Mozambique

Mozambique: Mozambique Mobile Clinic Project

Providing Services for Underserved Communities: June 2017

August 31, 2017

Blayton Titos Caetano

Summary of Activities

In 2008, RMF designed the first-ever Mobile Clinic for Mozambique, with financial support from Medical Mission International, in partnership with the Zambézia Provincial Directorate of Health (DPS), and with Vanderbilt University’s Friends in Global Health (FGH) as Implementing Partner. This Mobile Health Clinic is particularly valuable in reaching underserved and/or remote communities because it provides a versatile, flexible platform for primary healthcare services, education, and counseling.

Since 2008, RMF’s Mobile Clinic has been providing extensive services in some of the most remote areas in Zambézia Province. In subsequent years, based on the success and impact of this first Mobile Health Clinic, numerous other mobile clinics were built, providing a network of mobile outreach for some of the most remote areas of Mozambique.

Sten H. Vermund, MD, PhD, Chief Manager, Friends in Global Health, LLC, Assistant Vice Chancellor for Global Health of Vanderbilt University, says:

The Mobile Clinic has been a ground-breaking innovation for Mozambique. We are very grateful for our partnership and we are proud to note that the RMF investment served as a pilot for the nationwide expansion of mobile units in one of the world’s least capacitated nations. We thank you, your staff and your donors most sincerely.

In June 2016, as a new RMF model to work directly with the Ministry of Health as Implementing Partner, RMF’s Founder and CEO, Dr. Martina Fuchs, handed this first Mobile Clinic over to Dr. Hidayat Kassim, Head of the Provincial Directorate of Health, Provincial Government of Zambézia. RMF continues to support operations of the Mobile Clinic, as it now supplements government health services in Zambézia, the most populous province of Mozambique.

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Results &

ACCOMPLISHMENTS

Services Provided

Mobile Health Programs

In June 2016, the Provincial Directorate of Health received a vehicle from RMF/FGH, brand Toyota Dyna, license plate MMX 01-76. Since then, it has provided services on the scale of several health programs, operating as a Mobile Clinic.

The Mobile Clinic is incorporated into a number of the provincial government’s programs, in particular, those of the Provincial Directorate of Health.

Activities completed:

TA Measurement
HIV Screening
Blood Glucose Testing
Family Planning
Vision Screening
Blood Donation
Cleft Lip Screening

Maintenance

Responsible Ownership

Since this vehicle was delivered to the directorate, the Mobile Clinic has had maintenance services twice.

First maintenance:

motor oil change
diesel filter
washing
lubrication
4 tires

Second maintenance:

motor oil change
diesel filter
oil maintenance for differential and velocity gear box
traction repair
washing
lubrication
2 batteries

Looking Ahead

Defining Needs

As a province, we have several projects in our portfolio for the remainder of the year. There is a need to organize and implement 4 mobile teams in 4 different districts to conduct outreaches in the communities, supporting the district’s objective of bringing health services to the most remote areas of the community. At these outreaches, a multidisciplinary team of health professionals will deliver various services. Their period of stay on-site involves the cost of salaries, as well as maintenance and repair of the vehicle (Mobile Clinic), which should follow a concrete maintenance schedule in order to accomplish the objectives of the projects in our portfolio.

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Background

& Objectives

Background

RMF’s Mobile Clinic in Mozambique is a new model of healthcare provision for our organization, conceptualized to reach remote and rural communities with no prior access to health care. Since its inception in 2008, our Mobile Clinic has been hugely successful and remains the only mobile clinic in all of Mozambique. The clinic, a collaboration between RMF, Vanderbilt University’s Friends in Global Health, and Medical Mission International, is currently deployed in one of the most populous provinces of Mozambique, Zambézia Province, located in the central coastal region with a population of almost 4 million.

Objectives

To improve the quality of life and provide access to health services, particularly access to maternal-child healthcare and anti-retroviral therapy (ART) for people living with HIV and AIDS, Tuberculosis and other diseases.
To provide access to healthcare in remote areas of Zambézia Province, Mozambique.
To reinforce the expansion of HIV care and treatment services initiated by the Zambézia Provincial Health Directorate (DPS), by providing temporary reinforcement in terms of staff, training, and space for peripheral health units initiating implementation of ART until such time as the DPS can organize the infrastructure and resources necessary for these sites to function independently.

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