{"id":856,"date":"2026-01-22T15:24:30","date_gmt":"2026-01-22T15:24:30","guid":{"rendered":"https:\/\/sandbox.ins.gov.mz\/?page_id=856"},"modified":"2026-05-21T08:34:44","modified_gmt":"2026-05-21T08:34:44","slug":"sistemas-de-saude","status":"publish","type":"page","link":"https:\/\/sandbox.ins.gov.mz\/en\/programas\/sistemas-de-saude\/","title":{"rendered":"Health Systems"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1216.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-bottom:50px;width:100%;\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1216.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_4 1_4 fusion-flex-column\" style=\"--awb-bg-color:#e8e8e8;--awb-bg-color-hover:#e8e8e8;--awb-bg-size:cover;--awb-width-large:25%;--awb-margin-top-large:0px;--awb-spacing-right-large:7.68%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:7.68%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\" data-scroll-devices=\"small-visibility,medium-visibility,large-visibility\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-1\"><p style=\"text-align: center;\"><strong>SCIENTIFIC PROGRAMS<\/strong><\/p>\n<\/div><nav class=\"awb-menu awb-menu_column awb-menu_em-hover mobile-mode-collapse-to-button awb-menu_icons-left awb-menu_dc-yes mobile-trigger-fullwidth-off awb-menu_mobile-toggle awb-menu_indent-left mobile-size-full-absolute loading mega-menu-loading awb-menu_desktop awb-menu_dropdown awb-menu_expand-right awb-menu_transition-fade\" style=\"--awb-bg:#428499;--awb-gap:1px;--awb-items-padding-left:5px;--awb-border-color:#428499;--awb-color:#ffffff;--awb-active-color:#ffffff;--awb-main-justify-content:flex-start;--awb-mobile-justify:flex-start;--awb-mobile-caret-left:auto;--awb-mobile-caret-right:0;--awb-box-shadow: 0px 0px ;;--awb-fusion-font-family-typography:inherit;--awb-fusion-font-style-typography:normal;--awb-fusion-font-weight-typography:400;--awb-fusion-font-family-submenu-typography:inherit;--awb-fusion-font-style-submenu-typography:normal;--awb-fusion-font-weight-submenu-typography:400;--awb-fusion-font-family-mobile-typography:inherit;--awb-fusion-font-style-mobile-typography:normal;--awb-fusion-font-weight-mobile-typography:400;\" aria-label=\"Programs\" data-breakpoint=\"1024\" data-count=\"0\" data-transition-type=\"center-vertical\" data-transition-time=\"300\" data-expand=\"right\"><button type=\"button\" class=\"awb-menu__m-toggle awb-menu__m-toggle_no-text\" aria-expanded=\"false\" aria-controls=\"menu-programas\"><span class=\"awb-menu__m-toggle-inner\"><span class=\"collapsed-nav-text\"><span class=\"screen-reader-text\">Toggle Navigation<\/span><\/span><span class=\"awb-menu__m-collapse-icon awb-menu__m-collapse-icon_no-text\"><span class=\"awb-menu__m-collapse-icon-open awb-menu__m-collapse-icon-open_no-text fa-bars fas\"><\/span><span class=\"awb-menu__m-collapse-icon-close awb-menu__m-collapse-icon-close_no-text fa-times fas\"><\/span><\/span><\/span><\/button><ul id=\"menu-programas\" class=\"fusion-menu awb-menu__main-ul awb-menu__main-ul_column\"><li  id=\"menu-item-1373\"  class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1373 awb-menu__li awb-menu__main-li awb-menu__main-li_regular\"  data-item-id=\"1373\"><span class=\"awb-menu__main-background-default awb-menu__main-background-default_center-vertical\"><\/span><span class=\"awb-menu__main-background-active awb-menu__main-background-active_center-vertical\"><\/span><a  href=\"https:\/\/sandbox.ins.gov.mz\/en\/programas\/saude-da-mulher-e-da-crianca\/\" class=\"awb-menu__main-a awb-menu__main-a_regular\"><span class=\"menu-text\">Women's and Children's Health<\/span><\/a><\/li><li  id=\"menu-item-1374\"  class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1374 awb-menu__li awb-menu__main-li awb-menu__main-li_regular\"  data-item-id=\"1374\"><span class=\"awb-menu__main-background-default awb-menu__main-background-default_center-vertical\"><\/span><span class=\"awb-menu__main-background-active awb-menu__main-background-active_center-vertical\"><\/span><a  