The financing of the health system in Mozambique is marked by the fragmentation that also characterizes the architecture of development assistance in the country and is expressed, for example, in the high degree of external resources that do not go through government management instruments (outside the budget). Among the challenges are the centralized and verticalized structure, the high degree of dependence on external donors and their priority agendas, and a persistent underfinancing of the sector.
Authors: Elis Borde, Eliana Martínez-Herrera, Mariana Gutiérrez-Zamora Navarro, Janet Dulá, Policarpo Ribeiro, Ivan Zahinos, Joan Benach
Technical support: Medicus Mundi and National Institute of Health (Mozambique)
Funding: Spanish Agency for International Development Cooperation (AECID) and Open Society Foundations (OSF)
Social inequalities in access to health services and social inequalities in health have persisted over time and the underlying barriers have not been sufficiently addressed. There is no single answer to explain this situation, but the results of this study revealed some elements that make it possible to relate the depth and extent of social inequalities in health in Mozambique with the seriousness of health problems in the country, the fragmentation of the health system, incomplete decentralization, and the lack of financing of the health sector in the country.
Authors: Elis Borde, Elias Sete Manjate, Nicholas Soyombo, Gabrielle Lima Silva, Eliana Martínez-Herrera, Mariana Gutiérrez-Zamora Navarro, Janet Dulá, Policarpo Ribeiro, Ivan Zahinos, Joan Benach
Technical support: Medicus Mundi and National Institute of Health (Mozambique)
Funding: Spanish Agency for International Development Cooperation (AECID)
Escola Saudável (ES) is an initiative within the scope of the project “The social determinants of health: the best strategy against COVID-19 in Maputo (2021-2023)”, implemented by medicusmundi, in partnership with the Department of Health and Action Social Network of the Maputo Municipal Council and the Media Institute of Southern Africa (MISA-Mozambique), with funding from the Municipality of Barcelona.
This document presents a report that was prepared from a bibliographic and documentary review, considering government publications, global funds, local and international NGOs as well as foundations on the financing of the health system, especially in Mozambique.