annual report 2011 | mozambique

UNICEF Mozambique Annual Report 2011

KEY RESULTS

  • Revised guidelines for prevention of mother-to-child transmission of HIV (PMTCT) leading towards the elimination of paediatric AIDS rolled out in all provinces.

  • Nationwide Child Health Week reached near four million children in May with an integrated health package including, measles vaccination, vitamin A supplementation, deworming and screening for nutrition status.

  • 20,726 children with severe acute malnutrition received treatment.

  • The number of children living with HIV receiving antiretroviral treatment increased by 28 per cent (compared to an 18 per cent increase in 2010).

The Child Health and Nutrition programme aims to support interventions that address the underlying causes of the high mortality and poor nutritional status of children. These include inadequate access for the most vulnerable children to integrated child health and nutritional services and gaps in health policy, institutional capacity and quality of service.

The programme is implemented by the Ministry of Health and its provincial directorates with support from UNICEF and partners, including Population Services International, World Vision, the Save the Children Alliance, Health Alliance International, Clinton Health Access Initiative and Douleurs Sans Frontières.

Progress

UNICEF, in collaboration with partners, provided technical support to the Ministry of Health in procurement and supply chain management to address major challenges in the health system. After a two-year renovation that included infrastructure development, capacity building and improvements in the stock management system, a new central warehouse was inaugurated.

The Child Health Week – supported financially by the Government of Canada – constituted a key area of collaboration between the Ministry of Health, the World Health Organisation and UNICEF. During the first Child Health Week in May, the Ministry of Health reported that over 3.9 million children aged 6-59 months received vitamin A supplementation and 3.3 million children aged 12-59 months received mebendazole. Subsequently, the Government implemented the second Child Health Week without UNICEF financial and technical support.

Support was provided in the distribution of over 2.5 million long-lasting insecticidal nets (LLIN) across the country, representing a cumulative coverage of all children under five and 72 per cent of pregnant women in unsprayed districts.

The risk of HIV transmission from HIV-positive mothers to their children was reduced. Prevention of mother-to-child transmission of HIV (PMTCT) sites across the country increased from 909 in 2010 to 1,060 in 2011, a steady increase from 222 in 2006, 386 in 2007, 500 in 2008 and 744 in 2009.

Partial data for 2011 shows that out of 852,690 pregnant women attending their first antenatal care visit in health centres with PMTCT services, 602,859 (75 per cent) were tested for HIV compared with 68.8 per cent in 2010. Of all those tested, 60,707 or 10 per cent were found HIV-positive. A total of 39,034 HIV-positive pregnant women – 76 per cent of those who tested HIV-positive – received antiretroviral therapy (ART) for the prevention of mother-to-child transmission of HIV.

The number of HIV-positive children receiving ART reached 19,241 in 2011, compared to 21,047 children in 2010. This lower number of HIV-exposed children receiving ART is a reflection of high dropout rates in the follow-up of PMTCT services and calls for continued investment in the programme.

In the Ministry of Health’s nutrition programme, 20,726 children under five were diagnosed with severe acute malnutrition in nine provinces. Of the malnourished children, 6,664 were hospitalised and the remaining 15,184 were treated as out-patients with the use of Ready-to-Use Therapeutic Food. In addition, 5,941 children diagnosed with moderate acute malnutrition received nutritional support.

Under the leadership of the Ministry of Health, improved emergency preparedness for cholera led to a decrease in the number of cases from 4,603 in 2010 to 1,254 in 2011 and in the number of deaths (from 61 in 2010 to 4 in 2011).

The UN Joint Programme on HIV and AIDS – of which UNICEF is a part – continued to support national efforts in the prevention and treatment of HIV and AIDS. In 2011, the UN supported both the planning and the roll-out of new PMTCT guidelines, aiming to provide more efficacious regimens to HIV-positive pregnant women and their infants through breastfeeding. In close collaboration with partners, UN agencies provided support to the Ministry of Health in undertaking the PMTCT National Review, which in addition to documenting the programme, recommended solutions to the bottlenecks and challenges to the elimination of HIV infection in children. Based on the National Review, a costed PMTCT plan was developed and expected to be approved in early 2012.

Way forward

In 2012, the Child Health and Nutrition programme will continue to provide financial and technical support to the Health Sector Common Fund. It will support planning and budgeting at the central level and in at least two provinces (Zambezia and Tete), which have been highlighted in recent research as having the most vulnerable children in the country. Procurement and supply chain management will continue to be a priority area that will ensure the availability of essential drugs and medical accessories.

In the area of service delivery, UNICEF interventions will focus on supporting the Ministry of Health to continue the expansion of the community health workers programme, further strengthen malaria control through routine distribution and universal access campaigns for bed nets, and support the implementation of the Nutrition Rehabilitation Programme. In the area of HIV, UNICEF will continue to support partner efforts to keep HIV-positive women alive and to protect their children from HIV infection through nationwide implementation of the new PMTCT guidelines.

FUNDS IN 2011
Breakdown of funds by source (US$)
Regular Resources 4,478.024
Other Resources 12,369,093
Total Funds Utilised 16,847,117
Breakdown of funds by donor (US$)
Government of Canada 5,424,279
Government of the United Kingdom 2,002,074
UN One Fund 1,260,489
US Fund for UNICEF946,517
Thematic Fund Young Child Survival and Development 539,926
Norwegian National Committee for UNICEF 474,840
Government of the United States of America 344,827
Thematic Fund HIV/AIDS and Children 248,151
Italian National Committee for UNICEF 226,328
Japan Committee for UNICEF 207,661
Irish National Committee for UNICEF 156,238
German National Committee for UNICEF 125,831
Netherlands National Committee for UNICEF 106,548
Other allocations (less than US$ 100,000) : Australian National Committee for UNICEF, Belgian National Committee for UNICEF, French National Committee for UNICEF, Government of Australia, Government of Sweden, Micronutrient Initiative, Swiss National Committee for UNICEF, Thematic Fund Basic Education and Gender Equality, Thematic Fund Humanitarian Response, UK National Committee for UNICEF, UNICEF China 305,384

 

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