Highlighted results

80,000 people gained access to safe drinking water

200,000 people benefited from better management of water resources

150,000 people have improved food intake

32,000 people have increased productivity and/or income

376,000 contraceptives delivered, more than 20 million condoms sold


Mozambique, still one of the 10 poorest countries in the world, is slowly recovering from the fallout of the debt scandal in 2016. The disclosure of secret loans amounting to USD 2 billion resulted in the suspension of all general budget support operations and threw the country into a deep financial and economic crisis. After a long period of silence, a start was recently made on bringing the alleged perpetrators to justice.

Significant progress has been made on the political front: after years of hostilities, Frelimo (the ruling party since independence in 1975) and Renamo (the main opposition party) reached a peace agreement and municipal elections appeared to be largely free and credible.

Economic growth was picking up, until tropical cyclone Idai severely damaged infrastructure and production facilities in the most important agricultural region of the country. The discovery of major gas fields could make Mozambique the third-largest gas exporter in the world after 2021. However, regular attacks on civilians in the north of the country by unknown assailants, possibly linked to Muslim extremism, remain a major concern and could jeopardise the development of the gas reserves.

Being a delta country, Mozambique offers great potential for partnerships with the private sector and knowledge institutes. The Netherlands works with strong local partners and focuses its efforts and resources on areas in which Mozambican and Dutch interests coincide and our ambition to contribute to a stronger private sector in Mozambique can be translated into concrete results.

Results 2018

Through interventions in water, food and nutrition security and sexual and reproductive health and rights, the Netherlands is committed to supporting the transition from aid to trade and to fostering inclusive development.

Results were in line with targets. People gained access to safe drinking water as planned and with Dutch support Mozambique, South Africa and Eswatini (formerly Swaziland) endorsed a programme of transboundary water management. In the coastal city of Beira, where the Netherlands works with the municipality to make the city more resilient to climate change, a Land Development Company was established and the second Beira Investment Conference was organised and well-attended by the private sector. Unfortunately, Beira was among the areas that suffered most from the cyclone Idai in March 2019.

By supporting cash transfers, we were able to improve the food intake of more people than expected and we also improved the productivity of small farmers in rural areas.

In our health programme, the results of our investments to provide people with information on sexuality and improve access to contraceptives were better than expected. In addition, with Dutch support civil society organisations successfully petitioned for the adoption of a national strategy to prevent child marriage.

Southern Africa Regional SRHR and HIV/AIDS programme

The SADC approved its first Regional Strategy on HIV Prevention, Treatment and Care, and Sexual and Reproductive Health and Rights among key populations. Moreover, there was a breakthrough in the AIDS response. The pilot Early Access to ART to All in Eswatini (formerly Swaziland) proved to be a game changer. As a consequence, future HIV incidence is expected to be reduced by up to 75%.

Results by theme

Water Food security Sexual and reproductive health and rights

Featured project Mozambique

PSI - Social Marketing for Health

The current population, estimated at 30 million, is growing by almost 3% per year. A baby is born every 28 seconds and more than 1.1 million babies are born each year. The total fertility rate is 5.1 and more than 40% of women have their first child before the age of 18. Demand for contraceptives is high.

The Embassy of Kingdom of the Netherlands supports Population Services International (PSI) in enabling women and girls to practice birth control. Primary Health Care Centres, part of the National Health System, are being upgraded and staff trained. Community Health Promoters reach out to the community, explain the different methods of contraception and encourage young people to inform themselves on safe sex. This approach is working. Almost 50,000 young people visited clinics to access youth-friendly services in the field of sexual and reproductive health and rights.

PSI is also the lead agency in the social marketing of condoms. In 2017, PSI sold more than 20 million condoms.


The results in context

Around 50% of the population of Mozambique has no access to safe drinking water. The Netherlands supports the institutions responsible for water and sanitation in cities and small towns, which have been successful in increasing their revenues and attracting capital to invest in new drinking water systems reaching more than 80,000 people.

Southern parts of Mozambique experienced severe droughts in 2018. At the same time, people were losing their crops due to flooding in the north. Good management of water resources is therefore essential. Water management authorities have been supported in managing their dykes better and protecting water sources from pollution.

The Netherlands also supports Mozambique, South Africa and Eswatini (formerly Swaziland) in establishing a River Basin Organisation, since Mozambique is dependent on neighbouring countries for a large part of its water supply. In the coastal city of Beira, the Dutch embassy is working with the municipality to recover from cyclone Idai and make the city more resilient to climate change. It has also provided digitisation support to improve the registration of 35,000 land titles and 10,000 building licenses. This is necessary to enable investments in land improvement.

Food security

The results in context

Through Dutch support to the Social Protection Programme, 150,000 vulnerable individuals (who are unable to produce their own food or generate their own income) have improved their food intake. This number represents an increase of 32% in relation to 2017 (114,000 people). Roughly 67% of the beneficiaries of the programme were women.