href=\"https:\/\/sandbox.ins.gov.mz\/en\/programas\/determinantes-de-doencas-cronicas\/\" class=\"awb-menu__main-a awb-menu__main-a_regular\"><span class=\"menu-text\">Determinants of Chronic Diseases<\/span><\/a><\/li><li  id=\"menu-item-1375\"  class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1375 awb-menu__li awb-menu__main-li awb-menu__main-li_regular\"  data-item-id=\"1375\"><span class=\"awb-menu__main-background-default awb-menu__main-background-default_center-vertical\"><\/span><span class=\"awb-menu__main-background-active awb-menu__main-background-active_center-vertical\"><\/span><a  href=\"https:\/\/sandbox.ins.gov.mz\/en\/programas\/adolescente-idoso-e-outras-populacoes-vulneraveis\/\" class=\"awb-menu__main-a awb-menu__main-a_regular\"><span class=\"menu-text\">Adolescents, the Elderly and Other Vulnerable Populations<\/span><\/a><\/li><li  id=\"menu-item-1376\"  class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1376 awb-menu__li awb-menu__main-li awb-menu__main-li_regular\"  data-item-id=\"1376\"><span class=\"awb-menu__main-background-default awb-menu__main-background-default_center-vertical\"><\/span><span class=\"awb-menu__main-background-active awb-menu__main-background-active_center-vertical\"><\/span><a  href=\"https:\/\/sandbox.ins.gov.mz\/en\/programas\/saude-mental-trauma-e-violencia\/\" class=\"awb-menu__main-a awb-menu__main-a_regular\"><span class=\"menu-text\">Mental Health, Trauma and Violence<\/span><\/a><\/li><li  id=\"menu-item-1377\"  class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1377 awb-menu__li awb-menu__main-li awb-menu__main-li_regular\"  data-item-id=\"1377\"><span class=\"awb-menu__main-background-default awb-menu__main-background-default_center-vertical\"><\/span><span class=\"awb-menu__main-background-active awb-menu__main-background-active_center-vertical\"><\/span><a  href=\"https:\/\/sandbox.ins.gov.mz\/en\/programas\/doencas-endemicas-de-grande-impacto-sanitario\/\" class=\"awb-menu__main-a awb-menu__main-a_regular\"><span class=\"menu-text\">Endemic Diseases with a Major Health Impact<\/span><\/a><\/li><li  id=\"menu-item-1378\"  class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1378 awb-menu__li awb-menu__main-li awb-menu__main-li_regular\"  data-item-id=\"1378\"><span class=\"awb-menu__main-background-default awb-menu__main-background-default_center-vertical\"><\/span><span class=\"awb-menu__main-background-active awb-menu__main-background-active_center-vertical\"><\/span><a  href=\"https:\/\/sandbox.ins.gov.mz\/en\/programas\/doencas-transmitidas-por-vetores-negligenciadas-e-zoonoticas\/\" class=\"awb-menu__main-a awb-menu__main-a_regular\"><span class=\"menu-text\">Vector-borne, Neglected and Zoonotic Diseases<\/span><\/a><\/li><li  id=\"menu-item-1379\"  class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1379 awb-menu__li awb-menu__main-li awb-menu__main-li_regular\"  data-item-id=\"1379\"><span class=\"awb-menu__main-background-default awb-menu__main-background-default_center-vertical\"><\/span><span class=\"awb-menu__main-background-active awb-menu__main-background-active_center-vertical\"><\/span><a  href=\"https:\/\/sandbox.ins.gov.mz\/en\/programas\/sistemas-de-saude\/\" class=\"awb-menu__main-a awb-menu__main-a_regular\"><span class=\"menu-text\">Health Systems<\/span><\/a><\/li><li  id=\"menu-item-1380\"  class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1380 awb-menu__li awb-menu__main-li awb-menu__main-li_regular\"  data-item-id=\"1380\"><span class=\"awb-menu__main-background-default awb-menu__main-background-default_center-vertical\"><\/span><span class=\"awb-menu__main-background-active awb-menu__main-background-active_center-vertical\"><\/span><a  href=\"https:\/\/sandbox.ins.gov.mz\/en\/programas\/saude-e-ambiente-incluindo-saude-do-trabalhador\/\" class=\"awb-menu__main-a awb-menu__main-a_regular\"><span class=\"menu-text\">Health and Environment, including Workers' Health<\/span><\/a><\/li><\/ul><\/nav><div class=\"fusion-text fusion-text-2\"><p style=\"text-align: