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Lessons from (human) development research: Case studies from Mozambique

Lessons from (human) development research: Case studies from Mozambique. By Prof. Baltazar Chilundo (MD, PhD) Department of Community Health, Faculty of Medicine, UEM chilubal@uem.mz. Background: Mozambique Profile.

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Lessons from (human) development research: Case studies from Mozambique

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  1. Lessons from (human) development research:Case studies from Mozambique By Prof. Baltazar Chilundo (MD, PhD) Department of Community Health, Faculty of Medicine, UEM chilubal@uem.mz

  2. Background: Mozambique Profile IAP for Research Capacity Building Source: *Childhood Poverty: A Situation and Trends, ** MISAU 2007 Analysis, UNICEF, 2006 other: UNDP Mozambique 2006

  3. Background • Focus on Human Development (Sen, 1999) • Better health is an essential ingredient and consequence of development • Research as a central and indispensable component of improving health and hence for achieving MDGs • Bridging the “know-do gap” • Conducting more research IAP for Research Capacity Building

  4. The spectrum of health research in Mozambique • Clinical & Biomedical research ++++ • Operational research ++ • Public Health Epidemiological research + • Social sciences and behavioral research + • Health policy and systems research +/- • Environmental health research +/- IAP for Research Capacity Building

  5. Institutions conducting health research • National Institute of Health – MoH • Research… • National Bioethics Committee • Faculties of Medicine/Health Sciences: • UEM ++; Higher Institute of Health Sciences; Catholic University; UniLurio; UniZambeze and Higher Institute of Science/Technology • Research Centres • Manhica Health Research Centre • Beira Operational Health Research Centre IAP for Research Capacity Building

  6. Mapping urinary bilharzias and intestinal parasitosis in Mozambique Know – do Gap By: National Institute of Health/MoH (2007) on deglected diseases Intestinal Parasitosis Prevalence at districts Bilharzias Prevalence at districts IAP for Research Capacity Building

  7. “mapping lymphatic Filariasis in Moçambique” By: Know – do Gap By: National Institute of Health/MoH (2007) on deglected diseases Nampula Province with 54% of filariasis IAP for Research Capacity Building

  8. Some ongoing research projects in the Community Health Department/UEM • Routine Iron Prophylaxis during Pregnancy - Effects on Maternal and Child Health in Maputo City and Maputo Province Mozambique (2 countries) • Experience of African Countries with GHIs (8 countries: 4 south) • HRH developmentinTeteProvince (2 countries) • Health Systems Strengthening for Equity: The Power and Potential of mid-level healthcare providers in Mozambique (5 countries: 3 south) • Country Situation on Child Maltreatment Prevention in Mozambique (w/ WHO) • Strengthening Integrated Primary Health Care in Sofala Province, Mozambique IAP for Research Capacity Building

  9. Age groups 0–27 Days 28 d – 11 months 12–59 months 6-14 years 1st Prematurity (31%) Malaria (22.6%) Malaria (31.4%) Malaria (18.2%) 2nd Birth asphyxia (16.3%) Pneumonia (19.1%) Malnutr. (20.1%) Traumatism (10.4%) 3rd Septicaemia (14.6%) Malnutr. (10.0%) Pneumonia (10.4%) Traumatism (10.4%) 4th Pneumonia (10.6%) Diarrhea (8.0%) Diarrhea (6.0%) Pneumonia (9.1%) 5th No consensus (7.3%) Meningitis (7.5%) No consensus (5.7%) Meningitis (9.1%) Manhiça health Research Centre at a glance Causes of paediatric death in the community The biomedical rural-based research centre’s agenda is based on the main causes of disease and death in children less than 5 years and pregnant women: malaria, HIV/AIDS, pneumonia and diarrhoea • Some examples: • Clinical trials for malaria vaccine • Clinical development of new antimalarial drugs • Evaluation of the impact of the Haemophilus influenzae type b vaccine • Feasibility studies for clinical trials of microbicides and for HIV vaccines IAP for Research Capacity Building

  10. The hiatus between policy and practice • 2025 agenda; 5y Government Plan; Science and Technology Policy and Strategy, UEM strategic and Research plans… • Many publications available but the recommendations are hardly known by decision makers = Know-Do Gap • Lack of national research open access warehouse • The process of sharing health research based only on a few national mechanisms: (i) quarterly medical journal with quality problems although is a peer-review based (ii) health journey held every 4 years… IAP for Research Capacity Building

  11. Research conducted in ad hoc manner • Lack of tracking system after approval by the only existing national bioethics committee • Lack of specific health research agenda undermining informed based decisions • Research mainly conducted as per donor request and fashion not primarily as part of implementing organization’s agenda • External aid is needed to support local research capacity building IAP for Research Capacity Building

  12. IAP for Research Capacity Building

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