Mozambique National Health Policy Overview
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ScribdTranslationsMozambique National Health Policy Overview
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ScribdTranslationsPOLYTECHNIC AND RESEARCH INSTITUTE OF
MOZAMBIQUE
Course: General Nursing
Module: Human Sciences
Lesson 3: National Health Policy
Dr. Madalena Morrombe
Objectives of learning
By the end of the class, students should be able to:
• Define the National Health Service (SNS);
• Understand the levels of health care;
• Describe the structure, organization, and hierarchy of
organs; and
• Describe the notions of programs and initiatives of
Ministry of Health.
National Health Service (NHS) - concept
The National Health Service (NHS) is the set of
institutions and services, dependent on the Ministry of
Health (MISAU), which has the mission to guarantee access
of all citizens to healthcare, within the limits
of available human, technical, and financial resources.
Levels of Health Care
In Mozambique, it was defined,
four levels of care of
Health:
Primary Level;
2. Secondary Level;
3. Tertiary Level; and
4. Quaternary Level;
Primary Level
• Mozambique has 1377 Primary Level Health Units;
• Built by Health Posts and Centers;
• Basic actions for solving the most common health problems in
community
• Medical Actions (preventive and curative), promoting manipulation
the environment has a wide distribution, thus becoming
available to all citizens, with equal access and without
financial limitations.
Primary Health Care Level
HealthPostof
Delane
(Matutuíne)
HealthCenterof
NSIME-RuralTypeII
(Matutuíne)
Source: DPPC/Infra- 6
structure
2. Secondary Level
• It is made up of rural, district, and general hospitals;
• Mozambique has 42 Healthcare Units of level
Secondary health care;
• The main tasks of this level of health care are
directly support the Health Centers throughout the
district
Cont.
• In the set of predominantly medical actions
care guaranteed by General Practice doctors with
experience, there is the ability to solve the
most common problems in some specialties
internal medicine, simple general surgery, traumatology,
pediatrics, obstetrics, gynecology, stomatology, etc.
Tertiary Level
• Constructed by Provincial Hospitals
• At the national level, there are a total of 8 provincial hospitals;
• Set the reference level for users who do not
they find solutions for their problems in hospitals
Rural and General, as well as for those coming from
District Hospitals and Health Centers.
• There are more complex diagnostic means than that of
secondary level, includes Specialist Doctors.
Cont.
• Medical actions of a curative nature include
more complex specialties (Internal Medicine, Surgery
general, Traumatology, Pediatrics, Obstetrics, Gynecology
Stomatology, Otorhinolaryngology, infectious-contagious diseases,
["intensive care","psychiatry","dermatology","medicine"]
physics and rehabilitation)
4. Quaternary Level
• Constructed by Central and Specialized Hospitals;
• Represents the highest level of health care.
• All actions and measures at this level are of the
direct responsibility of the Central bodies of the Ministry
of Health, located in the capital of the Country;
• The infrastructure and human resources at this level have
still the responsibility of postgraduate training of
health frames.
4. Quaternary Level
• Built by Central and Specialized Hospitals
• Consisting of 4 central hospitals and 2 specialized ones;
• Represents the most differentiated level of healthcare;
• Service for problems whose treatment is
monitoring requires more sophisticated technology;
• Establish the reference level for patients who do not
they find solutions for health problems in the Units
Sanitary facilities from previous levels.
Cont.
The Central Hospitals are Units of the Quaternary Level:
• Nampula (serves as provinces of Cabo Delgado,
Nampula and Niassa;
• Beira and Quelimane (serve as the provinces of Manica,
Sofala, Tete
• Maputo (serves as the provinces of Gaza, Inhambane and
Maputo.
Bodies of the State apparatus of the Ministry of
Health
Central organs of the Ministry of Health (MISAU);
2. The provincial health directorates and the directorates of
health of the city of Maputo
3. District Health Service for Women and Social Action
(SDSMAS) and the City Health Directorates.
Hierarchy of the organs of the state apparatus
• The MISAU is the central body of the National Health Service
and is responsible for defining the policies, guidelines
the rules that must be followed by each
structural unit of MISAU (DPS, SDSMAS and US);
• In each of the provinces, there is a representation
from MISAU that is called Provincial Directorate of
Health - DPS;
Cont.
• In each district, there is a district representation of the
National Health Service which is the District Service of
Health, Woman and Social Action - SDSMAS;
Graphical representation of the hierarchy
of the State Apparatus Organs
• The Health Units are
they relate to the
SDAMAS of your district and
this with the DPS of yours
Province. The DPS are
they relate to MISAU.
