• Prevention and Fight against Endemic Diseases, which includes programs to combat HIV / AIDS and sexually transmitted diseases, malaria, leprosy, tuberculosis, onchocerciasis, vision loss and other neglected diseases. 219. There are factors that hindered the implementation of the National Health Development Plan II, namely: • Lack of infrastructures and equipments; • Brain drain to overseas; • Lack of human resources within the system; • Administrative instability; • Lack of effective monitoring and supervision in the health system; • Poor road conditions and limited transportation; • Poor equipment management; • Lack of sustainability of the health system. 220. In addition to the aforementioned plans and policies, the country also has additional policies and structures in the health sector, including: • The National Malaria Campaign and National Malaria Control Program; • National Plan for the Prevention of Sexual Abuse and Exploitation; • National Plan on Gender; • National Plan for Food Security; • National Vaccination Plan; • Injection Safety Policy; • National Policy on Nutrition; • National Blood Policy. 221. In Guinea-Bissau, the health sector is divided into 11 regions, subdivided into 114 health districts or areas defined on the basis of geographic criteria. It is true that health conditions and access to care, vary significantly from one area to another. 222. In Guinea-Bissau, the health situation of children, presents a worrying picture, mainly due to the prevalence of high rates of malaria, diarrhea, infectious and respiratory diseases. 39