This contribution to Mozambique’s health sector common fund (known in Portuguese as Prosaude) helps the Government of Mozambique achieve the goals and objectives of its Health Sector Strategic Plan and Integrated Plan to Achieve the Millennium Development Goals 4 & 5 (Reduction of child mortality and Improvement of maternal health). CIDA is contributing to the improvement of delivery and management of the National Health Service in order to provide integrated local health services to mothers and children where they live. Through this project, CIDA works in close collaboration with other donors and the Government of Mozambique on building effective, transparent, and accountable country systems; increasing coordination and harmonization among donors; and reinforcing mutual accountability. Sector support projects such as this one also help foster greater policy dialogue between CIDA, government, and partners, which helps to reinforce efforts for effective, focused aid and long-term development results. Continuous monitoring and evaluation of this project is undertaken in coordination with other donors. The project aims to achieve nation-wide progress in the health sector as well as improvements in the Government’s ability to manage and administer its health sector, thereby ensuring that the Government of Mozambique can maintain the progress achieved through this project. Expected results from Prosaude include: 17% increase in the number of women delivering in health institutions, 36% increase in the number of children less than one year old with full immunization, 11% increase in the number of women receiving at least two doses of preventive malaria treatment during prenatal visits, and antiretroviral medication distributed to 38,057 children and 94,151 pregnant women. Project activities also include: construction and/or upgrade of 40 health centres, installation of 450 water points at health centres, construction, expansion or rehabilitation of 250 maternity rooms at health centres, 98% of health units using integrated management of childhood diseases, and training for an additional 1700 health workers. This project is part of Canada’s Maternal, Newborn and Child Health commitment.
Results achieved as of January 2013 include: (i) the number of HIV positive adults receiving antiretroviral therapy increased from 156,688 (106,892 women) in 2009 to 297,801 (190,686 women) by the end of 2012; (ii) the number of children on antiretroviral therapy rose from 13,510 in 2009 to 25,597 in 2012; (iii) the number of new graduates in health-specific careers increased from 1,525 in 2009 to 2,389 in 2012; (iv) the number of maternal and child health workers went from 61 per 100,000 inhabitants in 2009 to 68.2 per 100,000 by the end of 2012; (v) the percentage of health facilities with a maternity waiting home for pregnant women increased from 40.8% in 2009 to 50% in 2012; (vi) the percentage of women giving birth in a health facility increased from 55% in 2009 to 63.8% in 2012; (vii) the use of child health services increased, with nearly 80% of children under the age of one being completely vaccinated in 2012; and (viii) chronic malnutrition was reduced by 5%. These results have contributed to increasing the number of women, youth and children who use of maternal health services.