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CONTEXT: Research on institutional child delivery in Sub-Saharan Africa typically focuses on availability and accessibility of health facilities. Cultural factors, including religion, that may facilitate or hinder the use of such services have not been well examined and remain poorly understood. METHODS: The relationship between religious affiliation and delivery in a health facility was explored using data from a household survey of 1,297 women aged 18-50 and a census of 825 religious...

Evidence suggests that many women experience mistreatment during childbirth in health facilities across the world, but the magnitude of the problem is unknown. The occurrence of disrespect and abuse (D&A) in maternity care services affects the overall quality of care and may undermine women’s trust in the health system. Studies about the occurrence of disrespect and abuse in Mozambican health facilities are scarce. The aim of this study was to explore the experience of women giving birth in...

We investigate the gender employment gap in the expanding non-subsistence sector of the economy in Mozambique, a country still characterized by a large subsistence agricultural sector. We show evidence that the gender gap has widened over time and we identify two structural factors strongly associated with it. One factor is the still relatively lower level of female human capital, with less attained education, as well as literacy and Portuguese proficiency rates. The lower conditional...

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...

Background The Maternal Mortality Ratio in Mozambique has stagnated at 405 deaths per 100,000 live births with virtually no progress over the last 15 years. Low Institutional Birth Rates (IBRs) levelling around 50% in many rural areas constitute one of the contributing reasons. Demand-side financing has successfully increased usage of maternal health services in other countries, but little information exists on in-kind incentives in rural Africa. The objective was to test the impact on...

Background: Despite substantial investment in women’s health over the past two decades, and enthusiastic government support for MDG 5 and SDG 3, health indicators for women in Mozambique remain among the lowest in the world. Maternal mortality stayed constant from 2003 to 2011, with an MMR of 408; the estimated HIV prevalence for women of 15–24 years is over twice that for men; and only 12.1% of women are estimated to be using modern contraception. This study explores the perspectives of...

Background How do governance interventions that engage citizens in public service delivery planning, management and oversight impact the quality of and access to services and citizens’ quality of life? This systematic review examined high quality evidence from 35 citizen engagement programmes in low- and middle-income countries that promote the engagement of citizens in service delivery through four routes: participation (participatory priority setting); inclusion of marginalised groups;...

Inequality is a key political issue of our times. It has political consequences, fuelling conflict and raising legitimacy chal‑ lenges for regimes around the world, in democratic and non‑demo‑ cratic settings alike. At the centre of these challenges is the question of accountability: who can be held accountable, on what basis, how and by whom for tackling or failing to tackle which inequalities. In the field of global health, inequality has long been a key issue. A significant body of work —...

Nos últimos 10 anos, os estudos sobre a participação política por intermédio das redes sociais marcam o debate na área dos estudos dos média. Em Moçambique, de forma particular, e no mundo, de forma geral, a juventude representa o centro galvanizador que encontra no uso das redes socias uma ferramenta quase ideal de expressão sobre as suas frustrações decorrentes da sua situação de gritante miséria social – desemprego e incerteza de vida constante a que os jovens se encontram expostos. Com o...

O Programa CEP – Cidadania e Participação é um programa de responsabilização social que tem como objectivo contribuir para a melhoria da qualidade dos serviços de saúde e educação, nos lugares onde o programa é implementado. A visão do CEP é a de cidadãos a beneficiarem de serviços públicos de educação e saúde apropriados e de qualidade, onde são tratados com respeito e dignidade. A abordagem utilizada ao nível local é a de promover a participação e o engajamento dos cidadãos e comunidades...

Este artigo surge na sequência de um artigo anterior onde se considerou em termos gerais muitas das questões que Moçambique enfrenta hoje em dia na gestão dos seus novos recursos extractivos. Em primeiro lugar descreve-se o pico de investimento já desencadeado pelas novas descobertas de gás em Moçambique. Depois apresenta-se em resumo alguma da literatura mais recente sobre os efeitos desses picos noutros países e contextos. De seguida analisam-se os principais aspectos dos resultados...

This paper is a sequel to an earlier paper that looked in broad terms at many of the issues that Mozambique faces today in managing its new extractive resources. The paper first describes the investment surge that has already been prompted by new gas discoveries in Mozambique. It then summarizes some of the more recent literature that has examined the effects of such surges in other country contexts. It next examines the main aspects of the disappointing economic outcomes that have so far...

In this article, Ferrant examines decentralization reforms in Mozambique since 1994, through an analysis of primary and secondary sources, and a framework that draws from the theses of political scientist Daniel Ziblatt and sociologist Michael Mann.

The article shows that corruption is structural and omnipresent in Mozambican society, effectively legitimising corrupt practices at all levels. Using an anthropological approach, it argues that smallscale corruption has the most immediate effects for the urban and rural poor and is so common that it has become an integrated part of daily life, or ‘habitual’. While most of the poor relate to corruption through tacit acceptance and acts of compliance, its practical implications are most severe...

Abstract: The construction sector value added in Mozambique grew at an average annual rate of 12.8 per cent in 1993–2015. Investment in the basic infrastructure of health, education, and housing improved families’ and communities’ living conditions. Investment in roads, communications, and office facilities boosted economic activities and reduced transaction costs. Construction value added grew by only 1.1 per cent in 2016. Challenges ahead include enabling a business environment conducive...

In recent years, Mozambique has made international headlines for the significant hydrocarbon deposits found offshore. These have increased the country's extractive resource endowments, in addition to its mining and onshore natural gas sector. It is expected that these industries will contribute to economic diversification and social development, not least by means of procuring locally produced goods and services and hiring Mozambicans. A key factor to achieve this is building domestic...

The violent insurgency in northern Mozambican province of Cabo Delgado, that started in October 2017 and is still ongoing, caught the government of the country and the public by surprise. Although this insurgency remains largely unexplored and little understood, the only study done so far has suggested that it is being carried out by Muslim youth connected to Islamic radicalism, in particular to the Harakat alShabaab of Somalia and its offshoots in Kenya, Tanzania, and as far as DRC.1 Islam...

In the view of international donors, multilateral organisations and government officials, social protection in Mozambique benefits from strong government commitment to it. Their argument is that, in contrast to many African countries, the government has demonstrated a level of commitment and support to social protection that is quite unprecedented. This view relies on the fact that more than 90 per cent of the budget allocated to the implementation of social protection programmes comes from...

Introduction Maternal mortality in Mozambique has not declined significantly in the last 10–15 years, plateauing around 480 maternal deaths per 100,000 live births. Good quality antenatal care and routine and emergency intrapartum care are critical to reducing preventable maternal and newborn deaths. Materials and methods We compare the findings from two national cross-sectional facility-based assessments conducted in 2007 and 2012. Both were designed to measure the availability, use and...

This article explores how the present socio-economic crisis in Mozambique is linked to the prospects of natural resource windfalls for the country. Drawing on the political settlement approach, it explores how the distribution of power both within and outside the ruling elite is structured and consequently how the underlying political processes have been shaped by the expectations of natural resource windfalls. The article argues that the present socio-economic crisis in Mozambique is not...