center;\"><strong>Coordinator<\/strong><\/p>\n<\/div><div class=\"fusion-image-element\" style=\"--awb-caption-text-size:10pt;--awb-caption-text-transform:lowercase;--awb-caption-title-font-family:var(--body_typography-font-family);--awb-caption-title-font-weight:var(--body_typography-font-weight);--awb-caption-title-font-style:var(--body_typography-font-style);--awb-caption-title-size:10pt;--awb-caption-title-transform:capitalize;--awb-caption-title-line-height:var(--body_typography-line-height);--awb-caption-title-letter-spacing:var(--body_typography-letter-spacing);\"><span class=\"fusion-imageframe imageframe-none imageframe-1 awb-imageframe-style awb-imageframe-style-resa\"><img decoding=\"async\" width=\"283\" height=\"300\" alt=\"Nome aqui\" title=\"janeth_dula\" src=\"https:\/\/sandbox.ins.gov.mz\/wp-content\/uploads\/2026\/05\/janeth_dula-removebg-preview.png\" data-orig-src=\"https:\/\/sandbox.ins.gov.mz\/wp-content\/uploads\/2026\/05\/janeth_dula-removebg-preview-283x300.png\" class=\"lazyload img-responsive wp-image-1676\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%271000%27%20height%3D%271060%27%20viewBox%3D%270%200%201000%201060%27%3E%3Crect%20width%3D%271000%27%20height%3D%271060%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-srcset=\"https:\/\/sandbox.ins.gov.mz\/wp-content\/uploads\/2026\/05\/janeth_dula-removebg-preview-200x212.png 200w, https:\/\/sandbox.ins.gov.mz\/wp-content\/uploads\/2026\/05\/janeth_dula-removebg-preview-400x424.png 400w, https:\/\/sandbox.ins.gov.mz\/wp-content\/uploads\/2026\/05\/janeth_dula-removebg-preview-600x636.png 600w, https:\/\/sandbox.ins.gov.mz\/wp-content\/uploads\/2026\/05\/janeth_dula-removebg-preview-800x848.png 800w, https:\/\/sandbox.ins.gov.mz\/wp-content\/uploads\/2026\/05\/janeth_dula-removebg-preview.png 1000w\" data-sizes=\"auto\" data-orig-sizes=\"(max-width: 1024px) 100vw, (max-width: 640px) 100vw, 400px\" \/><div class=\"awb-imageframe-caption-container\"><div class=\"awb-imageframe-caption\"><div class=\"awb-imageframe-caption-title\">Janete Dul\u00e1<\/div><p class=\"awb-imageframe-caption-text\">janet.dula@ins.gov.mz<\/p><\/div><\/div><\/span><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_3_4 3_4 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:75%;--awb-margin-top-large:0px;--awb-spacing-right-large:2.56%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:2.56%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-3\"><p>The health systems program, within the current scientific strategy, incorporates aspects of continuity from the previous INS plan. This aligns with the need to accelerate the match between technical-scientific actions and the aspirations of the Ministry of Health's (MISAU) health programs. In this regard, actions continue in the areas of technical and scientific training on health policy topics and health systems research methods. The intention to expand the critical mass of \u201csystems thinking\u201d through the postgraduate course is also maintained. Regarding research, the focus is on primary health care, a stated pillar of healthcare in Mozambique. The cross-cutting nature of actions and the intersection with other strategic programs of both INS and MISAU, as well as with partners, are also maintained.<\/p>\n<p>The program's vision is to be a leading group in health systems research, aiming to provide evidence and contextualized solutions for the improvement of health services offered to the population in Mozambique. Its core competencies are Collaboration, Innovation, Diversity, and Courage. Its generic goals are to catalyze and conduct health systems research, strengthen researchers' capacities, and carry out longitudinal and experimental studies in health systems.<\/p>\n<p><strong>Program Objectives<\/strong><\/p>\n<ul>\n<li>Generate evidence and propositions based on robust multidisciplinary evaluative and training activities, concerning health policies, programs, resources, and services, including the social component, in order to inform adjustments to health system interventions and models to the country's context and priorities.