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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.

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...

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...

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...

O Ministério da Saúde reconhece os Comités de Qualidade e Humanização dos Cuidados de Saúde nas Unidades Sanitárias como a principal forma de diálogo e ligação entre os serviços de saúde e as comunidades. Os Termos de Referência revistos, afirmam que o Comité de Qualidade e Humanização das Unidades Sanitárias constitui uma equipa de assessoria e coordenação ao processo de implementação da actividades de qualidade e humanização no âmbito da Unidade Sanitária. Destina-se a empreender uma...

A presente Estratégia Científica do Instituto Nacional de Saúde (INS) para 2016-2025 está alinhada com o Programa Quinquenal do Governo (2015-2019) e com o Plano Estratégico do Sector Saúde (PESS 2014-2019). No contexto global, a elaboração da presente Estratégia teve em conta os Objectivos de Desenvolvimento Sustentável (ODS), o Regulamento Sanitário Internacional (RSI) e a Agenda Global de Segurança Sanitária (GHSA). As principais diferenças entre a presente e anterior estratégia do INS...

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...

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...

Primeira sessão do dia aberto ao cidadão, uma iniciativa do conselho municipal da ilha de Moçambique para escutar as questões que atinjem os cerca de 50mil habitantes da primeira capital de Moçambique. As reuniões são realizadas nas comunidades para que de forma franca e aberta os munícipes possam apresentar os seus problemas

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...

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...

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,...

Recommendations: 1. On planning and budgeting, greater coordination is recommended between planning (setting priorities) and budgeting (financial apportionment). Transformation of all District Health Services, Women and Social Action (SDSMAS) into Management Beneficiary Units (MBU) is necessary. 2. Stakeholders should bet more on application of national public financial management systems (PFM). The use of parallel financial systems instead of enabling the National Health System (NHS) to be...

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...

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...

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.

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...