Determinants of Maternal Health in Regions of Southern Mozambique

This chapter focuses on the circumstances and the wider set of forces and systems shaping the conditions of daily life, a concept increasingly summarized as the determinants of health. We begin by describing how these determinants encompass political, economic, social, cultural and environmental dimensions and the need to examine the pattern of interactions at different scales, and how thinking about developing this focus has evolved. We present critical perspectives in understanding the determinants and determination of health. Using the example of Mapping Outcomes for Mothers (MOM), a study undertaken in Mozambique, we illustrate why the historical narratives of these determinants are imperative in the analysis of health. The chapter ends with a discussion of how the inclusion of a consideration of determinants can accelerate progress through multi-sectoral collaboration and delivery of care that is not limited to the health sector.