eSISTAFE and the Digitalization of Health Systems in Mozambique
Download the Full PaperExemplar Overview
This exemplar reviews Mozambique's integration of its public financial management system (eSISTAFE) with routine health platforms (DHIS2, upSCALE) and electronic procurement systems to support evidence-based planning and efficiency.
Mozambique's health system is highly resource-constrained (per-capita health spending is below USD 25) and has historically depended heavily on donor financing (over 50% of health expenditure). To improve efficiency and rebuild financial credibility, the Ministry of Health (MISAU) integrated its planning and budgeting with eSISTAFE (the state financial administration system). This integration connects routine health data from DHIS2, community data from upSCALE, and malaria campaigns from SALAMA with public procurement (e-GP system) and budget planning.
Policy Recommendations
Public financial management reform is a prerequisite for improving donor trust and mobilizing domestic resources in aid-dependent countries.
Connecting routine program data directly with budgeting modules ensures that resources flow to high-burden priority areas (like RMNCAH).
Digital community platforms (upSCALE) address the historical blind spot where community health worker data was invisible at the national level.
Macro-fiscal shocks (such as donor freezes) emphasize that efficiency gains alone cannot cover raw funding shortfalls; they must be paired with active domestic resource mobilization.
Key Numbers
Of planned data-driven actions implemented by facility managers
Person-days saved by digitizing malaria campaigns in Nampula
Meticais allocated to digitize 63 health facilities in 2026
Per-capita annual government health expenditure in Mozambique
Key Findings
Integration of eSISTAFE with health sector data ensures that budget allocations are driven by routine health service evidence rather than historical patterns.
A DHIS2 data-to-action strategy implemented in 36 facilities resulted in the execution of 64% of planned management actions.
Digitalization of the SALAMA campaign in Nampula saved 37,450 person-days of labor, generating USD 240,000 in economic gains compared to paper systems.
The electronic government procurement platform (e-GP) launched in April 2025 improved traceability and efficiency in medical commodity procurement.