The contracting farming scheme has proven to be an effective tool for sustainably increasing the productivity and incomes of family farmers. While the country’s average maize production is around 1 ton per hectare, for example, the maize farmers engaged in Netherlands-supported programmes achieved an average yield of 3.5 tons per hectare.

In 2018, about 32,000 family farmers that received support registered an increase in productivity and income, compared to 43,000 family farmers in 2017. The reduction is due to the contractual closure of some supported activities. Women account for 37% of family farmers assisted in 2018, compared to 35% in 2017.

The Netherlands supports the Mozambican government in Land Management and Administration, in collaboration with the Dutch land registry. Its innovative approaches and methodologies have reduced the cost and time of registration of a single parcel of land. In 2018, 79,462 people enjoyed secure tenure rights to land, compared to 87,199 in 2017. The reduction was due to political unrest in some regions of the country.

Sexual and reproductive health and rights

The results in context


The fertility rate in Mozambique is 5.11 and more than 40% of women have their first child before the age of 18.

The Netherlands supports the United Nations Population Fund (UNFPA) and PSI in providing Comprehensive Sexuality Education and contraceptives to young people at schools and in communities. The results of the investments are better than expected, see also indicator below.

Abortion is not illegal but many women and girls are not aware that this service is offered by health facilities. The Netherlands co-operates with the Mozambique Ministry of Health in rolling out safe abortion by providing training and information to secondary schools.

Gender-based violence and child marriage is still a huge problem. Civil society organisations successfully petitioned for the adoption of a national strategy to prevent child marriage. Although Lesbian, Gay, Bisexual and Transgender (LGBT) organisations are not yet able to register, they started 22 health units to provide LGBT-friendly services.

Regional SRHR/HIV programme in southern Africa

Southern Africa remains the epicentre of the AIDS epidemic in the world. But other SRHR indicators are also deplorable and some groups are harder hit than others.

In the regional programme, the Netherlands focuses on empowering the most vulnerable groups: young people, including those living with HIV, girls, migrants, LGBT groups, people who use drugs and sex workers. And it is working. Peer educators, change agents and Community Adolescent Treatment Supporters are making a difference.

The health ministers in the southern African countries have approved the first regional Key Population Strategy. Young people living with HIV are being encouraged to submit to treatment and make them more resilient. More people than expected have been reached with information and health services.

At the same time, sex workers are being empowered to combat violence. In five countries, sex workers’ groups conducted research on how to counter the violence they face. This has led to fruitful discussions with the police and the creation of safety networks. Finally, the pilot programme Early Access to ART to All proved that the approach implemented in Eswatini is a game changer and could reduce HIV incidence by up to 75% by 2032.



Number of couples protected by modern contraceptives




On track

The Netherlands supports the United Nations Population Fund (UNFPA) and PSI in providing Comprehensive Sexuality Education and contraceptives to young people at schools and in communities. The results of the investments are better than expected. More than 20 million condoms were distributed and almost 175,000 new users adopted contraceptives. The demand for contraceptives is still high.

The uptake of contraceptives represents an increase in couples protected by modern contraceptives from 51,000 in the previous reporting period to 214,000.

Background and future Mozambique


In the past decade, the Netherlands has successfully applied innovative models for integrated regional development. The city of Beira is being supported in the design and implementation of an integrated spatial development master plan, that will lay the foundation for the recovery of the city after cyclone Idai. With Dutch support, a regional development agency has been created in the Zambezi Valley, one of the most fertile areas in Mozambique, linking farmers to services and resources. Instead of investing large sums of money, we act as a broker and leverage public and private resources. These lessons and experiences are shared with other donors and will form the basis for future interventions in the north of the country.

Glimpse into the future

One of the most pressing issues to address in Mozambique over the coming years is social and economic inequality. The growth of the extractive sector has created a two-tier economy in Mozambique, where 80% of the population works in agriculture. The challenge for the future will be to translate economic growth into inclusive development that is beneficial to the entire population.

On the political front, much depends on the outcome of the presidential elections in October 2019 and the implementation of the peace deal between Frelimo and Renamo. If political stability is preserved and the unrest in the north can be halted, the country may be able to enter a stage of inclusive reform. The consequences of cyclone Idai have to be assessed and appropriate national and international response has to be organised.

The Netherlands will focus its efforts on those SDGs in which Dutch knowledge and expertise can make a difference and where there is potential for synergies. The bilateral programme for sexual and reproductive health and rights will be phased out but we will continue with our regional SRHR/AIDS programme. At the same time, we will increase our regional focus in the poorest areas of the country, with interventions in water, food and nutrition security and energy.

Additional sources

Results Water

Download PDF with results for Water in Mozambique

Results Food security

Download PDF with results for Food security in Mozambique

Results Sexual and reproductive health and rights

Download PDF with results for Sexual and reproductive health and rights in Mozambique

Expenditure by channel


Expenditure by theme