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Child marriage is one of Mozambique’s most serious but largely ignored development challenges – requiring far greater attention from policy makers Child marriage rates are still very high despite a long-term decline, especially in marriage before the age of 15. Economic pressures and the incentive of bride price appear to be powerful factors driving parents to marry off their daughters at a young age. The high rates of child marriage cannot be allowed to continue without a vigorous...

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...

Background: As low-income countries strive to meet targets for Millennium Development Goals 4 and 5, there is growing need to track coverage and quality of high-impact peripartum interventions. At present, nationally representative household surveys conducted in low-income settings primarily measure contact with the health system, shedding little light on content or quality of care. The objective of this study is to validate the ability of women in Mozambique to report on facility-based care...

O Inquérito Demográfico e de Saúde (IDS) em Moçambique faze parte dum programa internacional de inquéritos (MEASURE DHS) desenvolvido pelo ICF International através de um contrato com a USAID, com o propósito de apoiar aos governos e instituições privadas dos países em desenvolvimento na realização de inquéritos nacionais por amostragem, nas áreas de população e saúde. O Programa MEASURE DHS tem por objectivo: • Subsidiar a formulação de políticas e implementação de programas nas áreas de...

The Citizen Engagement Program (CEP) supports citizens to monitor the quality of health and education service delivery in 4 of the 11 provinces of Mozambique, as well as to advocate for the improvement of the quality of those services at the district, provincial and national levels. The CEP aims at contributing towards the increased availability of relevant information for citizens to better access and benefit from services delivered by the public sector; improving citizens' capacity to...

O presente estudo pretende compreender como são desenvolvidas as ações de prevenção do HIV do Programa Geração Biz (PGB) direcionadas aos jovens dos 15-24 anos e, dessa forma buscar a compreensão da possível vulnerabilidade destes a infecção pelo HIV no distrito de Nhamatanda em Moçambique. Para o alcance deste desiderato baseei-me numa abordagem qualitativa, embasada no método etnográfico. No processo de coleta de dados privilegiei a observação participante, complementada por entrevistas...

Em Setembro de 2012, o Governo de Moçambique anunciou a mudança de critérios para o cálculo das taxas de cobertura de abastecimento de água nas zonas rurais. Com efeito, de 500 pessoas para um poço ou furo equipado com uma bomba manual, num raio de 500 metros, passou -se para 300 pessoas para um poço ou furo equipado com uma bomba manual. Esta mudança de critérios acontece mais de 15 anos depois da aprovação da Política Nacional de Águas (PNA) e resulta da constatação de que, em muitos...

Houve em 2011 três acontecimentos que revelaram as dimensões dos desafios que se colocam à gestão do Sistema Nacional de Saúde moçambicano em geral e ao Ministério de Saúde (MISAU) em particular. O primeiro foi uma auditoria externa das contas de 2009 do PROSAUDE II e do Fundo Global, realizada pela empresa de auditoria KPMG e entregue ao governo e aos seus parceiros internacionais em Junho de 2011. Esta auditoria revelou fraquezas consideráveis, nomeadamente em relação à auditoria interna e...

The objective of this document is to share the results of work undertaken in Mozambique to promote respectful health care, particularly in maternal and neonatal care. With its origins in “humanization of care” efforts in Latin America, this approach centers on the woman and her family and is grounded by principles of ethics and respect for human rights. The approach recognizes a client’s cultural background, and views the client as a person with values and expectations that should be...

The powerpoint has the same objective as the article (see related section). ------- The present study was commissioned by the Department for International Development (DFID) in Mozambique. As a piece of independent research on the political economy of the health sector, it is considered to inform DFID’s health sector support programme for the period 2012-2016 and to lead to more in-depth inquiries of Mozambique’s health sector. The latter has witnessed a number of institutional, management,...

The present study was commissioned by the Department for International Development (DFID) in Mozambique. As a piece of independent research on the political economy of the health sector, it is considered to inform DFID’s health sector support programme for the period 2012-2016 and to lead to more in-depth inquiries of Mozambique’s health sector. The latter has witnessed a number of institutional, management, financial and governance challenges in the past few years, including a change in...

A propitiously timed household survey carried out in Mozambique over the period 2008-09 permits us to evaluate the short-to-medium run relationship between sudden shocks to food prices and child nutrition status. We link local price inflation with child malnutrition status. We find that the prevalence of underweight amongst children rises in response to a higher inflation rate for basic food products. Stunting and wasting malnutrition measures are mostly insensitive to the inflation rate....

This study presents an analytical ‘picture’ of the rural water sub-sector in Mozambique, describing the legal framework, mechanisms for coordination, harmonisation, funding, accountability, participation and supervision. The study was commissioned for the Sustainable Services at Scale, or Triple-S, initiative, which aims to contribute to improving the sustainability of global rural water supply. According to the general population census carried out in 2007, Mozambique had a total population...

Information document about the Health Commodity Security Project. It is divided in the sections below: - Country and Sector Background - Objectives - Rationale for Bank Involvement - Description - Financing - Implementation - Sustainability - Lessons Learned from Past Operations in the Country/Sector - Safeguard Policies (including public consultation) - List of Factual Technical Documents - Contact point - For more information contact

The number of people on antiretroviral treatment in Mozambique has increased by over 1,500 percent since it first became free and publicly available in 2004. The rising count of “lives saved” seems to portray a success story of high-tech treatment being provided in one of the poorest contexts in the world, as people with AIDS experience dramatic recoveries and live longer. The “scale-up” has had significant social effects, however, as it unfolds in a region with a complicated history...

The major cross-cutting issues which featured prominently in all the thematic areas are highlighted below. A comprehensive approach is needed to address these issues as they have wider ramification for the various dimensions of governance in Mozambique. The following are the major thirteen crosscutting issues emerging from this report: Poverty and Inequality; Party/government/business dichotomy; HIV/AIDs; Land Ownership; High levels of illiteracy; High aid dependency; Information flow and...

Sociologists and anthropologists have had a long interest in studying the ways in which cultures shaped different patterns of health, disease, and mortality. Social scientists have documented low rates of chronic disease and disability in non-Western societies and have suggested that social stability, cultural homogeneity and social cohesion may play a part in explaining these low rates. On the other hand, in studies of Western societies, social scientists have found that disease and...

See english abstract below. Pesquisa centrada nas políticas públicas do governo moçambicano para o setor da saúde, com foco voltado para programas de assistência à saúde materno-infantil. Tem o propósito de apresentar contextos básicos para a reflexão sobre a filosofia da implantação e implementação dos programas e a inserção da Enfermagem, mostrando seus marcos evolutivos. Constatou-se que, na década 70, o Sistema Nacional de Saúde adotou o Programa de Proteção Materno-Infantil, que na...

The main objective of this report is to capture the local configurations of gender relations in Nampula, by focussing on one rural and one urban area in the province. The former is the coastal and rural district of Mossuril, which is considered one of the most deprived districts in the province, both in terms of material poverty and human development (MAE 2005). The urban areas are Muatala and Namutequeliua, which are two of the most populous bairros in the city of Nampula and largely...