PIMI III – Support Reproductive, Maternal, Newborn and Child Health towards a Universal Health Coverage System


Given the structural weaknesses of Guinea Bissau’s health system, particularly those concerning maternal and child health, the European Union designed in 2013 the Integrated Programme for the Reduction of Maternal and Child Mortality (PIMI). Initially implemented in only four health regions, the importance of extending this programme to the entire national territory was quickly understood. After two programming periods (PIMI I 2013-2016 and PIMI II 2017-2021), it has been possible to substantially reduce maternal and child mortality and improve the assistance provided to women and children. However, the weaknesses that the sector still presents have revealed the need to strengthen the intervention, aiming at the implementation of Universal Health Coverage.

Therefore, in the current programme (PIMI III 2022-2025), support will continue to be provided to improve access to Reproductive, Maternal, Newborn and Child Healthcare (RMNCH), through support for the implementation of the Minimum and Complementary Care Package, the promotion of training in High Impact Interventions and Emergency Obstetric and Neonatal Care, support for the supply and health information system, capacity building for doctors, nurses, technicians and health sector leaders, the creation of a telemedicine platform for the RMNCH and the guarantee of a policy of free medical services and medicines.

Implemented by the IMVF, the World Health Organisation, Bandim Health Project, side by side with the Guinea-Bissau Ministry of Public Health (MINSAP), with financing from the European Union, PIMI III will pay special attention to the need for the gradual transfer of competencies and responsibilities to MINSAP, as a central actor in the process of consolidating the National Health System, strengthening the impact, appropriation and sustainability of the interventions.



Overall: Contribute to reduce maternal and under five children mortality rates through better access to quality Reproductive, Maternal, Newborn and Child Health (RMNCH).

Specific: Improve equitable access to quality SRMNI services, including for people living in vulnerable situations.



Direct: 343.101 children under 5 years old; 450.184 women of reproductive age; 1.500 health professionals from health facilities in Guinea-Bissau.

Indirect: the entire population of Guinea-Bissau (2.046.289 residents).



  • Increase the access and improve the quality of medical acts provided to pregnant women, women who have recently given birth and children up to 5 years of age in the health structures covered;
  • Strengthen the management and administrative capacity of health structures and Regional Health Directorates;
  • Strengthen the supply chain for essential drugs in general, including drugs for some Neglected Tropical Diseases impacting on Maternal-Child Health.