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Beira, Mozambique

The Catholic University of Mozambique is a university in Mozambique. The university was founded on 10 August 1996 by the Mozambican conference of Bishops. At the time, higher education in Mozambique was only available in the capital, Maputo. The university currently has locations in Beira, Chimoio, Cuamba, Nampula, Pemba, Quelimane and Tete. One of the intentions was to make higher education available to central and northern Mozambique. As of 2007, approximately 3,270 students were enrolled at the university. The rector is Prof. Dr. Padre Alberto Ferreira. Wikipedia.

Pfeiffer A.,Catholic University of Mozambique
Education for health (Abingdon, England) | Year: 2011

A key element of the doctor-patient relationship is to understand the patient's and doctor's perceptions of quality care. To assess the perceptions of good and bad doctors among first-year medical students and local community members in a semi-urban, African settings. Using open-ended and closed dichotomous questions, 115 first-year medical students in Beira, Mozambique were surveyed regarding their perceptions of a 'good' and 'bad' doctor. Students then surveyed 611 community members in a predominately poor, semi-urban neighbourhood. Answers to open-ended questions provided by both groups produced the same four most important positive characteristics, with good diagnostic and therapeutic skills and dedication ranked highest. Closed-ended questions revealed that local community members felt that being concerned/considerate and diagnosing well were equally important (19.5% and 17.5%, respectively) compared to students (17.5% and 41.2%, respectively). The most important negative characteristics to the open-ended question for both groups were discrimination and contemptuous behaviour: 29.3% for community members and 27.4% for medical students. The biggest difference between groups was poor attending skills: 17.3% by community members and 3.9% by medical students. This study highlights differences and similarities between the perceptions of medical students and community members concerning a 'good' and a 'bad' doctor. Our data suggest that perceptions are guided by the experiences and values of those interviewed. Results indicate that medical education in developing countries should focus on patient-centered care, including communication skills and attitudes, besides training knowledgeable doctors. Source

Posse M.,Catholic University of Mozambique | Posse M.,Radboud University Nijmegen | Baltussen R.,Radboud University Nijmegen
Cost Effectiveness and Resource Allocation | Year: 2013

Background: As care and antiretroviral treatment (ART) for people living with HIV/AIDS become widely available, the number of people accessing these resources also increases. Despite this exceptional progress, the estimated coverage in low- and middle-income countries is still less than half of all people who need treatment. In addition, treatment discontinuation and non-adherence are still concerns for ART programs. Governments and partner institutions have sought to implement a variety of interventions addressing the main reasons behind the low coverage of, discontinuation of, and non-adherence to ART. Food assistance is one of those interventions; increasing evidence suggests that this type of intervention has the potential to improve ART outcomes. However, to our knowledge, no study has estimated its costs in detail. The objective of this study was to assess the costs of a program providing food assistance to HIV/AIDS patients in Sofala province, Mozambique, in 2009.Methods: We performed a retrospective analysis of the costs of providing food assistance, based on financial and economic costs. We used the ingredients approach to estimate costs, which involved multiplying the total estimated quantities of goods and services actually employed in providing the intervention by their respective unit prices.Results: In 2009, the cost of providing food assistance to HIV/AIDS patients was $2.27 million, with capital and recurrent costs accounting for 1% and 99% of total costs, respectively. Food made up the largest component, at 49% of total costs. At 24%, transport operating costs were the second largest item. The cost per patient served was $288 over 3 months.Conclusion: The food distribution program carries significant costs. To assess whether it provides value for money, the present study results should be interpreted in conjunction with the program's impact, and in comparison with other programs that aim to improve adherence to ART. Our costing analysis revealed important management information, indicating that the program incurred relatively large overhead costs. This result raises questions regarding the efficiency of implementing this food distribution program. © 2013 Posse and Baltussen; licensee BioMed Central Ltd. Source

Posse M.,Catholic University of Mozambique | Posse M.,Radboud University Nijmegen | Tirivayi N.,Maastricht University | Saha U.R.,Radboud University Nijmegen | Baltussen R.,Radboud University Nijmegen
Journal of AIDS and Clinical Research | Year: 2013

