Hi, I’m Mauro Cuna, Senior Project Manager at Acasus. In Tete Province, we supported the provincial health sector to deliver joined-up primary healthcare services. This initiative achieved unprecedented results – and has since helped establish a national model for integrated care across Mozambique. Here are the three things that enabled this transformation.
In Mozambique, core health programmes have historically worked separately. Different outreach teams travelled the same difficult roads to reach the same remote communities. This wasted scarce fuel, duplicated staff efforts and missed communities where needs were greatest.
To address this, in June 2025, we brought health services together in Tete Province, delivering several services during a single community visit. By aligning local partners behind one province-led plan, sharing transport and delivering vaccinations, nutrition, family planning and malaria services together, we showed how better coordination could dramatically expand access to care.
In just one week, integrated delivery in Tete:
- Expanded reach: Outreach teams reached 63% more communities in June 2025 compared to April and May combined, with 78% of sessions delivering the full integrated package.
- Increased immunisation: The number of children reached rose by 239% from May to June.
- Expanded services for under-5s: Vitamin A and deworming distributions for children aged 12–59 months increased by 545% and 557%, respectively, between May and June.
- Improved access: Over 45,000 additional women accessed maternal, newborn and child health services in June versus May.
By bringing services together, health teams reached more people, in more places, in less time. They reduced duplicated journeys and made better use of existing fuel, vehicles and staff.
The model has continued to deliver results, with routine outreach delivery of FANSIDAR, a malaria preventive medication, increasing by 144% between August 2025 and August 2026.
