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Close-to-community (CTC) providers have been identified as a key cadre to progress universal health coverage and address inequities in health service provision due to their embedded position within communities. CTC providers both work within, and are subject to, the gender norms at community level but may also have the potential to alter them. This paper synthesises current evidence on gender and CTC providers and the services they deliver.

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...

Background and objective: maternal and neonatal mortality rates in Mozambique are high, due to insufficient numbers of qualified health workers, lack of equipment and materials, referral system deficiency, difficulties to access health services and gender issues. This study assesses the barriers to health care access, regular attendance at ante natal consultations, institutional delivery and postnatal and neonatal follow-up. This is part of the baseline study for an implementation research...

Mixed methods were used with various data sources to describe organisation and delivery of maternity care in Maputo city, Mozambique in early 2010s and to compare the plans with the service provision in practice. In the public health sector, maternity care was organised to be area based and hierarchical with a planned referral system. The provision of basic and emergency maternity care was publicly funded, largely dependent of donor funds, and free of charge for users. Even though Maputo...

Multisectoral approaches represent a prominent ideological consensus, influenced by historical roots and the current political, financial and institutional landscape, to address the multi-faceted and complex causes of most nutrition, public health and food problems. However, the implementation of multisectoral approaches presents tremendous challenges; one of the most often cited problems, in the literature and by practitioners, is coordination. This study investigates the perspectives of key...

A series of five “Reality Checks” will take place in the period 2011-2016, focussing on the dynamics of poverty and well-being with a particular focus on good governance, agriculture/climate and energy that are key sectors in Swedish development cooperation with Mozambique. Each Reality Check will be published in the form of one Annual Report and three Sub-Reports from each of the three selected study-sites (see ORGUTa 2011 for more details). More concretely, the “Reality Checks in...

The Reality Checks are implemented 2011-2016 and each year field work is carried out in the Municipality of Cuamba, the District of Lago and the District of Majune in the Niassa Province. Each Reality Check focusses on a specific theme. This is the 5th Sub-Report from the District of Lago, focussing on quantitative expressions of changes in poverty and wellbeing and the role of public institutions since the 1st Reality Check in 2011. An Annual Report is produced each year to summarise the...

CONTEXT: Although institutional coverage of childbirth is increasing in the developing world, a substantial minority of births in rural Mozambique still occur outside of health facilities. Identifying the remaining barriers to safe professional delivery services can aid in achieving universal coverage. METHODS: Survey data collected in 2009 from 1,373 women in Gaza, Mozambique, were used in combination with spatial, meteorological and health facility data to examine patterns in place of...

Background: In countries, such as Mozambique, where maternal mortality remains high, the greatest contribution of mortality comes from the poor and vulnerable communities, who frequently reside in remote and rural areas with limited access to health care services. This study aimed to understand women’s health care seeking practices during pregnancy, taking into account the underlying social, cultural and structural barriers to accessing timely appropriate care in Maputo and Gaza Provinces,...

Background: Striving to foster collaboration among countries suffering from maternal and child health (MCH) inequities, the MASCOT project mapped and analyzed the use of research in strategies tackling them in 11 low- and middle-income countries. This article aims to present the way in which research influenced MCH policies and programs in six of these countries – three in Africa and three in Latin America. Methods: Qualitative research using a thematic synthesis narrative process was used...

Parteiras exigem entre 500 e 2.000 meticais para realizar partos. Cobranças ilícitas nas maternidades das unidades sanitárias em Nampula, Moçambique, estão a comprometer a qualidade do atendimento materno-infantil e a “forçar” as grávidas a optarem por ter filhos na comunidade. Algumas mulheres ouvidas pela VOA no Hospital Central de Nampula denunciaram o mau atendimento nas unidades sanitárias. Acusam ainda profissionais de cobrarem entre 500 e 2.000 meticais para realizar um parto.

Este artigo tem como objecto “o contributo da educação para a equidade de género e empoderamento da mulher em Moçambique: o caso da cidade de Lichinga, 1997-2015”. O terceiro objectivo do milénio defende que para que possa alcançar o desenvolvimento sustentável nos países em vias de desenvolvimento e mesmo os já industrializados é preciso que a questão de género seja tomada como primordial nas políticas e estratégias de desenvolvimento. E tal pressuposto requer, como se defende nos...

Background: Maternal mortality remains a daunting problem in Mozambique and many other low-resource countries. High quality antenatal care (ANC) services can improve maternal and newborn health outcomes and increase the likelihood that women will seek skilled delivery care. This study explores the factors influencing provider uptake of the recommended package of ANC interventions in Mozambique. Methods: This study used qualitative research methods including key informant interviews with...

Este trabalho aborda uma das questões centrais no debate sobre a protecção social: género no desenho dos programas de protecção social. Neste contexto, o presente estudo analisa a integração da perspectiva de género no desenho dos programas de protecção social em Moçambique, tomando como estudo de caso – o Programa Acção Social Produtiva. Para a materialização deste trabalho, a nossa proposta de percurso metodológico, em conformidade com os objectivos propostos, o nosso quadro analítico irá...

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...

The Reality Checks are implemented 2011-2016 and each year field work is carried out in the Municipality of Cuamba, the District of Lago and the District of Majune in the Niassa Province. Each Reality Check focusses on a specific theme. This is the 4th Sub-Report from the District of Lago, focusing on the private sector/entrepreneurship. An Annual Report is produced each year to summarise the findings and conclusions from the three sub-reports.

This report provides a brief examination of how and where gender analysis is incorporated into Political Economy Analysis (PEA). An initial review of the literature indicates that gender is not systematically included in PEA. This was also conveyed by a number of experts consulted for this report, who stated that few if any PEAs to their knowledge had included a gender analysis, with the issue usually treated only in passing. The report nevertheless highlights the existing examples of...

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...

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...

The Reality Checks are implemented between 2011- 2016, with fieldwork being carried out each year in the Districts of Cuamba, Majune and Lago in the Niassa Province. Sub-Team Leaders are Carmeliza Rosário, Minna Tuominen and Inge Tvedten. This is the Annual Report for the 2nd Reality Check, synthesising the main findings from the three sub- reports. The report is written by the Team Leader for the Reality Checks in Mozambique Dr. Inge Tvedten - with support from Carmeliza Rosário, Minna Tuominen and Aslak Orre (Thematic Advisor).