Namati’s right to health program aims to improve quality of and access to basic health services using a combination of methods including greater literacy of health care and health policy, facilitated clinic-community dialogue, and pursuit of legal and administrative remedies for breaches of policy or health-related rights.
We have been engaged in this work in collaboration with local Mozambican partners since late 2012. In March of 2013, we began working in primarily rural areas of two districts of Southern Mozambique. In April of 2014 we launched a partnership with Medicos Sem Fronteiras (Doctors Without Borders) in a number of communities in Maputo and on its outskirts, and in March of 2015, we expanded to two bustling health facilities in Matola. Namati Moçambique was established as a national NGO in July of 2014. We have grown today to a staff of 25.
When we launched our program in early 2013, we found that there was virtually no community participation in governance of the health sector. While there were complaints boxes or registers in some health facilities, most had been untouched; one complaints book had not had a new entry in over six years. And although the Ministry of Health assigns significant importance and responsibility to village health committees, this has not yet translated into investment towards their training or support. When Namati began implementation over two years ago, there was not a single functioning village health committee in our program catchment areas. In several instances there were lists of names of committee members on file at district level, but when we actually went into the communities we discovered that a number of these individuals were not even aware that they were on the committee. In other cases, committees had simply dissolved or become inactive.
Namati’s health advocates, together with government partners, have supported the creation and revitalization of 31 village health committees. We have been working alongside these committees to engage them in grievance redress, as well as to support them in quarterly planning during which we identify and analyze problems and advise them on collective action and advocacy.
By March of 2015 Namati had helped to resolve over 500 service delivery failures, including drug stockouts, lack of water supply, nurse absenteeism, and breaches of privacy and confidentiality. We are seeing that communities are now beginning to come forward; day-to-day violations that affect many people are being noticed and reported. We are slowly chipping away at the culture of silence. Some recent examples of grievances we have successfully addressed include:
Our efforts to increase knowledge of health policy and inspire people to action have benefited not only community members but also health providers – many of whom themselves do not have access to the tools, support, or essential information they need to work effectively. While we have encountered some resistance, generally speaking government health providers view our health advocates as a resource; they often approach our health advocates for assistance in resolving issues that they themselves have been unable to resolve, such as drug stock-outs, chronic staff tardiness, and bribery.
Namati is using aggregate data from our grassroots efforts to advocate for systemic improvements to healthcare delivery systems. We are working hand in hand with Mozambique’s Ministry of Health at the central level to develop the new five-year national strategy for Quality and Humanization of Health Services, which until now has focused almost exclusively on clinical quality.
Namati’s work in Mozambique won a regional Humanization Award from the Ministry of Health in 2013 and a national award in 2014.
Last updated January 30, 2013.
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Last updated: May 25, 2018
This Policy describes our privacy practices and sets out your obligations and ours with respect to your use of the Site and the Forum. This Policy applies only to the Site and the Forum and does not necessarily apply to our offline collection of information.
Namati may collect and retain two types of information about Site and Forum visitors: (i) personal information that individual visitors voluntarily provide when interacting on the Site or Forum or on certain other occasions (such as via forms or in emails); and (ii) tracking data, which is data that is automatically collected from every Site and Forum visitor as they use and browse the site.
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Our use of your Information involves various forms of communication with you, including:
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We retain the right to transfer or assign all information pursuant to a merger, purchase or other transaction relating to Namati or our assets.
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Personal information you submit via your member account, other than information provided or content posted by you to public areas of the Site as described below, is deleted from Namati’s records following the deletion of your account. However, such information may continue to be retained by third-party service providers to which it has been disclosed for one of the reasons listed above.
Your Information is stored on Digital Ocean servers in New York, USA.
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The Forum uses data about your posts and other activity to make automated decisions about whether your posts are spam.
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From time to time, we may email users of the Site or the Forum information regarding important developments affecting Namati and/or the Global Grassroots Justice Network. We may also email users on occasion regarding the Site or the Forum. Such emails may be sent to users of the Site or Forum even if they have not requested to receive any communication from us.
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The section titles in this Policy are for convenience only and have no legal or contractual effect.
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We may need to change the Policy from time to time in order to address new issues and to reflect changes on the Site or in the law. We reserve the right to revise or make any changes to the Policy, and your continued use of the Site subsequent to any changes to this Policy will mean that you agree to and accept such changes. You can tell if the Policy has been updated by checking the last revised date posted on the top of this page.
You can also access, remove, update or correct your information, and raise any questions or concerns regarding the Site or the Policy, by emailing email@example.com, or mailing:
Namati Data Protection Officer
1616 P Street NW, Suite 101
Washington, DC 20036, USA
If you live in a country which has adopted the General Data Protection Regulation (EU; 2016/679), you have a right to lodge a complaint with your relevant supervisory authority about this policy and its application.
The Policy was updated in May 2018 to comply with the General Data Protection Regulations.