VECD Fellowship Site Director:
Mohsin Sidat, MD, PhD (UEM)
Site Contact: Mohsin Sidat
Established in 1963, UEM is the oldest and largest university in Mozambique, with its campus located in Maputo. In 1968 it was promoted to the category of University, adopting the name ‘Universidade de Lourenço Marques’. In 1976, the university was renamed ‘Universidade Eduardo Mondlane’ after the first president of the Mozambican Liberation Front. Since the early 1990s, the government of Mozambique has emphasized higher education as a means to develop the capacity of its citizens to build a prosperous and productive society. According to a 2003 study, 15% of the government’s expenditures were put towards education in 1999, with 24% of this amount going to the public institutions of higher education. The University Eduardo Mondlane has played an integral role in the development of the government’s strategic plan for education, and, as one of the country’s oldest and most-respected universities, continues to shape the face of higher education in Mozambique. Today, UEM continues to be the largest higher education institution in Mozambique. It is comprised of 14 faculties and 2 higher education schools and has nearly 30,000 students and 604 full-time academic staff members, 547 of whom are native Mozambicans. UEM also has a number of centers including the Center for Biotechnology, the Historical Archive of Mozambique, the University Foundation, the Natural History Museum, the Center for Distance Teaching, the Center for Industrial, Security and Environmental Studies, the Center for Population Studies, the Center for Gender Affairs, the International Center for Water Economics and Governance, and the Center for African Studies. The number of masters programs offered at the university has been growing steadily, with masters programs now offered through the Rural Development Program at the Faculty of Agronomy, the Public Health Program in the Department of Community Health of the Faculty of Medicine (the only Master of Public Health program available in the country) and three departments in the Faculty of Education. A Master’s program in Psychology is also now available and close to 60 psychologists have been trained.
- The Faculty of Medicine at UEM offers Bachelor of Medicine degrees since 1963 and has graduated more than a thousand doctors for the country. Until the mid-1990s it was the only institution in the country responsible for training doctors. The objective of excellence in the training of doctors and other health professionals was given to us and it guides our steps of evaluation of our teaching and learning processes of our institution.
- UEM has many different schools within the larger university that fall under four main categories: academic, research, special and administrative.
- The UEM School of Medicine has 10 departments and 181 faculty members (139 Medical Doctors, 25 PhDs and 17 Masters of Science):
- Departments include: Anatomical Pathology, Community Health, Gynecology/Obstetrics, Internal Medicine, Microbiology and Parasitology, Morphology Sciences, Pediatrics, Pharmacology, Physiology, Surgery
- For the last 10 years, the UEM Faculty of Medicine has enjoyed a mutually beneficial collaboration with its international partner Vanderbilt University Medical Center (VUMC), in terms of shared faculty for medical and public health teaching, mentoring of students, and shared resources for the pursuit of research activities. VUMC faculty members have worked with UEM to train Mozambican research scientists within the context of the VU-led PEPFAR HIV scale-up program in Zambézia Province. UEM and VU researchers have co-authored 23 manuscripts in the HIV/AIDS field since 2009 with another 18 currently under review.
- UEM conducts evaluation of key indicators in the information sub-system of the National and Lepra Tuberculosis Control case study in Maputo City
- Human fecal contamination in suburban areas of Maputo Mangroves (Costa del Sol and Ponta Rosa) and its consequences for public health
- Monitoring and evaluation of PAV and SMI programs at the district level in the current context of health information systems: Analyzing challenges and suggested solutions
- Epidemiological surveillance of Measles in Mozambique: Study in two districts of Maputo Province as a basis for the improvement of the BES
- Epidemiology of trauma in childhood
- Evaluation of the quality of services for victims of domestic violence in Maputo City Health Units
- Socio-economic profile, defense mechanisms reported to the police services by women victims of physical violence in the city of Maputo
- Socio-cultural determinants of cigarette consumption in secondary school students in the city of Maputo
- Prevention in the public space, pleasure in Private Space between a group of teenagers in the town of Magude
