BACKGROUND Countries must be able to describe and monitor their populations health and well-being needs in an attempt to understand and address them. The Sustainable Development Goals (SDGs) have re-emphasized the need to invest in comprehensive health information systems to monitor progress towards health equity; however, knowledge on the capacity of health information systems to be able do this, particularly in low-income countries, remains very limited. As a case study, we aimed to evaluate the current capacity of the national health information systems in Mozambique, and the available indicators to monitor health inequalities, in line with SDG 3 (Good Health and Well Being for All at All Ages). METHODS A data source mapping of the health information system in Mozambique was conducted. We followed the World Health Organization's methodology of assessing data sources to evaluate the information available for every equity stratifier using a three-point scale: 1 - information is available, 2 - need for more information, and 3 - an information gap. Also, for each indicator we estimated the national average inequality score. RESULTS Eight data sources contain health information to measure and monitor progress towards health equity in line with the 27 SDG3 indicators. Seven indicators bear information with nationally funded data sources, ten with data sources externally funded, and ten indicators either lack information or it does not applicable for the matter of the study. None of the 27 indicators associated with SDG3 can be fully disaggregated by equity stratifiers; they either lack some information (15 indicators) or do not have information at all (nine indicators). The indicators that contain more information are related to maternal and child health. CONCLUSIONS There are important information gaps in Mozambique's current national health information system which prevents it from being able to comprehensively measure and monitor health equity. Comprehensive national health information systems are an essential public health need. Significant policy and political challenges must also be addressed to ensure effective interventions and action towards health equity in the country.

中文翻译：

---

卫生公平监测对于公共卫生至关重要：莫桑比克的经验教训。

背景技术各国必须能够描述和监测其人口的健康和福祉需求，以试图理解和解决它们。可持续发展目标（SDGs）再次强调需要投资于全面的健康信息系统以监测实现健康公平的进展；但是，关于卫生信息系统能够做到这一点的能力的知识仍然非常有限，特别是在低收入国家。作为一个案例研究，我们旨在根据SDG 3（各年龄段的所有人的良好健康状况），评估莫桑比克国家卫生信息系统的当前能力，以及监测卫生不平等状况的可用指标。方法进行了莫桑比克卫生信息系统的数据源映射。我们关注了世界卫生组织 使用三点量表评估数据源以评估每个权益分层者可用信息的方法：1-可获得信息，2-需要更多信息，3-信息缺口。此外，对于每个指标，我们估算了全国平均不平等得分。结果八个数据源包含健康信息，以根据27个SDG3指标来衡量和监测在实现健康公平方面的进展。七项指标包含由国家资助的数据源的信息，十项指标由外部资助的数据源，而十项指标缺乏信息或不适用于本研究。股权分层机构无法完全分解与SDG3相关的27个指标；他们要么缺少一些信息（15个指标），要么根本没有信息（9个指标）。包含更多信息的指标与母婴健康有关。结论莫桑比克目前的国家卫生信息系统存在重要的信息空白，使该国无法全面衡量和监测卫生公平性。全面的国家卫生信息系统是基本的公共卫生需求。还必须应对重大的政策和政治挑战，以确保对该国的健康公平采取有效的干预措施和行动。全面的国家卫生信息系统是基本的公共卫生需求。还必须应对重大的政策和政治挑战，以确保对该国的健康公平采取有效的干预措施和行动。全面的国家卫生信息系统是基本的公共卫生需求。还必须应对重大的政策和政治挑战，以确保对该国的健康公平采取有效的干预措施和行动。