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Context: This research stemmed from learning and changes that occurred in the intervention strategy and budget of the POTENCIAR programme. In consultations and meetings between the Programme Management Unit (UGP) and various actors operating in this area, POTENCIAR’s partners identified — in a participatory and inclusive manner — the issue of grievance redress mechanisms as a problem that they can intervene on within the context of Pro-Accountability Initiatives (PAIs). Taking this...

Feminist political economy has illuminated the gendered dimensions of the globalisation of production. Whilst this literature provides essential insights on gendered exploitation in export-oriented industries, women’s work in localised labour markets in the Global South remains underexplored. This paper seeks to address this gap by putting into dialogue three bodies of literature – feminist political economy of globalisation, political economy of development in southern Africa and the social...

This exploratory research set out to survey possible points of entry for POTENCIAR programme interventions and gather methodological insights for the ethnographic research component of the programme’s analytical strategy. It wil be used alongside other analytical studies undertaken by POTENCIAR (including the health sector analysis and the political economy analyses) to identify and design programme interventions. Following an inductive method, the team sought to assess the conditions and...

This report builds on the Action for Empowerment and Accountability (A4EA) research project Navigating Civic Space, which seeks to analyze the extent to which COVID-19 is contributing to the opening or closing of space for civic action in three countries, namely Mozambique, Nigeria and Pakistan. Focusing on Mozambique, the report uses theoretical and methodological tools produced by the work stream and is essentially structured around the three main research questions: What is known about...

The 2021 edition of the African Economic Outlook focuses on debt resolution, governance, and growth in Africa. Chapter 1 examines Africa’s growth performance and outlook amid the COVID–19 pandemic. The chapter emphasizes policy options to mitigate the effects of the pandemic in the short, medium, and long terms. Chapter 2 explores the causes and consequences of Africa’s debt dynamics by showing how the changing structure and composition of debt create...

This report offers POTENCIAR and the British High Commission (BHC) an analysis of how power arrangements influence the main social, political, and economic factors in service provision and decentralised governance in Mozambique. The results of the study will be used to refine POTENCIAR’s strategy and approach, as well as the design of PAIs in the health sector. While PAIs address issues across multiple sectors, sector analysis will also consider potential entry points for, as well as...

Abstract: The central aim of this text is to show the impact institutions have on the performance of the health sector in Mozambique. The text shows that of the social determinants of health, institutions play a central role in the performance of the Mozambican health sector—and, through it, economic and social development—particularly for the poorer and more vulnerable, such as children, women, the disabled, and the elderly. It is also argued that the deficiencies and inefficiencies of the...

The Alcançar Baseline Assessment of Facility and District Capacity was conducted to establish an evidence base against which to measure project performance and impact over the life of the project and to inform project priorities and planning. The assessment includes a census of health centers and hospitals in Nampula province - the population of facilities that the project is expected to influence. Trained data collection teams interviewed facility and district staff to collect current...

This policy brief, apart from describing the dilemmas of the democratization process of health services it, aims to analyze its implications on the dynamics of social accountability in the health sector and, finally, to inform on possible ways for a more coherent democratization, considering the normative discourses

The inclusion of persons with disabilities is an essential element of a strong democracy and a just society. Persons with disabilities (PWDs) being included means that they have a full and equal opportunity to participate in society and in political decision-making processes, to develop their capacities, and to contribute to national progress Like everywhere, persons with disabilities in Mozambique face physical, social, economic and/or environmental barriers to participation. For example,...

Research has highlighted disparities in family planning outcomes by wealth and by region separately. This analysis examines regional disparities within specific poverty groups. Twelve USAID family planning priority countries with recent DHS or AIS surveys were selected for the analysis, including 11 DHS surveys (Democratic Republic of Congo (DRC), Ethiopia, Ghana, Haiti, Malawi, Nepal, Nigeria, Pakistan, Rwanda Uganda, and Zambia) and one AIS survey (Mozambique). The measure of absolute...

Key Messages: - Health is a human right and is constitutionally protected in Mozambique; - The health sector is considered a priority sector by the Government of Mozambique; - The health sector is amongst the least funded by the State Budget in the past four years, (with less than 8% on average), against the 15% assumed in Abuja; - For the year 2014, of the 762.8 million USD allocated to the health sector, 44% came from external sources (REO MOH, 2014). The combined PROSAUDE resources,...

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 —...

O Inquérito de Indicadores de Imunização, Malária e HIV/SIDA (IMASIDA 2015) em Moçambique foi realizado no âmbito de The DHS Program e vem no seguimento de quatro inquéritos anteriores, com o objectivo de determinar indicadores de saúde da mulher e da criança no país, tais como a fecundidade; gravidez e maternidade na adolescência; preferências de fecundidade; planeamento familiar; consultas pré-natais; assistência ao parto; vacinação de crianças; infecções respiratórias agudas; diarreia e...

The 2018 Mozambique Malaria Indicator Survey (IIM) provides population-based estimates on malaria indicators to inform strategic planning and program evaluation. The 2018 LMIS is the 6th survey to be conducted in Mozambique through The DHS Program.

The DHS Analytical Studies 71 examines subnational variations in fertility preferences and family planning outcomes associated with poverty in married women in 12 recent Demographic and Health Surveys. Poverty is measured based on a standard set of criteria for unsatisfied basic needs and the ownership of specific assets. Households are categorized into three poverty groups: not extremely poor, extremely poor but not asset poor, and extremely poor and asset poor. This brief summarizes the...

A propitiously timed household survey carried out in Mozambique over the period 2008/ 2009 permits us to study the relationship between shifts in food prices and child nutrition status in a low income setting. We focus on weight-for-height and weight-for-age in different survey quarters characterized by very different food price inflation rates. Using propensity score matching techniques, we find that these nutrition measures, which are sensitive in the short run, improve significantly in...

This case study was commissioned by N’weti Comunicação para a Saúde to explore the changes emerging from the implementation of an adapted version of the Community Scorecard (CSC) tool in 11 health facilities catchment areas in Nampula. This case study discusses how N’weti has adapted the Community Scorecard (CSC) tool to better improve the quality of the participation and prospects of accountability for citizens. The case study presents evidence that the adapted CSC tool has resulted in an...

This chapter outlines the socio-economic and health baseline of areas (both onshore and offshore) potentially affected by the Project. The chapter is structured into a number of sections, as follows: • Sections 9.2 and 9.3 provide a summary of the baseline and sources of information used to compile the baseline, respectively. • Section 9.4 defines the Project Area of Influence, providing both an overview of the geographic characteristics as well as the respective administrative divisions and...

Since independence in 1975, development in Mozambique has been guided by a sequence of Five Year Plans, (Planos Quinquenais de Desenvolvimento). In 2002 the Government of Mozambique (GOM) initiated a series of reforms in all development sectors, aiming to start a process of decentralisation and bringing management closer to the lower levels of state organisation (Provinces and Districts). For the Municipalities, a devolution model was chosen that is currently in the process of being rolled...