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. With an adult HIV prevalence rate of 11.35 percent, Mozambique faces one of the world’s most severe HIV/AIDS infection rates.
MEASURE Evaluation has 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. Our work in Mozambique ended in 2014.
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 (RHIS), 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 (NGOs) 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. The translations have been disseminated widely, not just in Mozambique but in other countries where Portuguese is spoken.