World Health Organization
March 2001
Mozambique Appeal
Sector Addressed by the Appeal – Health
Threat of outbreaks of immunisable diseases
Objective: To protect children and women from vaccine preventable diseases
Rationale
Displacement increases vulnerability to immunisable disease. To ensure full protection of 40,000
children and of women of reproductive age, immunisation campaigns will be implemented.
Partners: Ministry of Health and NGOs
Strategies:
 Support measles vaccination campaign for children in flood affected areas
 Support meningitis immunisation campaign for the general population in epidemic prone
areas
 Support to Vitamin A supplementation campaign
Main activities
1. Development of provincial workplans
2. Procurement and distribution of vaccines and consumables
3. Implementation of vaccination programme in flood affected areas
4. Follow-up and monitoring
Budget
UNICEF
WHO
Assessment, supervision and technical assistance to coordinate all
100,000
health activities related to the Appeal
5,000
Development of provincial workplans
100,000
160,000
Procurement and distribution of vaccines and consumables
40,000
Implementation of vaccination programme in flood affected areas
15,000
Follow-up and monitoring
30,000
Transport and Freight
250,000
200,000
Threat of Diarrhoeal Diseases
Objective: To prevent and control the outbreak of diarrhoeal diseases
Rationale
Many of the affected areas are now without access to safe drinking water and sanitation facilities,
especially those under the influence of the Zambezi, Licungo, Pungue, Buzi and Chire river
basins. Extensive flooding has taken place and rural water and sanitation systems have been
flooded or in many cases completely washed away. The poor state of sanitation and hygiene due
to the floods has increased the number of cases of diarrhoea and also the risk of a cholera. Over
the next weeks to months those displaced will be returning to their homes, providing water and
sanitation facilities is an immediate public health priority. Areas of chronic flooding need
stronger support to ensure greater preparedness and vulnerability reduction of communities.
Partners: Ministry of Health and NGOs
Strategies:
 Support hygiene education and Oral Rehydration promotion
 Support and strengthen Ministry of Health's outbreak response, including training and
establishment and pre-positioning of cholera treatment centres.
Main activities
 Support hygiene education and Oral Rehydration promotion for cholera prevention and
management, initially in the temporary accommodation centres and as people begin to
move home or as close as possible to their area of residence, in the affected provincial
capitals, smaller urban centres and rural areas
 Strengthen epidemiological surveillance
 Preposition equipment for cholera treatment centres, train personnel in clinical
management and payment of CTC costs
 Support the Ministry of Health through the provision of key health consumables and
drugs (Ringers, ORT, catheters, nalidixic acid)
Budget
UNICEF
WHO
Assessment, supervision and technical assistance
25,000
IEC for prevention of diarrhoea diseases
30,000
Support hygiene education and Oral Rehydration promotion
50,000
Strengthen epidemiological surveillance
30,000
100,000
Prepositioning of equipment for cholera treatment centres
160,000
Training of personnel in clinical management
45,000
50,000
Payment of CTC costs
120,000
Provision of health supplies
150,000
200,000
Programme Support
75,000
Transport and freight
25,000
655,000
405,000
Threat of Malaria
Objective: To prevent increased malaria morbidity and mortality in children and women
Rationale
Malaria is a major cause of mortality in children under five in Mozambique. Flooding tends to
create mosquito breeding sites and thus increases malaria transmission. Activities conducted
during the emergency in 2000 contributed to the prevention of a major malaria outbreak.
Activities in 2001 will ensure adequate treatment and prevention of malaria.
