Structural readiness of health facilities in Mozambique
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10362/164559 |
Resumo: | Funding Information: We want to thank Acácio Sabonete, António Junior, Amisse Momade, Amélia Chiche, Egídio Cueteia, Euridsse Amade, Hélder Macul, Hilénio Sabão, Graça Salomé, Maria Patrícia Gonçalves, Maria Vilma Josefa, Marla Amaro, Nora Nhacuto, Ofélia Simão, Paulino da Costa, Sheila Nhachunge, Rui Mondlane and Rui Langa. The first author wishes to thank and acknowledge Isabel Craveiro, Luís Varandas, the Calouste Gulbenkian Foundation, and the Foundation for Science and Technology (UI/BD/151065/ 2021) for supporting her research project program. Funding Information: The data analysis workshop with PSMCN members and Johns Hopkins University was supported by the European Union through a grant (FED/2017/385-650) to the Instituto Nacional de Saúde. The views expressed in this paper are from the own authors and not the official position of the institutions or funder. Publisher Copyright: © 2023, International Society of Global Health. All rights reserved. |
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Structural readiness of health facilities in Mozambiquehow is Mozambique positioned to deliver nutrition-specific interventions to women and children?health facilitiesMozambiquenutritionreadinesswomen and childrenRJ PediatricsR Medicine (General)RZ Other systems of medicineMedicine(all)Pediatrics, Perinatology, and Child HealthMaternity and MidwiferyCare PlanningSDG 3 - Good Health and Well-beingSDG 2 - Zero HungerSDG 1 - No PovertySDG 10 - Reduced InequalitiesFunding Information: We want to thank Acácio Sabonete, António Junior, Amisse Momade, Amélia Chiche, Egídio Cueteia, Euridsse Amade, Hélder Macul, Hilénio Sabão, Graça Salomé, Maria Patrícia Gonçalves, Maria Vilma Josefa, Marla Amaro, Nora Nhacuto, Ofélia Simão, Paulino da Costa, Sheila Nhachunge, Rui Mondlane and Rui Langa. The first author wishes to thank and acknowledge Isabel Craveiro, Luís Varandas, the Calouste Gulbenkian Foundation, and the Foundation for Science and Technology (UI/BD/151065/ 2021) for supporting her research project program. Funding Information: The data analysis workshop with PSMCN members and Johns Hopkins University was supported by the European Union through a grant (FED/2017/385-650) to the Instituto Nacional de Saúde. The views expressed in this paper are from the own authors and not the official position of the institutions or funder. Publisher Copyright: © 2023, International Society of Global Health. All rights reserved.Background The health sector is essential in delivering high-quality nutrition interventions to women and children in low and middle-income countries, and Mozambique is no exception. Still, the quality and readiness of health services to deliver nutritional services have yet to be comprehensively mapped across the country. We assessed the accessibility and readiness of health facilities to deliver maternal and child nutrition services in Mozambique. Methods Using multiple data sources within a geographic information system (GIS) environment, we calculated facility readiness to deliver nutritional services, population access to health facilities, and health facilities ready to deliver nutrition services. Data from Mozambique’s 2018 Service Availability and Readiness Assessment (SARA) was used to calculate readiness scores for each facility in the country. We used geospatial data from the ´WorldPop´ initiative to estimate the proportion of people in Mozambique within 10 kilometers of a ready facility. For each province and the country as a whole, we calculated the proportion of people with access to a ready facility for maternal and child nutrition interventions. Results At the national level, 29.1% and 37.3% of the population were within 10 kilometers of a facility ready to deliver all maternal and child nutrition services, respectively. Pregnancy growth monitoring (73.8%) and vitamin A supplementation (72.4%) were the most available interventions to the population. In contrast, anemia testing/iron supplementation (45.1%) was the least available nutritional intervention. The Center (30.5%) and North (26.9%) regions of Mozambique had much lower coverage than the South region (71.7%) across the maternal and child nutrition interventions. Nampula (14.9%) and Zambézia (17.9%) provinces were the least ready to deliver maternal nutrition services while Nampula (20.4%) and Cabo Delgado (21.2%) provinces were the least ready to deliver nutrition services to children. Conclusions To achieve high coverage of nutrition interventions, facilities need a full suite of commodities and equipment. Currently, too many facilities in Mozambique have only some of these supplies, meaning that only a minority of the