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Commonwealth Health Partnerships 2015

C ommo nwe a l t h memb e r c o u n t r i e s Mozambique has significantly increased overall since 1990; however, the country has experienced a slight reduction per year since 2009. There were 1,813,984 reported cases of malaria in 2012. Although the number of confirmed cases of malaria rose between 2007 and 2012, the numbers of deaths from malaria saw a gradual and consistent decline over the same time period. There has been a gradual rise in estimated incidence of tuberculosis (TB) in the period 1990–2013 and estimated mortality (when mortality data excludes cases comorbid with HIV) from the disease has also seen an overall increase in this time. Non-communicable diseases (NCDs) accounted for an estimated 23 per cent of all mortality in Mozambique in 2012. The most prevalent NCDs in Mozambique are cardiovascular diseases, which accounted for seven per cent of total deaths across all age groups in 2012. Cancers, non-communicable variants of respiratory diseases and diabetes contributed four per cent, two per cent and one per cent to total mortality, respectively (2012). Injuries accounted for 11 per cent of deaths in 2012. Health systems: In 2012 government expenditure on health was 2.8 per cent of GDP, equivalent to US$17 per capita. In the most recent survey, conducted between 1997 and 2010, there were four doctors, and 41 nurses and midwives per 100,000 people. Additionally, in 2011, 54 per cent of births were attended by qualified health staff and in 2013, 85 per cent of one-year-olds were immunised with one dose of measles. In 2012, 49 per cent of people were using an improved drinking water source and 21 per cent had access to adequate sanitation facilities. The most recent survey, conducted in the period 2000–11, reports that Mozambique has four pharmaceutical personnel per 100,000 people. Mozambique’s health services can be divided into four levels. The primary level consists of health posts, mobile services and rural health centres, which carry out basic health services of both a curative and preventative nature. The secondary level consists of rural and general hospitals, only some of which are able to provide surgical services. The tertiary level includes the provincial hospitals that are able to offer diagnostic facilities and specialist services, while the quaternary level includes the three central hospitals in Maputo, Beira and Nampula. With little local pharmaceutical manufacturing, pharmaceuticals are a major import. Some antiretrovirals are produced in Mozambique. MEDIMOC is the key organisation contracted by the government to import pharmaceuticals for the country’s national health sector. Under-five mortality 250 200 150 100 1990 1995 2000 2005 2010 2015 Under-five mortality per 1,000 live births 2015 MDG 4 target 50 216 Commonwealth Health Partnerships 2015 50 Life expectancy and HIV/AIDS 12 10 8 6 4 2 1980 1990 2000 2013 Prevalence of HIV/AIDS among those aged 15–49 Life expectancy Prevalence of HIV, total (% of population aged 15-49) Life expectancy in years 40 0 Mortality by cause of death (% of all deaths), 2012 Injuries Communicable diseases, maternal, perinatal and nutritional conditions Non-communicable diseases Tuberculosis: Incidence and mortality 1990 2000 2010 Mortality excluding cases comorbid with HIV (per100,000 people) Incidence of tuberculosis (per 100,000 people) – including cases comorbid with HIV 600 500 400 300 200 100 0


Commonwealth Health Partnerships 2015
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