Vol. 5 No. 1 (2025)
A Data Descriptor for Assessing Primary Health Care System Readiness for Climate Adaptation Integration in Mozambique (2021–2026)
Abstract
This Data Descriptor presents a comprehensive, multi-source dataset compiled to assess the readiness of Mozambique’s primary health care (PHC) system for integrating climate change adaptation services. It addresses a critical gap in evidence on systemic preparedness for climate-health threats, which is essential for building resilient health systems across Africa. The dataset was constructed through a rigorous, mixed-methods methodology integrating three primary sources: facility-level surveys from 150 PHC units in three provinces (2023), key informant interviews with 45 district and provincial health managers (2022–2024), and a systematic policy document review (2021–2025). It provides standardised quantitative and qualitative indicators across five validated readiness domains: infrastructure, workforce capacity, supply chains, surveillance systems, and governance. Preliminary analysis reveals significant inter-provincial variability in readiness. Relative strengths were identified in community health worker networks and the progressive inclusion of climate change in national policies. Critical weaknesses persist in infrastructure resilience—particularly water and energy security—and a lack of integrated climate-health training curricula. This structured, openly available dataset offers an essential evidence base for policymakers and researchers to prioritise investments and develop targeted interventions. Its significance lies in providing a replicable assessment framework to directly support the advancement of climate-resilient health systems as a cornerstone of public health adaptation in Mozambique and similar contexts.
Read the Full Article
The HTML galley is loaded below for inline reading and better discovery.
How to Cite
Keywords
Research Snapshot
Desktop reading viewReferences
- Almeida, B., & Carolien, J. (2025). The risks of risk: The dilemmas and threats of regulating areas at risk from climate change in Mozambique. https://doi.org/10.2139/ssrn.5851708
- Austin, Z., & Gregory, P. (2026). Climate Change Adaptation and Mitigation Opportunities and Strategies in Primary Health Care: Perspectives of Pharmacists in Ontario, Canada. Climate. https://doi.org/10.3390/cli14020029
- Baldé, T., Oyugi, B., Mbasha, J., Kamara, R.F., Martinez-Monterrey, L.G., Relan, P., Lajolo, C., Bompangue, D., Fortin, A., Okeibunor, J., Salio, F., Braka, F., Chamla, D., Guèye, A.S., Yao, N.K.M., & Fall, I.S. (2024). The emergency medical teams initiative in the WHO African region: a review of the development and progress over the past 7 years. Frontiers in Public Health. https://doi.org/10.3389/fpubh.2024.1387034
- Brossard Antonielli, A. (2025). Medical Cooperantes in Mozambique, Adapting and Contributing to a Socialist Primary Health Care 1970–1985. European Journal for the History of Medicine and Health. https://doi.org/10.1163/26667711-bja10057
- Cavane, E.P., Uqueio, J.V., & Sitoe, A. (2025). Adapting to Climate Change: Emerging Local Institutions in Mozambique. https://doi.org/10.2139/ssrn.5249366
- Chipatime, M.J.S. (2024). The contribution of the Mozambique Christian Council to peace and reconciliation in Mozambique. Law, Religion and Reconciliation in Africa. https://doi.org/10.52779/9781991260277/06
- Dada, D., Abu-Ba’are, G.R., Turner, D., Mashoud, I.W., Owusu-Dampare, F., Apreku, A., Ni, Z., Djiadeu, P., Aidoo‐Frimpong, G., Zigah, E.Y., Nyhan, K., Nyblade, L., & Nelson, L.E. (2024). Scoping review of HIV-related intersectional stigma among sexual and gender minorities in sub-Saharan Africa. BMJ Open. https://doi.org/10.1136/bmjopen-2023-078794
- Grozdanić, G., Cvetković, V.M., Lukić, T., & Ivanov, A. (2024). Comparative Analysis and Prediction of Sustainable Development in Earthquake Preparedness: A Cross-Cultural Perspective on Montenegro, North Macedonia, and Serbia. Preprints.org. https://doi.org/10.20944/preprints202403.1136.v1
- Guterres, A., Cordero, E., Centeno, D., & Todd, A. (2024). Sustaining Equity, Retaining Talent: Tackling Systemic Inequity for Women in Science and Research. https://doi.org/10.13056/acamh.26363 http://dx.doi.org/10.13056/acamh.26363
