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Globally, low involvement of men in maternal health care services remains a problem to health care providers and policy makers. Men’s support is essential for making women’s world better. There are increasing debates among policymakers and researchers on the role of men in maternal health programs, which is a challenge in patriarchal societies like Uganda. The aim of the study was to assess companionship during delivery; men’s perception and experiences during pregnancy and delivery.
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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...
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Strenuous efforts by donors and lenders over four decades turned Mozambique from a socialist success story into a neoliberal capitalist one. The private sector dominates; a domestic elite dependent on foreign companies has been created.
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Social accountability in the health sector has been promoted as a strategy to improve the quality and performance of health providers in low- and middle-income countries. Whether improvements occur, however, depends on the willingness and ability of health providers to respond to societal pressure for better care. This article uses a realist approach to review cases of collective citizen action and advocacy with the aim to identify key mechanisms of provider responsiveness. Purposeful...
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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...
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Abstract Samir Amin (1972) divided the African continent into three “macro-regions of colonial influence” with distinct socio-economic systems and labour practices: Africa of the colonial trade or peasant economy, Africa of the concession-owning companies, and Africa of the labour reserves. We argue that Mozambique encompassed all three different “macro-regions” in a single colony. We reconstruct government revenue (direct/indirect taxes) raised at a district level between 1930...
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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...
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Fiscal austerity policies imposed by the IMF have reduced investments in social services, leaving postindependence nations like Mozambique struggling to recover from civil war and high disease burden. By 2000, a sector-wide approach (SWAp) was promoted to maximize aid effectiveness. ‘Like-minded’ bilateral donors, from Europe and Canada, promoted a unified approach to health sector support focusing on joint planning, common basket funding, and streamlined monitoring and evaluation to improve...
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In this study, we set out to examine three interrelated questions: To what extent has Brazilian cooperation in the agriculture sector contributed to agrarian transformation in Mozambique? How has Mozambican civil society, and in particular the União Nacional dos Camponeses (UNAC, National Peasants’ Union), responded to the prospect of Brazilian agribusiness investments in the Nacala Corridor? And what effects has BrazilianMozambican agricultural development cooperation had on the existing...
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This paper analyses inclusive land governance in Mozambique. It focuses on the country’s legal framework and the DUAT, the right to use and benefit from the land. The DUAT is a distinctive element of the Mozambican legislation that has land as the property of the state but recognises land use rights for occupants and users on the basis of a unitary system of tenure. The challenges of putting in practice what is thought to be one of Africa’s most progressive legal frameworks are discussed....
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As officials count the rising cost of the hidden debts, President Nyusi faces awkward questions from investors and donors. As Mozambique's mountain of dubious debts tops US$2 billion, there are growing calls for a forensic audit and an international police probe into the officials and entities involved in this massive fraud. The deals and loans arranged under President Armando Guebuza, and largely kept secret under his successor Filipe Nyusi, mean that Mozambicans now face the prospect of...
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This paper draws attention to the value of a network approach for understanding cooperation in international development networks. The approach emphasises the impact of social interaction, and the values, ideas, and behaviours of individuals on the achievement of development goals. Social network analysis is used to analyse the social structure and dynamics of interaction in an aid-funded development network organisation that aimed to develop optometry capacity in Mozambique. The analysis...
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This paper reviews competing theories about the causes of informality in developing countries and uses new data to determine which theory best explains the persistence and scale of Indonesia’s informal sector. Using nationally representative survey data on micro, small, and medium-sized firms, we find that most of Indonesia’s informal firms are very small, micro firms, with less than five employees. These firms pay low wages, are relatively unproductive when compared to large firms, are...
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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...
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East Africa has experienced an increase of private land use investments in the past years. Rural households have consequently faced crucial changes in their livelihoods. This paper explores the socio-economic impacts of industrial forest plantations on rural communities in Niassa, Mozambique. According to our results private forest plantations have the potential to positively impact local people’s wealth and well-being, if enough emphasis is given to minimizing the negative impacts. The...
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This paper discusses South–South cooperation by examining ProSAVANA, a flagship agricultural development program seeking to apply Brazilian experience to Mozambique. ProSAVANA is a joint Japan–Brazil–Mozambique initiative in the savannah zone of Mozambique’s Nacala Corridor region that was initially inspired by the Japan–Brazil PRODECER program in Brazil’s Cerrado region. ProSAVANA subsequently became the focus of fears about land-grabbing in the Nacala Corridor, attracting strong civil...
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A propitiously timed household survey carried out in Mozambique over the period 2008/ 2009 permits us to study the relationship between shifts in food prices and child nutrition status in a low income setting. We focus on weight-for-height and weight-for-age in different survey quarters characterized by very different food price inflation rates. Using propensity score matching techniques, we find that these nutrition measures, which are sensitive in the short run, improve significantly in...
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A política externa brasileira, a partir de 2003, apresentou uma notória curva em direção ao aprofundamento e à expansão das relações com outros países e regiões “do Sul global”. Nesse contexto, o continente africano ganhou importância para as relações internacionais do Brasil. O objetivo do artigo é avançar na compreensão da participação do setor empresarial na cooperação brasileira em Moçambique. Os resultados demonstram que as empresas e seus projetos privados se mesclam nos territórios....
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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,...
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Globally 2.9 million babies die each year before reaching 28 days of life. Over the past quarter century, neonatal mortality has declined at a slower pace than post-neonatal under-five mortality: in consequence newborns now comprise 44% of all deaths to children under five years. Despite high numbers of newborn deaths, global organizations and national governments paid little attention to the issue until 2000, and resources, while growing since then, remain inadequate. This study examines...
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