Mozambique

We work with the government and the private health sector in Mozambique to make essential health services accessible to all.

Kate Holt/MCSP

Since the end of its civil war in 1992, Mozambique has made significant progress in reducing mortality rates and improving access to primary health services.7 However, Mozambique faces growing unrest, especially in its northern provinces, severely disrupting the health progress it has made over the past 30 years.

The Government of Mozambique has made strides to improve the health of women and children across the country, but challenges remain. Mozambican women and children, especially, face significant health challenges. Fifty-seven percent of girls have a child before they turn 18,8 and women give birth an average of five times throughout their lifetimes.9 Immunization rates have been climbing with an estimated 79 percent of children having received all three doses of the vaccine for diphtheria, tetanus, and pertussis in 2019; however, approximately seven percent of children are considered “zero-dose” and have not received even a single dose of this vaccine.10

Partnerships are key to tackling these challenges and improving the health of Mozambican women and children now and well into the future. MOMENTUM collaborates with the Mozambican government, as well as local and national organizations, to increase the coverage and quality of their programs for voluntary family planning, primary health care, routine immunization, and COVID-19 vaccine distribution.

Private Health Care Sector

Delivering Family Planning through the Private Sector

MOMENTUM is tapping into the potential of Mozambique’s fast-growing private health sector to make high-quality family planning and certain primary health care services more accessible to all.  We are using a consultative process―built on recommendations from previous USAID-funded private health sector assessments―to develop feasible, viable, and desirable modes of health care tailored to local contexts. This process will incorporate the perspectives of potential clients and health providers to promote widespread, equitable access to health care throughout Mozambique.

Fernando Fidélis/MCSP
Youth

Expanding Family Planning Use and Access for Mozambican Youth

In Mozambique, nearly 57 percent of girls have given birth before age 18.11 The government has prioritized family planning to prevent early and unintended pregnancies, which can pose a risk to the life of mother and child. To support the government’s prevention efforts, MOMENTUM is scaling up the Vale-a-Pena program, originally funded by the United Kingdom’s Foreign, Commonwealth, and Development Office, in Nampula province. The program, whose name means “it’s worth it” in Portuguese, uses tools like videos and dialogues with parents and community leaders to increase the demand for contraception among young people in underserved areas. MOMENTUM supports local civil society organizations in promoting family planning awareness and informed choice of contraceptive methods and in adapting Vale-a-Pena’s proven interventions to local contexts.

PSI
Routine Immunization

Reaching Every Child with Routine Immunization Services

MOMENTUM works with the government of Mozambique in Nampula and Zambézia provinces to monitor implementation of the Reaching Every District/Reaching Every Child approach,12 designed by the World Health Organization to address common obstacles to routine immunization in areas with low coverage. We collaborate with service providers, community leaders, families, and caregivers—particularly those in marginalized and underserved communities— to create solutions that address entrenched challenges to reaching children with immunization services.

The COVID-19 pandemic has made it even harder for people to access routine immunization services. Together with local and national stakeholders, we analyze reasons for delayed and missed childhood vaccinations and adjust vaccination program approaches to protect Mozambicans from infectious disease throughout their lives, especially early in life.

Fernando Fidélis/MCSP
COVID-19

Helping Mozambique Deliver the COVID-19 Vaccine

MOMENTUM is partnering with the Mozambican Ministry of Health and subnational organizations to help identify and reach priority populations for COVID-19 vaccination, validate estimates of population size, and design strategies to deliver vaccines to prioritized populations. We also work with the government to manage supply chains so that safe COVID-19 vaccines are widely available and properly delivered.

MOMENTUM also supports health care workers to address their concerns and increase their capacity to deliver COVID-19 vaccinations. We engage with professional health associations to encourage health workers to get vaccinated and advocate for vaccination in their communities. In collaboration with the United Nations Children’s Fund (UNICEF), Johns Hopkins University, and the Inter-religious Program Against Malaria (PIRCOM), we help create strategic communications plans and community engagement programs to promote the vaccine.

We are also working with the Mozambican government to improve their use of data collection and monitoring tools for COVID-19 vaccination and to integrate digital health platforms into existing training programs for health workers.

Neide Guesela/MOMENTUM Routine Immunization Transformation and Equity
About the MOMENTUM Projects Working in Mozambique

MOMENTUM Private Healthcare Delivery taps into the power of Mozambique’s private health sector to deliver high-quality family planning services and works to increase the availability of contraception for Mozambican youth.

MOMENTUM Routine Immunization Transformation and Equity collaborates with communities, health workers, and the Ministry of Health to create solutions to overcome challenges to reaching Mozambicans with life-saving vaccines. The project also supports the government to increase its capacity to deliver COVID-19 vaccinations.

References

  1. Kaneda, Toshiko, Charlotte Greenbaum, and Carl Haub. 2021 World Population Data Sheet. Washington, DC: Population Reference Bureau. 2021. https://interactives.prb.org/2021-wpds/
  2. Kaneda, Toshiko, Charlotte Greenbaum, and Carl Haub. 2021 World Population Data Sheet.
  3. Kaneda, Toshiko, Charlotte Greenbaum, and Carl Haub. 2021 World Population Data Sheet.
  4. Roser, Max and Hannah Ritchie. “Maternal Mortality.” 2017. https://ourworldindata.org/maternal-mortality
  5. United Nations Children’s Fund (UNICEF). 2019. “Country Profiles: Mozambique.” UNICEF Data. https://data.unicef.org/country/moz.
  6. Countdown to 2030. “Countdown Country Dashboard: Mozambique.” https://profiles.countdown2030.org/#/ds/MOZ.
  7. USAID. “Mozambique: Global Health.” Last updated October 14, 2021. https://www.usaid.gov/mozambique/global-health
  8. Ministério da Saúde (MISAU) [Mozambique], Instituto Nacional de Estatística (INE) [Mozambique], and ICF. 2019. Inquérito de Indicadores de Imunização, Malária e HIV/SIDA em Moçambique 2015: Relatório Suplementar Incorporado os Resultados de Biomarcadores de Antiretrovirais. Maputo, Mozambique. Rockville, Maryland: INS, INE, and ICF. https://www.dhsprogram.com/pubs/pdf/AIS12/AIS12_SP.pdf
  9. Kaneda, Toshiko, Charlotte Greenbaum, and Carl Haub. 2021 World Population Data Sheet.
  10. WHO and UNICEF.  Mozambique: WHO and UNICEF estimates of immunization coverage: 2019 revision. June 20, 2020. https://www.who.int/immunization/monitoring_surveillance/data/moz.pdf
  11. Ministério da Saúde (MISAU) [Mozambique], Instituto Nacional de Estatística (INE) [Mozambique], and ICF. 2019. Inquérito de Indicadores de Imunização, Malária e HIV/SIDA em Moçambique 2015: Relatório Suplementar Incorporado os Resultados de Biomarcadores de Antiretrovirais.
  12. WHO Africa. Reaching Every District (RED): A Guide to Increasing Coverage and Equity in All Communities in the African Region. 2017. https://www.afro.who.int/publications/reaching-every-district-red-guide-increasing-coverage-and-equity-all-communities.

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