On the discontinuous nature of the Mozambique Current

Directory of Open Access Journals (Sweden)

Wilhelmus P.M. de Ruijter

2012-01-01

Full Text Available The concept of a spatially continuous western boundary current in the Mozambique Channel has historically been based on erroneous interpretations of ships’ drift. Recent observations have demonstrated that the circulation in the Channel is instead dominated by anti-cyclonic eddies drifting poleward. It has therefore been suggested that no coherent Mozambique Current exists at any time. However, satellite and other observations indicate that a continuous current – not necessarily an inherent part of Mozambique Eddies – may at times be found along the full Mozambican shelf break. Using a high-resolution, numerical model we have demonstrated how such a feature may come about. In the model, a continuous current is a highly irregularly occurring event, occurring about once per year, with an average duration of only 9 days and with a vertical extent of about 800 m. Surface speeds may vary from 0.5 m/s to 1.5 m/s and the volume flux involved is about 10 Sv. The continuous current may occasionally be important for the transport of biota along the continental shelf and slope.

Stabilization and structural adjustment in Mozambique

DEFF Research Database (Denmark)

Tarp, Finn; Arndt, Channing; Jensen, Henning Tarp

2000-01-01

This paper outlines the complex historical legacy and structural adjustment efforts in Mozambique in addition to reviewing recent economic developments. An in-depth analysis of new and more reliable national accounts data show that macroeconomic stabilization has occurred through recovery from...

Mozambique Cell Phone Savings Project: Endline Survey

Data.gov (United States)

US Agency for International Development — Smallholders in rural Mozambique are typically characterized by low agricultural productivity, which is in part caused by very low levels of input usage. In the...

Mozambique Cell Phone Savings Project: Baseline Survey

Data.gov (United States)

US Agency for International Development — Smallholders in rural Mozambique are typically characterized by low agricultural productivity, which is in part caused by very low levels of input usage. In the...

Mozambique Information and Communication Technology : Micro ...

International Development Research Centre (IDRC) Digital Library (Canada)

The goals of the Mozambique Information and Communication Technology Micro and Small Enterprises Incubator (MICTI Incubator) are twofold: to identify sustainable opportunities for technology-based businesses in priority development areas; and to test the assumption that technology-based businesses can mentor the ...

Mozambique's Debt and the International Monetary Fund's Influence on Poverty, Education, and Health.

Science.gov (United States)

Beste, Jason; Pfeiffer, James

2016-01-01

For nearly 30 years, Mozambique has been facing austerity measures regulated by the IMF. These austerity measures, grounded in macroeconomic policies, were supposed to lift Mozambique out of poverty, and improve its healthcare and education systems. By taking an in-depth look at the major etiologies of Mozambique's debt and the conditions which forced the country to accept austerity measures-despite their protests-prior to receiving IMF funding, this paper examines how IMF policies over the past 30 years have affected poverty, health, and the education system. The results of these policies have contributed to Mozambique's enduring classification as one of the poorest countries in the world. Aside from economic outcomes, Mozambique also has abysmal health and education systems, with one of the lowest life expectancies in Sub-Saharan Africa. It is time to re-evaluate how the current IMF macroeconomic policies negatively affect, health, education and the socioeconomic status of those who live in abject poverty. As short term macroeconomic policies of PARPA have been ineffective at reducing poverty, promoting education and improving health, the IMF should consider using longer term macroeconomic policies which invest in-rather than limit-public services such as health and education. © The Author(s) 2016.

Strengthening Health Systems Research Capacity in Mozambique ...

International Development Research Centre (IDRC) Digital Library (Canada)

Mozambique's health sector is dealing with system-wide challenges. ... the Ministry's work on national health accounts, resource allocation, and national health ... a combined INS-FIOCRUS program, and the master's in public health and field ...

Inequalities in child mortality in Mozambique: differentials by parental socio-economic position

DEFF Research Database (Denmark)

Macassa, Gloria; Ghilagaber, Gebrenegus; Bernhardt, Eva

2003-01-01

This study investigates the relation between socio-economic parental position (education and occupation) and child death in Mozambique using data from the Mozambican Demographic and Health Survey carried out between March and July 1997. The analysis included 9142 children born within 10 years...... before the survey. In spite of the Western system of classification used in the study, the results partly showed a parental socio-economic gradient of infant and child mortality in Mozambique. Father's education seemed to reflect the family's social standing in the Mozambique context, showing a strong...... statistical association with postneonatal and child mortality. However, maternal education as a measure of socio-economic position was not statistically significantly associated with child mortality. This finding may partly be explained by the extreme hardships experienced by the country (civil war...

Implementation Strategy for Land Administration in Mozambique

NARCIS (Netherlands)

Joaquim, S.; Carvalho, J.A.; Marques, M.R.; Carrilho, J.; Balas, M.; Lemmen, C.H.J.; Unger, E.-M.; Tomberg, M.

2018-01-01

Land administration inMozambique needs to become less bureaucratic, simpler, cheaper and more transparent. Design and implementation of traditional approaches is so time consuming that land laws are to be adapted to provide for simpler procedures. Delivery of results (maps, DUATs, spatial plans)

World Small Hydropower Development Report 2013 - Mozambique

CSIR Research Space (South Africa)

Jonker Klunne, W

2013-01-01

Full Text Available as 3 trillion cubic feet. Natural gas is exported to South Africa via a pipeline. The current electricity generation in Mozambique is dominated by hydropower which supplies 95 per cent of the electricity demand followed by 5 per cent supplied via...

The multidimensional nature of HIV stigma: evidence from Mozambique.

Science.gov (United States)

Carrasco, Maria A; Arias, Rosario; Figueroa, Maria E

2017-03-01

HIV stigma continues to be a major challenge to addressing HIV/AIDS in various countries in sub-Saharan Africa, including Mozambique. This paper explores the multidimensional nature of HIV stigma through the thematic analysis of five qualitative studies conducted in high HIV prevalence provinces in Mozambique between 2009 and 2012. These studies included 23 interviews with people living with HIV (PLHIV) (10 women and 13 men); 6 focus groups with 32 peer educators (24 women and 8 men) working for community-based organisations (CBOs) providing services to PLHIV; 17 focus groups with community members (72 men and 70 women); 6 interviews (4 women and 2 men) with people who had family members living with HIV/AIDS; 24 focus groups (12 with men and 12 with women) and 6 interviews with couples. Our findings indicate that HIV stigma is a barrier to HIV testing and counselling, status disclosure, partner notification, and antiretroviral therapy (ART) access and adherence, and that moral stigma seems to be more common than physical stigma. Additionally, the findings highlight that HIV stigma is a dynamic social process that is conceptualised as being tied to personal responsibility. To effectively diminish HIV stigma in Mozambique, future interventions should address moral stigma and re-conceptualise HIV as a chronic disease.

System Transfer, Education, and Development in Mozambique

Directory of Open Access Journals (Sweden)

Jose Cossa

2011-03-01

Full Text Available In this study the author used conceptual historical method to assess the phenomenon of system transfer and the association between education and development in Mozambique. The assessment was administered through critical analysis of documents pertaining to the Salazar (1924-1966, Machel (1975-1986, and Chissano (1986-2005 administrations. The findings were that (a the colonial government created economic and educational systems for colonizing Mozambique, whereas the Machel and Chissano administrations adapted foreign systems of government and education (i.e., Socialism, Soviet, Democracy, Portuguese, etc., to their particular context without altering the inherent theoretical basis of the systems transferred; (b the Machel and Chissano administrations, implicitly or explicitly, perceived the relationship between education and development as circular causality rather than a unidirectional linear causality, while the Salazar administration perceived it as unidirectional linear causality; and (c while the Machel and Chissano administrations focused on primary education, literacy campaigns, and education of women and girls, they differed in the reasons for such focus.

Mozambique Science, Technology and Innovation Review | IDRC ...

International Development Research Centre (IDRC) Digital Library (Canada)

This project aims to strengthen the capacity of the Mozambique Ministry of Science and Technology (MOST) to govern the country's science, technology and innovation (STI) system, and of researchers and policymakers to conduct systematic reviews of STI policy implementation. It will do so by supporting a review of the ...

Handheld Computers for Malaria Monitoring (Mozambique) | IDRC ...

International Development Research Centre (IDRC) Digital Library (Canada)

Malaria is the principal cause of morbidity and mortality in Mozambique and is considered a major impediment to development. The effectiveness of any malaria control program depends on reliable data delivered in timely fashion, something that is currently lacking in the nation's health service. This grant will allow the ...

Handheld Computers for Malaria Monitoring (Mozambique) | CRDI ...

International Development Research Centre (IDRC) Digital Library (Canada)

Malaria is the principal cause of morbidity and mortality in Mozambique and is considered a major impediment to development. The effectiveness of any malaria control program depends on reliable data delivered in timely fashion, something that is currently lacking in the nation's health service. This grant will allow the ...

