Within the context of improved security and sustained economic growth, several factors – both within and outside the health system – have contributed to progress. These include: increased domestic and foreign financing to support the implementation of a comprehensive policy framework in which maternal and child health, and responding to the HIV/AIDS crisis, have been prioritised; the steady expansion of health services and facilities to undersupplied areas; and rising effective demand, spurred by education and community outreach efforts. Despite numerous persistent challenges – including low quality of care, continuing inequalities and the substantial impact of the HIV/AIDS pandemic – Mozambique provides important lessons to other countries aiming to scale up health provision rapidly in a post-conflict setting. These particularly include the importance of focusing on distance and education as barriers to access, using innovative and low-cost human-resource policies to scale up health personnel quickly, and of moving towards more coordinated systems of aid disbursement.
The full report was amended on July 1st 2014 and July 9th 2014 to correct text errors relating to the length of Mozambique's civil war (16 years, not 15 years) and the date of independence (1975, not 1974).