Introduction

The Health Sector in Mozambique presents chronic challenges that include, among others, low access to and quality of health services due to insufficient infrastructure, poorly equipped (equipment and materials), lack of qualified human resources and inefficient public financial management. In fact, according to the IOF 2019/20, about 45% of the population in rural areas (where about 67% of the population lives) does not have access to health services.

In summary, the following indicators provide a snapshot of the challenges of the National Health System (NHS): i) a ratio of 17,419 inhabitants/health unit, i.e., 7,419 inhabitants more than recommended by the WHO, ii) the current ratio of 0.7 beds/1000 inhabitants (inhab.) is about 3 times lower than that recommended by the World Health Organization (WHO). iii) about 95% of health professionals are composed of health technicians and nurses and only 5% are physicians. The ratio of health professionals per 1000 inhabitants (1.7 health professionals/1000 inhabitants) is below that recommended by the WHO to ensure primary health care coverage for the population (Annual Report on the Health Sector Balance, 2021).

Based on this scenario, the discussion and relevance of the performance of the health sector in Mozambique have been increasingly intense, as there is demographic growth, which in part puts pressure on the national health system. Several aspects have been the subject of reference in the design of hospitals and health centers, from the forms of construction, geographical distribution and population density.

This document presents findings resulting from the analysis of the Proposal for the Economic and Social Plan 2024 with a view to assessing the level of inclusion of adolescent sexual and reproductive health services, taking into account the investment case and the Government’s Five-Year Programme 2019 – 2024. To this end, the survey presents the degree of achievement in the provision of Sexual and Reproductive Health Services and shows the effects of this achievement on the achievement of the main goals of the Government’s Five-Year Program 2020-2024.

  1. FINDINGS
  1. 1. Evolution of the Main Health Indicators (2022 to 2023):

Table 1: Evolution of key health indicators (2023 to 2024)

Source: Authors’ adaptations based on PESOE (2023) and PESOE’s proposal (2024)

  1. 2. Link of Health Indicators with Investment Case

Table 2: Alignment of the indicators of the PESOE 2024 Proposal with the IC goals (2021-2023)

IndicatorPESOE 2024 Proposed TargetCI Target 2021-2022
Coverage rate of institutional births91%80%
% of children fully vaccinated96%10%-15%

Source: Authors’ adaptations based on Mozambique IC Annexes and PESOE (2023)

  1. 3. Health Sector Budget Prioritization Trend

Graph 4: Weight of Health Sector Expenditure Allocated vs Abuja Commitment (2022 to 2024)

Source: BdPESOE (2022), PESOE (2023) and PESOE Proposal (2024)

  1. 4. Analysis of the Possibility of Meeting the Targets Defined for 2023 within the Scope of Compliance with the 2020-2024 PQG, with a focus on the indicators of sexual and reproductive health of young people and adolescents

Table 3: PESOE targets in relation to PQG, with a focus on SRH indicators for young people and adolescents

Source: Authors’ adaptations based on the Statistical Health Yearbook (2020-2021), PESOE (2023) PQG (2020-2024)

2. RECOMMENDATIONS

Read the full survey here:

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