“Global Health and Financing for Development” Action for Global Health Conference Rome, 09 th February, 2009 Dr. Aida Libombo MD, Obstetrician/Gynaecologist, MSc, Deputy Minister of Health – Mozambique

Global Health Global Health problems currently transcend national boundaries and demand international cooperation Multilateral and Bilateral Agencies, Governmental and Non-Governmental Organizations and Nations worldwide are committed to participate on Global Health issues

Threats for Global Health National and Regional Humanitarian Crises due to: War, Political Insecurity, Famine, Food and Nutritional Insecurity Environmental threats: draught and floods Economic Instability and Absolute Poverty Lack of resources: water and food HIV and AIDS and other emergent diseases (Avian Flu, Hemorrhagic fevers, etc)

Mozambique IndicatorsValue Population (in millions)*20 Children under 18 (in millions)*10 % People living below the poverty line*54 Under-five mortality rate/1,000 live births*:152 Maternal Mortality Ratio/1,000 live births (DHS 03) 408 % National HIV prevalence rate (pregnant women years old, 2007) 16 % Malaria prevalence children 2-9 yrs40-80 TB incidence rate (per 100,000)436 % Literacy*37♀ & 67♂ Life expectancy*:37 Health sector financing**~50% by partners Source: *Childhood Poverty: A Situation and Trends, ** MISAU 2007 Analysis, UNICEF, 2006 other: UNDP Mozambique 2006

Efforts to face the Global Health Treats in Mozambique Mozambican Government committed on Poverty Reduction – Comprehensive PRSP National Budget – 13% for Health sector Alignment of Governmental Program with, PRSP and MDGs Mechanisms of coordination between the Government and donor’s community MOU between MOH and Partners Implementation of Global Health Initiatives

Global Health Initiatives in Mozambique Global Fund for AIDS, Tuberculosis and Malaria PEPFAR International Health Parternership Global Alliance for Vaccine and Immunization – GAVI Integrated Management of Child Illnesses Parternership for Maternal, Neonatal and Child Health

Coordination Mechanisms o MOH with Partners A mature SWAp A strong and consistent engagement of donors A Five Year Plan and an Operating Annual Plan (PES) A single results framework (PAF or QAD Saúde) Code of Conduct and a MoU Joint Annual Review mechanism aligned to government reviews Pooling of funds (Budget support; PROSAUDE, Provincial Fund, and drugs fund in the process of consolidation and integration);

Consensual Principles: 1. Strong Leadership at all levels 2. Clear policies and strategies 3. Develop and strengthen the coordination mechanisms between the Government and other stakeholders 4. Strengthen the Health Systems

Some encarouging results in Mozambique

10

11

12

13

Challenges Proceed with the National policies, strategies Accelerate implementation of Food and Nutritional Security Provide that the more vulnerable population groups are considered when implementing all national strategies Improve the mechanisms of coordination with all partners within and outside the country.