Project: Social Accountability Knowledge, Skills, Action and Networking in Mozambique
Country: Mozambique
Sector: Health
Executing Agency: Concern Universal Mozambique
Grant Amount: US$ 700,000
Closing Date: December, 2018


Over the last decade, Mozambique has achieved substantial progress in transitioning from a post-conflict situation. Its economy has grown at a steady pace of above 6% since 2009 and inflation rates still down in the single digits.  This stable macroeconomic outlook has translated in a large influx of investments in the energy and natural resources sectors as well as in new infrastructure projects. However, despite growing economic rates, poverty reduction efforts have lagged. Mozambique is one of the poorest countries in the world, according to the 2011 Human Development Index. The health and nutritional needs of vulnerable populations remain underserved across the country.

At the local level, there are concerns about limited capacity and governance challenges that may impair the effective use of public resources in the health sector. Against this background, the country is currently undergoing a decentralization process that has the potential to improve health service delivery and enhance public participation in decision-making, but this has also the potential to exacerbate existing governance challenges due to the lack of both adequate accountability mechanisms and a strong civil society with the capacity to engage with local authorities. 


Concern International, an organization with vast experience in the health sector, has been awarded a GPSA grant to improve the quality of life for poor and vulnerable populations by improving health service delivery quality through the use of social accountability mechanisms. More specifically, the program aims to achieve this by: 1) building the capacity of local CSOs to apply social accountability tools, such as citizen scorecards and social audits, and strengthening their internal governance structures; 2) increasing citizen access to information to monitor services and fostering dialogue between CSOs and governments around health issues in two provinces: 3) collecting and disseminating knowledge related to project intervention at local and national level through media and CSOs.

Expected Results

The GPSA grant will help Concern Universal Mozambique to attain the following results:

  1. 85 CSOs will be trained to use social accountability tools to monitor health service delivery in the two targeted provinces, and will also receive mentoring to improve internal governance practices.

  2. Health service delivery will be improve for 45 service providers as a result of user feedback and participation.

  3. Health service delivery will be monitored (evaluated and rated) in 30 health facilities in targeted provinces.

  4. 90% of target CSOs will use evidence-based engagement mechanisms when engaging in dialogue with the government and they will aware of which SA interventions are effective under different contexts.

  5. A total of 3 health policies will be positively influenced by the project.

Lessons Learned

The grant is at its early stages and lessons will be added as they become available. However, the design of this grant benefits from the lessons learned by Concern International in advancing social accountability in Mozambique since 2009. Concern International builds on its experience of working with both government authorities and CSOs in order to establish effective communication channels and open up spaces for dialogue between stakeholders.

To learn more about the project, watch these videos:

Public Auditorium, Nicoadala - Mozambique

With World Bank Group Funding, UP Supports Citizens to Monitor Quality of Health Sector Delivery