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Since its emergence from a brutal, 17-year civil war, Mozambique’s process of political reform has faced a number of challenges. The first has been to empower ordinary Mozambicans by allowing them to participate in a democratic system and enabling them to voice their demands to the state and hold it accountable. The second has been to rebuild a state with the capacity to respond to citizen demands effectively. And given the long history of violent division, a third challenge has been to...
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Despite high infant and maternal mortality rates, many Mozambican women with access to prenatal services delay prenatal clinic consultations, limiting opportunity for prevention and treatment of preventable pregnancy complications. Ethnographic research, interviews with health providers and longitudinal pregnancy case studies with 83 women were conducted in Central Mozambique to examine pregnant women's underutilization of clinic-based prenatal services. The study found that pregnancy...
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Information on the Swedish support to the private sector related to agriculture in Niassa, Mozambique 2003.
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This paper brings together gender analysis, small scale enterprise analysis, and gender budget analysis in a development context. The paper demonstrates that gender matters not only to the ownership of an SME, but also to its most likely principal activity, the stock of the assets that it possesses, the labour that it utilizes, the costs that it faces, the revenues that it generates, and the profits that it earns. In particular, lower earnings for female-owned SMEs can be attributed to the...
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This case study has attempted to show that the implementation of a policy mechanism like PSP in water and sanitation in a context like Niassa is highly unlikely to achieve the development impacts intended. It appears that the concept “PSP” itself is erroneous; it assumes that there is a private sector wishing to participate, and that public sector delivery is the key obstacle to private involvement. Equally erroneous is the idea that the private sector can just emerge from market mechanisms...
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The papers and discussions included in this collection are the product of a workshop, “Discovering Normality in Health and the Reproductive Body,” held in March, 2001 at Northwestern University's Program of African Studies. The idea for the workshop stemmed from a history of collaborations among Caroline Bledsoe, Jane Guyer, and Kuate Defo Barthélemy on topics of fertility, health, and research methodology. The workshop itself grew out of a commitment to continue that conversation and to...
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This article presents results from a study on the use and appropriation of information and communication technologies (ICT) in Mozambique with a focus on the health sector. The three provinces of Gaza, Inhambane and Niassa were surveyed and two questionnaires addressing 1) computer users and their ability to manage ICT, and 2) health workers and their handling of health information, were used. Based on this study appropriate strategies for developing an ICT-infrastructure with the needs of...
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More and more, development organizations are under pressure to demonstrate that their programs result in significant and lasting changes in the well-being of their intended beneficiaries. However, such "impacts" are often the product of a confluence of events for which no single agency or group of agencies can realistically claim full credit. As a result, assessing development impacts is problematic, yet many organizations continue to struggle to measure results far beyond the reach of their...
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In mid-1998, a World Bank study grimly noted that "Indonesia is in deep economic crisis. A country that achieved decades of rapid growth, stability, and poverty reduction is now near economic collapse . . . no country in recent history, let alone one the size of Indonesia, has ever suffered such a dramatic reversal of fortune." There is bitter irony in Indonesia's fall from grace. Long hailed as a model of successful economic development, it was widely predicted to escape the fate of...
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The IDS Participation and Health and Social Change Groups convened a workshop in October 1999 to share experience with the use of participatory approaches in enhancing accountability in the health sector, and to explore some of these challenges. The articles in this bulletin reflect some of the richness of experience on the ground in building effective participation, as well as some of the many issues that arise in moving towards more active citizen engagement with service provision. They...
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