Publications

We want to make available to you all documents, reports, documentaries, videos and other methodological tools with which we contribute to improve the health of Mozambicans.

Financing of the Mozambique Health System

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)

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Impact of financing models on equity in access, quality of care and the guarantee of the universal right to health in Mozambique

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)

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Satisfaction and perception of users of health services in Maputo regarding the quality of care

Access to health services and the quality of these services are intrinsically intertwined and play a key role in promoting the right to health. However, access to health is not restricted to the existence of services, but is also determined by a multitude of factors including, for example, the user's ability to travel to the place of service, the availability of health resources, the absence of discrimination, and the quality of care received.
 
Authors: Elis Borde, Elias Sete Manjate, Nilza Nataniel Zandamela, Mariana Gutiérrez-Zamora Navarro, Eliana Martínez-Herrera, Janet Dula, Policarpo Ribeiro, Joan Benach
 
Technical support: Medicus Mundi and National Institute of Health (Mozambique)
 
Funding: Spanish Agency for International Development Cooperation (AECID)
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Healthy School - Primary Schools' Manual

Healthy School - Primary Schools' manual, produced for the "Healthy School 2023" Campaign, within the scope of the "Social Determinants of Health: the best strategy against COVID-19 in Maputo" (2021-2023) project, implemented by medicusmundi and the Municipal Council of Maputo, and financed by the Municipality of Barcelona.

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Healthy School - Secondary Schools' Manual

Healthy School - Secondary Schools' manual, produced for the "Healthy School 2023" Campaign, within the scope of the "Social Determinants of Health: the best strategy against COVID-19 in Maputo" (2021-2023) project, implemented by medicusmundi and the Municipal Council of Maputo, and financed by the Municipality of Barcelona.

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Healthy School 2023 Campaign Brochure

Brochure of the "Healthy School 2023" Campaign, produced within the scope of the project "The Social Determinants of Health: the best strategy against COVID-19 in Maputo" (2021-2023), implemented by medicusmundi and the Municipal Council of Maputo, and financed by the Municipality of Barcelona.

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Healthy School Communication Plan and Campaign

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.

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Diagnosis of Social Determinants of Health that influence Malnutrition in the District of Namuno, Cabo Delgado

In August last year (between 27th and 30th) medicusmundi carried out a diagnostic study of the health services' functioning, needs and response processes in order to reduce and prevent malnutrition in the Namuno district. This work was done in conjunction with different district services (SDSMAS, SDPI, SDAE, SDEJT), Health Committees, caring mothers in the villages of Potomola and Mahari, the Wiwanana Foundation, SolidarMed and the World Food Program (WFP) . The evaluation showed that the high levels of illiteracy and, consequently, the lack of knowledge on how to prepare food and eat a balanced diet are the main causes that are behind the high levels of malnutrition registered in Namuno. To this is added the practice of agriculture that favors commercial purposes more than own consumption.

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Diagnosis of Social Determinants of Health that influence Malnutrition in the Ancuabe District, Cabo Delgado

Between 17 and 20 September last year, in the district of Ancuabe, an evaluation of the functioning processes, needs and response of health services was carried out with a view to reducing and preventing malnutrition. This diagnosis, results of which are now being released, involved the participation of several district services (SDSMAS, SDPI, SDAE, SDEJT), Health Committees, caregiving mothers from four villages and some NGOs operating in that district (Wiwanana Foundation, SolidarMed and Aga Khan). The survey concluded that the lack of knowledge about how to prepare and preserve food, the restriction of consumption of some foods due to myths, taboos, habits and customs, illiteracy and insufficient water sources and dams for irrigation, are the aspects that most contribute to the prevalence of malnutrition in Ancuabe.

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The financing of the Mozambican health system

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.

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Multisectoral Action Plan to Improve Response to Malnutrition Reduction and Prevention Programs in Ancuabe District, Cabo Delgado

Based on the diagnosis made in September 2019, in November of the same year the Multisectorial Group, composed of the District Services (SDSMAS, SDPI, SDAE and SDEJT), the Wiwanana Foundation, Solidarmed and Aga Khan prepared, together with medicusmundi, an Action Plan to improve the fight against malnutrition. The objective was to establish easy ways of intervening, with concrete and coordinated actions between all sectors, giving particular importance to training, awareness, education and supervision activities. Of this plan stands out the holding of regular lectures in the communities, with the inclusion not only of women, but also of the heads of families (men), as one of the key actions to prevent and reduce malnutrition in this district. Also noteworthy is the decision to set up a Technical Group to resolve the lack of coordination previously identified between the different actors, which will now hold meetings for planning and assessing activities at district level.

