An integrated response to Diabetes and Hypertension in Mozambique

Objectives

To scale up the national Non-Communicable Disease (NCD) response through enhanced focus on health system strengthening and quality of care.

Approach

This project builds on previous WDF support to initiate integrated diabetes and hypertension care at primary health care level in Mozambique (WDF12-0745 and WDF20-1794), forming part of the first phase national NCD response. Based on learnings from the first phase, this second phase will focus on geographical expansion and quality enhancement through a deep, continuous engagement at all levels of the health care system. The project is in full synergy with other initiatives, including a major initiative supported by the Italian Agency for Development Cooperation, the PEN Plus initiative, and WDF-supported CDiC project (WDF20-1799), all implemented by CUAMM; as well as an integrated TB/DM management project (WDF20-1782), collectively forming the second phase national NCD response.

Specifically, the project focuses on several key areas of expansion and quality improvement, including retention of clinical staff, strengthening of Health Information System (HIS) and supply chain management, integration of Type 1 Diabetes care, comprehensive social behavior change communication (SBCC) approach, and enhancement of local governance.

The project also aims to ensure access to NCD care in the protracted humanitarian crisis in the Northern part of Mozambique.

Expected results

• 24 primary health clinics and 4 secondary/tertiary hospitals in four provinces strengthened to provide integrated NCD care.
• 104 HCPs trained in integrated NCD care covering 28 health facilities.
• 62 community health workers trained in NCD care support.
• 54 health facility and MoH staff trained in data collection, reporting, and analysis → 28 health facilities regularly feed NCD data to the National Health Management Information System (NHMIS).
• 4 Chief Medical Officers from Provincial Health Directorate DPS CMOs trained as provincial NCD focal points, incl. planning and supply chain management.
• At least 50,000 people screened for T2DM, and 515,000 screened for hypertension.
• 1,700 people with T2DM and 14,650 people with hypertension enrolled in comprehensive care and treatment.
• 2,400 pregnant women counselled on healthy pregnancy through antenatal care (ANC).
• 160 children and youth with T1DM provided comprehensive treatment.
• At least 32,000 people reached directly through awareness activities.