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As uniões prematuras constituem um dos principais problemas sociais na África Austral que, pelas suas consequências negativas em cadeia: gravidez precoce,desnutrição crónica,fístula obstétrica,abandono escolar,se tornam um problema igualmente económico, uma barreira ao desenvolvimento socioeconómico. No caso de Moçambique, o problema afecta cerca de metade das raparigas com menos de 18 anos, o que faz do país um dos cinco mais afectados a nível da Comunidade dos Países da África Austral...

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 […]

Likened to the Tower of Babel legend, the Mozambican national health system speaks several languages and pursues a range of different interests, answering to a number of partners and other bilateral and multilateral actors who all have some kind of circumstantial and contextual interest. When the Paris Declaration on Aid Effectiveness was endorsed, Mozambique may […]

Introduction Maternal mortality in Mozambique has not declined significantly in the last 10–15 years, plateauing around 480 maternal deaths per 100,000 live births. Good quality antenatal care and routine and emergency intrapartum care are critical to reducing preventable maternal and newborn deaths. Materials and methods We compare the findings from two national cross-sectional facility-based assessments conducted in 2007 and 2012. Both were designed to measure the availability, use and...

The aims of this paper are: 1) to highlight how multi-stakeholder country platforms, built on development effectiveness principles, in line with the globally agreed recommendations of IHP+2, can be reinforced within the framework of the Global Strategy and its supporting mechanisms and are key to the Global Strategy’s successful implementation; and 2) to lay out key considerations for new multi-stakeholder country platforms, along with the relevant mechanisms and a minimum set of standards...

The paper explores how age, social position or class, and linguistic and cultural background intersect and place women in varying positions of control and vulnerability to obstetric violence in state health institutions in Colombo district, Sri Lanka. Obstetric violence occurs during pregnancy, childbirth and the immediate postpartum period; hence, it is violence that directly affects women. The authors aim to break the traditional culture of silence around obstetric violence and bring...

This study was conducted as part of the Citizen Engagement Programme (Programa Cidadania e Participação (CEP)) in Mozambique – an empowerment and social accountability initiative to improve the quality of education and health services by increasing citizens’ influence on the management of schools and health units, the formulation of education and health policies, and the provision of education and health services. In education, CEP enabled citizen monitoring of services through the...

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...

In Cabo Delgado - Mozambique, we are giving support to the Provincial Health Directorate (DPS-CD) in developing an essential tool for the promotion of health in the Province: The Action Plan for Health Promotion.

O Inquérito de Indicadores de Imunização, Malária e HIV/SIDA (IMASIDA 2015) em Moçambique foi realizado no âmbito de The DHS Program e vem no seguimento de quatro inquéritos anteriores, com o objectivo de determinar indicadores de saúde da mulher e da criança no país, tais como a fecundidade; gravidez e maternidade na adolescência; preferências de fecundidade; planeamento familiar; consultas pré-natais; assistência ao parto; vacinação de crianças; infecções respiratórias agudas; diarreia e...

Although qualitative studies have raised attention to humiliating treatment of women during labour and delivery, there are no reliable estimates of the prevalence of disrespectful and abusive treatment in health facilities. We measured the frequency of reported abusive experiences during facility childbirth in eight health facilities in Tanzania and examined associated factors. The study was conducted in rural northeastern Tanzania. Using a structured questionnaire, we interviewed women who...

The Global Strategy for Women’s, Children’s and Adolescents’ Health 2016-30 highlights the importance of adolescent health and well-being as being essential to achieving the Sustainable Development Goals (SDG) by 2030. For adolescents to survive, thrive and transform their societies, the global community needs to invest in their health and well-being. Today’s adolescents are well-positioned to mobilize their peers, advocate for increased resources for sexual and reproductive health and...

O objectivo do IIM 2018 é disponibilizar as estimativas de indicadores demográficos e de saúde básicos, relacionados com a malária. As informações recolhidas através do IIM 2018 destinam-se a ajudar os decisores políticos e gestores do programa de controle de malária na avaliação e concepção de estratégias para melhorar a saúde da população do país.

O presente relatório resume os resultados do Inquérito de Indicadores de Imunização, Malária e HIV/SIDA em Moçambique (IMASIDA 2015), conduzido pelo Instituto Nacional de Saúde (INS) do Ministério da Saúde (MISAU), em colaboração com o Instituto Nacional de Estatística (INE). O inquérito contou com a assistência técnica da ICF, através do Programa de Inquéritos Demográficos e de Saúde (Programa DHS). A assistência técnica adicional foi proporcionada pelo CDC (Centers for Disease Control and...

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 2018 Mozambique Malaria Indicator Survey (IIM) provides population-based estimates on malaria indicators to inform strategic planning and program evaluation. The 2018 LMIS is the 6th survey to be conducted in Mozambique through The DHS Program.

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...

Este documento sumariza as aprendizagens feitas ao longo da implementação do Cartão de Pontuação Comunitária (CPC) no quadro do Programa Cidadania e Participação (CEP), o qual terminou em Dezembro de 2017. O CEP foi um programa de responsabilização social que tinha como objectivo final aumentar a influência dos cidadãos na melhoria da qualidade dos serviços de saúde e educação em Moçambique.

The implementation plan for the civil society engagement strategy (CSES) is developed to provide civil society organizations in countries (CSOs) with an operational framework to strengthen their engagement in the GFF process with a view to supporting the achievement of the objectives of the GFF and national investment cases. The plan reflects and builds on, and should be read in conjunction with the CSES. It is shaped and informed by GFF country implementation experiences to date, 12345 as...