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Health system financing presents a challenge in many developing countries. We assessed two reform packages, performance-based financing (PBF) and direct facility financing (DFF), against each other and business-as-usual for maternal and child healthcare (MCH) provision in Nigeria.
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Integrated community case management (iCCM) has now been implemented at scale globally. Literature to-date has focused primarily on the effectiveness of iCCM and the systems conditions required to sustain iCCM. In this study, we sought to explore opportunities taken and lost for strengthening health systems through successive iCCM programmes. We employed a systematic, embedded, multiple case study design for three countries—Ethiopia, Malawi and Mozambique—where Save the Children implemented...
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This paper reviews the latest mechanisation programme by the Mozambican government, asking how it is politically driven and how it shapes and is shaped by agrarian structures. Old ideas about agrarian dualism are reproduced today, albeit with a new language of public-private partnerships that are seen as potentially driving the modernisation of the peasantry. State-sponsored and privately-run service centres, featuring zinc roofed warehouses, are the government’s preferred route to...
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In the last 20 years, social accountability initiatives have facilitated the inclusion and participation of marginalised groups in governance processes. This Policy Briefing focuses on how and what factors prove effective in strengthening women’s voice in processes holding public service providers accountable. We argue that initiatives must: (a) build technical and other forms of capacity amongst women; (b) change formal rules on women’s inclusion; (c) apply political economy analysis to...
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This article examines the rise of cash transfer programs and their embrace, since the 1990s, as a central element in global public policy on economic and social development and poverty reduction. Focusing on the example of Mozambique, an early adopter of such programs, it analyses the relationship between international organizations, development aid agencies, national government and local agents in the field, in the design and delivery of social protection policy. While external actors have...
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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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Based on the concept of limited and open access orders (LAO/OAO), this paper explains what appears to be a paradox: how was it possible that a former civil war country, Mozambique, which had been extremely successful in attracting foreign direct investment (FDI) and which the International Monetary Fund praised as a great Sub-Sahara African success story in 2007, only a few years later found itself on the brink of a new civil war? We argue that the destabilization of the country was the...
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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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A mapping of CSOs and an analysis of key dynamics influencing CSOs actions and development Este documento é o relatório final do estudo de mapeamento das organizações da sociedade civil (OSCs) realizado em 2021, no contexto do processo de estruturação do Roteiro de Apoio à Sociedade Civil da União Europeia em Moçambique. Os objetivos do estudo são o de actualizar a informação do contexto de actuação da sociedade civil e as indicações estratégicas do mapeamento das OSCs realizado em 2015,...
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Background: Tobacco growing has been considered a mainstay of Mozambique’s economy, but there is a dearth of analysis of the tobacco policy landscape in the country. Methods: Review of government and non-government documents and academic papers addressing Mozambique’s tobacco-growing history, the changes in the political economy of tobacco, and health policies addressing tobacco use and prevention of noncommunicable diseases. Results: Despite its tobacco growing and exporting...
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This paper reflects critically on efforts made to formalize artisanal and small-scale mining (ASM) – low-tech, labour-intensive mineral extraction and processing – in Mozambique. Drawing on findings from interviews with policymakers, representatives from ASM associations and 200 individual miners, the paper captures the details of the country’s ASM formalization experience. Findings reveal that despite showing considerable promise at first, the drive to formalize ASM in Mozambique, which...
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There is a broad consensus that state capacity is central to economic and institutional development. But while the concept originated as a tool for macro-historical and comparative analysis, its success has led the term ‘capacity’ to become a default metaphor for discussing the quality of government bureaucracies. This paper discusses the limitations to conceiving of narrower questions of bureaucratic performance and policy implementation through the lens of the broad, aggregate concept of...
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Themes / Temas
- Access to Services / Acesso a Serviços (4)
- Accountability / Responsabilização (3)
- Civil Society / Sociedade Civil (1)
- Community scorecard (CSC) / cartão de pontuação comunitária (CPC) (1)
- Conflict / Conflito (2)
- Empowerment / Empoderamento (1)
- Extractive Industries / Indústrias Extractivas (1)
- FDI - foreign direct investment / IDE - investimento directo estrangeiro (1)
- Fragility / Fragilidade (1)
- Gender / Género (2)
- Governance / Governação (1)
- Government Policy / Política Governamental (1)
- Institutions / Instituições (1)
- Justice / Justiça (1)
- Mobilization / Mobilização (1)
- Security / Segurança (1)
- Social inclusion & exclusion / inclusão e exclusão social (1)
- Social Protection / Proteção Social (1)
- Taxation / Tributação (1)
- Youth / Juventude (1)