Mozambique's health infrastructure, along with its economy, was devastated by decades of conflict. Its high growth rate over the last decade has been from a very low base and has been greatly dependent on capital-intensive investment by the private sector. Problems with revenue collection in particular have also inhibited development. It is a largely dispersed, rural population, with many groups having settled rurally to escape the war. Mozambique also has one of the lowest patient to healthcare professional ratios in the world.
You can watch specially produced films below highlighting the need for community health workers (locally known as Agentes Polivalentes Elementares or APEs) in Mozambique and the challenges they face as they try to provide villages with access to diagnostics and treatment for main childhood illnesses.
inSCALE in Mozambique
Based on a landscape analysis and formative research, including international and national stakeholder consultations, inSCALE is implementing a technology based intervention in six districts of Inhmabane province. This is part of a randomised control trial aimed at improving community health worker motivation, performance and retention. In Mozambique APEs are given phones which contain innovative tools such as respiratory timers to support their work in pneumonia diagnosis. APEs and their supervisors have access to a closed user group on their phones in order to increase communication and support.
The smart phones they receive are programmed with a tool for decision support, immediate feedback and multimedia, audio and images to improve adherence to protocols. The tool also allows APEs to send key indicators to a server and to keep a register of patients who can be tracked over time. The indicators submitted can be used to monitor the performance of APEs by providing automated, timely, digestible reports with targeted follow-up actions for APE supervisors. Click here for more information about the mobile phone intervention.
To enlarge map this map of the Inhambane region, please click here.