Access to quality health services is crucial for good and balanced health. This report aims to provide solid scientific evidence about access to the health system in Mozambique and the social inequalities that affect that access. For this purpose, a descriptive and multivariate analysis of the Family Budget Survey (IOF is the Portuguese acronym) of Mozambique 2014/15 was carried out, with regard to health needs, severity of diseases, use of health services and reasons for non-use, problems with the quality of received care and direct payments.
From 10 to 13 September 2019, a survey of the health services' functioning processes, needs and response took place, in the Montepuez district, in order to reduce and prevent malnutrition. This evaluation involved the participation of several district services (SDSMAS, SDPI, SDAE, SDEJT), Health Committees and caregiving mothers from four randomly chosen villages. The results of this diagnosis are now made known by medicusmundi and reveal, as the main aspects contributing to the high rates of malnutrition in Montepuez, the following: low access to food, shortage of funds to acquire them, poor knowledge about nutrition and consumption of inappropriate water.
In August last year (between 27th and 30th) medicusmundi carried out a diagnostic study of the health services' functioning, needs and response processes in order to reduce and prevent malnutrition in the Namuno district. This work was done in conjunction with different district services (SDSMAS, SDPI, SDAE, SDEJT), Health Committees, caring mothers in the villages of Potomola and Mahari, the Wiwanana Foundation, SolidarMed and the World Food Program (WFP) . The evaluation showed that the high levels of illiteracy and, consequently, the lack of knowledge on how to prepare food and eat a balanced diet are the main causes that are behind the high levels of malnutrition registered in Namuno. To this is added the practice of agriculture that favors commercial purposes more than own consumption.
Between 17 and 20 September last year, in the district of Ancuabe, an evaluation of the functioning processes, needs and response of health services was carried out with a view to reducing and preventing malnutrition. This diagnosis, results of which are now being released, involved the participation of several district services (SDSMAS, SDPI, SDAE, SDEJT), Health Committees, caregiving mothers from four villages and some NGOs operating in that district (Wiwanana Foundation, SolidarMed and Aga Khan). The survey concluded that the lack of knowledge about how to prepare and preserve food, the restriction of consumption of some foods due to myths, taboos, habits and customs, illiteracy and insufficient water sources and dams for irrigation, are the aspects that most contribute to the prevalence of malnutrition in Ancuabe.
Based on the diagnosis made in September 2019, in November of the same year the Multisectorial Group, composed of the District Services (SDSMAS, SDPI, SDAE and SDEJT), the Wiwanana Foundation, Solidarmed and Aga Khan prepared, together with medicusmundi, an Action Plan to improve the fight against malnutrition. The objective was to establish easy ways of intervening, with concrete and coordinated actions between all sectors, giving particular importance to training, awareness, education and supervision activities. Of this plan stands out the holding of regular lectures in the communities, with the inclusion not only of women, but also of the heads of families (men), as one of the key actions to prevent and reduce malnutrition in this district. Also noteworthy is the decision to set up a Technical Group to resolve the lack of coordination previously identified between the different actors, which will now hold meetings for planning and assessing activities at district level.