children and pregnant women will receive effective nutrition services when they need them. Multi-sectoral efforts, including those outside the health system, are necessary to improve nutrition in Mozambique.Population health, policies and services (PPS)Global Health and Tropical Medicine (GHTM)Instituto de Higiene e Medicina Tropical (IHMT)RUNCane, Réka MaulideSheffel, AshelySalomão, CristoldeSambo, JúliaMatusse, EliasIsmail, EdmilsonAntónio, AnaniasManuel, ÉricaSawadogo-Lewis, TalataRoberton, Timothy2024-03-06T23:41:19Z20232023-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/164559eng2399-1623PURE: 83821012https://doi.org/10.29392/001c.89000info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:53:06Zoai:run.unl.pt:10362/164559Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T04:00:14.910733Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Structural readiness of health facilities in Mozambique how is Mozambique positioned to deliver nutrition-specific interventions to women and children? |
title |
Structural readiness of health facilities in Mozambique |
spellingShingle |
Structural readiness of health facilities in Mozambique Cane, Réka Maulide health facilities Mozambique nutrition readiness women and children RJ Pediatrics R Medicine (General) RZ Other systems of medicine Medicine(all) Pediatrics, Perinatology, and Child Health Maternity and Midwifery Care Planning SDG 3 - Good Health and Well-being SDG 2 - Zero Hunger SDG 1 - No Poverty SDG 10 - Reduced Inequalities |
title_short |
Structural readiness of health facilities in Mozambique |
title_full |
Structural readiness of health facilities in Mozambique |
title_fullStr |
Structural readiness of health facilities in Mozambique |
title_full_unstemmed |
Structural readiness of health facilities in Mozambique |
title_sort |
Structural readiness of health facilities in Mozambique |
author |
Cane, Réka Maulide |
author_facet |
Cane, Réka Maulide Sheffel, Ashely Salomão, Cristolde Sambo, Júlia Matusse, Elias Ismail, Edmilson António, Ananias Manuel, Érica Sawadogo-Lewis, Talata Roberton, Timothy |
author_role |
author |
author2 |
Sheffel, Ashely Salomão, Cristolde Sambo, Júlia Matusse, Elias Ismail, Edmilson António, Ananias Manuel, Érica Sawadogo-Lewis, Talata Roberton, Timothy |
author2_role |
author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Population health, policies and services (PPS) Global Health and Tropical Medicine (GHTM) Instituto de Higiene e Medicina Tropical (IHMT) RUN |
dc.contributor.author.fl_str_mv |
Cane, Réka Maulide Sheffel, Ashely Salomão, Cristolde Sambo, Júlia Matusse, Elias Ismail, Edmilson António, Ananias Manuel, Érica Sawadogo-Lewis, Talata Roberton, Timothy |
dc.subject.por.fl_str_mv |
health facilities Mozambique nutrition readiness women and children RJ Pediatrics R Medicine (General) RZ Other systems of medicine Medicine(all) Pediatrics, Perinatology, and Child Health Maternity and Midwifery Care Planning SDG 3 - Good Health and Well-being SDG 2 - Zero Hunger SDG 1 - No Poverty SDG 10 - Reduced Inequalities |
topic |
health facilities Mozambique nutrition readiness women and children RJ Pediatrics R Medicine (General) RZ Other systems of medicine Medicine(all) Pediatrics, Perinatology, and Child Health Maternity and Midwifery Care Planning SDG 3 - Good Health and Well-being SDG 2 - Zero Hunger SDG 1 - No Poverty SDG 10 - Reduced Inequalities |
description |
Funding Information: We want to thank Acácio Sabonete, António Junior, Amisse Momade, Amélia Chiche, Egídio Cueteia, Euridsse Amade, Hélder Macul, Hilénio Sabão, Graça Salomé, Maria Patrícia Gonçalves, Maria Vilma Josefa, Marla Amaro, Nora Nhacuto, Ofélia Simão, Paulino da Costa, Sheila Nhachunge, Rui Mondlane and Rui Langa. The first author wishes to thank and acknowledge Isabel Craveiro, Luís Varandas, the Calouste Gulbenkian Foundation, and the Foundation for Science and Technology (UI/BD/151065/ 2021) for supporting her research project program. Funding Information: The data analysis workshop with PSMCN members and Johns Hopkins University was supported by the European Union through a grant (FED/2017/385-650) to the Instituto Nacional de Saúde. The views expressed in this paper are from the own authors and not the official position of the institutions or funder. Publisher Copyright: © 2023, International Society of Global Health. All rights reserved. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023 2023-01-01T00:00:00Z 2024-03-06T23:41:19Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10362/164559 |
url |
http://hdl.handle.net/10362/164559 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
2399-1623 PURE: 83821012 https://doi.org/10.29392/001c.89000 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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