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Os principais resultados da monitoria realizada em Montepuez destacaram a necessidade de: • Fortalecimento de mecanismos comunitários de participação e reforço do diálogo social entre comunidades e governo local; • Maior apropriação dos programas de protecção social básica por parte das comunidades e a necessidade de atribuir mais voz e protagonismo dos beneficiários sobre os serviços sociais prestados a nível destes programas; • Melhor comunicação e disseminação de informação estratégica...
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O presente artigo tem como objectivo partilhar as medidas de resposta em contexto da COVID-19 implementadas pelo INAS, no âmbito dos programas do Governo para assistência social, tendo em conta que a eclosão da pandemia constituiu mais um factor a colocar o subsistema nacional da Segurança Social Básica (SSB) sob pressão, a fim de dar resposta a um grupo cada vez mais crescente de cidadãos moçambicanos em situação de extrema pobreza e de vulnerabilidade. O artigo está divido em cinco...
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Various investments could help countries deliver on the universal health coverage (UHC) goals set by the global community; community health is a pillar of many national strategies towards UHC. Yet despite resource mobilization towards this end, little is known about the potential costs and value of these investments, as well as how evidence on the same would be used in related decisions. This qualitative study was conducted to understand the use of evidence in policy and financing decisions...
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The inclusion of persons with disabilities is an essential element of a strong democracy and a just society. Persons with disabilities (PWDs) being included means that they have a full and equal opportunity to participate in society and in political decision-making processes, to develop their capacities, and to contribute to national progress Like everywhere, persons with disabilities in Mozambique face physical, social, economic and/or environmental barriers to participation. For example,...
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Background: Despite substantial investment in women’s health over the past two decades, and enthusiastic government support for MDG 5 and SDG 3, health indicators for women in Mozambique remain among the lowest in the world. Maternal mortality stayed constant from 2003 to 2011, with an MMR of 408; the estimated HIV prevalence for women of 15–24 years is over twice that for men; and only 12.1% of women are estimated to be using modern contraception. This study explores the perspectives of...
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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.
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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...
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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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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...
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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...
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The relationship between climate change and its effects on human health has been widely studied. Increases in temperature and variations in precipitation can exacerbate a number of human diseases including respiratory infections, malnutrition, vector and water borne diseases such as malaria and cholera. Besides all efforts undertaken by the Mozambican Government to reduce poverty and meet the MDGs targets, it is clear that climate change effects will influence negatively in meeting these...
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