Publication year: 2010
The Global Health Workforce Alliance (GHWA) Task Force commissioned a multicountry rapid situation analysis of the human resources for health (HRH) implications for scaling up to universal access to HIV prevention, treatment, care, and support. This report presents the findings and key messages for Mozambique.
Overarching recommendations to address the identified gaps and challenges are presented below with a more detailed description in the Key Messages and Leadership Action section:
Move from a costed, strategic HRH development plan to prioritized implementation with defined resources. Strengthen preservice training capacity to increase numbers of professional health workers. Improve distribution of health workers. Increase health worker motivation and retention. Ensure performance support systems for quality service provision. Increase capacity for HRH management as well as procurement and logistics management.
Mozambique has a national strategy to promote comprehensive HIV treatment, care, and support, and has embarked on an effort to broaden access to antiretroviral therapy (ART) and tuberculosis (TB) treatment by decentralizing the integration of HIV/AIDS services into the essential health package. There has been a tremendous expansion in the number of health units providing ART in the last five years. Rapid scale-up of prevention of mother-to-child transmission (PMTCT) sites over the last eight years has resulted in a majority of pregnant women receiving counseling and testing.
The shortage of health workers in Mozambique is a major barrier to fully attaining Millennium Development Goals (MDG). The Government of Mozambique has implemented a number of strategies and interventions to address the HRH issues in the country and accelerate progress on reaching national targets for universal access for HIV/AIDS services within an integrated health care system. These include:
International advocacy of the country’s HRH crisis Decentralization and integration of HIV services to scale up access Development of the National HRH Development Plan Government-partner coordination HR technical working group Accelerated training plan Task shifting to scale up HIV services