To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure no-reply@cambridge-org.demo.remotlog.com
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Contraceptive use among women of reproductive age has increased significantly worldwide. However, little is known about contraceptive use and mental health among women in sub-Saharan African countries.
Aims
This study sought to investigate contraceptive use and self-reported measures of depression and anxiety symptoms among reproductive-age women in Mozambique using the most recent national data.
Method
The study used secondary data from the 2022–2023 Demographic and Health Survey of Mozambique. A total of 6910 (weighted) sexually active women aged 15–49 years were included in this analysis. Anxiety and depression scores were measured using self-report questionnaires. Linear regression analysis was conducted to assess the associations between depression and anxiety and contraceptive use.
Results
The prevalence of contraceptive use was 36.41%. About half of the hormonal contraceptive users (49.38%) were using injectables and 25.99% were using implants. In total, 9.14 and 2.83% of the women had moderate or high scores of self-reported anxiety respectively. Additionally, 5.24 and 5.42% reported moderate or high scores of depressive symptoms respectively. The use of hormonal contraceptives decreased anxiety symptoms by 0.47 units (β = −0.47; 95% CI −0.75 to −0.18; P < 0.001) compared with no contraceptive use. The use of hormonal contraceptives decreased depressive symptoms by 0.75 units (β = −0.75; 95% CI −1.11 to −0.39; P < 0.001) compared with no contraceptive use.
Conclusions
This study has demonstrated a naturalistic association between contraceptive use, particularly hormonal contraceptives, and decreased anxiety and depression among Mozambican women of reproductive age. This likely reflects a complex, bi-directional relationship, the nature and mechanism of which should be investigated in further experimental research.
We document the first recorded nesting attempt by a green sea-turtle (Chelonia mydas) in Pemba located in the Cabo Delgado Province of northern Mozambique – an urban area with a population of 200,529 inhabitants. This sighting expands the known nesting range of sea-turtles by 40 km south of the Quirimbas Archipelago, highlighting Pemba’s potential as a critical nesting site. In July 2021, local fishermen were observed by a tourism operator killing the turtle and selling its meat. Consequently, the absence of eggs at the presumed nesting site suggests that the turtle was intercepted before it could lay eggs. This incident highlights the threats to sea-turtles and the need for conservation while emphasising the importance of collaboration among communities, government, and researchers to protect nesting activity.
Studies point to the role of sociocultural and household power dynamics in women’s risk of mental illnesses. Using the context of Mozambique, we examined the association between women’s household decision-making autonomy with probable depression and reporting symptoms of anxiety. We used the 2022–2023 Mozambique Demographic and Health Survey and applied logistic regression analysis. Our findings indicate high prevalence rates of depression (10%) and anxiety (11%) among married women. We also find that married women with the highest forms of household autonomy who take decisions alone on their health care (OR = 0.43, 95% CI = 0.32, 0.59; OR = 0.52, 95% CI = 0.38, 0.70), on making large household purchases (OR = 0.43, 95% CI = 0.28, 0.64; OR = 0.52, 95% CI = 0.35, 0.76) and visiting family members or relatives (OR = 0.36, 95% CI = 0.25, 0.51; OR = 0.64, 95% CI = 0.46, 0.89) were all less likely to report propable depression and symptoms of anxiety, respectively. Additionally, higher household wealth and employment acted as protective assets against both depression and anxiety. We recommend working to remove the sociocultural barriers to women’s autonomy while improving their socioeconomic status, such as income and employment opportunities, which will lead to a better mental health outcome and serve as an important pathway to increasing their autonomy.
Chapter 2 is situated in the context of Portugal’s internal conflicts with its colonies. In 1787, a group of so-called Brahmin priests who attributed racism to their lack of clerical promotions planned a revolt against Portuguese authority in Goa. In the Kingdom of Kongo, a rebellion in 1788 by the smaller Kingdom of Musulu spread into Portuguese slave-trading territories in Angola, initiating a war between Portugal and Musulu. Finally, a conspiracy in 1789 to end Portuguese rule in Minas Gerais, Brazil included slaveholders with outstanding debts who were in jeopardy of losing their property, including the people they enslaved. Two things stand out from placing these events together. First, we see more acutely how slavery and the slave trade not only supported the entirety of the Portuguese empire but also constituted its very framework. Second, and relatedly, the 1798 conspiracy in Bahia may have been more explicitly about race and slavery than these other three episodes. But it is, in fact, race and slavery that tied them together, a claim which orients the reader towards thinking about the Tailors’ conspiracy as part of an empire-wide phenomenon in the remaining chapters.