POETIC AND PICTORIAL REVISITS OF THE MOZAMBIQUE ISLAND

Directory of Open Access Journals (Sweden)

Carmen Lucia Tindó Secco

2012-11-01

Full Text Available The rewriting of Mozambique with the pen of poetry and the ink of affections. Landscapes: poetry, painting and history. The intercrossing of people, cultures and different knowledges in the Mozambican ground of multiple inheritances.

Modelling the influence of climate on malaria occurrence in Chimoio Municipality, Mozambique

OpenAIRE

Ferr?o, Jo?o Lu?s; Mendes, Jorge M.; Painho, Marco

2017-01-01

Ferrão, J. L., Mendes, J. M., & Painho, M. (2017). Modelling the influence of climate on malaria occurrence in Chimoio Municipality, Mozambique. Parasites and Vectors, 10(1), 1-12. DOI: 10.1186/s13071-017-2205-6 Background: Mozambique was recently ranked fifth in the African continent for the number of cases of malaria. In Chimoio municipality cases of malaria are increasing annually, contrary to the decreasing trend in Africa. As malaria transmission is influenced to a large extent by cli...

Reptiles sold as traditional medicine in Xipamanine and Xiquelene Markets (Maputo, Mozambique

Directory of Open Access Journals (Sweden)

Vivienne L. Williams

2016-07-01

Full Text Available Zootherapy plays a role in healing practices in Mozambican society. Although several studies have focused on ethnobotany and traditional medicine in the country, little research has been conducted on the use of reptiles in zootherapy. The aim of this study was therefore to fill this gap by assessing the reptile species traded for traditional medicine in the Xipamanine and Xiquelene Markets in Maputo, Mozambique. We found that few reptile species are traded domestically for traditional medicine and that their use appears to be in decline in Mozambique. Our findings also suggest that the domestic trade of reptiles for traditional medicines in Maputo markets is unlikely to have a significant impact on the conservation of reptiles in Mozambique. However, we suggest that international trade with South Africa is likely having a larger impact, given observations of Mozambican nationals selling a diverse range of fauna in urban traditional medicine markets in Johannesburg and Durban.

Epidemic waves of cholera in the last two decades in Mozambique.

Science.gov (United States)

Langa, José Paulo; Sema, Cynthia; De Deus, Nilsa; Colombo, Mauro Maria; Taviani, Elisa

2015-07-04

Africa is increasingly affected by cholera. In Mozambique, cholera appeared in the early 1970s when the seventh pandemic entered Africa from the Indian subcontinent. In the following decades, several epidemics were registered in the country, the 1997-1999 epidemic being the most extended. Since then, Mozambique has been considered an endemic area for cholera, characterized by yearly outbreaks occurring with a seasonal pattern. At least three pandemic variants are thought to have originated in the Indian subcontinent and spread worldwide at different times. To understand the epidemiology of cholera in Mozambique, whether the disease re-emerges periodically or is imported by different routes of transmission, we investigated clinical V. cholerae O1 isolated during 1997-1999 and 2012-2014 epidemics. By detecting and characterizing seven genetic elements, the mobilome profile of each isolate was obtained. By comparing it to known seventh pandemic reference strains, it was possible to discern among different V. cholerae O1 variants active in the country. During 1997-1999, epidemic strains showed two different genetic profiles, both related to a pandemic clone that originated from India and was reported in other African countries in the 1990s. Isolates from 2012-2014 outbreaks showed a genetic background related to the pandemic strains currently active as the prevalent causative agent of cholera worldwide. Despite cholera being endemic in Mozambique, the epidemiology of the disease in the past 20 years has been strongly influenced by the cholera seventh pandemic waves that originated in the Indian subcontinent.

On the discontinuous nature of the Mozambique Current

NARCIS (Netherlands)

Lutjeharms, J.R.E.; Biastoch, A.; van der Werf, P.M.; Ridderinkhof, H.; de Ruijter, W.P.M.

2012-01-01

The concept of a spatially continuous western boundary current in the Mozambique Channel has historically been based on erroneous interpretations of ships' drift. Recent observations have demonstrated that the circulation in the Channel is instead dominated by anti-cyclonic eddies drifting poleward.

Choosing early pregnancy termination methods in Urban Mozambique

NARCIS (Netherlands)

Mitchell, Ellen M. H.; Kwizera, Amata; Usta, Momade; Gebreselassie, Hailemichael

2010-01-01

Little is known about who chooses medication abortion with misoprostol and why. Women seeking early abortion in 5 public hospitals in Maputo, Mozambique were recruited in 2005 and 2006 to explore decision-making strategies, method preferences and experiences with misoprostol and vacuum aspiration

[International cooperation in combatting illicit drugs in Mozambique].

Science.gov (United States)

Buvana, Flávia; Ventura, Carla Aparecida Arena

2011-06-01

Countries from Southern Africa have formed a Development Community (SADC) to stimulate common actions in several areas, among them illicit drugs combat. In this context, the goal of this qualitative study was to identify information and perception about the cooperation set up between Mozambique and other SADC members in combatting illicit drugs. Data were collected through semi-structured interviews with public employees developing actions directed at the implementation of the Protocol to Combat Drugs in SADC. After transcriptions, the interviews were analyzed by content analysis and resulted in the categories: "Mozambique as a drugs corridor", "Cooperation Initiatives on Drugs among African countries", "Cooperation Difficulties in Africa", "Problems in Protocol Implementation" and "Difficulties to implement a control policy". As a consequence, there is a need to review and update the policies and strategies in the drugs area, as they are not contextualized in the country's current reality.

Business plan Fish feed factory Tete Zambezi Valley, Mozambique

NARCIS (Netherlands)

Meer, van der Magnus; Boon, Hans; Brouwer, Herman

2015-01-01

This business plan has been prepared for local entrepreneurs who would like to expand their business portfolio or to start a value chain business in the aquaculture sector in the region of Tete, Mozambique.

Severe canine distemper outbreak in unvaccinated dogs in Mozambique

Directory of Open Access Journals (Sweden)

Julieta Zacarias

2016-07-01

Full Text Available Although significant animal suffering caused by preventable diseases is frequently seen in developing countries, reports of this are scarce. This report describes avoidable animal suffering owing to a suspected canine distemper (CD outbreak in unvaccinated dogs owned by low-income families in Mozambique that killed approximately 200 animals. Affected dogs exhibited clinical signs, and gross and microscopic lesions compatible with CD. Immunohistochemical staining confirmed the presence of canine distemper virus (CDV in the kidney of one dog from the cohort. This brief communication again illustrates that large outbreaks of CDV in unvaccinated dogs occur and that large-scale avoidable suffering and threats to the health of dogs and wild canines continue. Mass vaccination supported by government and non-government organisations is recommended. Keywords: Canine distemper; dogs; outbreak; animal welfare; Mozambique

Phylogenetic analysis of Newcastle disease viruses isolated from commercial poultry in Mozambique, 2011 to 2016

International Nuclear Information System (INIS)

Mapaco, L.P.; Monjane, I.V.A.; Nhamusso, A.E.; Viljoen, G.J; Dundon, W.G.; Achá, S.J.

2016-01-01

Full text: The complete sequence of the fusion (F) protein gene from eleven Newcastle disease viruses (NDV) isolated from commercial poultry in Mozambique between 2011 and 2016 has been generated. The F gene cleavage site motif for all eleven isolates was 112RRRKRF117 indicating that the viruses are virulent. A phylogenetic analysis using the full F gene sequence revealed that the viruses clustered within genotype VIIh and showed a higher similarity to NDVs from South Africa, China and Southeast Asia than to viruses previously described in Mozambique in 1994 to 1995 and 2005. The characterization of these new NDVs has important implications for Newcastle disease management and control in Mozambique. (author)

Multi-actor governance of sustainable biofuels in developing countries: The case of Mozambique

International Nuclear Information System (INIS)

Schut, Marc; Cunha Soares, Núria; Ven, Gerrie van de; Slingerland, Maja

2014-01-01

This paper describes and analyses the multi-actor governance process that made Mozambique the first African nation-state to develop a national policy framework for sustainable biofuels. The paper draws on findings from action research conducted in Mozambique between December 2008 and July 2012. We analyse interactions between the changing governance context, the course of the multi-actor governance process, and the choices in relation to governance framework characteristics and content for four successive stages of governance framework development. This provides the basis for reflection on the competences required for effective multi-actor sustainability governance, and a discussion about the role of the nation-state in sustainability governance of global economies such as biofuels. The governance framework for sustainable biofuels has contributed to a more transparent and secure investment climate for biofuels in Mozambique. Key factors for success were (1) the presence of different types of competences during the various stages of the governance framework development, (2) closing the gap between ‘licences to sell’ and ‘licences to produce’ across different governance levels, and (3) balancing between the short- and long-term objectives for biofuel production in Mozambique and requirements of global biofuel markets. Developing-country nation-states can provide an essential contribution to these success-factors for global governance of sustainable biofuels. - Highlights: • Mozambique is the first African country that developed a national governance framework for sustainable biofuels. • Independence, representation, expertise and operational capacity are essential competences in multi-actor sustainability governance. • Developing country's nation-states play an essential role in harmonizing short- and long-term objectives across different governance levels. • Synergies between licences to sell and licences to produce biofuels sustainably should

Canine filariosis caused by Dirofilaria immitis in Mozambique : a small survey based on the identification of microfilariae : research communication

Directory of Open Access Journals (Sweden)

E.V. Schwan

2002-07-01

Full Text Available Dirofilaria immitis was diagnosed in 4 of 13 indigenous dogs from the Province of Zambézia, Mozambique, by acid phosphatase staining of microfilariae. The finding reconfirms the occurrence of the parasite in Mozambique after 3 decades and emphasises the need for extensive surveys. Additionally, in 1 of the infected dogs, microfilariae of Dipetalonema reconditum were detected, which is the 1st record of this parasite in Mozambique.