Structure of the Ministry of Health
a) National Directorate of Health;
b) Directorate of Planning and Cooperation;
c) Human Resources Directorate;
d) Administration and Management Department;
e) Inspection Office;
f) Minister's Office.
Organizational chart of MISAU
Source: [Link]
Provincial Directorate Structure of
Health
aDirection;
Provincial Inspection;
c) Departments;
d) Distributions;
e) Sections;
f) Sectors;
gSubordinate institutions
Structure of the District Directorates
Health
• Director's Office;
• Division of Disease Control and Promotion
Health;
• Medical Assistance Distribution;
• Department of Women's Affairs and Social Action;
• Department of Administration and Planning;
• Human Resources Department
NURSING PROGRAMS
GENERAL
Concepts of Programs and Initiatives
from the Ministry of Health.
Infection Prevention and Control;
Model ward;
3. Humanized attention to users.
Prevention and Control Program
of Infections
Objectives of the Program:
1. Prevent the occurrence of serious infections during the
provision of any kind of health care that
involve invasive procedures (e.g. injections, infusions)
intravascular, algaliação, wound treatment
insertion of the intrauterine device (IUD)
surgical procedures;
Cont.
Minimize the risk of transmission of infections
graves, such as hepatitis B (HBV), hepatitis C
(HIV) and Acquired Immunodeficiency Syndrome
(HIV/AIDS), not only for the patients but also for the
["health workers (including the staff of"]
hygiene and cleanliness), as well as for the community.
2. Model Ward
The model infirmary is equipped with a
individualized, humanized service, and with
state-of-the-art equipment, that is, it is a
ward where all healthcare staff provide
a quality service to guarantee
patient satisfaction.
3. Humanized attention of
users
The humanized attention of users is defined
how the search for better service to
patients looking at him as a human being
complete and that needs support for
achieve a satisfactory recovery.
Objectives of the Care Program
humanized of the users
1. Improve the quality of services and enhancement of
treatments, increasing the chances of recovery and reducing the
time for the patient's recovery;
2. Train hospital professionals for a new concept
of health assistance that values human life and citizenship;
3. Promote professional ethics so that professionals
health treat patients with respect for their beliefs and their
socioeconomic reality.
SMI Programs
Scheduled Ministry of Health
• Sexual and Reproductive Health Program;
• Child Health Program;
• Extended Vaccination Program;
• School Health Program.
1. Objectives of the Program
Sexual and Reproductive Health
• Increase the demand for maternal health services (Prenatal Care,
prevention of vertical transmission, institutional childbirth, and postpartum consultation;
• Implement the Family Planning Strategy;
• Perform screening and treatment of STIs for all women in the consultations of
family planning / Reproductive Health Consultation;
• To track and treat (or refer correctly) cancer of the
cervical and breast in Health Checkup/Health Consultations
Reproduce;
2. Objectives of the Program
Child Health
• Improve access to essential care for newborns
nascido, incluindo a ressuscitação neonatal e seu
follow-up, with emphasis on the first week of life;
• Expand the number of Health Units that
they provide care for Newborns;
• Improve the quality of children's health services
offered in the Health Units;
3. Program Objectives
Extended Vaccinations
• Implement campaigns and other forms of social mobilization, of
intensification of routine vaccination;
• Increase the number of fixed vaccination posts;
• Introduce new vaccines into the routine vaccination program;
• Use of mobile brigades particularly in hard-to-access areas;
• Introduce new cooling techniques;
• Train/qualify the staff (short courses or training
in service, in matters of cold chain management, management of
stocks).
4. Objectives of the Program
School Health
• Encourage healthy living practices, through
regular sanitary education in schools (hygiene
individual and collective, physical exercises), journeys of
cleaning, school gardens, no alcohol consumption
tobacco and road safety promotion, how
entry point for the promotion of diseases no
transmissible;
Cont.
• Strengthen the coordination mechanisms to support
schools in promoting healthy lifestyles;
songs of counseling and creating environments
books on tobacco, alcohol, and other drugs.
Bibliography
• Ministerial Diploma No. 94/97 of October 22;
•Ministry of Health (MISAU). Reference manual for prevention and
infection control in healthcare facilities;
•Ministry of Health (2001). National Humanization Program of
hospital assistance. Brasília-DF
•MISAU (2016). Sanitary map: District-Municipality of Matola;
•Strategic Plan for the Health Sector PESS 2014-2019;
•htp://
[Link]/2010/01/mocambique-ja-tem-enfe
[Link]
End of Class
Thank you for your attention