In 2017, the World Health Organization introduced an international standardized medical data collection tool for disasters, known as the Emergency Medical Team (EMT) Minimum Data Set (MDS). The EMT MDS was activated for the first time in 2019 in response to Cyclone Idai in Mozambique. The present study aimed to examine the daily and phase trends in acute mental health problems identified by international EMTs during their response to Cyclone Idai and reported using the EMT MDS.
Methods
Joinpoint regression analysis was used to examine daily trends in acute mental health consultations. Trends were also examined by phases, which were identified using joinpoints.
Results
During the 90-day EMT response period following Cyclone Idai, 94 acute mental health consultations were reported. The daily trend analysis showed a significant increase in the daily number and percentage of acute mental health consultations from response onset until day 13, followed by a gradual decline (P<0.05). The phase trend analysis showed a consistent decrease across the identified phases (P for trend<0.001).
Conclusions
The findings of this study provide insight into the need for mental health support in the immediate aftermath of natural disasters and how that need may change over time.
The spotted hyaena Crocuta crocuta is relatively understudied across its range despite evidence of widespread declines. It is therefore essential that robust baseline population density assessments are conducted to inform current management and future conservation policy. In Mozambique this is urgent as decades of armed conflict followed by unchecked poaching have resulted in large-scale wildlife declines and extirpations. We conducted the first robust population density estimate for a spotted hyaena population in Mozambique using spatially explicit capture–recapture methodologies. We recorded a relatively low population density of 0.8–2.1 hyaenas/100 km2 in the wildlife management area Coutada 11 in the Zambezi Delta of central Mozambique in 2021. These densities are well below the estimated carrying capacity for the landscape and are comparable to published densities in high human-impact, miombo woodland-dominated and arid environments. The combination of historical armed conflict, marginal trophy hunting and bushmeat poaching using wire snares and gin traps (with physical injuries evident in 9% of identified individuals) presents persistent anthropogenic pressure, limiting the post-war recovery of this resident hyaena population. We provide insights into the dynamics of hyaena population status and recovery in such post-war landscapes, adding to mounting evidence that the species is less resilient to severe anthropogenic disturbances than previously believed. We recommend long-term monitoring of this and other carnivore populations in post-war landscapes to ascertain demographic trends and implement effective conservation interventions for population recovery.
Focusing on the first decades of the twentieth century but acknowledging longer-term patterns of circulation, this paper discusses how cattle, historically occupying important meanings and roles in the lives of African agropastoralists, was commodified and marketed in southern Mozambique just as Lourenço Marques became the new capital of Mozambique. Highlighting the relations that consolidated between the capital and surrounding cattle-rich areas in a period marked by cattle disease but also the First World War and the Great Depression, the paper looks at the role of different agents and bodies involved in the emerging beef market. Ultimately, the paper shows how African agropastoralists, the main cattle producers in the region, resisted these conditions and tried to engage with markets on their own terms, even in the face of their dwindling control over the different factors that influenced the size and quality of their herds.
During its decade-long war (1964–74) against Portuguese colonialism, Frelimo developed a language to express the style in which it imagined the nation. On taking power in 1975, Frelimo used this language — its watchwords — to signal the shared identity it aimed to instill within Mozambique. Frelimo asked Mozambicans to live in the future tense: to turn away from familiar idioms of belonging and embrace a sense of self and other untethered to past or present. The misalignment between this vision and its reception is most evident at local levels of administrative action, where people at lower rungs of the state received Frelimo's watchwords and creatively applied them, transforming ideas into practices. Many Mozambicans were unable or unwilling to accept Frelimo's vision, and as civil war engulfed more of the country in the early 1980s, Frelimo abandoned this nationalism, exchanging it for an idea of national community people could more easily imagine.
