Access to care

Healthcare for all in a remote Angolan province

Access to modern diagnostic imaging and treatments

Elio Stamm

Published on February 13, 2023

With the opening of a new public hospital, modern diagnostic imaging and treatments are now being carried out in the Angolan exclave of Cabinda. People in need no longer have to travel long distances to receive help.

The inauguration of the General Hospital of Cabinda on 21 April 2022 was a special occasion for Cabinda Province. With fully equipped operating suites, emergency rooms, a maternity ward, 200 beds and, among other modern imaging devices, the latest magnetic resonance imaging (MRI) diagnostics, the hospital offers healthcare services that were not previously available in the exclave of less than one million inhabitants, which is separated from the rest of Angola by a strip of foreign land belonging to the Democratic Republic of Congo.

For minor problems, the exclave’s residents previously had the option of visiting the provincial hospital, but for more complex medical services, they had to turn to hospitals in Congo that were poorly equipped for these medical conditions. This was not only expensive and tedious, but potentially life-threatening in emergencies.

Get more information about the region and the public healthcare system

: The exclave of Cabinda is separated from the northern border of Angola by a strip of land belonging to the Democratic Republic of the Congo. Whereas 9 million people live in the Angolan capital Luanda, there are less than one million in Cabinda Province as a whole. Thanks to its oil reserves, Cabinda is economically important, but logistical access is only rudimentary. This makes modern health provision more difficult and forces many patients to seek treatment outside the province. The public health system in Angola is still generally underdeveloped. Life expectancy in the country is less than 55, and more than 50 percent of deaths are caused by communicable diseases.
: The General Hospital of Cabinda marks a milestone in healthcare in the Angolan exclave, which previously had only a provincial hospital. The state-of-the-art nine-story building was inaugurated on 21 April 2022 by the president of Angola, João Lourenço. Since its opening, the hospital has already admitted 6,000 patients. The hospital, which is fully financed by the Ministry of Health, offers services that were not previously available at this level in the province, with some not even being available in the country as a whole. The hospital offers:
capacity for 200 beds
27 medical specialties
a medical staff of 600 people, including 46 doctors and 430 nurses
In addition to the quality of the imaging equipment, reliable local technical support and the training of clinical staff were key factors in the partnership between Siemens Healthineers and the Angolan government aimed at developing healthcare in Cabinda.

A hospital for everyone

Built in a very short space of time, the state-of-the-art hospital in Cabinda is part of a large-scale government initiative to improve public health. Angola is the third largest economy in sub-Saharan Africa, but a large part of the population lives in poverty. Few have access to basic healthcare: a major problem in a country where malaria, tuberculosis and HIV-AIDS are widespread. Since 2017, the Minister of Health, Silvia Lutucuta MD, a cardiologist, has been trying to change this – with considerable success.

Cardiologist Silvia Lutucuta MD, Angola’s minister of health, has been focused on providing healthcare for all since October 2017.

Minister of Health Angola

Some 25,000 new jobs have been created in the public health sector, mainly in rural areas. In the Angolan elections held in summer 2022, the government was reelected. This gives Lutucuta the opportunity to press ahead with the expansion of primary healthcare.

Overcoming logistics problems

However, the situation in Cabinda was more complicated than in other rural areas of Angola. The province is difficult to reach. This means, for instance, that liquid helium, which is essential for the operation of MRI, cannot be easily imported in the required quantities. So the natural choice was a scanner that requires almost no helium and features a technology that monitors and maintains the helium inventory throughout its lifecycle.

Celestine Delgado, MD, a specialist in radiology and head of imaging at two hospitals in the capital Luanda, has been advising the Ministry of Health throughout the project.

Dr. Delgado_Radiologist

He considers remote scanning to be of vital importance for hospitals in rural areas. It means that Delgado or other experienced radiologists can log in from other parts of the country at any time and support the team on site wherever they need support.

Reliable diagnoses even for difficult cases

Thanks to the new hospital – which is freely accessible to all people, rich or poor – diseases can now be diagnosed and treated at earlier stages in the exclave of Cabinda and is already receiving patients outside. Take, for example, the case of a patient with a suspected stroke. The modern, high-resolution MRI facilitated a diagnosis of cavernoma, and a stroke was ruled out. Without reliable imaging, this would not have been possible.

Learn more about how we want to bring access to care to everyone, everywhere

Access to care

Bringing care to everyone, everywhere.

Access to essential healthcare is a human right and is at the foundation of growing a healthy, economically viable society with lasting social structures.

Learn more

By Elio Stamm

Elio Stamm worked as a newspaper editor in Switzerland before spending six years as a freelancer in Ghana creating video, photography and written content for international organizations and publications including Neue Zürcher Zeitung. He recently moved to Ankara, Turkey.

The statements by Siemens Healthineers customers described herein are based on results that were achieved in the customer’s unique setting. Since there is no “typical” hospital and many variables exist (e.g., hospital size, case mix, level of IT adoption) there can be no guarantee that other customers will achieve the same results.