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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

Corruption through opaque public contracts costs Africa billions of dollars in revenue loss annually. Globally, initiatives to address this have centred on information disclosure (ID) but under what conditions does it work to promote accountability in the extractive sector that for a long time has seen its revenue management as being a major cause of conflict in Africa? Our study on this issue in Mozambique reveals intriguing findings, which suggest that protagonists of ID would need to...

A economia de Moçambique encontra-se num ponto de viragem, e os esforços para abordar as vulnerabilidades em matéria de governação e corrupção podem ter um impacto positivo duradouro. Já tomámos medidas para abordar as vulnerabilidades em matéria de governação e corrupção. Contudo, reconhecemos que subsistem falhas em diversas áreas relevantes da economia. A fim de abordar algumas das debilidades restantes, temos reformas de governação em curso e em perspectiva em várias áreas, muitas...

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 —...

As I explored in my previous blog, the health sector and provision of health services in Mozambique is an uneven playing field. Since 1980 it has been shaped by a range of donors who have strategically positioned themselves according to their political weight and ability to contribute with ‘commodities’ and financial resources.  Although donors’ contributions […]

A recent study on information disclosure in the extractive sector has found 18 factors that result in citizen and institutional (state and non-state) inaction in demanding government accountability. Conducted by the Partnership for African Social and Governance Research (PASGR) in collaboration with the Centre for Public Integrity (CIP), as part of the Action for Empowerment and Accountability (A4EA) research programme, the study shows that citizens and/or institutions are unlikely to...

This article aims to understand the inversion of roles between the state and citizens, by exploring its historical roots and current implications for processes of social accountability in Mozambique, particularly in the health sector. This is a practice-based reflection grounded in the evidence collected through the implementation of Community Scorecards in the health sector in 13 districts of Mozambique. The evidence has revealed a transfer of responsibilities from local governance...

Recommendations: 1. On planning and budgeting, greater coordination is recommended between planning (setting priorities) and budgeting (financial apportionment). Transformation of all District Health Services, Women and Social Action (SDSMAS) into Management Beneficiary Units (MBU) is necessary. 2. Stakeholders should bet more on application of national public financial management systems (PFM). The use of parallel financial systems instead of enabling the National Health System (NHS) to be...

The objective of the baseline survey is to analyze and document the situation around accountability, transparency and governance of the O&G sector in the country prior to the implementation of the Oxfam project. It focuses on a selected group of indicators chosen for the country program logical framework, identified and approved in the Baseline Inception Phase. A total of 33 people were interviewed in the context of this baseline. This was accompanied by a thorough national and international...

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...

The Citizen Engagement Program (CEP) in Mozambique is an empowerment and accountability program aiming to improve the quality of health and education services through supporting citizens to monitor them. The program supports citizens to engage with service providers to address identified problems; it also aims to generate evidence for policy and program improvement at the local and national levels. This case study is structured in three main sections. The first section provides a background...

O presente guião é um instrumento que tem em vista dotar as OSC e cidadãos de modo geral, de conhecimentos sobre o funcionamento dos Conselhos Consultivos Locais (CCLs) de maneira a facilitar a sua participação e a alargar as suas intervenções na área de monitoria e advocacia da governação a nível distrital. Estão apresentados neste guião, os elementos que permitem perceber a organização, a estrutura, funções, e responsabilidades dos Conselhos Consultivos Locais, como eles funcionam, as...

O Programa Cidadania e Participação (CEP) (2013-2018) apoia os cidadãos na monitoria da qualidade de prestação de serviços de saúde e de educação em quatro províncias de Moçambique, assim como a advogar para a melhoria da qualidade desses serviços nos níveis distrital, provincial e nacional. O CEP pretende contribuir para: uma maior disponibilidade de informação relevante de modo a que os cidadãos tenham um melhor acesso e benefício dos serviços prestados pelo sector público; melhorar as...

Accountability is a central feature of democracy. Governments must explain what they are doing, justify why they are doing certain things and not others. Moreover, accountability increases the likelihood of the improvement of public services if citizens have the political scope to hold politicians and administrators accountable, and potentially sanction them. Consequently, developing countries as well as the OECD-donor community have committed themselves to working towards the improvement of...