The Cabo Delgado Intersectoral Health Programme, known by the acronym PISCAD, is a programme whose specific objectives are to strengthen the quality of health services and access to healthcare services in Cabo Delgado, one of the provinces with a very small healthcare network in Mozambique. PISCAD, funded by Agence Française de Développement (AfD) contracted KPMG for programme management between 2004 and 2011, assisting AfD to achieve the programme’s goals and objectives, monitor and evaluate implementation activities and account for the use of grant resources.
PISCAD’s outcomes are clearly positive, with improvements in nearly all indicators of healthcare quality in Cabo Delgado. PISCAD was particularly effective in improving indicators related to maternal and child health and malaria, and in the rehabilitation of the provincial hospital in Pemba. Technical assistance provided through the programme included training new staff, improving responsiveness for urgent healthcare needs such as cholera outbreaks, and the greater integration of women in healthcare activities.