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Various investments could help countries deliver on the universal health coverage (UHC) goals set by the global community; community health is a pillar of many national strategies towards UHC. Yet despite resource mobilization towards this end, little is known about the potential costs and value of these investments, as well as how evidence on the same would be used in related decisions. This qualitative study was conducted to understand the use of evidence in policy and financing decisions...
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Os objectivos e os pilares do PES e OE de 2020 não mudaram, substancialmente, em comparação com o que foram as prioridades do quinquênio 2015-2019. Em linha com os compromissos internacionais, o Governo procurou manter os pesos relativos da despesa nos sectores prioritários, com particular realce para a educação e a saúde. Contudo, o aumento dos preços e dos encargos da dívida, que se seguiu à descoberta das dívidas não declaradas, baixou o valor real das provisões feitas nestes sectores. O...
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A área de logística farmacêutica (LF) é vital pelo facto de assegurar que os medicamentos e produtos médicos estejam disponíveis no país e nos pontos de entrega e inclui seleção de medicamentos, quanti cação, procurement, controle de qualidade, armazenamento, transporte e distribuição. O Governo de Moçambique reconhece a importância deste sector e como parte da agenda de reforma do MISAU desenhou o Plano Estratégico de Logística Farmacêutica (PELF) juntamente com o respectivo Plano...
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Background: Legal empowerment and social accountability are two strategies that are increasingly used to address gaps in healthcare in low- and middle-income countries, including failure to provide services that should be available and poor clinical and interpersonal quality of care. This paper is an explanatory case study of a legal empowerment effort that employs community paralegals and trains Village Health Committees (VHCs) in Mozambique. The research objective was to explore how...
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Findings: In-depth interviews (n = 30), key informant interviews (n = 1) and focus group discussions (n = 3) captured experiences and perceptions of employment processes. Intra-household decision-making structures mean women may experience additional barriers to join the APE programme, often requiring their husband’s consent. Training programmes outside of the community were viewed positively as an opportunity to build a cohort. However, women reported difficulty leaving family...
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The main focus of the report is the impact of the coronavirus (Covid-19) pandemic on democracy and freedom around the world. It looks at how the pandemic resulted in the withdrawal of civil liberties on a massive scale and fuelled an existing trend of intolerance and censorship of dissenting opinion (see page 14). The report also examines the state of US democracy after a tumultuous year dominated by the coronavirus pandemic, the Black Lives Matter movement and a hotly contested presidential...
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In the case of Mozambique, the pandemic came on the heels of two destructive cyclones that had devastated large parts of the country in 2019 and whose consequences were still being felt. In northern Mozambique, increasing violence in Cabo Delgado province resulted in a surge of internally displaced persons into local communities in Cabo Delgado, Nampula and Niassa provinces. With host communities ill equipped to meet the needs of those displaced, this population movement created a new...
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The healthcare system in Mozambique is striving to reduce the high maternal and child mortality rates and stay on par with the Sustainable Development Goals (SDG 3.1). A key strategy to curb maternal and child mortality is to promote the use of professional childbirth services proven to be highly effective in averting maternal deaths. Currently, little is known about the use of childbirth services in Mozambique. The present study investigated the prevalence of professional healthcare...
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