Edited by
Scott L. Greer, University of Michigan,Michelle Falkenbach, European Observatory on Health Systems and Policies,Josep Figueras, European Observatory on Health Systems and Policies,Matthias Wismar, European Observatory on Health Systems and Policies
This chapter explores the links between Sustainable Development Goal (SDG) 3 (specifically targets 3.3, 3.8, and 3.b, which address the need to fight communicable diseases, achieve universal health coverage, and invest in research and development of vaccines and medicines, respectively) and SDG 9, which calls for the development of industry, innovation, and infrastructure in low- and middle-income countries (LMICs). By discussing two case studies, i.e., Brazil’s technology transfer strategy for the human papillomavirus (HPV) vaccine through a public–private partnership and the implementation of the Mozambican Pharmaceutical Ltd., a Brazil-Mozambique South-South cooperation (SSC) project, it argues that initiatives such as technology transfer and local production of pharmaceuticals in LMICs can be a means to promote industrial and innovation goals while meeting health needs. With significant variations between them, the two case studies illustrate the dynamic interaction between SDG 3 and SDG 9, helping to elucidate the co-benefits between health policy and measures to promote scientific and technological development. The chapter calls for further research to better understand which channels, governance arrangements, and mechanisms can promote effective coordination between healthcare and industrial development.
With economic reforms in the 1980s, the opening up of political space and the end of war in the early 1990s, Mozambique embarked on a decentralisation process. As in other sub-Saharan Africa countries, the impact of the decentralisation reforms on local development and the strengthening of democracy has been modest. How can this be explained? This chapter addresses this question analysing how institutional dynamics shaped their results. The main argument is that the nature of the political system shaped reform results, in the context of institutional dynamics. Of these, those linked to state capacity and independence from private interests, stand out. Reforms are implemented according to group interests, particularly political parties’ interests, which capture the state and use them for maintaining and bolstering political power. Rather than being a means of improving the provision of public goods and strengthening democracy, decentralisation reinforces state control and panders the elite. Probably the biggest challenge facing decentralisation, this makes it a fundamental issue in any reform, within the context of strengthening democracy and promoting local development.
The rule of law and judicial independence are a project yet to be achieved in Mozambique. The different attempts made so far to reform the legal system, mainly after the change in political and strategic direction brought about by the Constitution of 1990, were always short-sighted and conjunctural in nature, under domestic and foreign pressure that was not always clear or well-intentioned. Real structural reforms need to be made for the judiciary to be able to affirm itself as a real power and, in this way, favour balanced growth of companies, increased productivity, investment and jobs and, at the same time, the defence of the rights and legitimate interests of individuals and groups with fewer economic resources.
In light of Mozambique’s natural resources boom—especially its large-scale investments in mining, oil, and gas—this chapter analyses the prospects for the extractive industries to contribute to economic transformation from an institutional perspective. For this purpose, we address the institutional dynamics of the resources sector and consider the underlying causes of the identified outcomes, and we discuss the National Development Strategy, as the instrument outlining the vision for economic transformation and diversification. The chapter is based on a desk review—documental and bibliographic—and on primary data gathered by the authors as part of their research into the field of natural resources and the political economy of development. We conclude that, given Mozambique’s political patronage and clientelism, intra-ruling elite competition, limited productive base, weak state capacity, high level of poverty, and recurrent fiscal deficits, the prospects of the current resource boom leading to economic transformation, despite its considerable potential, are at best uncertain.
The central aim of this chapter is to analyse the impact institutions have on the performance of the health sector in Mozambique. The chapter demonstrates that institutions play a central role among the social determinants of health – and, through it, on 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 operation of the health sector are largely the result of the fact that institutions with influence on the health sector are controlled by a minority of privileged people, who do not give the appropriate priority to the basic health needs of the majority of the population. Finally, it is argued that the most important measures for improving the state of health of Mozambicans are the revision of the Constitution of the Republic, and the strengthening of the National Health System (particularly the National Health Service) alongside the social contract, reducing poverty and economic and social inequality.
