Mozambique

Mozambique is endowed with rich and extensive natural resources with a country annual average gross domestic product (GDP) growth among the world’s highest. However, the country ranks among the lowest in GDP per capita, human development indicators, measures of inequality, and average life expectancy (53.3 years).

With an adult HIV prevalence rate of 12.3 percent, Mozambique faces one of the world’s most severe HIV infection rates. The median age in Mozambique is 17.1 years old and 66.4 percent of the population is under the age of 24.

MEASURE Evaluation  worked with government institutions and international stakeholders involved in the HIV/AIDS response to strengthen information systems and build capacity in monitoring and evaluation (M&E) of programs. In addition, we conducted operations research and evaluations to inform policy design and health program implementation.

Starting in 2016, MEASURE Evaluation supported the DREAMS Initiative (which helps girls develop into Determined, Resilient, Empowered, AIDS-free, Mentored, and Safe women) and work with orphans and vulnerable children. MEASURE Evaluation's work also included:

• Conducting a male characterization study aimed at better understanding the partners of adolescent girls and young women (AGYW) in order to improve the delivery of prevention services and thus contribute to the reduction of infection rates among AGYW in Mozambique.
• Gathering information from the literature and projects in Mozambique implementing girls’ clubs and savings clubs for AGYW on the correct dosage for girls’ and savings clubs (e.g., length of participation, number of sessions) to achieve their intended outcomes; and approaches to measuring and ensuring consistent participation (or “retention”) in these groups. We will summarize findings and provide guidance on data collection (e.g., interview topics and suggested methods) for programs to use to improve retention in girls’ clubs and savings groups for AGYW.

Prior MEASURE Evaluation activities to improve data gathering and health management information systems (HMIS) included:

• Developing and testing a patient registration database and electronic patient tracking systems as part of HMIS registers for the Ministry of Defense health facilities, including tracking of patients for routine health information services with manuals to guide in-country providers to sustain the system.
• Microsoft Excel reporting system improvements to streamline reporting and data aggregation for PEPFAR partners in Mozambique, plus training for partners in data quality assessment.
• Developing an M&E plan for the Ministry of Women and Social Action (now the Ministry of Gender and Children), and providing technical support to the Ministry of Foreign Affairs in developing a database to manage information about what types of work international, health-related nongovernmental organizations are doing in the country.

Other work included:

• Evaluation of a large community-based HIV program
• Operations research of a mHealth pilot to improve patient retention
• Translation into Portuguese (the official local language) of many M&E tools – such as the Data Quality Methodology and RDQA Tools and online M&E Fundamentals course; these translations have been disseminated widely in Mozambique and in other countries where Portuguese is spoken.

Related Content

Comparison of Cause-of-Death Classification Methods for Verbal Autopsies in Mozambique: 2017 Inquérito Sobre Causas de Mortalidade (INCAM)-2 Pilot

Role of Male Sex Partners in HIV Risk of Adolescent Girls and Young Women in Mozambique

An Assessment of the Actionable Drivers of HIV Outcomes: A Study of the COVida Case Management System in Three Provinces in Mozambique

Evaluation of the Partnership for HIV-Free Survival Country Assessment: Mozambique

MEASURE Evaluation Mozambique Overview

Geographic access to emergency obstetric services: a model incorporating patient bypassing using data from Mozambique

Retaining Adolescent Girls and Young Women in HIV Prevention Programming: A Review of Girls' Clubs and Savings Groups in Mozambique

Characterizing Male Sexual Partners of Adolescent Girls and Young Women in Mozambique: Key Findings

Characterizing Male Sexual Partners of Adolescent Girls and Young Women in Mozambique: Quantitative Results from Beira, Quelimane, and Xai-Xai Districts

Characterizing Male Sexual Partners of Adolescent Girls and Young Women in Mozambique: Findings from Focus Group Discussions in Xai-Xai, Beira, and Quelimane Districts

Brief: Characterizing Male Sexual Partners of Adolescent Girls and Young Women in Mozambique 

Webinar: A Characterization of Male Sexual Partners of Adolescent Girls and Young Women in Urban DREAMS Districts in Mozambique

Treinamento Regional sobre Conceitos Básicos em Monitoria e Avaliação

M&E of HIV/AIDS Programs (Portuguese)

RDQA Training Modules – Mozambique (Portuguese)

Acknowledging HIV and Malaria as Major Causes of Maternal Mortality in Mozambique

Avaliação de um Programa em Moçambique. Cuidados Comunitários para Crianças Vulneráveis num Programa Integrado de Crianças Vulneráveis e Cuidados Domiciliares

Mozambique Program Assessment: Community Care for Vulnerable Children in an Integrated Vulnerable Children and Home-Based Care Program

Assessment of an mHealth Initiative to Improve Patient Retention

Timeliness of Malaria Treatment in Children Under Five Years of Age in Sub-Saharan Africa: A Multicountry Analysis of National Household Survey Data

Formative Assessment of a Future mHealth Site in Nhamatanda, Mozambique

Mozambique Mortality Survey Results

Mozambique Country Profile: Health Information System Indicators