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Primary health care in Mozambique : service delivery in a complex hierarchy
 
Author:Lindelow, Magnus; Ward, Patrick; Zorzi, Nathalie; Collection Title:Africa Region Human Development working paper series ; no. 69
Country:Mozambique; Date Stored:2004/06/28
Document Date:2004/04/01Document Type:Working Paper (Numbered Series)
SubTopics:Housing & Human Habitats; Health Monitoring & Evaluation; Health Systems Development & Reform; Health Economics & Finance; Public Sector EconomicsLanguage:English
Region:AfricaReport Number:29097
Volume No:1 of 1  

Summary: This report presents findings from a nationwide Expenditure Tracing and Service delivery Survey (ETSDS) implemented in Mozambique between August and October 2002. The study focuses o the primary health care system, which is frequently the only source of health care for most Mozambicans. The survey collected date from five levels: Directorates of Health in all eleven provinces, 35 directorates of Health at the district level, 90 primary health care facilities, 167 health workers, and 679 users. The data set offers a unique perspective on interactions between different levels of the health system, in particular in relation to the financing, allocation, distribution, and use of resources. The report covers a broad set of issues, including institutional context, budget management, cost recovery, allocation and distribution of drugs, human resources, infrastructure and equipment, and service outputs. The analysis reveals a number of weaknesses in service delivery.

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