The latest AfGH/DSW policy briefing, on health spending in Mozambique, calls on the EU to provide Maputo with extra funding under the recently launched MDG initiative. It also expresses concern that the need to “demonstrate development results” to donors in a time of fiscal tightening is moving towards a new “financing by results” approach.
Mozambique is one of only eight countries to have signed an MDG contract with the European Commission, for the 2009-2015 period, but progress towards the three health-related Millennium Development Goals has been slow. Only 36 per cent of people have access to a health facility within 30 minutes of their homes, while around 30 per cent of the population are unable to access any health services, according to the Mozambique Poverty Reduction Strategic Programme. Poor access to health facilities has made it difficult for government efforts to deal with the country’s disease burden, which is dominated by malaria, HIV/AIDS, respiratory infections and tuberculosis.
Despite being one of the fastest growing economies in the world, with an average growth rate of eight per cent over the last 15 years, Mozambique is still among the bottom dozen of all countries in terms of GDP per capita per year. According to the UN’s Human Development Index 2010, Mozambique ranks at number 165 out of 169 countries5 in terms of human development and overall, the health status of the Mozambican population is lower than average for African countries and far below international standards, according to the report.
In order to address the most off-track MDGs, Maputo elaborated a budgeted strategic plan 2009-12 for achieving MDGs four and five by 2015. As such, the report recommends the EU select Mozzmbique as one of the countries to benefit from additional funding for implementing its new strategic plan, in the context of the recently launched MDG initiative announced by commission president Jose Manuel Barroso at the review summit in September 2010.
To read the full report, which focuses on: Country ownership and the participation of civil society and the national parliament in the health sector; The impact of donor coordination on health spending in developing countries; and the role of aid for progress towards the MDGs and for universal access to primary healthcare, please click here to visit the Action for Global Health website.
Louise Tait is Communications and Advocacy Assistant at Plan EU Office, Action for Global Health Brussels