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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

An external evaluation of the project was conducted in April - May 2019. It looked into the strategy, performance and attainment of the general development goals. The results of the evaluation will be taken into account in the planning of a possible second phase of the project. According to the evaluation, the project is highly relevant both for the strategic partnership between Finland and Mozambique, as well as for the sustainability and inclusiveness of the economic growth arising from...

Since the start of the reform in the late 1990s, Indonesia has implemented an ambitious decentralization policy. One of its aims is to foster regional development from below by giving subnational governments a greater discretion in determining programmes that are more aspirational to the interests of the community and to local and regional development objectives. The decentralized government system has been implemented for almost two decades, yet limited studies have been conducted to...

Corruption through opaque public contracts costs Africa billions of dollars in revenue loss annually. Globally, initiatives to address this have centred on information disclosure (ID) but under what conditions does it work to promote accountability in the extractive sector that for a long time has seen its revenue management as being a major cause of conflict in Africa? Our study on this issue in Mozambique reveals intriguing findings, which suggest that protagonists of ID would need to...

Inequality is a key political issue of our times. It has political consequences, fuelling conflict and raising legitimacy chal‑ lenges for regimes around the world, in democratic and non‑demo‑ cratic settings alike. At the centre of these challenges is the question of accountability: who can be held accountable, on what basis, how and by whom for tackling or failing to tackle which inequalities. In the field of global health, inequality has long been a key issue. A significant body of work —...

Nos últimos 10 anos, os estudos sobre a participação política por intermédio das redes sociais marcam o debate na área dos estudos dos média. Em Moçambique, de forma particular, e no mundo, de forma geral, a juventude representa o centro galvanizador que encontra no uso das redes socias uma ferramenta quase ideal de expressão sobre as suas frustrações decorrentes da sua situação de gritante miséria social – desemprego e incerteza de vida constante a que os jovens se encontram expostos. Com o...

In this article, Ferrant examines decentralization reforms in Mozambique since 1994, through an analysis of primary and secondary sources, and a framework that draws from the theses of political scientist Daniel Ziblatt and sociologist Michael Mann.

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...

This case study is one of a series commissioned to support the Stabilisation Unit’s (SU) development of an evidence base relating to elite bargains and political deals. The project explores how national and international interventions have and have not been effective in fostering and sustaining political deals and elite bargains; and whether or not these political deals and elite bargains have helped reduce violence, increased local, regional and national stability and contributed to the...

A partir da década de 1990 iniciou-se, em vários países da África Subsaariana, um movimento de liberalização e descentralização política com a adoção de regimes democráticos. Associado a esse processo se têm em curso reformas administrativas e legislativas que visam incorporar as autoridades comunitárias e tradicionais à administração pública local a partir do reconhecimento de sua importância social e representativa para certas comunidades rurais, onde a presença do Estado se faz menor ou...

O livro aborda a questão da descentralização mediante uma abordagem multidisciplinar e multissectorial, considerando o ângulo visual de tipo político, assim como institucional, da administração pública ou da burocracia, da economia, das finanças (públicas) e da sociedade. O objectivo que se põe tem a ver com o relacionamento entre descentralização e democracia. Trata-se de um assunto conhecido e enfrentado várias vezes no debate próprio da ciência política: será que uma maior...

The book approaches the topic in a multidisciplinary and multisectoral manner and considers different viewpoints, including political, institutional and that of public administration, finances and society. The authors look at the relationship between decentralisation and democratisation, a subject debated in political sciences: Does decentralisation correspond to a more advanced level of democracy? Regarding its life as a democracy, Moçambique is still a young country and the book provides a...

Without much preparation, Indonesia, in 2000, at a stroke replaced the previous system of centralized government and development planning with a wide range of decentralization programs. The reforms gave greater authority, political power, and financial resources directly to regencies and municipalities, bypassing the provinces. The powers transferred include those of executing a wide range of responsibilities in the areas of health, primary and middle-level education, public works,...

Moçambique é uma colónia portuguesa antiga, que alcançou a independência em 1975, depois da queda do regime fascista português em Abril de 1974. O sucesso militar da Frelimo contra os portugueses, deu legitimidade a este movimento para se impor como o único representante da sociedade (Cahen, 2003). Em 1977, o Comité Central da Frelimo realizou o 3° congresso que marcou oficialmente a passagem ao partido Marxista-leninista e de «Vanguarda». A partir de 1980, o campo político Moçambicano foi...

The promotion of decentralisation and local governance has long since been an established part of bilateral and multilateral development cooperation. In the context of fragile statehood, however, this area of development cooperation is frequently faced with the general suspicion of encouraging separatism, exacerbating conflicts, and thereby promoting the disintegration of the state. At the same time, fragile contexts create demand for institutional solutions concerning the distribution of...

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...

Nos anos 1980, vários países da África subsaariana iniciaram um conjunto de reformas ligadas ao sector público visando, entre outros objectivos, fazer face à crise do Estado, que se manifestava essencialmente em duas dimensões, nomeadamente regulação política e provisão de serviços públicos. Desde então, assistiu-se a três gerações de reformas do sector público (Kiragu, 2002; Crook, 2010). A primeira geração vai dos meados dos anos 1980 aos meados dos anos 1990, com enfoque nos Planos de...

Since independence in 1975, development in Mozambique has been guided by a sequence of Five Year Plans, (Planos Quinquenais de Desenvolvimento). In 2002 the Government of Mozambique (GOM) initiated a series of reforms in all development sectors, aiming to start a process of decentralisation and bringing management closer to the lower levels of state organisation (Provinces and Districts). For the Municipalities, a devolution model was chosen that is currently in the process of being rolled...

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...