Strengthening healthcare in Mozambique

Mozambique is one of sub-Saharan Africa's most health-vulnerable countries: limited access to care in rural areas, high rates of both infectious and chronic disease, and deep inequalities in service delivery for the most marginalised populations. Against this backdrop, Italian Cooperation - through bilateral funds managed by DGCS-MAECI -financed five targeted health interventions between 2019 and 2024, spanning non-communicable diseases, tuberculosis and HIV, adolescent health, maternal and child prevention, and the continuity of care during the COVID-19 pandemic.

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Lattanzio KIBS conducts the impact evaluation of five interventions implemented across different provinces of Mozambique, each grounded in a shared commitment to equitable access, decentralised service delivery and active community engagement. A multidisciplinary team of five experts - combining methodological rigour, deep knowledge of the local context and full alignment with international evaluation standards - analyses them not as isolated initiatives, but as an interconnected ecosystem of interventions. The evaluation framework is built on OECD-DAC criteria, with particular attention to cross-project synergies, implications for human rights and gender equality, and the capacity of local institutions to sustain results well beyond the end of funding.

The process begins with an in-depth desk review, followed by an approximately 20-day field mission comprising interviews with institutional stakeholders, focus group discussions with beneficiaries, and visits to health facilities and target communities. The evidence gathered is then analysed through mixed methods and shared with DGCS in a preliminary restitution session, before being consolidated into a trilingual final report and presented at a closing workshop in Maputo, bringing together all parties involved - from AICS and the Italian Embassy to Mozambican institutions and implementing partners.

Project Impact

The evidence generated by the evaluation gives Italian Cooperation a concrete basis for future decision-making: which intervention models have worked, where, and for which populations. Lattanzio KIBS's contribution goes beyond technical analysis - it brings to light the real changes produced in local health systems and in the lives of Mozambique's most vulnerable communities, strengthening Italy's capacity to invest in development cooperation with greater effectiveness, transparency and measurable impact.