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Mozambique

HP+ More recent Mozambique publications are available.

  • The Health Policy Project (HPP) helped countries achieve their health goals by building capacity for policy, advocacy, governance, and finance at multiple levels. The project developed global tools and best practices for policy work, promoted South-South sharing and collaboration, and carried out regional and country-specific policy initiatives. The files included in this zip document provide brief program overviews for each country highlighting key accomplishments. Individual briefs are available from the country pages.

  • The Plano Estratégico do Sector da Saúde (PESS) 2014-2019 (the Health Sector Strategic Plan), is the overall expression of the priorities, implementation approaches, and resource commitments for health of the government of the Republic of Mozambique (GRM). With support from the USAID-funded Health Policy Project (HPP), the Ministry of Health (MISAU) applied the OneHealth model to estimate the financial and health system resources need to implement the plan, and the likelihood of meeting key indicators in maternal and child health and HIV/AIDS related to the Millennium Development Goals. Detailed cost analysis was conducted for over 40 disease programs across primary and secondary health. Financial requirements for the overall human resources for health (HRH), logistics, health infrastructure, governance and leadership, and health information systems were also estimated. The report identifies potential constraints for the scale-up of services, such as inadequate human resources, and includes an HRH gap analysis. It also contains a review of the strategic planning process at MISAU, and recommendations for the institutionalization of the OneHealth approach.

    The report is available in English and Portuguese.

  • The purpose of this guidance manual is to outline steps for estimating the cost of post-GBV services at the health-facility level. It provides the user with practical steps for conducting a costing study, including preparing for data collection, collecting and managing data, and analyzing and using the results. It provides detailed instructions on how to use the GBV Program Cost Calculator, an MS Excel-based tool developed under the Health Policy Project (HPP) that enables the use to generate unit cost estimates of providing health facility-based post-GBV interventions to a single client during one health facility visit. The cost data generated from these steps are meant to represent the cost of providing services and not on the cost to the client for seeking services. The results on the cost of post-GBV services generated from implementing these steps are to support program managers, policy makers, funding partners and government ministries to plan and scale-up GBV intervention services.

  • The Sub-Saharan Africa MSM Engagement (SAME) Tool was developed based on literature reviews and expert/technical inputs from the USAID- and PEPFAR-funded Health Policy Project (HPP), the Johns Hopkins School of Public Health, amfAR, African Men for Sexual Health and Rights (AMSHeR), and USAID. In collaboration with eight leading MSM organizations—one each from Rwanda, Malawi, Togo, Mozambique, Zambia, Tanzania, Ghana, and Cameroon—HPP and AMSHeR piloted the tool from April to June 2013, in both English and French. This poster summarizes the pilot study, and was presented at the 20th International AIDS Conference in July 2014.

  • As part of the USAID-led PEPFAR Sustainable Financing Initiative to increase domestic resources for HIV, the USAID- and PEPFAR-funded Health Policy Project created 31 macro-fiscal and health financing profiles for 18 countries that are transitioning to a higher income status, have high HIV burdens, and/or rely heavily on donor funding. These country profiles assess past trends and future projections in key indicators related to a country's ability to grow economically and dedicate more financial resources to health, including HIV.

    The macro-fiscal profiles provide overviews of each country's economic growth, political economy, and government revenue and expenditure. The health financing profiles analyze government, external, and out-of-pocket spending on health; health financing functions, including revenue contribution and collection, pooling, and purchasing; and HIV financing trends.

    You may download individual briefs on this page.

  • PEPFAR’s Gender-Based Violence Initiative (GBVI) is implementing comprehensive gender-based violence (GBV) programming in three countries: Mozambique, Tanzania, and the Democratic Republic of Congo. As part of this initiative, the USAID- and PEPFAR-funded Health Policy Project (HPP)  collaborated with 12 grassroots organizations in Mozambique to integrate GBV prevention activities into existing HIV programs as a way to reduce GBV and prevent the spread of HIV—particularly among women, orphans, and vulnerable children. As HPP’s support to the NGOs ended the project systematically assessed the outcomes of the capacity development efforts at the community level. HPP documented the extent to which local program staff responded to GBV trainings, implemented gender- and GBV-integrated program design, and executed prevention and response mechanisms. The project also documented the community members’ attitudes toward and knowledge of gender equality and GBV. This report presents the findings of the assessment and documents the project’s successes, challenges, and lessons learned in its efforts to build GBV capacity in Mozambique.

