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Social and behaviour change communication (SBCC) is the use of communication to change behaviours by positively influencing knowledge, attitudes and social norms at the individual and community level. Approaches to SBCC include, but are not limited to: media campaigns, peer educators and mentors, small group sessions, community dialogues and events, and digital tools. This rapid literature review focuses on SBCC interventions in Mozambique across four sectors: family planning (FP); girls’...

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

CONTEXT: Research on institutional child delivery in Sub-Saharan Africa typically focuses on availability and accessibility of health facilities. Cultural factors, including religion, that may facilitate or hinder the use of such services have not been well examined and remain poorly understood. METHODS: The relationship between religious affiliation and delivery in a health facility was explored using data from a household survey of 1,297 women aged 18-50 and a census of 825 religious...

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,...

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...

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...

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.

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.

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...

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...

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...

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...

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...

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...

Background: As low-income countries strive to meet targets for Millennium Development Goals 4 and 5, there is growing need to track coverage and quality of high-impact peripartum interventions. At present, nationally representative household surveys conducted in low-income settings primarily measure contact with the health system, shedding little light on content or quality of care. The objective of this study is to validate the ability of women in Mozambique to report on facility-based care...

The Citizen Engagement Program (CEP) supports citizens to monitor the quality of health and education service delivery in 4 of the 11 provinces of Mozambique, as well as to advocate for the improvement of the quality of those services at the district, provincial and national levels. The CEP aims at contributing towards the increased availability of relevant information for citizens to better access and benefit from services delivered by the public sector; improving citizens' capacity to...

O presente estudo pretende compreender como são desenvolvidas as ações de prevenção do HIV do Programa Geração Biz (PGB) direcionadas aos jovens dos 15-24 anos e, dessa forma buscar a compreensão da possível vulnerabilidade destes a infecção pelo HIV no distrito de Nhamatanda em Moçambique. Para o alcance deste desiderato baseei-me numa abordagem qualitativa, embasada no método etnográfico. No processo de coleta de dados privilegiei a observação participante, complementada por entrevistas...

Em Setembro de 2012, o Governo de Moçambique anunciou a mudança de critérios para o cálculo das taxas de cobertura de abastecimento de água nas zonas rurais. Com efeito, de 500 pessoas para um poço ou furo equipado com uma bomba manual, num raio de 500 metros, passou -se para 300 pessoas para um poço ou furo equipado com uma bomba manual. Esta mudança de critérios acontece mais de 15 anos depois da aprovação da Política Nacional de Águas (PNA) e resulta da constatação de que, em muitos...