The present policy note assesses the quality of the Health Sector Financing Strategy (HSFS) 2024-2035 through a SWOT (strengths, weaknesses, opportunities, threats) analysis and it aims to contribute to the debate of the Mozambican Ministry of Health’s draft of the draft HSFS proposal. One of the specific recommendations that we would like to highlight is on how the quality of the document can be improved through a systematic overview of the most important and constitutive elements of fiscal space for HSF, namely: i) dynamic growth of the economy and domestic revenue; ii) conditioned own source fiscal revenue of the sector (‘sin taxes’); iii) own source nontax revenue (user fees) and other payments for health services; iv) health insurance contributions; v) improved alignment between external donor support with domestic priorities; and vi) efficiency gains through improved financial management and governance. The vision of the HSFS is supposed to contribute to a new PESS (Health Sector Strategic Plan), geared toward achieving universal health coverage, and this is not really addressed. The document also does not address explicitly the mission assumed by the Ministry of Health. It is hoped that this study, its results, and the literature reviewed, produce insights for further improving and eventually finalizing the Mozambican HSFS, which, as the analysis attempted to demonstrate, is on the right track. Read more...
This policy note is only available in English.