Business plan Seed potato programmes Zambezi Valley, Mozambique

NARCIS (Netherlands)

Haverkort, F.; Saavedra Gonzalez, Y.R.

2015-01-01

This business plan has been prepared for local entrepreneurs who would like to expand/start their business portfolio and are looking for an opportunity of investment in the agricultural sector in the Zambezi Valley in Mozambique. We propose the creation of a seed potato programme for the red skinned

Determinants of social inequalities in child mortality in Mozambique ...

African Journals Online (AJOL)

Nancy Kamau

Determinants of social inequalities in child mortality in Mozambique: What do we know? What could ... Health inequalities are no longer an issue only for developed countries. In recent years there is ... This review of evidence suggests that if ...

Constructing a history of independent Mozambique, 1974-1982: a study in photography

Directory of Open Access Journals (Sweden)

Drew A. Thompson

Full Text Available The taking and publication of photographs played an important role in Mozambique's independence and in the years after 1975. As settlers departed Mozambique in the wake of riots and the Portuguese handover of power, the newly independent government, Frelimo, assumed control of abandoned commercial studios and other photographic equipment. Frelimo used legal and technical distinctions to create a group of photographers who traveled with and photographed its leader President Machel, while the other photographers, lumped under the heading 'commercial', were responsible for studio portraits also known as headshots. In one respect, press photographs allowed Frelimo to document and transmit its political ideologies to public audiences. In another respect, commercial studio portraits, which individuals carried on identification cards in their wallets, permitted Frelimo to categorise populations as employed versus unemployed or as possible enemies of the state. These contrasting forms of image making illuminate the reality that Frelimo supplemented the 'more positive' political power represented through press photographs of President Machel with 'more negative' forces of self-identification and public shaming. This article uses photographs and oral histories with photographers, journalists and government leaders to explore the inter-relationship between press and commercial photography from 1974 to 1982, a time of transition for the Frelimo government from a liberation movement into a political party. By exploring the uneasy and tenuous relationship that ensued between institutions and technologies that supported photography's practice in Mozambique, this article considers how Frelimo's control over photography - and photographers' own compliance - impacted on the historical and visual representation of Mozambique's independence.

Christianity’s Role in Dispute Resolution in Mozambique

NARCIS (Netherlands)

van de Kamp, L.J.; Jacobs, Carolien

2014-01-01

Religion is often portrayed as either a source of conflict or as a source of peace and reconciliation. In this paper we explore the role of religion in day-to-day conflicts in different regions of Mozambique, in Maputo and Gorongosa. We analyse the factors that are of importance in determining

Intimate partner violence against women in Maputo city, Mozambique

Directory of Open Access Journals (Sweden)

Zacarias Antonio Eugenio

2012-12-01

Full Text Available Abstract Background There is limited research about IPV against women and associated factors in Sub-Saharan Africa, not least Mozambique. The objective of this study was to examine the occurrence, severity, chronicity and “predictors” of IPV against women in Maputo City (Mozambique. Methods Data were collected during a 12 month-period (consecutive cases, with each woman seen only once from 1,442 women aged 15–49 years old seeking help for abuse by an intimate partner at the Forensic Services at the Maputo Central Hospital, Maputo City, Mozambique. Interviews were conducted by trained female interviewers, and data collected included demographics and lifestyle variables, violence (using the previously validated Revised Conflict Tactics Scale (CTS2, and control (using the Controlling Behaviour Scale Revised (CBS-R. The data were analysed using bivariate and multivariate methods. Results The overall experienced IPV during the past 12 months across severity (one or more types, minor and severe was 70.2% (chronicity, 85.8 ± 120.9.a Severe IPV varied between 26.3-45.9% and chronicity between 3.1 ± 9.1-12.8 ± 26.9, depending on IPV type. Severity and chronicity figures were higher in psychological aggression than in the other IPV types. Further, 26.8% (chronicity, 55.3 ± 117.6 of women experienced all IPV types across severity. The experience of other composite IPV types across severity (4 combinations of 3 types of IPV varied between 27.1-42.6% and chronicity between 35.7 ± 80.3-64.9 ± 110.9, depending on the type of combination. The combination psychological aggression, physical assault and sexual coercion had the highest figures compared with the other combinations. The multiple regressions showed that controlling behaviours, own perpetration and co-occurring victimization were more important in “explaining” the experience of IPV than other variables (e.g. abuse as a child. Conclusions In our study

Divorced, separated and widowed female workers in rural Mozambique

NARCIS (Netherlands)

Sender, J.; Oya, C.

2007-01-01

Compared to other rural women, a high proportion of female wageworkers in rural Mozambique are divorced, separated or widowed. The paper explores the factors underlying this difference and establishes a significant relationship between labour market participation and female divorce or widowhood. The

Stock-outs of essential health products in Mozambique-longitudinal analyses from 2011 to 2013

Science.gov (United States)

Wagenaar, Bradley H.; Gimbel, Sarah; Hoek, Roxanne; Pfeiffer, James; Michel, Cathy; Manuel, João Luis; Cuembelo, Fatima; Quembo, Titos; Afonso, Pires; Gloyd, Stephen; Sherr, Kenneth

2015-01-01

objectives To assess the relationship between health system factors and facility-level EHP stock-outs in Mozambique. methods Service provisions were assessed in 26 health facilities and 13 district warehouses in Sofala Province, Mozambique, from July to August in 2011–2013. Generalised estimating equations were used to model factors associated with facility-level availability of essential drugs, supplies and equipment. results Stock-out rates for drugs ranged from 1.3% for oral rehydration solution to 20.5% for Depo-Provera and condoms, with a mean stock-out rate of 9.1%; mean stock-out rates were 15.4% for supplies and 4.1% for equipment. Stock-outs at the district level accounted for 27.1% (29/107) of facility-level drug stock-outs and 44.0% (37/84) of supply stock-outs. Each 10-km increase in the distance from district distribution warehouses was associated with a 31% (CI: 22–42%), 28% (CI: 17–40%) or 27% (CI: 7–50%) increase in rates of drug, supply or equipment stock-outs, respectively. The number of heath facility staff was consistently negatively associated with the occurrence of stock-outs. conclusions Facility-level stock-outs of EHPs in Mozambique are common and appear to disproportionately affect those living far from district capitals and near facilities with few health staff. The majority of facility-level EHP stock-outs in Mozambique occur when stock exists at the district distribution centre. Innovative methods are urgently needed to improve EHP supply chains, requesting and ordering of drugs, facility and district communication, and forecasting of future EHP needs in Mozambique. Increased investments in public-sector human resources for health could potentially decrease the occurrence of EHP stock-outs. PMID:24724617

Acceptability of Cervical Cancer Screening in Rural Mozambique

Science.gov (United States)

Audet, Carolyn M.; Matos, Carla Silva; Blevins, Meridith; Cardoso, Aventina; Moon, Troy D.; Sidat, Mohsin

2012-01-01

In Zambezia province, Mozambique, cervical cancer (CC) screening was introduced to rural communities in 2010. Our study sought to determine whether women would accept screening via pelvic examination and visual inspection with acetic acid (VIA) at two clinical sites near the onset of a new CC screening program. A cross-sectional descriptive study…

Assessing the performance of urban water utilities in Mozambique ...

African Journals Online (AJOL)

Benchmarking analysis has become a strategic tool through which water regulators around the world measure the performance of water utilities. Since 2008, the Water Regulatory Council of Mozambique has been implementing a benchmarking framework to analyse the performance of urban water utilities. This paper ...