Partners: Ministry of Health and NGOs
Strategies
 To reduce mortality and severe morbidity due to malaria by ensuring the availability of
effective antimalarial drugs for affected communities
 To protect inhabitants from increased risk of malaria transmission through
implementation of a residual insecticide spraying programme and ITNs
 To create capacity within communities to prevent malaria through appropriate use of
ITNs, and to recognise signs and symptoms
Main activities:
 Strengthen epidemiological surveillance
 Procurement and distribution of ITNs
 Malaria communication campaign
 Support to improved case management (including modification of first line treatment if
appropriate)
 Support to indoor residual spraying activities
Budget
UNICEF
Assessment, supervision and technical assistance
Strengthen epidemiological surveillance
Procurement and distribution of ITNs
IEC prevention for malaria control
Malaria communication campaign
Support to improved case management (including modification of
first line treatment - training, consumables)
Laboratory supplies
Support to indoor residual spraying activities
Transport and freight
10,000
85,000
WHO
25,000
25,000
30,000
20,000
140,000
40,000
55,000
10,000
360,000
250,000
150,000
480,000
Threat of Malnutrition
Objective: To prevent increased malnutrition and micro-nutrient deficiencies in children and
women
Rationale
It is estimated that around 16,000 children under five years old are displaced and 80,000
affected. Damage to crops and loss of food stocks mean increased risk of malnutrition. Provision
of supplementary feeding to children under-five years and lactating women and monitoring of
nutritional status are priorities. Food support is being provided by WFP. UNICEF will support
key prevention and care activities to reduce children's vulnerability to malnutrition.
Partners: Ministry of Health, WFP and NGOs
Strategies
 Support on-going surveillance of nutrition status
 Support supplementary feeding activities for displaced/isolated children under-5,
pregnant and lactating women
 Support active detection and treatment of micro-nutrient deficiencies in existing health
units
 Support treatment of severe malnutrition
 Vulnerability reduction and preparedness for future flooding/cyclones of high risk groups
Main activities:
 Support to nutritional monitoring
 Supplementary feeding activities for women and children including staff costs,
distribution, monitoring
 Therapeutic feeding activities, provision of therapeutic milk and equipment in
collaboration with NGOs
Budget
UNICEF
WHO
Assessment, supervision and technical assistance
25,000
Nutrition surveillance
30,000
25,000
Support to nutritional monitoring for children under 5
55,000
Follow-up monitoring of supplementary feeding input for women 40,000
and children (staff costs, distribution, monitoring)
Support Therapeutic Feeding for severely malnourished children
125,000
50,000
Threat to reduction in access to basic health care facilities
Objective: To avoid increased mortality and morbidity, especially among women and children.
Rationale
Heavy flooding has left over 80,000 people displaced - the majority is children and women.
Isolated and displaced populations are vulnerable to disease and may lack access to key basic
health services due to movement, isolation or flood damage.
Partners: Ministry of Health and NGOs
Strategies
 Support continuity of access to basic health services in isolated areas and in
accommodation centres
 Support re-establishment of basic and referral health services, including reproductive
health
 Prevent psychological trauma, social and sexual violence
 Vulnerability reduction and preparedness for future flooding/cyclones of high risk groups
Main activities:
 Purchase and delivery of equipment and consumables
 Support the increase in the number of health workers at district level
 Conduct health promotion activities (including mental health)
 Preparedness, planning and response institutional support to Ministry of Health
Budget
UNFPA UNICEF WHO
Assessment, supervision and technical assistance
25,000
Procurement of equipment and consumables
450,000
Procurement of emergency and reproductive health kits
50,000
75,000
Training materials/prevention of STDs
25,000
50,000
Support to partners for additional staff costs
80,000
50,000
Field communication equipment to support health system
30,000
Institutional support to MISAU, DPS. DDS and NGOs
80,000
50,000
25,000
Transport and Freight
50,000
Operating and administrative costs
50,000
Support to mental health activities
50,000
200,000 690,000 200,000
Threat of outbreak of bubonic plague
Objective: prevention and control of plague (Tete Province only)
Rationale
Mutarara District is affected by plague and flooding. Concentration of human and rodent
populations increases the risk.
Partners: Ministry of Health
Strategies
 Support and strengthen outbreak response, including surveillance, training of staff in
clinical management and reinforcement of treatment.
 Vulnerability reduction and preparedness for future flooding/cyclones of high risk groups
Main activities:
 Purchase and distribution of equipment and consumables
 Monitoring and surveillance
 Training and additional staff costs of Ministry of Health
Budget
Procurement of equipment and consumables
Monitoring and surveillance
Training and additional staff costs
Transport and Freight
Next Chapter
UNICEF
25,000
1,000
10,000
5,000
41,000
WHO
20,000
15,000
35,000