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Strengthening integrated primary health care in Sofala, Mozambique
Kenneth Sherr1, Fatima Cuembelo, Cathy Michel
1Department of Global Health, University of Washington, Seattle, USA. ksherr@uw.edu
BMC Health Services Research
|July 4, 2013
Summary
Mozambique’s health system strengthening initiative improved data quality and management capacity, leading to better decision-making and potentially improved child health outcomes. This model is replicable in other resource-limited settings.
Area of Science:
- Global Health
- Health Systems Strengthening
- Public Health Policy
Background:
- Mozambique has prioritized maternal and child health, achieving improvements.
- Decentralization aims to bring decision-making closer to beneficiaries.
- Weak district management capacity hinders effective resource translation.
Purpose of the Study:
- To strengthen health systems in Sofala Province, Mozambique.
- To improve routine data quality and its utilization for decision-making.
- To build capacity for operations research and strengthen district health planning.
Main Methods:
- A quasi-experimental controlled time-series design is employed.
- Impact on under-5 mortality will be assessed by comparing Sofala and Manica Provinces.
- Input, process, output, and outcome variables will be analyzed.
Main Results:
- The Mozambique Population Health Implementation and Training (PHIT) Partnership focuses on improving data quality and management.
- Strengthened capacity for evidence-based decision-making is expected.
- The study will provide evidence on health system improvements.
Conclusions:
- The PHIT Partnership aims to demonstrate the impact of improved data quality and decision-making tools.
- Findings are expected to be highly replicable in similar resource-limited sub-Saharan African countries.
- The project contributes to the knowledge base on effective health system strengthening.
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