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Gravitational Method Manual

This manual is a compilation of different materials about the “GRAVITATIONAL METHOD USING BÓRAX, an alternative to the use of mercury in the artisanal extraction of gold", produced as part of the implementation of the projects “Reducing the negative impact of artisanal mining on individual, community and environmental health” and “Artisanal Mining: Environmental and Cultural Rights in Cabo Delgado Province”, implemented by medicusmundi and Centro Terra Viva, with funding the Generalitat Valenciana and the European Union, respectively.

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Health care inequalities in Mozambique: needs, access, barriers and quality of care

Access to quality health services is crucial for good and balanced health. This report aims to provide solid scientific evidence about access to the health system in Mozambique and the social inequalities that affect that access. For this purpose, a descriptive and multivariate analysis of the Family Budget Survey (IOF is the Portuguese acronym) of Mozambique 2014/15 was carried out, with regard to health needs, severity of diseases, use of health services and reasons for non-use,  problems with the quality of received care and direct payments.

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Environment Training Modules I

Environment I is a module that provides basic and elementary knowledge about caring for the environment. The document contributes to generating significant positive and responsible change, particularly in Artisanal and Small-Scale Mining sites.

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Diagnosis of Social Determinants of Health that influence Malnutrition in the Montepuez District, Cabo Delgado

From 10 to 13 September 2019, a survey of the health services' functioning processes, needs and response took place, in the Montepuez district, in order to reduce and prevent malnutrition. This evaluation involved the participation of several district services (SDSMAS, SDPI, SDAE, SDEJT), Health Committees and caregiving mothers from four randomly chosen villages. The results of this diagnosis are now made known by medicusmundi and reveal, as the main aspects contributing to the high rates of malnutrition in Montepuez, the following: low access to food, shortage of funds to acquire them, poor knowledge about nutrition and consumption of inappropriate water.

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Multisectoral Action Plan to Improve Response to Malnutrition Reduction and Prevention Programs in Montepuez District, Cabo Delgado

In December of last year, Montepuez hosted an important meeting of the Multisectorial Group in order to define the joint Action Plan to improve the response of its Programs to Combat Malnutrition. The Group, made up of the District Health Services (SDSMAS), Planning and Infrastructure (SDPI), Economic Activities (SDAE) and Education, Youth and Technology (SDEJT), had previously participated, in September of the same year, in a diagnostic study led by medicusmundi to assess the problems and needs associated with malnutrition. The Plan that is now made known prioritizes the training and qualification of teams and the implementation of actions such as the development of community education materials, the promotion of debates, campaigns and culinary demonstrations, the opening of fish tanks, among others. It is also worth mentioning the creation of a Technical Group to ensure better supervision and coordination of all activities.

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Environment Training Module II

Environment II is a training module that provides basic and elementary knowledge about environmental management in areas degraded by artisanal mining, in order to contribute to generating significant positive and responsible changes in the environment in which mining activities are carried out. This module complements the Environment I, Knowing and Caring for Our Environment brochure.

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Multisectoral Action Plan to Improve Response to Malnutrition Reduction and Prevention Programs in Namuno District, Cabo Delgado

In August 2019, the Namuno district underwent a study to identify the needs and problems that contribute to the high rate of malnutrition in the population. Based on the results obtained, medicusmundi, together with the Multisectorial Group, defined an Action Plan to improve the capacity to respond to this problem. The working group involved different District Services (SDSMAS, SDPI, SDAE and SDEJT) and NGOs such as the Wiwanana Foundation, SolidarMed and the World Food Program (WFP). The improvement of collaboration and information sharing on the different actors was one of the aspects that deserved greater attention, resulting in the creation of a Technical Group to ensure joint planning, data crossing and more effective action in communities. Among the activities defined, training and awareness-raising activities are highlighted, namely lectures and campaigns on nutrition, culinary demonstrations, radio debates and the creation of nutrition groups in schools. It should also be noted the need to assess the levels of production and nutritional security in the community and to form water committees.

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Association Training and Legislation Module

Associations and legislation are part of the objective of making the artisanal mining activity more dignified. One of the vectors used to achieve this objective is the promotion of associations among mining operators. Therefore, in a nutshell, this brochure presents the main aspects of associativism.

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