- Patterns and determinants of Sexual Behavior of UEM students living on campus, in University Housing, in Maputo
- Cancer in the service of pathological anatomy at Maputo Central Hospital: A retrospective 18 year study (1991-2008)
- Epidemiology of Nutritional Disorders: Weight and Body Composition of adolescents in the municipality of Maputo, and primary and secondary Prevention of risk factors and their consequences
- Evaluation of health promotion in primary schools of the District of Matola
- Epidemiological profile of patients observed with foreign bodies between 1983 to 2009 in the otorhinolaryngology service at Maputo Central Hospital
- Resistance of Plasmodium falciparum to artemisinin derivatives: a systematic review
- Environmental exposure to pesticides during spraying with DDT in southern Mozambique (Manhica)
- Assessing the impact of specific activities of the epidemiology surveillance of HIV (RVE) in the time spent by nurses, laboratory technicians maternal and child health (MCH), in Mozambique 2013
- Review of key indicators of malaria using guidelines from the World Health Organization
- Community participation in the management of Community Pharmacies: the experience of the administrative posts of Djabula and Kunle
- Adherence to the antiretroviral therapy (ART): experiences of pharmaceutical services at the Maputo Central Hospital
- Monitoring and Evaluation of PAV and SMI Programs at the District Level in the current context of health information systems: Analyzing challenges and suggested solutions
- The epidemiological profile of the traumatized patient admitted to Maputo Central Hospital
- The triad of alcohol, accident (motor vehicle) and trauma: a study on drivers in Maputo City and Province
- Experiences and perceptions about teenage pregnancy: A phenomenological study
- Cancer in the service of pathological anatomy at Maputo Central Hospital: A retrospective 18 year study (1991-2008)
- Epidemiology of nutritional disorders: Weight and body composition of adolescents in the municipality of Maputo ad the primary and secondary prevention of risk factors
- Respiratory symptoms and pulmonary function in workers of three companies of the wood industry in two cities of Mozambique
- Environmental sanitation and the occurrence of choler in the town of Cuamba: prevention and control strategy
- Clinical evolution of adult victims of trauma patients with and without HIV infections admitted to the Maputo Central Hospital from June to September, 2010
- Improving liquid ART dosing accuracy among mothers of HIV-exposed infants in Mozambique
The university has an extensive campus located in Maputo, Mozambique with both female and male residence buildings, a library, a gym and other resources to be utilized by students. UEM also has many partnerships across the country with other universities and with the Ministry of Health.
The development of Mozambican research capacity has been constrained by a number of far-reaching events. Mozambique became independent in 1975, and in the ensuing mass exodus of Portuguese, the country was left with only a handful of university graduates. Illiteracy rates were above 90% at this time, creating serious obstacles to building research capacity. With peace established in 1992 and with the democratization of the country and improved economic policy-making, the country has since made spectacular progress, although poverty remains acute. Nevertheless, the growth in the number of university students has been impressive, growing from 4,100 in 1991 to 14,200 in 2001. For UEM, the increase was from about 3,000 to 7,100 in the same period and today has over 30,000 students. This high and growing demand for university training has been the result of both the low availability of university graduates in general and the very high rate of economic growth attained by Mozambique since 1992, which has boosted demand for university training. UEM has also experienced a very rapid growth in the number of Mozambican teachers holding a PhD degree from only 10 in 1990 to 110 in 2002. This is a good indicator of the growth of the potential research capacity of the University. Apart from teaching reforms, UEM is also making considerable efforts in developing its capacity to carry out research at high levels, establishing collaborations with highly regarded Universities in the region and across the globe. In 2002, the vice chancellors of several universities in the region, including University of Venda in South Africa, Wits University, and the University of Botswana, as well as the Provost of the University of Virginia, met in Maputo to sign an agreement for the formation of a formal consortium for collaborative research in regional ecosystems and sustainable development research and education. UEM scientists have also taken part in an international scientific research program called SAFARI2000.
