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Community-based Care Quality Study Report (Inglês)

Community involvement for promoting and providing health services is one of the principles that underpin the Mozambique health sector strategic plan (2014–2024) and the investment case. Strengthening community-based health services is one of the key interventions to ensure access and utilization of available health services. The National Strategy guides its implementation for Health Promotion (2015–2019). Community-based health services in Mozambique are primarily provided through the Agentes Polivalentes Elementares (APEs), embedded in the decentralized health structures. APEs primarily utilize a door-to-door approach and interact with other community- and facility-based structures, including the health committees (comités de saúde) and co-management committees. An APE’s work and use of medicines are recorded through a monthly consultation report and stock management sheet. APEs are considered key agents to improve the utilization and quality of reproductive, maternal, child, and adolescent health and nutrition services in underserved areas. This study is undertaken as part of the advisory services and analytics (ASA) that accompanies the implementation of the Primary Healthcare Strengthening Program (PHCSP).

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