Explore By

This site uses cookies.

This site uses cookies to improve your online experience. To learn more about how we use cookies, please see our terms of use.

Mozambique Country Climate and Development Report

Preventing climate-driven outbreaks of malaria through scalable and cost effective Seasonal Malaria Chemoprevention programs in Africa

Human Climate Horizons (HCH)

Natural disasters, population displacement and health emergencies: Multiple public health threats in Mozambique

In early 2019, following the 2015-2016 severe drought, the provinces of Sofala and Cabo Delgado, Mozambique, were hit by Cyclones Idai and Kenneth, respectively. These were the deadliest and most destructive cyclones in the country’s history. Currently, these two provinces host tens of thousands of vulnerable households due to the climatic catastrophes and the massive influx of displaced people associated with violent terrorist attacks plaguing Cabo Delgado. The emergence of the COVID-19 pandemic added a new challenge to this already critical scenario, serving as a real test for Mozambique’s public health preparedness. On the planetary level, Mozambique can be viewed as a ‘canary in the coal mine’, harbingering to the world the synergistic effects of co-occurring anthropogenic and natural disasters. Herein, we discuss how the COVID-19 pandemic has accentuated the need for an effective and comprehensive public health response in a country already deeply impacted by health problems associated with natural disasters and population displacement.

Modelling geographical accessibility to support disaster response and rehabilitation of a healthcare system: An impact analysis of cyclones Idai and Kenneth in Mozambique

OBJECTIVES: Modelling and assessing the loss of geographical accessibility is key to support disaster response and rehabilitation of the healthcare system. The aim of this study was therefore to estimate postdisaster travel times to functional health facilities and analyse losses in accessibility coverage after Cyclones Idai and Kenneth in Mozambique in 2019. SETTING: We modelled travel time of vulnerable population to the nearest functional health facility in two cyclone-affected regions in Mozambique. Modelling was done using AccessMod V.5.6.30, where roads, rivers, lakes, flood extent, topography and land cover datasets were overlaid with health facility coordinates and high-resolution population data to obtain accessibility coverage estimates under different travel scenarios. OUTCOME MEASURES: Travel time to functional health facilities and accessibility coverage estimates were used to identify spatial differences between predisaster and postdisaster geographical accessibility. RESULTS: We found that accessibility coverage decreased in the cyclone-affected districts, as a result of reduced travel speeds, barriers to movement, road constraints and non-functional health facilities. In Idai-affected districts, accessibility coverage decreased from 78.8% to 52.5%, implying that 136?941 children under 5 years of age were no longer able to reach the nearest facility within 2?hours travel time. In Kenneth-affected districts, accessibility coverage decreased from 82.2% to 71.5%, corresponding to 14?330 children under 5 years of age having to travel >2?hours to reach the nearest facility. Damage to transport networks and reduced travel speeds resulted in the most substantial accessibility coverage losses in both Idai-affected and Kenneth-affected districts. CONCLUSIONS: Postdisaster accessibility modelling can increase our understanding of spatial differences in geographical access to care in the direct aftermath of a disaster and can inform targeting and prioritisation of limited resources. Our results reflect opportunities for integrating accessibility modelling in early disaster response, and to inform discussions on health system recovery, mitigation and preparedness.

Shifting Risks of Malaria in Southern Africa: A Regional Analysis

Place-specific factors associated with adverse maternal and perinatal outcomes in Southern Mozambique: A retrospective cohort study

Climate change impacts on the distribution of venomous snakes and snakebite risk in Mozambique

Association between precipitation and diarrheal disease in Mozambique

Malaria mortality characterization and the relationship between malaria mortality and climate in Chimoio, Mozambique

Air pollution-related health and climate benefits of clean cookstove programs in Mozambique

Triggering of stroke by ambient temperature variation: a case-crossover study in Maputo, Mozambique

The effect of season and temperature variation on hospital admissions for incident stroke events in Maputo, Mozambique

Why analyze mental models of local climate change? A case from southern Mozambique

Mainstreaming climate adaptation into development assistance: Rationale, institutional barriers and opportunities in Mozambique

Effective livelihood adaptation to climate change disturbance: Scale dimensions of practice in Mozambique

Flash Flood Guidance System with Global Coverage (FFGS)