Using Michael Young's Analysis on Curriculum Studies to Examine the Effects of Neoliberalism on Curricula in Mozambique

Science.gov (United States)

Zavale, Nelson Casimiro

2013-01-01

In this article, the author seeks to examine the effects of neoliberalism on curricula in Mozambique. Despite the fact that the introduction of neoliberal policies in Mozambique has affected the whole system of education, the focus in this article is only on curriculum reforms in secondary and technical/vocational education. The description and…

Brazilian policies and strategies for rural territorial development in Mozambique: South-South cooperation and the case of ProSAVANA and PAA

OpenAIRE

Clements, Elizabeth Alice [UNESP

2015-01-01

This thesis analyzes Brazil's present role in South-South development cooperation in Africa, focusing on the implementation and impact of Brazilian policies for rural territorial development in Mozambique. Specifically, two different programs for agricultural development-ProSAVANA and PAA Africa-are examined. ProSAVANA is an ongoing trilateral program run by the governments of Brazil, Japan and Mozambique that aims to modernize agriculture in three provinces in Northern Mozambique. PAA Africa...

Mozambique - Beating the Odds : Sustaining Inclusion in a Growing Economy - A Mozambique Poverty, Gender, and Social Assessment, Volume 1. Main Report

OpenAIRE

World Bank

2008-01-01

This assessment, reflecting poverty's many dimensions in Mozambique, combines multiple disciplines and diagnostic tools to explore poverty. It combines quantitative and qualitative approaches to understand trends in poverty and the dynamics that shape them. The objective is to support the development and implementation of proper policies that really work by taking poverty's multiple dimens...

CMS: Mangrove Canopy Height Estimates from Remote Imagery, Zambezi Delta, Mozambique

Data.gov (United States)

National Aeronautics and Space Administration — This data set provides high resolution canopy height estimates for mangrove forests in the Zambezi Delta, Mozambique, Africa. The estimates were derived from three...

Using observed warming to identify hazards to Mozambique maize production

Science.gov (United States)

Funk, Christopher C.; Harrison, Laura; Eilerts, Gary

2011-01-01

New Perspectives on Crop Yield Constraints because of Climate Change. Climate change impact assessments usually focus on changes to precipitation because most global food production is from rainfed cropping systems; however, other aspects of climate change may affect crop growth and potential yields.A recent (2011) study by the University of California, Santa Barbara (UCSB) Climate Hazards Group, determined that climate change may be affecting Mozambique's primary food crop in a usually overlooked, but potentially significant way (Harrison and others, 2011). The study focused on the direct relation between maize crop development and growing season temperature. It determined that warming during the past three decades in Mozambique may be causing more frequent crop stress and yield reductions in that country's maize crop, independent of any changes occurring in rainfall. This report summarizes the findings and conclusions of that study.

Contrasted structuring effects of mesoscale features on the seabird community in the Mozambique Channel

Science.gov (United States)

Jaquemet, S.; Ternon, J. F.; Kaehler, S.; Thiebot, J. B.; Dyer, B.; Bemanaja, E.; Marteau, C.; Le Corre, M.

2014-02-01

The Mozambique Channel (western Indian Ocean) is a dynamic environment characterised by strong mesoscale features, which influence all biological components of the pelagic ecosystem. We investigated the distribution, abundance and feeding behaviour of seabirds in the Mozambique Channel in relation to physical and biological environmental variables, with a specific interest in mesoscale features. Seabird censuses were conducted in summer and winter during 7 cruises in the southern and northern Mozambique Channel. Tropical species accounted for 49% of the 37 species identified and 97% of the individuals, and species from the sub-Antarctic region constituted 30% of the identifications. The typically tropical sooty tern (Onychoprion fuscata) was the dominant species during all cruises, and overall accounted for 74% of the species observations and 85% of counted birds. Outputs of Generalised Linear Models at the scale of the Mozambique Channel suggested that higher densities of flying and feeding birds occurred in areas with lower sea surface temperatures and lower surface chlorophyll a concentrations. Most of the flocks of feeding birds did not associate with surface schools of fish or marine mammals, but when they did, these flocks were larger, especially when associated with tuna. While tropical species seemed to favour cyclonic eddies, frontal and divergence zones, non-tropical species were more frequently recorded over shelf waters. Sooty terns foraged preferentially in cyclonic eddies where zooplankton, micronekton and tuna schools were abundant. Among other major tropical species, frigatebirds (Fregata spp.) predominated in frontal zones between eddies, where tuna schools also frequently occurred and where geostrophic currents were the strongest. Red-footed boobies (Sula sula) concentrated in divergence zones characterised by low sea level anomalies, low geostrophic currents, and high zooplankton biomass close to the surface. Our results highlight the importance

Community Forestry Incentives and Challenges in Mozambique

Directory of Open Access Journals (Sweden)

Almeida A. Sitoe

2015-12-01

Full Text Available Although communities have been living within forests and dependent on forest resources, in Mozambique, their role was not formally recognized until the late 1990s. The forest law of 1997 was the first to refer to communities as stakeholders in the forest sector, in line with the national Policy and Strategy for the Development of the Forestry and Wildlife Sector. As a new element, several pilot projects were established during the late 1990s and early 2000s to produce lessons that would inform policy and technical aspects. Community forestry received most of the attention until the first decade of this century, however, it seems that while communities have gained a role in the management of the forest sector, there are still challenges to fully implementing and securing community forestry initiatives. In this study, we document the advent and evolution of community forestry in Mozambique, discuss the conditions for success in community forestry, and discuss two cases of community forestry that have survived over beyond the end of external support. We conclude that devolution and training are the basic incentives, but additional incentives, including diversification of sources of revenue from non-destructive forestry activities, are required to maintain the stability of community forestry over time.

Rural electrification in an imperfect world: A case study from Mozambique

International Nuclear Information System (INIS)

Mulder, Peter; Tembe, Jonas

2008-01-01

Electricity is universally recognized as a necessary, although not sufficient, requirement for social and economic development. However, increasing access to electricity in developing countries has proven to be difficult and expensive, particularly in rural areas. In this article, we analyze the dynamics of the relationship between electricity and socio-economic development by means of a cost-benefit analysis of a typical rural electrification project in Mozambique, assessing the impact of electricity on households, education, agro-business, commerce, and the public sector. We show that rural electrification can be commercially viable and cause structural transformation in rural areas within a short period of time. Finally, illustrated by the actual policy practice in Mozambique, we argue that low institutional quality is a key barrier to promote increased access to electricity for the poor

Transfusion practice and knowledge in Mozambique

Science.gov (United States)

Hartford, Emily; Muanantatha, Olegario; Valigy, Valigy Ismael; Salimo, Sara; Ziman, Alyssa; DeUgarte, Daniel A.

2016-01-01

BACKGROUND In Mozambique, there is a limited supply of blood and elevated risks for transmission of infections. Prior studies have documented that many transfusions in Mozambique are potentially avoidable. Transfusion training workshops with a survey and exam were held for providers to understand their perceptions and to improve knowledge and clinical practice. STUDY DESIGN AND METHODS Health care providers completed a survey and a knowledge assessment. The Wilcoxon signed rank test was utilized to compare the relative importance of each factor in the survey, and pre- and posttraining exam scores were compared using Fisher’s exact test. RESULTS A total of 216 health care providers participated; the majority worked in a referral hospital (74%) and reported transfusing blood at least once per week (56%). Most acknowledged the limited blood supply and transfusion risks. Providers rated low hemoglobin (Hb) levels and pallor as significantly important indications for transfusion (p transfuse with age under 5 years when compared to other ages (p transfusion practice were increased reliability of the blood supply, education about transfusion indications, and assessment of perfusion. Before training, the majority of participants identified an incorrect Hb threshold for preoperative or critically ill patients. Overall exam scores improved from a mean of 58% to 74% (p blood transfusions. Preoperative patients, the critically ill, and children appear to be at highest risk for receiving an avoidable blood transfusion. These results will help guide planning for future provider training. PMID:25648912

In the Making: Constructing In-School Pregnancy in Mozambique

Science.gov (United States)

Salvi, Francesca

2018-01-01

This article examines current in-school pregnancy policy in Mozambique, Decree 39/GM/2003, discussing how it discursively constructs in-school pregnancy as a problem, thereby raising the need to regulate its occurrence. Decree 39/GM/2003 indicates that pregnant schoolgirls should be transferred to night courses in order to complete their…

Mozambique's journey toward accreditation of the National Tuberculosis Reference Laboratory.

