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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...
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In this paper, we explore the use of a governance diaries methodology to investigate poor households’ interactions with authority in fragile, conflict and violence-affected settings in Mozambique. The research questioned the meanings of empowerment and accountability from the point of view of poor and marginalised people, with the aim of understanding what both mean for them, and how that changes over time, based on their experiences with governance. The study also sought to record how poor...
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This paper aimed at estimating the resources required to implement a community Score Card by a typical rural district health team in Uganda, as a mechanism for fostering accountability, utilization and quality of maternal and child healthcare service.
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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...
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Abstract: The central aim of this text is to show the impact institutions have on the performance of the health sector in Mozambique. The text shows that of the social determinants of health, institutions play a central role in the performance of the Mozambican health sector—and, through it, economic and social development—particularly for the poorer and more vulnerable, such as children, women, the disabled, and the elderly. It is also argued that the deficiencies and inefficiencies of the...
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Este texto tem por objectivo central mostrar o impacto que as instituições têm no desempenho do sector da Saúde em Moçambique. No texto demonstra-se que, de entre os Determinantes Sociais da Saúde, as instituições têm um papel central no desempenho do sector da Saúde — e, por seu intermédio, no desenvolvimento económico e social — dos moçambicanos, em especial dos mais pobres e mais vulneráveis, como as crianças, as mulheres, as pessoas com deficiência e os idosos. Argumenta-se também que as...
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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...
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Background: Legal empowerment and social accountability are two strategies that are increasingly used to address gaps in healthcare in low- and middle-income countries, including failure to provide services that should be available and poor clinical and interpersonal quality of care. This paper is an explanatory case study of a legal empowerment effort that employs community paralegals and trains Village Health Committees (VHCs) in Mozambique. The research objective was to explore how...
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