The COVID-19 pandemic is stretching the already fragile health system in Mozambique, where dozens of facilities destroyed or damaged by cyclones Idai and Kenneth are yet to be repaired. Diagnostic laboratory capacity for coronavirus cases is low in all provinces, and more personal protective equipment and training on COVID-19 management are needed in at least 34 health facilities assessed across the country.
In Cabo Delgado, the poor state of maternal and new-born health facilities in Ancuabe, Chiure, Metuge, and Montepuez districts, areas hosting internally displaced people due to the conflict in the Province, limit access to care and services to vulnerable mothers and children, according to assessment carried out by UNFPA and WHO.
At least 7 out of 11 provinces have a functional COVID-19 testing laboratory. In addition, at least 26 treatment or transit centres have been identified in all the provinces across the country.
Partners have also established some 62 influenza-like illness or acute respiratory infections sentinel sites in all provinces, with support from WHO. Each Mozambique province has five sites, with Maputo and Zambezia receiving 10 and 7 sites respectively.
Humanitarian partners are also supporting to strengthen surveillance capacity, with guidelines and tools adapted and disseminated in all the provinces and on-site supervision visits conducted in all regions of the country. Rapid Response Teams training sessions have been conducted in Maputo and Inhambane provinces.
WHO supported the Government to conduct antibody surveys for COVID-19 in Nampula, Cabo Delgado and Maputo provinces.
Humanitarian partners organized in Sofala Province a national workshop on management and logistics for sexual and reproductive health services. More than 30 people from Sofala, Maputo, Zambézia, Nampula, Cabo Delgado and Niassa provinces attended the training. In Cabo Delgado, more than 7,050 women and nearly 2,400 children benefitted from several sexual and reproductive health services through mobile health brigades in six districts, including Pemba, Metuge, Montepuez, Ibo, Chiure and Ancuabe.
UNFPA and DKT Mozambique selected and trained 14 community actors in Nampula to raise awareness and mobilize IDP communities adopt family planning methods through mobile brigades in the districts of Nacala-porto, Meconta and Monapo.
Additional security services for the health centres in resettlement sites are needed, as cases of destruction and theft have been reported.
Additional funds are needed to cover operational cost at province and district levels for field related activities.
Only two provinces have been selected for the use of GeneXpert platforms for testing COVID-19, due to limited number of supplies.