In July 2012, USAID awarded the FORSSAS $19 million, five-year project, to Deloitte Consulting LLP in collaboration with local partners MB Consulting and Kula and Government of the Republic of Mozambique (GRM) counterparts in the Ministry of Public Health (MISAU) and the Ministry of Gender, Children, and Social Action (MGCAS). The project aims to improve MISAU and donor health partners’ financial resource allocation and management, human resources, the accountability and transparency of resource management, and evidenced-based decision-making.
In 2011 and 2012, serious questions regarding donor resource management by the GRM were raised by the Office of the Inspector General (OIG) of the Global Fund (GF), public financial management (PFM) assessments commissioned by the United States Government (USG), and various other donors. The GF audit of 2012 resulted in a suspension of Global Fund disbursements to Mozambique. The Global Fund audit made 34 recommendations, of which 22 were “Critical” and 12 “Important.” The Global Fund audit report identified weak capacity in MISAU as the “root cause” of deficiencies in FM and supply chain management, with weaknesses in systems as well as human resource capacity. The need for improved transparency, accountability, and sound financial management was recognized by GRM.
The purpose of this evaluation is to determine the success of Fortalecimento do Sistema de Saúde e Acção Social em Moçambique (FORSSAS; Health and Social Welfare Systems Strengthening – HSWSS) over the last four years in achieving results in governance, health financing, operations capacity, and human capital in institutions supported by the project. This evaluation team used multiple sources of data for a mix of qualitative and quantitative data collection and analysis approaches, with information to support the evaluation of FORSSAS gathered from documents, key informant interviews, site visits to beneficiary offices and workplaces, a mini-survey, and direct observation. The evaluation findings will serve as a valuable source of data to inform the design and approach of follow-on activities.