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Mozambique government health spending 

Background Information on Health Spending in Mozambique

1. Economic Context

Mozambique is a low-income country . Its economy is primarily driven by agriculture, with significant contributions from extractive industries such as mining and natural gas. Despite its rich natural resources, Mozambique faces numerous economic challenges, including high levels of poverty, unemployment, and reliance on foreign aid.

2. Healthcare System Overview

The healthcare system in Mozambique is predominately public, with the government taking a central role in providing health services. Health infrastructure is relatively underdeveloped, particularly in rural areas, where many communities have limited access to healthcare facilities. The health system in Mozambique has faced chronic underfunding and significant challenges related to staffing, equipment, and supply of medicines.

3. Government Expenditure on Health

Health spending as a share of total government expenditure is a critical indicator of the priority given to health within the national budget. This percentage reflects the government's commitment to improving health outcomes, infrastructure, and services to its population.

  • Trends and Changes: Over the years, the percentage of government expenditure allocated to health can fluctuate based on economic performance, political decisions, donor funding, and emerging health crises.
  • International Benchmarks: The World Health Organization (WHO) and other international bodies recommend that countries allocate a substantial portion of their budget to health—often cited as at least 15% by the Abuja Declaration—to ensure adequate health coverage and improve health outcomes.


4.. Role of International Aid

Mozambique receives significant international aid for its health sector. Many health programs, particularly those targeting specific diseases such as HIV/AIDS, malaria, and tuberculosis, are heavily funded by international donors. This aid can sometimes supplement or overshadow government expenditure, affecting the overall spending patterns.


5. Impact of Health Spending

Adequate health spending is vital for:

  • Building and maintaining healthcare infrastructure.
  • Improving access to basic and specialized health services.
  • Training and retaining healthcare personnel.
  • Procuring necessary medicines and medical supplies.
  • Implementing public health programs and interventions.


6. Challenges and Opportunities

  • Challenges: Mozambique faces challenges in increasing its health spending due to limited fiscal space, competition with other critical sectors (e.g., education, infrastructure), and dependency on volatile foreign aid.
  • Opportunities: With focused investment in health, Mozambique can address key health challenges, improve overall health outcomes, and drive socio-economic development. Investing in primary healthcare, preventive measures, and health system strengthening can yield significant returns.

Chart:  Health spending as a share of total government expenditure   in Mozambique

Chart for comparison:

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