to quality healthcare for all citizens. However, 28% reported that they were dissatisfied with the government's efforts in this area. Recommendations To improve healthcare delivery and access in Angola, the GSS report recommends increasing investment in healthcare infrastructure and resources, particularly in rural areas. It also calls for improved coordination between the public and private healthcare sectors to expand access and improve the quality of services. Additionally, efforts should be made to address the high cost of healthcare and increase health insurance coverage to ensure universal access to healthcare services.