National Plan for Sanitary Development (PNDS II).

The National Plan for Sanitary Development (PNDS I) was drafted in 1997 for the period 1998-2002. Given the conflict situation in the country shortly after its launch, the validity of the document was reviewed for another 5 years (2003-2007). With all the political turbulence that has taken place in the country, during this 10-year period, when PNDS I was in force, there was no systematized follow-up process and no comprehensive review of the strategic objectives or policies adopted.
Poverty is the major cause of the health situation observed in the country. This is reflected in stress, low domestic hygiene, domestic violence, breakdown of traditional social fabric, food insecurity, alcohol and drug abuse for young people, and lack of medical care for minor disorders that end up to become acute. Another fundamental problem is the access of the population to water resources in good quality, despite its abundance in almost all the national territory. The rapid dynamics of migration flows (internal and external) to Bissau and other cities, on the one hand, and the continued impoverishment of rural areas, increasingly without young manpower have not been accompanied by the urbanization of cities and its surrounding areas, nor for the construction of facilities such as: water and electricity. The high population index has put great pressure on the soil, sacrificing the spaces for the constructions necessary to the feasibility of basic sanitation and environmental protection. The main cause of food insecurity and/or food vulnerability are closely linked to the preponderant role of rice production in the household food economy, cashew nut production, poverty and natural phenomena. Social inequalities and gender issues are also important causes.
The following policy guidelines are the most relevant to PNDS II: the Guinean state guarantees the population the full right to accessing to care medical and medical services in the country; the Ministry of Public Health (MINSAP) is the governing body and regulatory body of the health sector; MINSAP governs the health sector in concerted action and complementarity with other sectors, with a view to the sustainable development leading to the eradication of poverty, towards the achievement of the Millennium Development Goals and the governmental policies on public administration, education and decentralization; the health approach is reflected in the Essential Care Package implemented at all levels; PNDS II should continue an integrated plan for the health sector financing, infrastructure and development of HRH; PNDS II, as the basis for the Health Sector's contribution to Poverty Reduction and the Promotion of Sustainable Socio-economic Development in light of the 2006 Geneva Round Table, also takes into account the commitments of the Government of Guinea-Bissau in pursuit of the Millennium Development Goals (MDG), the African Union Declaration on the Survival of Children, the Non-Risk Maternity Initiative and the Abuja Declaration on the 15% target of the State budget for Health, among other government commitments in the field health and development.