At independence in 1975, the Frelimo government took over public administration and started transforming it. The public financial management (PFM) system was adapted to central planning and management of the economy in line with nationalist and Marxist-Leninist thinking. While collapse followed in the mid-1980s, the PFM system was gradually and systematically reformed towards more transparent and efficient mechanisms, and successful reforms did coincide with high growth rates for more than 20 years, after 1993. As the nationalist agenda became more forceful from around 2005–10, when the natural gas reserves in the Rovuma Basin were confirmed, natural resources became the main focus as a source of revenue — severe cracks in the PFM system started to emerge. The ‘hidden debt’ scandal in 2013–14, renewed conflict between Frelimo and Renamo from 2013, and the insurgency war in Cabo Delgado from 2017 put the PFM system under pressure and performance suffered accordingly. The chapter demonstrates how difficult it is to make institutional reforms work, within a structure of political and economic power that may not benefit from them, even in a context of a high degree of aid dependence.
This chapter summarises the institutional diagnostic studies in Benin and Mozambique. Benin’s past development performances are modest. A cotton exporter, its activity fluctuated widely due to a continuously changing organisation of the sector. Illegal cross-border trade with neighbouring Nigeria is another major activity. It generates income, but has limited domestic economic impact while raising informality and corruption. The oligarchs who run the two sectors had practically captured the state, pre-empting alternative development strategies. The situation may now have changed with one of them becoming president. Mozambique entered a civil war shortly after gaining independence. When peace was back, in 1992, development was triggered by the recovery from the war period, and the transition to a modern market economy monitored by Western donors. The country has now started exploiting its abundant natural resources (coal, oil, and huge gas fields). This strategy revealed a highly corrupt institutional setting and the neglect of the great mass of population in rural and often isolated areas, despite clear potential comparative advantages in agriculture.
The matrilineal Yaawo of northern Mozambique are recognized as having had a tradition of female figures of spiritual and political authority, though little is known of their history. This article takes “voice” as its analytical focus to explore how these women feature in the historical memories of the region. Methodologically, it brings together the study of oral traditions and oral history. Focusing on the narratives as “collections of diverse voices” (Barber 1989), I analyze how past voices echo in the narratives and intertwine with the voices of their contemporary narrators and how contemporary narrators engage with the remembered voices of the past. As this article argues, examining the ways that the relationship between the deeper past and the present is performed in oral history can bring us a better understanding of women’s gendered leadership in a more distant past, as well as its changing shape in more recent times.
Team dynamics and nontechnical skills in general are crucial for emergency medical teams (EMT). No study has ever examined these important issues during a real mission in the field. This study aimed to better investigate team dynamics and nontechnical skills for EMTs; it tried to understand if a real mission, when the people are obliged to work together for the first time, without a prior specific training focused on teamwork, is enough or not to work as an effective team in the field.
Methods:
The study is designed as a pre-test/post-test survey study, and it collected data from 51 people deployed to Mozambique in 2019. Three indexes (the self-efficacy (SE), the teamwork (TW), and the overall team’s performance (TW12)) were calculated as the average value of the rating given by all the participants. Open text feedback was also collected.
Results:
A positive trend was observed comparing the “post” data to the “pre” data, but results did not show a statistical significance, with the only exception of stratified analyses showing a P-value less than 0.05 for SE and TW12 for some categories.
Conclusions:
According to the study findings, humanitarian workers feel good but not at their best; training programs focused on team dynamics can be really useful to improve self-confidence of people leaving for a mission.
“The archives are silent.” The starting point of this article is the alleged non-existence of archival sources on the Portuguese massacre of Wiriyamu (1972). The article proves this claim to be false and shows how the available sources can be used to improve our knowledge of the massacre. The article suggests that scholars’ ignorance of these sources is connected to general misconceptions about colonial archives and their alleged silence on wartime atrocities, which are based on the belief that such atrocities do only appear in the sources, if they are read against the grain. Revealing the explicit presence of war atrocities in the sources, the article argues that the legitimate concern about reading such sources against the grain should not prevent us from reading them at all.
Volume 1 of The Cambridge History of Global Migrations documents the lives and experiences of everyday people through the lens of human movement and mobility from 1400 to 1800. Focusing on the most important typologies of preindustrial global migrations, this volume reveals how these movements transformed global paths of mobility, the impacts of which we still see in societies today. Case studies include those that arose from the demand for free, forced, and unfree labor, long- and short-distance trade, rural/urban displacement, religious mobility, and the rise of the number of refugees worldwide. With thirty chapters from leading experts in the field, this authoritative volume is an essential and detailed study of how migration shaped the nature of global human interactions before the age of modern globalization.