Project profile — Mozambique Health Service Delivery Program

The Health Services Delivery Program (HSDP) targets up to 54 districts in the provinces of Niassa, Nampula and Cabo Delgado, which together are home to 6 million Mozambicans or approximately 30 percent of the population. These provinces have some of the lowest ranking health indicators in the country. The project is implemented by the Mozambican Ministry of Health, in collaboration with the World Bank supported by CIDA, the Swiss Agency for Development and Cooperation and the Russian Development Cooperation. The project aims to scale up access to health service delivery through: facility-based service delivery, outreach, and community-based services. It aims to provide a cost-effective and innovative way for the Government of Mozambique to increase health services to some of the most disadvantaged populations, while helping to build the basis of a health management system. Key activities include training 1,400 community-based health workers, 162 nurses and medical technicians, 200 traditional healers and midwives in child and maternal health; expanding the breadth of training for up to 54 teams of outreach workers; purchasing vehicles necessary for outreach workers to access isolated communities; rehabilitating existing health facilities; and constructing 21 new health facilities including staff housing. The World Bank’s HSDP project team works closely with the Ministry of Health to ensure that this project aligns with the Ministry’s new Community Health Worker (CHW) Revitalization program. The CHW program aims to standardize training, work conditions and equalize distribution of workers throughout the country.

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Results achieved as of (March 2014) the end of the project: (i) 426,271 women have had access to the first prenatal care visit; (ii) 235,201 children under one have had access to full immunization; (iii) 1,732 community health workers across the country were trained to provide a wide range of basic health services to remote communities, from health promotion to diagnosis and treatment of the three main childhood diseases: malaria, pneumonia, diarrhea; (iv) 796 health professionals, including maternal and child health nurses, received training to improve their skills; and (v)18 health facilities have been constructed or renovated and/or equipped. These results are contributing to improved community practices that lead to better health for women and children in Mozambique.