Health equity monitoring is essential in public health: lessons from Mozambique

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• dc.contributor.author Llop Gironés, Alba, 1987-
• dc.contributor.author Cash-Gibson, Lucinda, 1984-
• dc.contributor.author Chicumbe, Sergio
• dc.contributor.author Alvarez, Francesc
• dc.contributor.author Zahinos, Ivan
• dc.contributor.author Mazive, Elisio
• dc.contributor.author Benach, Joan
• dc.date.accessioned 2021-04-13T07:52:16Z
• dc.date.available 2021-04-13T07:52:16Z
• dc.date.issued 2019
• dc.description.abstract Background: Countries must be able to describe and monitor their populations health and well-being needs in an attempt to understand and address them. The Sustainable Development Goals (SDGs) have re-emphasized the need to invest in comprehensive health information systems to monitor progress towards health equity; however, knowledge on the capacity of health information systems to be able do this, particularly in low-income countries, remains very limited. As a case study, we aimed to evaluate the current capacity of the national health information systems in Mozambique, and the available indicators to monitor health inequalities, in line with SDG 3 (Good Health and Well Being for All at All Ages). Methods: A data source mapping of the health information system in Mozambique was conducted. We followed the World Health Organization’s methodology of assessing data sources to evaluate the information available for every equity stratifier using a three-point scale: 1 - information is available, 2 - need for more information, and 3 - an information gap. Also, for each indicator we estimated the national average inequality score. Results: Eight data sources contain health information to measure and monitor progress towards health equity in line with the 27 SDG3 indicators. Seven indicators bear information with nationally funded data sources, ten with data sources externally funded, and ten indicators either lack information or it does not applicable for the matter of the study. None of the 27 indicators associated with SDG3 can be fully disaggregated by equity stratifiers; they either lack some information (15 indicators) or do not have information at all (nine indicators). The indicators that contain more information are related to maternal and child health. Conclusions: There are important information gaps in Mozambique’s current national health information system which prevents it from being able to comprehensively measure and monitor health equity. Comprehensive national health information systems are an essential public health need. Significant policy and political challenges must also be addressed to ensure effective interventions and action towards health equity in the country.
• dc.description.sponsorship This study was supported by medicusmundi (AECID: 14-CO1–424) and European Commission: Nova Domus – Chemedpho project (545700-EM-1-2013-1-ES-ERAMUNDUS-EMA22).
• dc.format.mimetype application/pdf
• dc.identifier.citation Llop-Gironés A, Cash-Gibson L, Chicumbe S, Alvarez F, Zahinos I, Mazive E, Benach J. Health equity monitoring is essential in public health: lessons from Mozambique. Global Health. 2019;15:67. DOI: 10.1186/s12992-019-0508-4
• dc.identifier.doi http://dx.doi.org/10.1186/s12992-019-0508-4
• dc.identifier.issn 1744-8603
• dc.identifier.uri http://hdl.handle.net/10230/47095
• dc.language.iso eng
• dc.publisher Nature Research
• dc.relation.ispartof Globalization and Health. 2019;15:67
• dc.rights © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by/4.0/
• dc.subject.keyword Health information systems
• dc.subject.keyword Health equity
• dc.subject.keyword Public health
• dc.subject.keyword Social determinants of health
• dc.subject.keyword Sustainable development goals
• dc.title Health equity monitoring is essential in public health: lessons from Mozambique
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion