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Since 1990 mortality and morbidity decline has been more extensive for some conditions prevalent in low- and middle-income countries than for others. One reason may be differences in the effectiveness of global health networks, which have proliferated in recent years. Some may be more capable than others in attracting attention to a condition, in generating funding, in developing interventions and in convincing national governments to adopt policies. This article introduces a supplement on...

Nearly 300 000 women—almost all poor women in low-income countries—died from pregnancy-related complications in 2010. This represents a decline since the 1980s, when an estimated half million women died each year, but is still far higher than the aims set in the United Nations Millennium Development Goals (MDGs) at the turn of the century. The 1970s, 1980s and 1990s witnessed a shift from near complete neglect of the issue to emergence of a network of individuals and organizations with a...

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...

Poor quality of care at health facilities is a barrier to pregnant women and their families accessing skilled care. Increasing evidence from low resource countries suggests care women receive during labor and childbirth is sometimes rude, disrespectful, abusive, and not responsive to their needs. However, little is known about how frequently women experience these behaviors. This study is one of the first to report prevalence of respectful maternity care and disrespectful and abusive...

Empirical evidence of tangible impacts of social accountability initiatives is mixed. This meta-analysis reinterprets evaluations through a new lens: the distinction between tactical and strategic approaches to the promotion of citizen voice to contribute to improved public sector performance. Field experiments study bounded, tactical interventions based on optimistic assumptions about the power of information alone, both to motivate collective action and to influence the state. Enabling...

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...

Indonesia's trade policy has evolved over the last 50 years. It has been influenced by the country's level of development and the conflict between openness and protectionism; external developments, such as commodity booms and busts and increased competition; and international commitments, whether multilateral or regional. As a result, trade policy has often been ambivalent and ineffective. Given that Indonesia has undergone various transformations and that the world is a different place from...

Changes in relative prices of commodities consumed in different shares across income groups can be expected to alter real income differentials between these groups. Using Mozambican household budget survey and price data from 2002/03 and 2008/09, we show that once relative price increases are accounted for, inequality of real consumption increases substantially. We obtain this result by constructing a price deflator that reflects divergent price dynamics of different product categories....

The Mozambican economy has been growing at an annual average of 7.5% for the best part of two decades, and has become one of the three most attractive economies for foreign direct investment (FDI) in sub-Saharan Africa. Yet, it has been ineffective and inefficient at reducing poverty and providing a broader social and economic basis for development. It is argued here that the dominant political economy of Mozambique is focused on three fundamental and interlinked processes, namely the...

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...

O Programa Cidadania e Participação (Citizen Engagement Programme - CEP) em Moçambique é um programa de empoderamento e responsabilização que visa melhorar a qualidade dos serviços de saúde e educação através do apoio aos cidadãos para os monitorarem. O programa ajuda os cidadãos a envolverem-se com os provedores de serviços para tratarem problemas identificados; visa também gerar evidência para a melhoria das políticas e programas aos níveis local e nacional. Para o CEP é fundamental...

The Citizen Engagement Program (CEP) in Mozambique is an empowerment and accountability program aiming to improve the quality of health and education services through supporting citizens to monitor them. The program supports citizens to engage with service providers to address identified problems; it also aims to generate evidence for policy and program improvement at the local and national levels. This case study is structured in three main sections. The first section provides a background...

Abstract Recent evidence indicates that disrespectful/abusive/coercive service delivery by skilled providers in facilities, which results in actual or perceived poor quality of care, is directly and indirectly associated with adverse maternal and newborn outcomes. The present article reviews the evidence for disrespectful/abusive care during childbirth in facilities (DACF), describes examples of DACF, discusses organizations active in a rights-based respectful maternity care movement, and...

Este estudo procura reflectir as causalidades e os efeitos socioeconómicos dos movimentos migratórios no processo de desenvolvimento na região norte de Moçambique, especificamente na província de Nampula, onde a entrada de estrangeiros de forma regular ou irregular é cada vez mais acentuada. Procuramos igualmente captar as motivações subjacentes, os pontos de entrada, as formas de integração, bem como o papel das instituições do Estado na reprodução dos fluxos migratórios. Neste trabalho...

As eleições municipais de 2003 marcaram o início do exercício do poder local pela Renamo no município de Angoche. Quais são os factores explicativos desta situação eleitoral local? A partir de uma perspectiva sócio-histórica, este artigo procura compreender como é que a evolução política e administrativa destes territórios influenciou a lógica do poder local. São as relações estabelecidas entre as populações e o Estado e a forma como a municipalização foi desenhada e implementada desde 1994...

The aim of this article is to extend the state of analysis on the impacts of gas development in Mozambique by evaluating the relationship between the gas sector, the Mozambican economy, and social change. As the resource curse framework is only limited to economic growth, this work utilizes two alternative frameworks—the Staples approach and the Linkages approach—that are melded into an institutional analysis, looking simultaneously at “benefits, costs, and uncertainties” or “blessings,...

Despite Mozambique's great natural resource wealth and strong economic growth, rural poverty remains high countrywide. The challenge is thus finding ways to turn this wealth into development opportunities. For many rural people in central Mozambique, artisanal gold mining is the most direct source of income and this is most likely to remain so. Drawing on our personal experiences, we reflect on the future of artisanal gold mining in Mozambique. The government's strategy consists of promoting...

Following the food and energy price crises of the mid 2000s, sub-Saharan Africa has become one of the largest recipients for large-scale farmland investments. While much has been written on the phenomenon, scant reliable empirical evidence is available as to the precise geographic and sectoral patterns and underlying drivers. Employing strict data quality requirements, this paper addresses these knowledge gaps by analyzing 563 farmland projects that have been established between 2005 and...

This paper aims at giving a general overview on the geology of Mozambique, and its mineral and geological resources associated to the different geological units. The geology of Mozambique covers almost all periods of the Earth’s history. Tectonically speaking, Precambrian is found in three Gondwana blocks – E, W and S -, each one of them with its geostructural characteristics, and separated from each other by great structural features. For Phanerozoic, reference is made to the Karoo...

Introduction: HIV-related stigma and discrimination and disrespect and abuse during childbirth are barriers to use of essential maternal and HIV health services. Greater understanding of the relationship between HIV status and disrespect and abuse during childbirth is required to design interventions to promote women's rights and to increase uptake of and retention in health services; however, few comparative studies of women living with HIV (WLWH) and HIV-negative women...