Science.gov (United States)

Viegas, Sofia O; Azam, Khalide; Madeira, Carla; Aguiar, Carmen; Dolores, Carolina; Mandlaze, Ana P; Chongo, Patrina; Masamha, Jessina; Cirillo, Daniela M; Jani, Ilesh V; Gudo, Eduardo S

2017-01-01

Internationally-accredited laboratories are recognised for their superior test reliability, operational performance, quality management and competence. In a bid to meet international quality standards, the Mozambique National Institute of Health enrolled the National Tuberculosis Reference Laboratory (NTRL) in a continuous quality improvement process towards ISO 15189 accreditation. Here, we describe the road map taken by the NTRL to achieve international accreditation. The NTRL adopted the Strengthening Laboratory Management Toward Accreditation (SLMTA) programme as a strategy to implement a quality management system. After SLMTA, the Mozambique National Institute of Health committed to accelerate the NTRL's process toward accreditation. An action plan was designed to streamline the process. Quality indicators were defined to benchmark progress. Staff were trained to improve performance. Mentorship from an experienced assessor was provided. Fulfilment of accreditation standards was assessed by the Portuguese Accreditation Board. Of the eight laboratories participating in SLMTA, the NTRL was the best-performing laboratory, achieving a 53.6% improvement over the SLMTA baseline conducted in February 2011 to the Stepwise Laboratory Quality Improvement Process Towards Accreditation (SLIPTA) assessment in June 2013. During the accreditation assessment in September 2014, 25 minor nonconformities were identified and addressed. In March 2015, the NTRL received Portuguese Accreditation Board recognition of technical competency for fluorescence smear microscopy, and solid and liquid culture. The NTRL is the first laboratory in Mozambique to achieve ISO 15189 accreditation. From our experience, accreditation was made possible by institutional commitment, strong laboratory leadership, staff motivation, adequate infrastructure and a comprehensive action plan.

Primary factors threatening survival of SMEs in Mozambique | Alen ...

African Journals Online (AJOL)

... of business start-ups to address the scourge of unemployment in Mozambique. This paper is based on a research that was carried out in Greater Maputo, the capital of ... The research was carried out applying quantitative methodology, using ... By Country · List All Titles · Free To Read Titles This Journal is Open Access.

Pre-feasibility analysis of a project for a rational refrigeration of shrimp at Mozambique

International Nuclear Information System (INIS)

Ventura Mondlane, Mario; José Antonio Echeverría.La Habana (Cuba))" data-affiliation=" (Grupo Combustibles alternativos. UTH José Antonio Echeverría.La Habana (Cuba))" >Rodríguez Ramos, Pedro A.; José Antonio Echeverría.La Habana (Cuba))" data-affiliation=" (CETER. UTH José Antonio Echeverría.La Habana (Cuba))" >Ferras Valcárce, Antonio

2017-01-01

The aim of this work is to analyze the economic feasibility of a project for increasing shrimp refrigerated installation efficiency in Mozambique. The following contents are presented: determination of the volume of shrimp to be refrigerate from the annual capture in the main fishing industries at Mozambique; determination of the design conditions of the refrigeration rooms in order to find the proper temperature conditions and relative humidity for shrimp conservation; estimation of thermal load of the refrigeration plant based on three chambers of equal volume and with different conservation temperatures. Finally, a pre-feasibility analysis of the project is assessed. (author)

Dengue Virus Serotype 2 Established in Northern Mozambique (2015-2016).

Science.gov (United States)

Oludele, John; Lesko, Birgitta; Mahumane Gundane, Isabel; de Bruycker-Nogueira, Fernanda; Muianga, Argentina; Ali, Sadia; Mula, Flora; Chelene, Imelda; Falk, Kerstin I; Barreto Dos Santos, Flávia; Gudo, Eduardo Samo

2017-11-01

After the report of an outbreak of dengue virus serotype 2 in 2014 in Nampula and Pemba cities, northern Mozambique, a surveillance system was established by the National Institute of Health. A study was performed during 2015-2016 to monitor the trend of the outbreak and confirm the circulating serotype of dengue virus (DENV). After the inclusion of consenting patients who met the case definition, samples from 192 patients were tested for the presence of nonstructural protein 1 antigen, and 60/192 (31%) samples were positive. Further analysis included DENV IgM antibodies, with 39 (20%) IgM positive cases. Reverse transcriptase (RT) PCR was performed for identification of the prevailing DENV serotype; 21/23 tested samples were DENV-2 positive, with DENV-2 present in both affected cities. When sequencing DENV, phenotype Cosmopolitan was identified. The surveillance indicates ongoing spread of DENV-2 in northern Mozambique 2 years after the first report of the outbreak.

Islam, secularist government, and state-civil society interaction in Mozambique and South Africa since 1994

DEFF Research Database (Denmark)

Kaarsholm, Preben

2015-01-01

This article explores state–civil society interactions in Mozambique and South Africa with a focus on Islamic groupings, and places the two countries within an Indian Ocean coastal continuum of links to East Africa, India, and the Arab world. Contrasting the histories of dominant-party rule since...... the transitions in 1994 to multiparty-ism in Mozambique and to democracy in South Africa, the article discusses the development of Islamic organisations including both transnational Sufi orders and modernist reform movements as important components in local civil societies. The article contrasts the spaces...

Jatropha Developments in Mozambique: Analysis of Structural Conditions Influencing Niche-Regime Interactions

Directory of Open Access Journals (Sweden)

Maja Slingerland

2014-10-01

Full Text Available This article investigates the transition dynamics related to Jatropha developments in Mozambique. The analysis focuses on how structural conditions (infrastructure, institutions, interaction and collaboration and capabilities and resources enable or constrain interactions between niche-level Jatropha experiments and incumbent energy, agriculture and rural development regimes in Mozambique. Investors in agro-industrial Jatropha projects focused on establishing projects in areas with relatively good infrastructure, rather than in remote rural areas. Furthermore, they predominantly focused on Jatropha production instead of investing in the entire Jatropha value chain, which turned out to be a challenge in itself, as growing a productive Jatropha crop was much more complex than initially anticipated. The development of institutions that could nurture and protect Jatropha projects from the prevailing regimes lagged behind Jatropha project establishment, leading to an insecure investment climate. Strong inter-ministerial collaboration and organized civil society interaction and representation contrasted with non-organized private sector and rather isolated smallholder Jatropha projects. The global financial crisis and limited adaptive capacity reduced the time and space for experimentation and learning to overcome disappointing crop performance. Together, this hampered Jatropha’s potential to challenge the energy, agricultural and rural development regimes. Nevertheless, the Jatropha experience did initiate the development of policy and regulation and stimulated interaction and collaboration between specific groups of stakeholders, which could provide the basis to capture future biofuel momentum in Mozambique.

System redesign of the immunization supply chain: Experiences from Benin and Mozambique.

Science.gov (United States)

Prosser, Wendy; Jaillard, Philippe; Assy, Emmanuelle; Brown, Shawn T; Matsinhe, Graça; Dekoun, Mawutondji; Lee, Bruce Y

2017-04-19

Evidence suggests that immunization supply chains are becoming outdated and unable to deliver needed vaccines due to growing populations and new vaccine introductions. Redesigning a supply chain could result in meeting current demands. The Ministries of Health in Benin in Mozambique recognized known barriers to the immunization supply chain and undertook a system redesign to address those barriers. Changes were made to introduce an informed push system while consolidating storage points, introducing transport loops, and increasing human resource capacity for distribution. Evaluations were completed in each country. Evaluation in each country indicated improved performance of the supply chain. The Effective Vaccine Management (EVM) assessment in Benin documented notable improvements in the distribution criteria of the tool, increasing from 40% to 100% at the district level. In Mozambique, results showed reduced stockouts at health facility level from 79% at baseline to less than 1% at endline. Coverage rates of DTP3 also increased from 68.9% to 92.8%. Benin and Mozambique are undertaking system redesign in order to respond to constraints identified in the vaccine supply chain. Results and learnings show improvements in supply chain performance and make a strong case for system redesign. These countries demonstrate the feasibility of system redesign for other countries considering how to address outdated supply chains. Copyright © 2017 The Author(s). Published by Elsevier Ltd.. All rights reserved.

The upsurge of tension between Renamo and Frelimo in Mozambique

African Journals Online (AJOL)

Happy Kayuni. Abstract. Soon after independence in 1975, Mozambique was plunged into a protracted civil war involving the ruling party Frelimo and the rebel movement Renamo. Renamo controlled several areas until when a ceasefire was reached in October 1992. After the restoration of peace in the country Renamo ...

Emerging challenges to long-term peace and security in Mozambique

NARCIS (Netherlands)

Adedokun, Ayokunu

2017-01-01

Mozambique's transition from civil war to peace is often considered among the most successful implementations of a peace agreement in the post-Cold War era. Following the signing of the 1992 Rome General Peace Accords (GPA), the country has not experienced any large-scale recurrence of war. Instead,

The use of the Arabic script in northern Mozambique | Bonate ...