<\/li>\n<\/ul>\n<p><strong>Research Areas<\/strong><\/p>\n<ul>\n<li>Research on the sociogeographic determination of access to the healthcare system at various levels of care;<\/li>\n<li>Research on the distribution, competencies, and working conditions of human resources in the public health system.;<\/li>\n<li>Research on quality and humanization of primary care;<\/li>\n<li>Master's Degree in Health Systems in collaboration with partners;<\/li>\n<li>Short-term training courses on qualitative methodology.<\/li>\n<\/ul>\n<p><strong>Research Projects<\/strong><\/p>\n<ul>\n<li>Marking of prenatal and chronic disease consultations in the southern region of Mozambique;<\/li>\n<li>Health Services Readiness, Provision, and Performance Inquiry (POEM + SARA);<\/li>\n<li>Analysis of Health Determinants;<\/li>\n<li>Health Systems Assessment and Systems Policy Research: Generating and Using Evidence for Policies in Mozambique;<\/li>\n<li>Oral Health Survey in Maputo City Schools (ISOE) 2019;<\/li>\n<li>Evaluation of the Impact of PBF (Mechanisms and Effects of Performance-Based Financing in the National Health System - PEMBA);<\/li>\n<li>Evaluation of Adherence to Public Health Measures and Their Impact on the COVID-19 Outbreak in Mozambique-2020;<\/li>\n<li>Evaluation of mask use in the context of COVID-19 prevention in public places \u2013 The case of Maputo City.<\/li>\n<li>CAP on COVID-19 from Civil Society Organizations and the Community in Mozambique<\/li>\n<li>Assessment of the Availability and Readiness of Health Services to Respond to the Emergency Caused by 2019-nCoV in Mozambique-2020<\/li>\n<li>Cost estimate for inpatient treatment of COVID-19 patients according to national treatment protocols.<\/li>\n<\/ul>\n<p><strong>Partners<\/strong><\/p>\n<p><strong>Intramural cooperation:\u00a0<\/strong><\/p>\n<ul>\n<li>Support for the Institutional Ethics Committee<\/li>\n<li>Support for various data analysis platforms and INS training and research activities<\/li>\n<li>Human resources observatory support, specifically in ordinary activities<\/li>\n<li>National Health Observatory Support<\/li>\n<li>Among the institutions of MISAU, cooperation with the National Directorates of Public Health and Planning and Cooperation are the most prominent.<\/li>\n<\/ul>\n<p><strong>Extramural cooperation<\/strong><\/p>\n<ul>\n<li>International Growth Center (IGC)<\/li>\n<li>Harvard University<\/li>\n<li>London School of Hygiene and Tropical Medicine (LSHTM)<\/li>\n<li>World Health Organization.<\/li>\n<li>Institute of Hygiene and Tropical Medicine of the New University of Lisbon<\/li>\n<li>Global Health Institute of the University of Antwerp<\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-3 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1216.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:50px;width:100%;\"><\/div><\/div><\/div><\/div><\/div><\/p>","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":812,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-856","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/sandbox.ins.gov.mz\/en\/wp-json\/wp\/v2\/pages\/856","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sandbox.ins.gov.mz\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/sandbox.ins.gov.mz\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/sandbox.ins.gov.mz\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/sandbox.ins.gov.mz\/en\/wp-json\/wp\/v2\/comments?post=856"}],"version-history":[{"count":6,"href":"https:\/\/sandbox.ins.gov.mz\/en\/wp-json\/wp\/v2\/pages\/856\/revisions"}],"predecessor-version":[{"id":1693,"href":"https:\/\/sandbox.ins.gov.mz\/en\/wp-json\/wp\/v2\/pages\/856\/revisions\/1693"}],"up":[{"embeddable":true,"href":"https:\/\/sandbox.ins.gov.mz\/en\/wp-json\/wp\/v2\/pages\/812"}],"wp:attachment":[{"href":"https:\/\/sandbox.ins.gov.mz\/en\/wp-json\/wp\/v2\/media?parent=856"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}