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Neste artigo, usamos 'diários de governação' para analisar as interações entre pessoas pobres e autoridades em contextos de Fragilidade, Conflitos e Violência (FCVAS) em Moçambique. Questionamos os significados de empoderamento e responsabilização, sob ponto de vista de pessoas pobres e marginalizadas, e procuramos perceber como essas pessoas vêem as instituições que as governam, incluindo as que as providenciam bens e serviços básicos, entre os quais os de saúde e segurança. As conclusões...

This report offers POTENCIAR and the British High Commission (BHC) an analysis of how power arrangements influence the main social, political, and economic factors in service provision and decentralised governance in Mozambique. The results of the study will be used to refine POTENCIAR’s strategy and approach, as well as the design of PAIs in the health sector. While PAIs address issues across multiple sectors, sector analysis will also consider potential entry points for, as well as...

The Alcançar Baseline Assessment of Facility and District Capacity was conducted to establish an evidence base against which to measure project performance and impact over the life of the project and to inform project priorities and planning. The assessment includes a census of health centers and hospitals in Nampula province - the population of facilities that the project is expected to influence. Trained data collection teams interviewed facility and district staff to collect current...

This policy brief, apart from describing the dilemmas of the democratization process of health services it, aims to analyze its implications on the dynamics of social accountability in the health sector and, finally, to inform on possible ways for a more coherent democratization, considering the normative discourses

Key Messages: - Health is a human right and is constitutionally protected in Mozambique; - The health sector is considered a priority sector by the Government of Mozambique; - The health sector is amongst the least funded by the State Budget in the past four years, (with less than 8% on average), against the 15% assumed in Abuja; - For the year 2014, of the 762.8 million USD allocated to the health sector, 44% came from external sources (REO MOH, 2014). The combined PROSAUDE resources,...

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...

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.

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...

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...

This case study was commissioned by N’weti Comunicação para a Saúde to explore the changes emerging from the implementation of an adapted version of the Community Scorecard (CSC) tool in 11 health facilities catchment areas in Nampula. This case study discusses how N’weti has adapted the Community Scorecard (CSC) tool to better improve the quality of the participation and prospects of accountability for citizens. The case study presents evidence that the adapted CSC tool has resulted in an...

The objective of this document is to share the results of work undertaken in Mozambique to promote respectful health care, particularly in maternal and neonatal care. With its origins in “humanization of care” efforts in Latin America, this approach centers on the woman and her family and is grounded by principles of ethics and respect for human rights. The approach recognizes a client’s cultural background, and views the client as a person with values and expectations that should be...

This study presents an analytical ‘picture’ of the rural water sub-sector in Mozambique, describing the legal framework, mechanisms for coordination, harmonisation, funding, accountability, participation and supervision. The study was commissioned for the Sustainable Services at Scale, or Triple-S, initiative, which aims to contribute to improving the sustainability of global rural water supply. According to the general population census carried out in 2007, Mozambique had a total population...

Existem actualmente taxas de utente cobradas em grande parte dos serviços de saúde públicos, em Moçambique. No entanto, historicamente, o partido no poder, a FRELIMO, tem sido bastante favorável a uma situação de serviços básicos de saúde gratuitos, e considera que a eliminação de barreiras de acesso à educação e saúde básicas constituem elementos fundamentais da estratégia de redução de Pobreza e de êxito nas Metas de Desenvolvimento do Milénio. O Governo de Moçambique considera ainda que a...

The health sector in Mozambique has made significant progress in terms of increasing coverage of services. However, health remains a major concern in the area of poverty reduction. The study describes the health status of the population, especially of the poor, and how the sector responds to the needs. Huge inequalities continue to exist with regards to resource allocation, deployment of staff and availability of services among various geographic areas, between the urban and rural...