African Journals Online (AJOL)

Northern Mozambican Muslim population has been using the Arabic script for writing in KiSwahili and local African languages for centuries. Even today, many people continue using this script in private correspondence. Despite the abundance of the documents in this script that are housed at the Mozambique Historical ...

Marketing margins and agricultural technology in Mozambique

DEFF Research Database (Denmark)

Arndt, Channing; Jensen, Henning Tarp; Robinson, Sherman

2000-01-01

of improved agricultural technology and lower marketing margins yield welfare gains across the economy. In addition, a combined scenario reveals significant synergy effects, as gains exceed the sum of gains from the individual scenarios. Relative welfare improvements are higher for poor rural households......Improvements in agricultural productivity and reductions in marketing costs in Mozambique are analysed using a computable general equilibrium (CGE) model. The model incorporates detailed marketing margins and separates household demand for marketed and home-produced goods. Individual simulations...

Increase in cases of malaria in Mozambique, 2014: epidemic or new endemic pattern?

Science.gov (United States)

Arroz, Jorge Alexandre Harrison

2016-01-01

To describe the increase in cases of malaria in Mozambique. Cross-sectional study conducted in 2014, in Mozambique with national weekly epidemiological bulletin data. I analyzed the number of recorded cases in the 2009-2013 period, which led to the creation of an endemic channel using the quartile and C-Sum methods. Monthly incidence rates were calculated for the first half of 2014, making it possible to determine the pattern of endemicity. Months in which the incidence rates exceeded the third quartile or line C-sum were declared as epidemic months. The provinces of Nampula, Zambezia, Sofala, and Inhambane accounted for 52.7% of all cases in the first half of 2014. Also during this period, the provinces of Nampula, Sofala and Tete were responsible for 54.9% of the deaths from malaria. The incidence rates of malaria in children, and in all ages, have showed patterns in the epidemic zone. For all ages, the incidence rate has peaked in April (2,573 cases/100,000 inhabitants). The results suggest the occurrence of an epidemic pattern of malaria in the first half of 2014 in Mozambique. It is strategic to have a more accurate surveillance at all levels (central, provincial and district) to target prevention and control interventions in a timely manner.

CMS: Mangrove Canopy Height from High-resolution Stereo Image Pairs, Mozambique, 2012

Data.gov (United States)

National Aeronautics and Space Administration — This data set provides canopy height estimates for mangrove forests at 0.6 x 0.6 m resolution in three study sites located in southeastern Mozambique, Africa: two...

Polymorphisms in Plasmodium falciparum K13-propeller in Angola and Mozambique after the introduction of the ACTs.

Science.gov (United States)

Escobar, Carlos; Pateira, Sara; Lobo, Elsa; Lobo, Lis; Teodosio, Rosa; Dias, Fernanda; Fernandes, Natercia; Arez, Ana Paula; Varandas, Luis; Nogueira, Fatima

2015-01-01

We report the presence of SNPs in Plasmodium falciparum K13-propeller gene in two African countries, Angola and Mozambique, where malaria is a serious public health problem. Samples were collected before and after ACT introduction as first-line treatment. In each country 50 samples collected before and 50 after ACT introduction were analysed. A total of three different mutations (R471R and R575R in Angola and V494I in Mozambique) were identified in five samples, all collected after the introduction of ACT. The R471R mutation detected in Angola has already been reported in Africa (DR-Congo and Gabon). However, the mutations R575R (Angola) and V494I (Mozambique), have never been reported. V494I is adjacent to the known K13 resistance-associated mutation Y493H, although functional analysis did not predict a deleterious effect on protein function.

Elderly women in Mozambique: with the word, Teresinha da Silva

Directory of Open Access Journals (Sweden)

Divina de Fátima dos Santos

2012-09-01

Full Text Available In this interview Teresinha da Silva reflects on her practice and professional activities related to human rights issues and on the elderly in Mozambique. It also discusses a bit about his life and about the need for greater respect between human beings regardless of age, gender, ethnicity and religion.

Discovery of Novel Viruses in Mosquitoes from the Zambezi Valley of Mozambique.

Directory of Open Access Journals (Sweden)

Harindranath Cholleti

Full Text Available Mosquitoes carry a wide variety of viruses that can cause vector-borne infectious diseases and affect both human and veterinary public health. Although Mozambique can be considered a hot spot for emerging infectious diseases due to factors such as a rich vector population and a close vector/human/wildlife interface, the viral flora in mosquitoes have not previously been investigated. In this study, viral metagenomics was employed to analyze the viral communities in Culex and Mansonia mosquitoes in the Zambezia province of Mozambique. Among the 1.7 and 2.6 million sequences produced from the Culex and Mansonia samples, respectively, 3269 and 983 reads were classified as viral sequences. Viruses belonging to the Flaviviridae, Rhabdoviridae and Iflaviridae families were detected, and different unclassified single- and double-stranded RNA viruses were also identified. A near complete genome of a flavivirus, tentatively named Cuacua virus, was obtained from the Mansonia mosquitoes. Phylogenetic analysis of this flavivirus, using the NS5 amino acid sequence, showed that it grouped with 'insect-specific' viruses and was most closely related to Nakiwogo virus previously identified in Uganda. Both mosquito genera had viral sequences related to Rhabdoviruses, and these were most closely related to Culex tritaeniorhynchus rhabdovirus (CTRV. The results from this study suggest that several viruses specific for insects belonging to, for example, the Flaviviridae and Rhabdoviridae families, as well as a number of unclassified RNA viruses, are present in mosquitoes in Mozambique.

Factors affecting the academic performance of optometry students in Mozambique.

Science.gov (United States)

Shah, Kajal; Naidoo, Kovin; Bilotto, Luigi; Loughman, James

2015-06-01

The Mozambique Eyecare Project is a higher education partnership for the development, implementation, and evaluation of a model of optometry training at UniLúrio in Mozambique. There are many composite elements to the development of sustainable eye health structures, and appropriate education for eye health workers remains a key determinant of successful eye care development. However, from the first intake of 16 students, only 9 students graduated from the program, whereas only 6 graduated from the second intake of 24 students. This low graduation rate is attributable to a combination of substandard academic performance and student dropout. The aim of this article was to identify factors affecting the academic performance of optometry students in Mozambique. Nine lecturers (the entire faculty) and 15 students (9 from the first intake and 6 from the second) were recruited to the study. Clinical competency assessments were carried out on the students, semistructured individual interviews were conducted with the course lecturers, and a course evaluation questionnaire was completed by students. The results were combined to understand the complexities surrounding the optometry student training and performance. One student out of nine from the first intake and three students out of six from the second were graded as competent in all the elements of the refraction clinical competency examination. Analysis of data from the interviews and questionnaire yielded four dominant themes that were viewed as important determinants of student refraction competencies: student learning context, teaching context, clinic conditions and assessment, and the existing operating health care context. The evaluations have helped the university and course partners to better structure the teaching and adapt the learning environments by recommending a preparatory year and a review of the curriculum and clinic structure, implementing more transparent entry requirements, increasing awareness of

HBV infection in untreated HIV-infected adults in Maputo, Mozambique.

Directory of Open Access Journals (Sweden)

Lúcia Mabalane Chambal

Full Text Available HIV/ HBV coinfected patients are at high risk of developing chronic HBV infection, liver cirrhosis and hepatocellular carcinoma. In Mozambique, where HIV prevalence is one of the highest in the world, HIV-infected patients are scarcely characterized in terms of HBV coinfection and 3TC-resistance mutations profile.To characterize ART-naïve HIV-infected adults, with and without HBV coinfection, a cross-sectional study was conducted between May and November 2012 in two health centers from Maputo city, Mozambique. Subjects were consecutively enrolled in the study and, then, tested for hepatitis B surface antigen (HBsAg. Moreover, CD4+ T cells count, HBV DNA in plasma, HBV genotyping and 3TC-resistance mutations profile of HBV were assessed in HIV/HBV coinfected patients.In total, 518 patients were enrolled in the study. The median age was 33 years old and 66.8% were women. The median CD4+ T cells count was 361 cells/mm3 and 47 (9.1% were coinfected with HBV. Out of 46 coinfected patients, 24 (55.2% had HBV DNA ≥ 20 - 2.0 was reported in 4.3% of coinfected and 1.7% of monoinfected patients (p = 0.228, while FIB-4 > 3.25 was reported in 4.4% of coinfected and 1.3% of monoinfected patients (p = 0.112. Genotype A was the most frequent, identified in 25/27 (92.6% patients, whereas genotype E was present in 2/27 (7.4% patients. No patient had 3TC-resistance mutations.This study showed that HBV coinfection was prevalent among ART-naïve HIV-infected adults in Mozambique. Overall, these data highlight the importance of screening HBV coinfection as an integrated measure of HIV routine care to improve health conditions and treatment of HIV/HBV coinfected patients.