- Hazim, C., Dobe, I., Pope, S., Ásbjörnsdóttir, K., Augusto, O., Bruno, F., Chicumbe, S., Lumbandali, N., Mate, I., Ofumhan, E., Patel, S., Rafik, R., Sherr, K., Tutse-Tonwe, V., Uetela, O., Watkins, D., Gimbel, S., & Mocumbi, A.O. (2024). Scaling-up and scaling-out the Systems Analysis and Improvement Approach to optimize the hypertension diagnosis and care cascade for HIV infected individuals (SCALE SAIA-HTN): a stepped-wedge cluster randomized trial. Implementation Science Communications. https://doi.org/10.1186/s43058-024-00564-1
- Hurst, A., Shaw, N., Carrieri, D., Stein, K., & Wyatt, K. (2024). Exploring the rise and diversity of health and societal issues that use a public health approach: A scoping review and narrative synthesis. PLOS Global Public Health. https://doi.org/10.1371/journal.pgph.0002790
- Mash, R., & Lokotola, C.L. (2025). Continuing professional development on climate change and primary care in Africa: Qualitative study. African Journal of Primary Health Care & Family Medicine. https://doi.org/10.4102/phcfm.v17i1.4916
- Mavulula, A., Araya, T., Artur, L., & Ussalu, J.M. (2025). Conservation Practices for Climate-Driven Drought Adaptation under Smallholder Farming Systems in Southern Mozambique: A Systematic Review. https://doi.org/10.20944/preprints202510.0679.v1
- Mucova, S. (2025). The three big reasons why Mozambique is not adapting to climate change and what needs to be done. https://doi.org/10.64628/aaj.jf6mpvsd3
- Okunade, B.A., A, O.B., Adediran, F.E., Adewusi, O.E., Daraojimba, R.E., & Igbokwe, J.C. (2024). Community development programs in Rural Africa: An effectiveness review. International Journal of Science and Research Archive. https://doi.org/10.30574/ijsra.2024.11.1.0185 http://dx.doi.org/10.30574/ijsra.2024.11.1.0185
- Organization, W.H. (2025). Report of the WHO global oral health meeting, Bangkok, Thailand, 26-29 November 2024. World Health Organization eBooks. https://doi.org/10.2471/b09422
- Pinto, J., Cossa, N., Ferrari, M., Coffey, P.S., Picolo, M., Marrufo, T., & Cardoso, A.P. (2025). Integration and use of climate data by the national health system in Mozambique. The Journal of Climate Change and Health. https://doi.org/10.1016/j.joclim.2024.100368
- Samsudin, N.A., Karim, N., Othman, H., Naserrudin, N.A., Sahani, M., Hod, R., Siau, C.S., Harif, M.N., Samad, B.H.A., & Zaini, Z.I. (2024). Exploring community behaviours and stakeholder challenges in engaging communities with dengue prevention behaviour in Malaysia: implementation research for a qualitative study with a community-based participatory research design. BMJ Open. https://doi.org/10.1136/bmjopen-2023-074222
- Shahi, B.B., Shrestha, N., Pokharel, S., Paneru, T., Adhikari, R., Upadhayay, P., & Thapa, K. (2025). Protocol for Readiness of Rehabilitation services integration in Primary Health care: A study in Karnali Province, Nepal. medRxiv. https://doi.org/10.1101/2025.08.19.25334032
- Tafula, M., Chilundo, M., de Sousa, W., Bjornlund, H., Pittock, J., Ramshaw, P., & Wellington, M. (2025). Climate change adaptation benefits from rejuvenated irrigation farming systems in Mozambique. International Journal of Water Resources Development. https://doi.org/10.1080/07900627.2024.2436601
- Tsambe, M.Z.A., Massango, H., Langa, P.V., & Ferrão, L.J. (2025). Higher Education Alignment with the Climate Action in Mozambique: A Review of Research and Outreach University Functions. Climate Change Management. https://doi.org/10.1007/978-3-031-85217-6_2
- Vundo, A., Muchiguere, E., & Akhmetov, A. (2024). Assessing the Impacts of Climate Change on Human Health: A Study of the Climate-Health Nexus in Nampula City, Mozambique. Journal of Advances in Environmental Health Research. https://doi.org/10.34172/jaehr.1343
- Wang, H.H., & Miao, M.L. (2024). The Future of China’s Development and Globalization. China and globalization. https://doi.org/10.1007/978-981-99-7512-9
- Yu, K. (2024). Multilevel Change Readiness. Higher Education ICT Integration in Africa. https://doi.org/10.4324/9781003394877-3
- Zorrilla-Miras, P., Lisboa, S.N., López-Gunn, E., & Giordano, R. (2024). Farmers’ information sharing for climate change adaptation in Mozambique. Information Development. https://doi.org/10.1177/02666669241227910