  • The Health Policy Project assembled a technical team to facilitate a three-day workshop on integrating gender and gender-based violence (GBV) into HIV prevention and OVC programs for Mozambican organizations in Maputo in February 2012. The worshop applied five participatory and interactive modules to build the capacity of participants to use practical skills and tools to integrate GBV prevention and responses into existing HIV programs. The training methodologies sought to explicitly reveal the links between GBV and HIV risk and increase skills to integrate evidence-based gender and GBV practices into existing HIV programs. The workshop's results demonstrated the great interest in and need for GBV integration into current programs. They also informed the development of capacity-strengthening plans for each of the seven participating NGOs and provided a foundation for addressing gender and GBV in HIV programs for staff of the FHI-360 Capable Partners Program (CAP). 

  • Investing for impact is an explicit goal of the Global Fund to Fight AIDS, Tuberculosis and Malaria. The institution’s strategy for 2012 to 2016 focuses on countries and populations where interventions promise maximum rewards for public health. As part of this “New Funding Model,” the Global Fund is asking applicant countries seeking financing to more accurately  demonstrate where and how their HIV programs will yield significant, measurable improvements in limiting the spread of the virus. Accomplishing this will depend to a great extent on each country’s ability to use geospatial analysis of epidemiological data to target resources to areas with the greatest need.

    Not all countries seeking Global Fund support have extensive experience with geospatial analysis. To address this gap, the Health Policy Project (HPP)—funded by the United States Agency for International Development (USAID) and the President’s Emergency Plan for AIDS Relief (PEPFAR)—is working with 9 countries eligible for Global Fund support to strengthen their use of geospatial analysis in HIV policymaking and in strategic, financial, and program planning.

  • International health programs and donors throughout the world increasingly recognize the importance of promoting gender equality to improve health and development outcomes. International initiatives such as the Sustainable Development Goals include specific gender equality goals and targets. Yet, translating gender equality goals into action is challenging. Practical tools for integrating gender into health policies and programs are needed. The USAID-funded Health Policy Project (HPP) prepared this brief to provide policymakers, donors, and program managers with real examples of methods for promoting gender equality in family planning, maternal and child health, and gender-based violence policies and programs.

  • The Health Policy Project designed this training manual for civil society organizations implementing HIV prevention and orphan and vulnerable children (OVC) care and support programs in Mozambique. The manual aims to raise awareness and sensitize participants on the concepts and interlinkages between gender inequality, HIV, and gender-based violence (GBV). By doing so, the organizations will better understand and appreciate the influence of gender and violence on HIV- and OVC–related issues and will be in a better position to develop and implement program strategies and interventions that will promote gender equality and help prevent GBV. The manual contains eight sessions covering a range of topics from a basic introduction to gender to developing a multisectoral response to gender-based violence.

  • This USAID-funded Health Policy Project presentation aims to raise awareness about the impacts of rapid population growth on Mozambique's socioeconomic development. It includes projections of population growth from 2015–2040 based on three hypothetical fertility scenarios: high fertility (5.9 children per woman, or status quo based on a 2011 baseline figure), medium fertility (4.5), and low fertility (3.0). Continued high-fertility growth will increase the pressure on Mozambique’s health, education, economic, and agricultural sectors to meet the population’s demand for basic needs. However, slowing population growth through increased use of family planning will allow the country to invest more in long-term measures to improve the quality of health services, guarantee universal education, expand employment opportunities, and attain food security. If strategically implemented, these measures could catalyze progress toward a healthier, more prosperous country.

  • The USAID-funded Health Policy Project (HPP) conducted a readiness assessment in Mozambique to see if would be possible and useful to conduct a costing study of post-GBV Care Services. Broadly the readiness assessment was designed to assess if there is a shared understanding about GBV and the need to scale up services. On a narrower level, the readiness assessment looked specifically at whether the data and information needed to apply HPP’s GBV Cost Calculator are available . The Calculator was initially developed and tested using the GBV management guidelines for the Ministry of Health and Social Welfare for the United Republic of Tanzania, which has invested heavily in standardized care protocols, training and data collection. The assessment highlights several important challenges to conducting a GBV costing study in Mozambique as well as some clear opportunities. The challenges include a lack of agreement about what constitutes GBV, a lack of protocols on what constitutes a GBV facility, and  a deficiency in national data collection protocols. The opportunities are reflected in a policy environment that offers a range of multisectoral and health sector policy documents and in the commitment by donors and the government of Mozambique to expand the quality and accessible of support for GBV survivors.