We work with Mozambique's public and private health sectors to make high-quality health care and services, like family planning and safe surgical care, accessible to all.
Partnerships are crucial to improving the health of Mozambican women and children now and into the future. MOMENTUM collaborates with the Mozambican government and local and national organizations to increase the coverage and quality of their programs for fistula care and prevention, safe obstetric surgeries, voluntary family planning, primary health care, routine immunization, and COVID-19 vaccine distribution.
Treating and Preventing Obstetric Fistula
Each year, an estimated 2,300 Mozambican women suffer from new cases of obstetric fistula—a maternal injury that occurs when obstructed labor or a surgical error leaves a hole in the birth canal, causing chronic leakage of urine or feces.1 Access to fistula repair services is limited, and women living with fistula often experience stigma, abuse, and violence because of their condition. MOMENTUM Safe Surgery in Family Planning and Obstetrics collaborates with the Mozambican Ministry of Health and Focus Fistula, a local organization, to help health providers and health systems in Niassa and Nampula provinces prevent obstetric fistula and provide holistic care for women experiencing it. This includes preparing health systems and providers to treat fistula, rehabilitating women who have experienced it, and helping them to reintegrate into society after receiving care.
Learn about the connection between gender-based violence and fistula on our blog.
Providing Safe Obstetric Surgeries
Access to safe obstetric surgeries, such as cesarean deliveries, is critical to helping more mothers and babies live healthy, long lives. MOMENTUM Safe Surgery in Family Planning and Obstetrics partners with local governments in Niassa and Nampula provinces to help train and partner with public health workers to provide safe obstetric surgeries. We help strengthen health workers’ capacity to identify women who need to deliver their babies by cesarean section, train them to repair obstetric fistula, and strengthen their ability to perform high-quality cesarean deliveries.
Delivering Family Planning through the Private and Public Sectors
MOMENTUM Private Healthcare Delivery 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 to develop feasible and viable modes of health care that are tailored to local contexts and desirable to both governments and communities. This process builds on recommendations from previous private health sector assessments and includes local and national stakeholders such as the Ministry of Health, local private sector associations, USAID, and implementing partners. We are incorporating the perspectives of potential clients and health providers to promote widespread, equitable access to health care throughout Mozambique.
MOMENTUM Safe Surgery in Family Planning and Obstetrics partners with the public sector to expand access to a full range of family planning methods in Niassa and Nampula provinces. We work with Mozambique’s Ministry of Health to train providers on long-acting reversible contraceptives, such as intrauterine devices (IUDs), and permanent methods of contraception, such as tubal ligation. Our training includes how to counsel their clients about these methods, insert and remove them, and assist clients with side effects.
Learn about the Counseling for Choice tool, which MOMENTUM Private Healthcare Delivery uses to change the ways providers and individuals participate in family planning counseling discussions.
Expanding Family Planning Use and Access for Mozambican Youth
As of 2018, 46 percent of girls ages 15 to 19 in Mozambique had begun childbearing.2 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 bolster the government’s prevention efforts, MOMENTUM Private Healthcare Delivery is scaling up the Vale-a-Pena program, which was originated 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 also partners with local civil society organizations to promote family planning awareness and informed choice of contraceptive methods and in adapting Vale-a-Pena’s proven interventions to local contexts.
Learn more about MOMENTUM’s efforts to strengthen youth health care and leadership.
Reaching Every Child with Routine Immunization Services
Immunization rates in Mozambique have been climbing, with an estimated 79 percent of children having received all three doses of the vaccine for diphtheria, tetanus, and pertussis in 2020; however, nearly one in five children are considered “zero-dose” and have not received even a single dose of this vaccine.3 MOMENTUM Routine Immunization Transformation and Equity works with the government of Mozambique in Nampula and Zambézia provinces to monitor implementation of the Reaching Every District/Reaching Every Child approach, 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 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 diseases throughout their lives, especially early in life.
Discover how we have maintained focus on routine immunizations throughout the COVID-19 pandemic.
Helping Mozambique Deliver the COVID-19 Vaccine
MOMENTUM Routine Immunization Transformation and Equity is partnering with the Mozambican Ministry of Health and non-governmental organizations in Nampula and Zambezia 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 Routine Immunization Transformation and Equity also works with 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 national government and governments in Zambezia and Nampula Provinces 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.
MOMENTUM Safe Surgery in Family Planning and Obstetrics: EngenderHealth, Ministry of Health (MISAU), Provincial Health Directorate of Nampula (DPS Nampula), Provincial Health Directorate of Niassa (DPS Niassa), Focus Fistula
MOMENTUM Routine Immunization Transformation and Equity: Ministry of Health (MISAU)/ Expanded Program on Immunization (EPI); Alançar; Clinton Health Access Initiative (CHAI); Confederation of Economic Associations (CTA); Directorate of Health (DPS); District Health, Women, and Social Action Services (SDSMAS); Elizabeth Glaser Pediatric AIDS Foundation (EGPAF); Friends in Global Health (FGH); Gavi, the Vaccine Alliance; Improved Family Planning Initiative; Inter-religious Program against Malaria (PIRCOM); Medicines, Technologies, and Pharmaceutical Services (MTaPS) Program; National Institute of Statistics (INE); Procurement and Supply Chain Management Project (PSM); Provincial Health Services (SPS); Save the Children; Transform Nutrition; UNICEF; VillageReach; World Health Organization (WHO)
Learn more about USAID’s programs in Mozambique.
- United Nations Population Fund Mozambique. “In Mozambique, an obstetric fistula survivor’s journey from ‘I was nothing’ to ‘I am capable of everything.’” May 21, 2020. https://www.unfpa.org/news/mozambique-obstetric-fistula-survivors-journey-i-was-nothing-i-am-capable-everything
- Instituto Nacional de Saúde – INS e ICF. 2019. Inquérito Nacional sobre Indicadores de Malária em Moçambique 2018. Maputo, Moçambique. Rockville, Maryland, EUA: INS e ICF
- WHO and UNICEF. Mozambique: WHO and UNICEF estimates of immunization coverage: 2020 revision. July 8, 2021. https://cdn.who.int/media/docs/default-source/country-profiles/immunization/immunization_moz_2021.pdf?sfvrsn=5d6430e1_7&download=true
Last updated September 2022.