Background: The availability of Antiretroviral Treatment (ART) has changed the course of HIV/AIDS, by transforming it into a chronic condition. However, important challenges remain in the management of HIV/AIDS. These challenges are exacerbated by the fact that in resource limited settings, food insecurity and HIV/AIDS overlap. The aim of our study was to evaluate the effect of a food assistance program on adherence to ART in Sofala province, Mozambique. Methods: In order to assess the effect of the food assistance program on adherence we used propensity score matching with difference in differences estimation. We compared food assistance recipients with controls. We measured adherence based on pill pick-up, a pharmacy adherence measure. Results: During the food assistance programme, the adherence of food assistance recipients who received food assistance for a period of six and 12 months and non-food assistance recipients is not significantly different as the average impact is only 0.4% (p=0.94) and -2.3% (p=0.73) respectively. For the period after food assistance had been terminated, adherence is still not significantly different between the two groups, as the average impact is 5.3% (p=0.44) and 1.9% (p=0.65). Conclusion: Our study suggests that food assistance provided to HIV/AIDS patients in Sofala province in Mozambique had no effect on their adherence to ART. Our results indicate that although efforts have been put forth to reduce food insecurity among HIV/AIDS patients, more should be done to ensure that these efforts really result in the improvement of adherence to ART. © 2013 Posse M, et al. Source

Frambach J.M.,Maastricht University | Manuel B.A.F.,Eduardo Mondlane University | Fumo A.M.T.,Catholic University of Mozambique | Van Der Vleuten C.P.M.,Maastricht University | Driessen E.W.,Maastricht University
Medical Teacher | Year: 2015

Background: Evidence tailored to sub-Saharan Africa on outcomes of innovations in medical education is needed to encourage and advance their implementation in this region.Aim: To investigate preparedness for practice of students and graduates from an innovative and a conventional medical curriculum in a sub-Saharan African context.Methods: Using mixed methods we compared junior doctors and fifth-year students from two Mozambican medical schools: one with an innovative problem- and community-based curriculum and one with a conventional lecture- and discipline-based curriculum. A questionnaire on professional competencies was administered, semi-structured interviews were conducted, and work diaries were collected. The findings were integrated in a conceptual model.Results: Six areas of tension between global health care ideals and local health care practice emerged from the data that challenged doctors' motivation and preparedness for practice. Four elements of the innovative curriculum equipped students and graduates with skills, attitudes and competencies to better cope with these tensions. Students and graduates from the innovative curriculum rated significantly higher levels on various competencies and expressed more satisfaction with the curriculum and its usefulness for their work.Conclusion: An innovative problem- and community-based curriculum can improve sub-Saharan African doctors' motivation and preparedness to tackle the challenges of health care practice in this region. © 2015 Informa UK Ltd. All rights reserved: reproduction in whole or part not permitted. Source

Millard P.S.,Catholic University of Mozambique
South African Medical Journal | Year: 2012

A key issue facing countries that are scaling up circumcision services is the technical difficulty, resources used, complications, and time to healing using open surgical techniques, the only methods approved by the major external funding agency, PEPFAR. The WHO has developed a framework for evaluating new circumcision devices, and two promising disposable plastic devices that have been partially evaluated are the Shang Ring and the Prepex system. However, given South Africa's disastrous experience with the Tara KLamp, healthy scepticism about plastic ring devices is justified. The Gomco clamp has been used in children and adults since 1935 in the USA, but there are no published studies demonstrating its use in adults. Cyanoacrylate tissue adhesive, widely used in all areas of medicine, has been shown to be superior to sutures in circumcision in terms of safety, ease of use, operative time, and cosmetic results. Our experience in Mozambique suggests that Gomco clamp circumcision plus tissue adhesive closure meets all the WHO criteria for the ideal circumcision technique, and we strongly recommend that African researchers conduct clinical trials to compare it with open surgical circumcision. Source

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