Religious Belonging, Religious Agency, and Women’s Autonomy in Mozambique

Science.gov (United States)

Agadjanian, Victor; Yabiku, Scott T.

2016-01-01

Women’s autonomy has frequently been linked with women’s opportunities and investments, such as education, employment, and reproductive control. The association between women’s autonomy and religion in the developing world, however, has received less attention, and the few existing studies make comparisons across major religious traditions. In this study, we focus on variations in levels of female decision-making autonomy within a single religious tradition—Christianity. Using unique survey data from a predominantly Christian area in Mozambique, we devise an autonomy scale and apply it to compare women affiliated to different Christian denominations as well as unaffiliated women. In addition to affiliation, we examine the relationship between autonomy and women’s religious agency both within and outside their churches. Multivariate analyses show that women belonging to more liberal religious traditions (such as Catholicism and mainline Protestantism) and tend to have higher autonomy levels, regardless of other factors. These results are situated within the cross-national scholarship on religion and women’s empowerment and are interpreted in the context of gendered religious dynamics in Mozambique and similar developing settings. PMID:26973353

Child Height and Maternal Health Care Knowledge in Mozambique

DEFF Research Database (Denmark)

Van Den Broeck, Katleen

Stunting prevalence rates in Mozambique are very high (41 percent), especially in rural areas (46 percent). Recent research shows that consumption growth alone will not be sufficient to solve the problem of malnutrition. To investigate the role of additional determinants I use a two-stage quantil...... of education and community health care facilities in rural areas and positively affect the height of the most severely stunted children...

Diet and distribution of elephant in the Maputo Elephant Reserve, Mozambique

NARCIS (Netherlands)

de Boer, WF; Ntumi, CP; Correia, AU; Mafuca, JM

The distribution and diet of the elephants of the Maputo Elephant Reserve were studied using dung counts, satellite tracking and faecal analysis. The results were compared with earlier data from before the civil war in Mozambique. The elephant population decreased during the civil war, but 180

Business plan Production of potato crisps and chips Zambezi Valley, Mozambique

NARCIS (Netherlands)

Haverkort, A.J.; Saavedra Gonzalez, Y.R.

2015-01-01

This business plan has been prepared for local entrepreneurs who would like to expand/start their business portfolio and are looking for an opportunity of investment in the agricultural sector in the Zambezi Valley in Mozambique. We propose the creation of two small-scale processing industries (can

Priests, technicians and traders: actors, interests and discursive politics in Brazil’s agricultural development cooperation programmes with Mozambique

OpenAIRE

Cabral, Lídia Vilela

2016-01-01

This research is about Brazil’s international development cooperation in agriculture. I take two cooperation programmes carried out by the Brazilian government in Mozambique – ProSAVANA and More Food International (MFI) – to analyse the processes whereby cooperation policy is formed and transformed. I ask how Brazil’s domestic politics interact with international affairs to shape agricultural cooperation with Mozambique. I consider the ‘priests, technicians and traders’ of Brazilian cooperati...

Floods, resettlement and land access and use in the lower Zambezi, Mozambique

NARCIS (Netherlands)

Artur, L.; Hilhorst, D.

2014-01-01

Planned resettlement is increasingly legitimated on account of disasters and vulnerability to climate change. This article looks at resettlement following the 2007 floods in the delta Zambezi in Mozambique. The flooding displaced about 56,000 households, which the government intended to permanently

Implementing the Strategy for financial reform of higher education in Mozambique (EFES)

NARCIS (Netherlands)

Fonteyne, Bart; Jongbloed, B.W.A.

2018-01-01

This report describes the results of more than fifteen years of cooperation between the Government of Mozambique, the Government of the Netherlands, the Mozambican higher education institutions and the relevant stakeholders in designing and implementing reforms in the financing of higher education

Cloud Formation, Sea-Air-Land Interaction, Mozambique, Africa

Science.gov (United States)

1991-01-01

This rare depiction of the physical interactions of air land and sea in cloud formation was seen over Mozambique (12.0S, 40.5E). Moist low air, heated as it moves over land, rises and forms clouds. Even the coastal islands have enough heat to initiate the process. Once begun, the circulation is dynamic and the descending motion suppresses cloud formation on either side of the cloud stream. As clouds move inland, they rise to follow the land upslope.

Re-designing the Mozambique vaccine supply chain to improve access to vaccines.

Science.gov (United States)

Lee, Bruce Y; Haidari, Leila A; Prosser, Wendy; Connor, Diana L; Bechtel, Ruth; Dipuve, Amelia; Kassim, Hidayat; Khanlawia, Balbina; Brown, Shawn T

2016-09-22

Populations and routine childhood vaccine regimens have changed substantially since supply chains were designed in the 1980s, and introducing new vaccines during the "Decade of Vaccine" may exacerbate existing bottlenecks, further inhibiting the flow of all vaccines. Working with the Mozambique Ministry of Health, our team implemented a new process that integrated HERMES computational simulation modeling and on-the-ground implementers to evaluate and improve the Mozambique vaccine supply chain using a system-re-design that integrated new supply chain structures, information technology, equipment, personnel, and policies. The alternative system design raised vaccine availability (from 66% to 93% in Gaza; from 76% to 84% in Cabo Delgado) and reduced the logistics cost per dose administered (from $0.53 to $0.32 in Gaza; from $0.38 to $0.24 in Cabo Delgado) as compared to the multi-tiered system under the current EPI. The alternative system also produced higher availability at lower costs after new vaccine introductions. Since reviewing scenarios modeling deliveries every two months in the north of Gaza, the provincial directorate has decided to pilot this approach diverging from decades of policies dictating monthly deliveries. Re-design improved not only supply chain efficacy but also efficiency, important since resources to deliver vaccines are limited. The Mozambique experience and process can serve as a model for other countries during the Decade of Vaccines. For the Decade of Vaccines, getting vaccines at affordable prices to the market is not enough. Vaccines must reach the population to be successful. Copyright © 2016. Published by Elsevier Ltd.

Comparative analysis of tomato value chain competitiveness in selected areas of Malawi and Mozambique

Directory of Open Access Journals (Sweden)

Nelson Mango

2015-12-01

Full Text Available This paper discusses tomato value chain performance in Malawi and Mozambique using data collected from a market study commissioned by the International Centre for Tropical Agriculture as part of a regional research on conservation agriculture in maize-based farming systems in Sub-Saharan Africa. The results show that Malawi has a slightly higher competitive advantage in the production of tomato compared to Mozambique. Malawi’s relative competitiveness in tomato is mainly due to slightly higher productivity and the cost advantage in labor (low wages and irrigation costs. The paper proposes policy implications aimed at raising the productivity and trade competitiveness of tomato, as this will ensure the overall productivity of the maize-based smallholder farming systems in the two countries.

Advancing nursing scholarship: the Mozambique model.

Science.gov (United States)

Bruce, Judith C; Dippenaar, Joan; Schmollgruber, Shelley; Mphuthi, David D; Huiskamp, Agnes

2017-01-01

Despite the importance of Human Resources for Health for the development and functioning of health systems worldwide, many countries continue to be plagued by poor health systems and a lack of adequate health care. Health systems failures may be attributed to both quantitative and qualitative nursing shortages including the lack of advanced skills to lead health initiatives, to conduct research and to educate other nurses. The response by development partners is usually framed around the production of skilled nurses through the processes of up-skilling and scaling-up. The outcome is expanded practice but with scant attention to the professional advancement of nurses. In this paper we present a two-phased capacity development model that adopted professionalization strategies to advance nursing scholarship and consequent postgraduate specialization of the first cohort of nurses in Mozambique. The main objectives were to: develop and implement a clinical course work master's degree in nursing; and ensure sustainability by capacitating the host institution to continue with the master's programme following graduation. Rigorous processes for project discussions, negotiations and monitoring were necessary amid limited resources and a challenging political climate. Forging in-country partnerships, sustaining alliances and government investment are thus key to the success of the Mozambique model. Notwithstanding some difficulties, the process unfolded over a five-year period, graduating the first cohort of 11 senior nurses with a master's degree, specializing either in critical care and trauma nursing, or maternal and neonatal health. Bridging the skills gap between generalist and specialist nurses is essential for them to manage complex and high acuity cases and to reverse associated morbidity and mortality. We conclude that this model serves as a professionalization strategy to advance nurses' scholarship of clinical practice, research and teaching.

Biofuel developments in Mozambique. Update and analysis of policy, potential and reality

NARCIS (Netherlands)

Schut, M.; Slingerland, M.A.; Locke, A.

2010-01-01

Climate change, rising oil prices and concerns about future energy supplies have contributed to a growing interest in using biomass for energy purposes. Several studies have highlighted the biophysical potential of biofuel production on the African continent, and analysts see Mozambique as one of

Evaluation of Satellite Rainfall Estimates for Drought and Flood Monitoring in Mozambique

NARCIS (Netherlands)

Tote, C.; Patricio, D.; Boogaard, H.L.; Wijngaart, van der R.; Tarnavsky, E.; Funk, C.

