8 The burden of rapid growth: the case-study of Angola Lazzerini Marzia, Unit for Research on Health Services and International Health, WHO Collaborating Centre for Maternal and Child Health, Institute for Child Health IRCCS Burlo Garofolo, Trieste, Italy. Background: After the end of a 27-years-long civil war, Angola is becoming one of the sub-Saharan Africa's richest countries. GDP growth (annual %) has been around 20% in the last years, second only to Afghanistan. The capital, Luanda, has more then doubled its population in the last ten years, and hosts more than the 50% of total Angola population, among which several millions of internally displaced. The country is now facing the challenge of improving housing, access to running water and sanitation, access to education and health services, under the increase demand due to extreme urbanisation. Aim & Methods: To present the case-study of Angola a broad range of economic, environmental, infrastructure and health indicators have been analysed. Sources of data include the World Bank database (1050 indicators in sixteen domains), the Millennium Development Goals statistics, The Human Development Report 2010, UNICEF and WHO. Population growth and Urbanisation Labour, Social Protection and Poverty Infrastructures Population growth Improved water sources, urban (% of urban people with access) 20000000 18000000 Employmento to population ratio, age 15+ (%) 100 16000000 90 14000000 100 80 12000000 Total 95 Urban 10000000 90 85 70 8000000 60 6000000 50 Female 80 4000000 Male 40 2000000 75 30 0 70 9 19 65 90 19 92 19 91 19 93 19 95 19 94 19 96 19 97 19 98 19 99 19 62% 9 19 2 19 94 19 96 19 98 0 20 0 0 20 04 20 2 20 06 20 08 20 Population in Luanda : 3 mil (2000) 6-8 00 20 90 19 mil (2010) Completeness of birth registration: 33.8 % (urban) Poverty headcount ratio (% of urban population): 0 92 19 94 19 96 19 98 19 00 20 02 20 04 20 06 20 08 20 Slum population (% of urban pop): 5th country in Africa (2008) Economic growth Education GDP growth (annual growth %) Literacy rate, youth 15-14 years (%) 25 100 95 20 90 15 85 80 Angola 10 75 World 70 5 65 0 2000 60 Oil rents 2001 2002 2003 2004 2005 2006 2007 2008 (%GDP): 67% 2009 55 In dots the trend lines for -5 --Low income countries 50 2002 2003 2004 2005 2006 2007 --Lower Middle income countries 2008 2009 2010 GDP per capita: School enrolment, secondary (% gross): 15.7% 4081$ from 689$ (2000) to Heavy floods every year displace families and kill several people. (2010) Lower Middle income (2007) Gender Parity Index in primary level 0.81 (2008) enrolment: 0.92 (1991) Environment CO2 emissions (tons) 25000000 24000000 Other gas emissions 23000000 250000 240000 230000 220000 210000 200000 190000 180000 170000 160000 150000 140000 130000 120000 110000 100000 90000 80000 70000 60000 50000 40000 30000 20000 10000 0 22000000 21000000 20000000 19000000 18000000 17000000 16000000 15000000 14000000 13000000 12000000 11000000 10000000 9000000 8000000 7000000 6000000 5000000 4000000 3000000 2000000 1000000 0 Public expenditure on education (%GDP) : 19 90 19 92 19 94 96 19 98 19 20 00 20 04 20 02 06 20 19 Nitrous oxide emissions in energy sector (metric tons of CO2 equivalent) Other greenhouse gas, HFC, PFC and SF6 (metric tons of CO2 equivalent) 90 19 92 94 19 96 19 9 19 8 20 180 3rd country in the world 06 20 Depth of hunger (kCalories per person per day) 1000 250 140 120 200 800 450 400 600 350 300 250 100 150 80 400 60 100 200 20 00 20 02 20 04 20 06 20 08 20 10 20 90 19 50 0 0 0 0 92 9 94 19 1 96 9 98 19 1 00 20 02 20 04 20 06 20 08 20 10 20 1 0 99 Building boom - Cost of a house in the city centre: > 5000 $/m2 200 150 100 40 50 96 9 98 19 1 04 20 1200 160 94 19 02 Angola Low income countries Lower middle income Maternal Mortality Ratio (per 100,000) Mortality rate, Infants (per 1000) Mortality rate, Under five (per 1000) 300 92 19 20 : 2.6% (2008) Health 90 19 00 Road traffic accidents (deaths ppp) 92 19 94 19 1 6 99 1 8 99 00 20 02 20 04 20 2 6 00 2 8 00 90 19 92 19 94 19 96 19 98 19 00 20 02 20 04 20 Health workers (on 1000 people): • Physician: 0.08 (2005) • Nurses and midwifes: 1.35 (2005) • Community Health workers: NR References: 1) World Bank. 2) Assessing Progress in Africa toward the Millennium Development Goals, MDG Report 2009. 3) The Real Wealth of Nations, Pathways to Human Development Human Development Report 2010, UNDP 2010. 4) WHO Global Status Report on Road Safety, 2009. 5) UNICEF, country profiles.