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Estimated Resource Needs and Impact of Mozambique's Plano Estratégico Do Sector Saúde, 2014–2019

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Estimated Resource Needs and Impact of Mozambique's Plano Estratégico Do Sector Saúde, 2014–2019 April 2014 ESTIMATED RESOURCE NEEDS AND IMPACT OF MOZAMBIQUE’S PLANO ESTRATÉGICO DO SECTOR SAÚDE, 2014–2019 Results from the OneHealth Model This publication was prepared by Arin Dutta, Nicole Perales, and Ricardo Silva of the Health Policy Project and Laia Cirera i Crivillé da Direcção de Planificação e Cooperação of the Ministério da Saúde de Moçambique. HEALTH POLICY PROJECT Suggested citation: Dutta, A., N. Perales, R. Silva, and L. Crivillé. 2014. Estimated Resource Needs and Impact of Mozambique’s Plano Estratégico do Sector Saúde, 2014–2019. Washington, DC: Futures Group, Health Policy Project. ISBN: 978-1-59560-048-6 The Health Policy Project is a five-year cooperative agreement funded by the U.S. Agency for International Development under Agreement No. AID-OAA-A-10-00067, beginning September 30, 2010. The project’s HIV activities are supported by the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR). It is implemented by Futures Group, in collaboration with Plan International USA, Futures Institute, Partners in Population and Development, Africa Regional Office (PPD ARO), Population Reference Bureau (PRB), RTI International, and the White Ribbon Alliance for Safe Motherhood (WRA). Estimated Resource Needs and Impact of Mozambique’s Plano Estratégico do Sector Saúde, 2014–2019 APRIL 2014 This publication was prepared by Arin Dutta, Nicole Perales, and Ricardo Silva of the Health Policy Project and Laia Cirera i Crivillé da Direcção de Planificação e Cooperação of the Ministério da Saúde de Moçambique. The information provided in this document is not official U.S. Government information and does not necessarily represent the views or positions of the U.S. Agency for International Development. CONTENTS Foreword ................................................................................................................................... v Acknowledgments ..................................................................................................................vi Executive Summary ................................................................................................................ vii Process and methodology ....................................................................................................................... vii Abbreviations .......................................................................................................................... xii 1. Background ......................................................................................................................... 1 A. Resource needs estimation for the PESS 2014–2019 ....................................................................... 1 B. Prioritization process ........................................................................................................................ 3 C. Outline of this report ......................................................................................................................... 3 2. Methodology ....................................................................................................................... 5 A. Overview of the OneHealth methodology ........................................................................................ 5 3. Results: Overall Financial Resources Required ................................................................. 8 A. Total costs of the PESS, 2014–2019 ................................................................................................. 8 4. Results: Financial Resources Required for Public Health Programs ............................... 11 A. Methodology for Saúde Pública programs ..................................................................................... 11 B. Overall results for Saúde Pública ................................................................................................... 12 C. Malaria ............................................................................................................................................ 13 D. Saúde materno-infantil (SMI) ......................................................................................................... 17 E. Nutrition .......................................................................................................................................... 24 F. Expanded program for immunization (PAV) .................................................................................. 28 G. Tuberculosis .................................................................................................................................... 31 H. Neglected tropical diseases (NTDs) ................................................................................................ 36 I. Health promotion ............................................................................................................................ 39 J. Prevention of mother-to-child transmission of HIV (PTV) ............................................................ 40 K. Other Saúde Pública programs ....................................................................................................... 42 5. Results: Financial Resources Required for Medical Assistance Programs .................... 44 A. Methodology for medical assistance programs .............................................................................. 44 B. Overall results for DNAM .............................................................................................................. 45 C. HIV/AIDS (excluding VMMC and PMTCT) ................................................................................. 46 D. Internal medicine ............................................................................................................................ 52 E. Voluntary male medical circumcision (VMMC) ............................................................................ 56 F. Central clinical laboratories ............................................................................................................ 59 G. Surgery ............................................................................................................................................ 60 H. Emergency and trauma.................................................................................................................... 61 I. Blood transfusion ............................................................................................................................ 63 J. Other key medical assistance programs .......................................................................................... 64 6. Health System Departments: Human Resources............................................................. 68 A. Background ..................................................................................................................................... 68 B. Cost analysis ................................................................................................................................... 69 C. Human resources for health gap analysis ........................................................................................ 72 7. Health System Departments: Infrastructure ..................................................................... 77 A. Targets............................................................................................................................................. 77 B. Methodology for the cost analysis .................................................................................................. 78 iii C. Costs ................................................................................................................................................ 79 8. Health System Departments: Logistics ............................................................................. 81 A. Background ..................................................................................................................................... 81 B. Methodology and results ................................................................................................................. 81 9. Health System Departments: Governance, Leadership, and Health Information Systems (HIS) .......................................................................................................................... 84 A. Background ..................................................................................................................................... 84 B. Methodology and results ................................................................................................................. 85 10. Financial Resources Available and Sustainability Analysis .......................................... 88 A. Methodology to estimate the financial resources available ............................................................ 88 B. Recent trends ................................................................................................................................... 89 C. Scenarios for financial resources available ..................................................................................... 89 D. Summary of scenarios ..................................................................................................................... 92 E. Financial sustainability of the PESS ............................................................................................... 93 F. Discussion ......................................................................................................................................
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