Prior to COVID-19, multiple disease outbreaks—including cholera and malaria—were already stretching Mozambique’s weak health systems and 94 health centres were damaged during the cyclones.
IDPs in Cabo Delgado, in particular, are currently facing significant challenges to accessing primary health care.
Critical services—such as sexual and reproductive health care, immunization activities and continuity of care for HIV, tuberculosis, malaria and cholera—are expected to be disrupted as resources shift to the COVID-19 response, potentially increasing maternal and infant deaths.
Over 2.2 million people are living with HIV in Mozambique, while cholera outbreaks are ongoing in Cabo Delgado and Nampula provinces with over 1,000 cases and 17 deaths reported to date.
Coordination with all provincial partners—Provincial Directorate of Gender, Children and Social Affairs (Direcção Provincial do Género, Criança e Acção Social, DPGCAS), Provincial Directorate of Health (Direcção Provincial de Saúde, DPS), District Service of Health, Women and Social Affairs (Serviço Distrital de Saúde, Mulher e Acção Social, SDSMAS)—on implementation of activities including COVID-19 response is ongoing, such as on GBV prevention, ensuring continuity of sexual and reproductive health (SHR) services in Health Units.
The Cluster is also monitoring the logistics chain from provincial to community level, focusing on the distribution of contraceptives.
Training on new instruments is ongoing for collecting and analyzing information on Servicios Amigos dos Adolescentes (SAAJ) for Balama, Chiúre, Montepuez and Namuno in Cabo Delgado.
Radio spots developed and disseminated good practices on prevention of Obstetric Fistula, in the day of prevention of obstetric fistula.
Coordination with Health partners (WHO, IOM, Pathfinder, CVM / IFRC, Save the Children, Associação Moçambicana para Desenvolvimento da Família (AMODEFA) is ongoing to support the functioning of Mobile Health Brigades, including assessment and monitoring mission with the DPS;Three tents distributed to the Rural Hospital of Buzi; one for consultations at the family planning unit, another for tracking COVID-19 cases and the third for maternity care, to isolate and care for pregnant women with COVID-19 symptoms.
There is currently a gap in the availability of tents for isolation of SRH and MCH Services in general and also for cholera in Pemba and in Metuge, in Cabo Delgado.
Moreover, there is a lack of PPE for COVID- 19 prevention (masks, sanitary buckets, soap and bleach/Javel) in Health Units.
Transportation for the operation of the Mobile Brigades and monitoring by the SDSMAS as well as additional staffing for DPS Sofala (12 doctors and 24 nurses / health technicians) remain a priority.
Support in the repair of circulating means (mainly motorized) for SDSMAs in the target districts to ensure the supervision and monitoring of Health Units.
There are currently needs in medical equipment (Mother and Child program) in Health Units in Metuge, Montepuez, Chiúre districts, Cabo Delgado.
There is also a need to conduct a safety audit visit with GBV/CP/Protection and Sexual and Reproductive Health (SRH) partners to assess GBV/SRH and Protection risks and needs and implement the necessary measures. Assess capacity for provision of mobile clinics on the sites is also needed for screening of MCH/FP and PSS.
There is a need to ensure ongoing funding for the functioning of the Mobile Health Brigades (BM) in the resettlement neighbourhoods after November 2020.