R01 AI112295 (J. Sacarlal)
Bacteremia in HIV-infected children under 5 years old hospitalized in Mozambique
Every year 4.6 million children <5 years of age (U5) die in sub-Saharan Africa. Incidence of disease for infections such as malaria, acute respiratory infection (ARI), diarrhea and human immunodeficiency virus (HIV) have been described. Existing estimates as to the incidence, mortality, or hospital burden of most pathogenic bacterial infections is predominantly limited to urban areas, thus the impact of U5 bacteremia is largely unknown as most people live in rural areas. Early studies suggest bacteremia in hospitalized African children exceeds that of high income countries and that gram-negative organisms, in particular non-typhoidal salmonella (NTS) are among the most common isolates, especially where the prevalence of HIV and malaria is high. The incidence of invasive NTS disease in Africa has been estimated at between 175-388 cases per 100,000 children aged 3-5 years. There are important differences by geographic region in U5 mortality, with the northern provinces having the highest rates respectively. Mozambique also has important urban/rural differences in health outcomes. U5 mortality in 2009 was estimated at 135/1000 live births in urban areas compared to 162/1000 live births in rural areas with higher frequency of death occurring in rural areas for each of the three main killers in children. We will conduct a prospective hospital-based observational study of HIV-infected children <5 years old, hospitalized with fever to determine the incidence, etiology, and antibiotic sensitivity patterns o culture confirmed bacteremia in representative rural and urban settings. The study will take place at Hospital Mavalane in Maputo city and the Quelimane Provincial Hospital in the Province of Zambezia, Mozambique. Our specific aims include: 1) To test the hypothesis that the incidence of bacteremia in HIV-infected children U5, hospitalized with fever is higher in children living in rural areas (Zambezia Province) compared with those living in urban areas (Maputo City); and 2) To test the hypothesis that non-typhoidal salmonella (NTS) is a major cause of bacteremia in HIV-infected children U5, hospitalized with fever in both urban Maputo City and rural Zambezia Province, Mozambique. Additionally, we will further genetically characterize NTS samples in blood and stool for the presence of the invasive ST313 strain. To accomplish these aims we have assembled a strong multidisciplinary team representing University Eduardo Mondlane (UEM) and Vanderbilt University and supported by the strong research and service infrastructures of these two major institutions. Our study holds promise to illuminate rural/urban health disparities that can then be targeted for mitigation. The results of this project will also provide crucial but currently unavailable information needed to prioritize resource allocation for microbiology capacity and guide national drug formulary practices.
Public health relevance statement: We propose a prospective hospital-based observational study of HIV-infected children <5 years old in Mozambique to determine the incidence, etiology, antibiotic sensitivity patterns, and molecular characterizations of culture confirmed bacteremia. Our study holds promise to illuminate rural/urban health disparities that can then be targeted for mitigation. The results of this project will provide crucial but currently unavailable information o prioritize resource allocation for microbiology capacity and guide national drug formulary practices.
1R25TW009722-01 (Moon, Heitman PIs)
The goal of the program is to build capacity for research ethics training and education in Mozambican academic institutions and their national research ethics committees. Support will be given for foreign graduate students to pursue Master´s in research techniques and the principals of ethics applicable to resource-limited and/or tropical countries.
1R01AI112295-01 (Sacarlal, Silva PIs)
Bacteremia in HIV-infected children under 5 years old, hospitalized in Mozambique.
The goal of this study is to perform a prospective hospital-based observational study of HIV-infected Mozambican Children <5 years old to determine the incidence, etiology, antibiotic sensitivity patterns and molecular characterizations of culture confirmed bacteremia.
1D43TW009745-01A1 (Vermund, Sidat, Moon co-PIs)
UEM-Partnership for Research in Implementation Science Mozambique (PRISM).
The UEM PRISM training program partners with international collaborators from Mozambique and Brazil is designed to train foreign scientists and key research support staff to conduct independent research and training in their home countries, as well as perform at an internationally credible level in collaborations with both local and foreign scientists.
SIDA/SAREC Project UEM (Dr. Sibone Mocumbi)
Swedish International Development Cooperation Agency
STAKES (Dr. Baltazar Chilundo)
MCT – HIV/AIDS (Dr. Mohsin Sidat)
Ministerio de Ciencias e Tecnologia
STEM (Multi-country project: Ireland, Tanzania, and Mozambique) (Dr. Mohsin Sidat)
Strengthening Graduate Public Health Training in the Republic of Mozambique (Dr. Baltazar Chilundo)
At the time of Mozambican independence, all but 50 physicians had left the country. During the ensuing years of civil war, faculty shortages at UEM allowed fewer than 25 physicians to graduate each year. Today, significant progress has been made, and the UEM School of Medicine has now graduated more than 500 medical doctors with 1,100 students currently enrolled in MD training and 90 students enrolled in MPH training, 24 in the Field Epidemiology and Laboratory Training Program (FELTP) and about 40 students in Master in Mental Health and Psychotherapy. With assistance from international donors, UEM has largely recovered from the difficulties encountered in obtaining updated equipment and expertise during the time of the civil war. The School of Medicine at UEM is now a well-respected training institution that serves as the major flagship medical institution in Mozambique, providing training to undergraduate medical students, as well as providing the only Masters in Public Health program in the country. The student body is diverse with attendees from all over Mozambique.