Mozambique Primary Health Care Strengthening Additional Financing

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The development objective of the Primary Health Care Strengthening Program Project for Mozambique is to improve the utilization and quality of reproductive, maternal, child, and adolescent health and nutrition services, particularly in underserved areas. The additional financing (AF) will help finance the scope expansion of the program to incorporate additional contributions from the Government of Canada and United Kingdom’s Department for International Development (DFID). This involves: (i) the revision of the results framework, scaling up disbursement-linked results (DLRs) to reflect the AF, updating select baselines and targets, and adding a disbursement-linked indicators (DLI) on availability of essential medicines in primary health care facilities; (ii) clarification of responsibilities and addition of select measures in the financing agreement and program action plan (PAP) related to the completion of the procurement audit and additional measures on pharmaceutical disposal; (iii) the extension of the closing date by one year - to December 31, 2023; and (iv) the addition of an ineligible expenditure on high-tech medical and surgical equipment intended for specialized care and use in levels three and four health facilities. The AF also enhances the advantages of program co-financing for increased donor harmonization, results orientation, technical assistance (TA), and fiduciary controls in the health sector. The proposal to increase the scope of select program results has been agreed with the government, as well as health partners (HP). The end targets of the existing indicators in the results framework have also been adjusted to reflect the AF.