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National Institute of Health of Mozambique (Instituto Nacional de Saúde, INS)

This presentation highlights the National Institute of Health of Mozambique (INS) and its collaboration with IANPHI to develop a stronger National Public Health Institute (NPHI) in Mozambique. The presentation outlines the country's indicators, the role of INS, priority needs, and plans for the future including the potential construction of a new facility.

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National Institute of Health of Mozambique (Instituto Nacional de Saúde, INS)

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  1. National Institute of Health of Mozambique(Instituto Nacional de Saúde, INS) Presentation to IANPHI General Assembly Ilesh V. Jani Director-General of INS November 3, 2009

  2. Mozambique • 2500 Km coastline • Population: 21.4 Million • GNI: USD 7.3 billion • GNI per capita: USD 340

  3. History • 1st-4th Centuries A.D.: Bantu Society • 1400s: Portuguese explorers/slave trade • 1884: formally colonized • 1975: Independence • 1980s-1990s: war • 1992: peace agreement

  4. Country Indicators • Below poverty: 54% • Life expectancy: 42 years • Infant mortality: 124 per 1,000 live births

  5. National Institute of Health (INS) • Created in 1991 • Part of Ministry of Health • 104 employees • Major functions include • Laboratory science • Research • Disease surveillance • Surveys • Monitoring/evaluation • Outbreak investigation • Training

  6. Project Goal: Develop Stronger NPHI • Step One - Strategic planning: mission, vision, and long term objectives for INS, and for public health in Mozambique. • Step Two - Based on strategic plan and priority areas: develop human resources and facility to achieve mission.

  7. INS-IANPHI Partnership: Project Team • INS: Ilesh Jani and team • Fiocruz: Felix Rosenberg • IANPHI: Courtenay Dusenbury • CUH2A: Scott Butler, Lynn Mignola, Jeff Minton and team

  8. 2006-2008: Project Development • NPHI to NPHI Technical Assistance • Fiocruz/CDC site visits included Paulo Buss (President, Fiocruz), Eric Mintz (U.S. CDC), Ana Beatriz Morales da Silva (Fiocruz) and Felix Rosenberg (Fiocruz) • Strategic planning exercises (Fiocruz) in Maputo for development of mission, vision and priorities for INS.

  9. INS Priority Needs • Sample transport and storage system • Disease prevention and control at outbreak sites • Resources for outbreak investigation teams

  10. INS Priority Needs • Reliable surveillance system , particularly in rural areas • Laboratory support for accurate/fast diagnosis • Research to identify and address public health priorities

  11. INS Priority Needs • Physical location: part of Ministry of Health Office Building • In Central Maputo • Limited ability to protect workers/public

  12. Next Steps: 2009-2012 • November 2009: with technical assistance from Fiocruz and IHMT-Lisboa, develop long-term plan for human resources to meet INS mission/priority needs. • Work with IANPHI and Fiocruz to implement human resources plan. Focus includes systems and personnel for surveillance, outbreak investigation (FELTP), research and laboratory sciences. • U.S. CDC will support complementary activities: FELTP, training and lab improvements.

  13. 2009-2010: Next Steps: a new facility? • IANPHI does not fund buildings. • Need was so great, decision was made to begin design and work as a team to bring potential funders to facility.

  14. Next Steps: a new facility? • CUH2A’s Design for Others has committed 1000+ hours to design facility based on INS strategic plan priorities • CDC has committed funds for local design and project management • IANPHI and U.S. CDC seeking funding for the project from the US Government; other donors sought.

  15. Conclusions • Facility and human resources are linked. Both are needed to transform public health in Mozambique. • A building is only as strong as its inhabitants. Human resources capacity will be integral to the success of this project.

  16. Obrigado!

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