Health Service Delivery Programme

Project completed

Country/region Topic Period Budget
Mozambique
Niassa, Cabo Delgado and Nampula Provinces
Health
Health systems strengthening
Primary health care
01.07.2009 - 31.08.2016
CHF 5'000'000
Background

Over the past decade, Mozambique has made significant progress in the reduction of child mortality and various other health indicators. Nevertheless, huge challenges remain and the scaling-up of health service delivery is needed to ensure further progress.

In line with government priorities and based on analytical studies conducted by the World Bank, the Ministry of Health requested the World Bank support to design and implement an integrated service delivery project.

The Health Service Delivery Programme has been developed. The objective is to improve health coverage and the health status of the population in the three most disadvantaged provinces, located in the North of the country, Cabo Delgado, Niassa, and Nampula

Objectives

Contribute to the reduction of:

  • Mortality rate of children under five years old
  • Maternal mortality rate
  • Incidence of Malaria
  • Incidence of Tuberculosis
  • Unequal access to health services
Target groups
  • Ministry of Health at Central, Provincial and Distrital levels.
  • The entire population of the 3 northern provinces of Mozambique - 8.096.733 inhabitants.

 

Medium-term outcomes

Improved access to more and better health services, to the benefit of the population in the 3 Provinces, with reduced child mortality, maternal mortality, and stopping and reversingthe incidence of Malaria and other major diseases.

 

Activities

Main activities of the programme are grouped around four main components:

1. Improvement of Health Service Delivery.

2. Strengthening of the National Malaria Control Program.

3. Preparation of an Health Sector Investment Plan.

4. Institutional capacity building to the Ministry of Health at central, provincial and district levels.

Results

Expected results:  

- Reduced child mortality;

- Reduced maternal mortality;

- Reduced burden of malaria;

- Reduced prevalence of tuberculosis;

- Enhanced health-seeking behaviour and use of health

system in all communities;

- Reduced inequity in the access to health services in the

country;

- Better impact of HSDP through the provision of evidencebased facts and figures on improvements in health system’s performance and utilization.


Results from previous phases:  

By February 2015, the main four indicators showed positive progress. In 2014:
- 20% of pregnant women receiving Intermittent Preventative
Therapy (malaria prophylaxis) at antenatal clinics:
- 42% of pregnant women received the 2nd dose of Intermittent Preventative Therapy (malaria prophylaxis);
- 82% of females in the three Provinces benefitted directly from the project;
- 100% of children vaccinated against Diphtheria, Pertussis and Tetanus.


Directorate/federal office responsible SDC
Credit area Development cooperation
Project partners Contract partner
International Financial Institution (IFI)
  • Other WB


Other partners

Ministry of Health, World Bank, Canadian International Development Agency-CIDA, Russia.

Transversal themes
  • The project aims to improve access to health services with a focus on improving health indicators of Women and Children. The programme also promotes gender equality and empowerment of women.
Budget Current phase Swiss budget CHF   5'000'000 Swiss disbursement to date CHF   4'000'000
Project phases

Phase 1 01.07.2009 - 31.08.2016   (Completed)