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Summary

Under USAID’s Health Policy Plus (HP+) program, we provided support to the Mozambique’s Ministry of Health (MISAU) to develop an investment case for the Global Financing Facility (GFF) to improve reproductive, maternal, neonatal, child, and adolescent health (RMNCAH). We currently provide technical assistance to operationalize the investment case at the provincial level while strengthening policy and coordination among partners at the central level.

Through embedded technical assistance, we support MISAU to strengthen public financial management functions across the ministry and improve monitoring and evaluation planning processes. We conduct capacity building activities at the central and provincial levels and develop tools to improve the efficiency of public financial management activities. Finally, we support the MoH to consolidate the planning and budget functions in e-SISTAFE via a planning and budgeting module, in collaboration with the Ministry of Finance. This module implements the planning and budgeting system to increase effectiveness in governance and achieve a more responsive, participatory, transparent, and accountable financing system for the health sector.

Breaking New Ground

Co-ordination among health partners and within MISAU departments is crucial for the investment case’s successful implementation. ThinkWell leads informative sessions to health partners on the investment case to foster transparency of information among stakeholders. Additionally, ThinkWell revitalized technical working groups on maternal and child health and ensure continuous technical support on the investment case’s implementation.

Challenges

In Mozambique, weaknesses in resource flow and management often limit the amount of funds that reach the point of service. This constrains health outcome improvement.

Approach

Our goal is to increase health governance effectiveness to achieve a more responsive, participatory, transparent, and accountable health system. ThinkWell’s approach strengthens public financial management, monitoring and evaluation, and planning and budgeting through embedded technical assistance in MISAU. We also create tools and procedures, with a capacity transfer plan that is mindful of the specific limitations of the MoH’s structure. Additionally, ThinkWell strategically supports MISAU to ensure its technical ownership on the investment case’s implementation.

Results

Through HP+, ThinkWell helped improve adherence to finance procedures manual requirements both at the central and provincial levels, where HP+ continued its efforts to decentralize public financial management procedures. To date, ThinkWell has assembled national guidelines on public financial management and rolled out a training package on public financial management nation-wide.

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