2015-01-01

Satellite derived rainfall products are useful for drought and flood early warning and overcome the problem of sparse, unevenly distributed and erratic rain gauge observations, provided their accuracy is well known. Mozambique is highly vulnerable to extreme weather events such as major droughts and

Effects of the 2000 southern Mozambique floods on a marginal coral ...

African Journals Online (AJOL)

In early 2000 the southern part of Mozambique suffered the worst flooding in 50 years, causing fatalities and considerable material loss. This study aimed to investigate the impact of this flood on the coral communities in Xai-Xai lagoon. Benthic cover was assessed in January 2000 (before the floods) and September 2000 ...

Promoting Distance Education in Higher Education in Cape Verde and Mozambique

Science.gov (United States)

Ramos, Fernando; Taju, Gulamo; Canuto, Louisette

2011-01-01

Over the past six years, the authors have been project leaders for three distance education initiatives in Cape Verde and Mozambique: (1) a blended learning master's degree in multimedia in education for faculty in Cape Verdean public higher education institutions (2005-2008); (2) a teacher training programme for 1375 elementary teachers provided…

 Trade reform and gender in Mozambique

DEFF Research Database (Denmark)

Arndt, Channing; Robinson, Sherman; Tarp, Finn

2006-01-01

treatment of production technology and import protection, and is linked to a top-down microsimulation model of households. We find that trade policy has only a modest effect on gender wage differentials, and conclude that policy concerns with gender imbalances should focus on skill upgrading and sectoral......This paper uses an economywide model to study the impact of trade policy reform on male and female labor in Mozambique. The model disaggregates factor markets by skill and gender, and incorporates links between trade reform, product prices and wages by gender. The model also includes a detailed...... mobility rather than on trade policy...

Valuable Subversions: Gendered Generativity and Sorcerous Production in Central Mozambique

Directory of Open Access Journals (Sweden)

Bjørn Enge Bertelsen

2016-11-01

Full Text Available How is one to analyze the existence of a subterranean dwarfish couple (zwidoma occupying the space underneath cooking places and whose central purpose is to reinforce a market woman's sales - but simultaneously feeding off her very body? Using urban and rural ethnographic material from central Mozambique, where such assemblages comprising the zwidoma and a woman are integral to economic life and social orders, this article contextualizes such constellations - effectively interferences within various domains of value - by undertaking an analysis of gendered modalities of generativity. Further, by meditating on various understandings of cosmology and, ultimately, the dynamics constituting the realms of the real, it presents an alternative to influential analyses of capitalism, such as the notion of "occult economies." An argument is made not only for value's dynamic and changeable nature but also for the necessity to appreciate instances of its subversion with destructive effects. The article underlines, therefore, how such subversions of value, in various forms, is in line with Tsing's (2015 general argument that critical explorations of capitalism and regimes of valuation and production are best undertaken in peri-capitalist zones- such as urban and rural Mozambique.

Poverty Mapping Based on First-Order Dominance with an Example from Mozambique

DEFF Research Database (Denmark)

Arndt, Channing; Hussain, Azhar; Salvucci, Vincenzo

2016-01-01

for welfare distributions in both levels and trends. An application to Mozambique highlights the value of the approach, including its advantages in the monitoring and evaluation of public expenditures. We conclude that the FOD approach to poverty mapping constitutes a useful addition to the toolkit of policy...

Human rights and access to AIDS treatment in Mozambique | Høg ...

African Journals Online (AJOL)

This article explores key issues related to the agitation for human rights in Mozambique and its weak performance power. I define human rights in the context of HIV/AIDS as well as rights-based approaches to development and health. Based on fieldwork, I describe and analyse how human rights are received and applied in ...

CMS: LiDAR Data for Mangrove Forests in the Zambezi River Delta, Mozambique, 2014

Data.gov (United States)

National Aeronautics and Space Administration — This data set provides high-resolution LiDAR point cloud data collected during surveys over mangrove forests in the Zambezi River Delta in Mozambique in May 2014....

Wages in the food chain in Mozambique: WageIndicator survey 2013

NARCIS (Netherlands)

Tijdens, K.; Besamusca, J.

2013-01-01

This WageIndicator Data Report presents the results of the face-to-face WageIndicator survey of the labour force, conducted between the 27th of May and the 1st of June 2013 in all provinces of Mozambique. In total 1,679 persons were interviewed; 53% were men, 47% women and 43% were under 30 years

Career exploration in Mozambique : exploratory study with secondary students

OpenAIRE

Ussene, Camilo; Taveira, Maria do Céu

2009-01-01

This article is part of a larger research project on the evaluation of career intervention needs in Mozambique. It consists of an exploratory study of the career exploration process of Mozambican students attending the 12th grade. The results of the construct validity and clustering analyses of the responses to the Career Exploration Survey (CES; Stumpf, Colarelli, & Hartman, 1983) are discussed, in the light of the career exploration theory and empirical research, namely the cognitive-motiva...

Regional Differences in Food Consumption in Urban Mozambique

DEFF Research Database (Denmark)

Barslund, Mikkel Christoffer

A nationwide household survey for Mozambique is used to estimate a large censored food demand system with 12 food groups for the sample of urban households. Using the translog indirect utility approach, the censored nature of the data is addressed by estimating a system of Tobit equations...... with a recently suggested quasi maximum likelihood estimator. Augmenting the system with demographic and geographical variables in a theoretically consistent way, I find that differences in elasticities between regions are significant. The results show that regional variation has to be taken into account when...

Assessment of the social burden of Taenia solium Cysticercosis in Angonia District, Mozambique

DEFF Research Database (Denmark)

Trevisan, Chiara; Praet, Nicolas; Pondja, Alberto

Introduction: Taenia solium cysticercosis is a zoonosis of both public health and agricultural importance in many lowincome countries. This study aimed at estimating the societal burden of T. solium cysticercosis in Angonia district, Mozambique, an area highly endemic for the disease. Materials...

Social Reproduction in Non-Formal Adult Education: The Case of Rural Mozambique

Science.gov (United States)

Straubhaar, Rolf

2014-01-01

Using fieldnotes from the non-formal adult education classes run by a non-profit international education with ground operations in rural Mozambique, this article documents how the comments made by class facilitators and class participants in those classes reflect inherent power inequalities between non-profit staff and local participants. These…

Effects of temperature changes on maize production in Mozambique

Science.gov (United States)

Harrison, L.; Michaelsen, J.; Funk, Chris; Husak, G.

2011-01-01

We examined intraseasonal changes in maize phenology and heat stress exposure over the 1979-2008 period, using Mozambique meteorological station data and maize growth requirements in a growing degree-day model. Identifying historical effects of warming on maize growth is particularly important in Mozambique because national food security is highly dependent on domestic food production, most of which is grown in already warm to hot environments. Warming temperatures speed plant development, shortening the length of growth periods necessary for optimum plant and grain size. This faster phenological development also alters the timing of maximum plant water demand. In hot growing environments, temperature increases during maize pollination threaten to make midseason crop failure the norm. In addition to creating a harsher thermal environment, we find that early season temperature increases have caused the maize reproductive period to start earlier, increasing the risk of heat and water stress. Declines in time to maize maturation suggest that, independent of effects to water availability, yield potential is becoming increasingly limited by warming itself. Regional variations in effects are a function of the timing and magnitude of temperature increases and growing season characteristics. Continuation of current climatic trends could induce substantial yield losses in some locations. Farmers could avoid some losses through simple changes to planting dates and maize varietal types.

Crony capitalism in Mozambique : evidence from networks of politicians and businessmen

OpenAIRE

Chivangue, Andes

2015-01-01

This paper discusses crony capitalism in Mozambique, by analysing the social networks that exist among political and economic players, using the SNA – Social Networks Analysis method. The variables are selected to identify cliques and the covariates that explain this network relationship are taken into account, namely military, ethnicity, family, politics, business, entrepreneurship, political party and gender. Policy implications are derived.

Educación e ideología en Mozambique: colonialismo, marxismo, neoliberalismo. ¿Superar la inequidad social?

Directory of Open Access Journals (Sweden)

Ramón Aguadero Miguel

2010-11-01

Full Text Available Ideologías contrapuestas han configurado las políticas educativas en Mozambique a lo largo de la historia. Sin embargo, ninguna de ellas ha logrado los objetivos que se había propuesto. Este artículo presenta las diferentes opciones ideológicas en las que se ha sustentado el sistema educativo de Mozambique desde la época colonial hasta la actualidad. Me centraré en el impacto que la asunción del neoliberalismo ha producido en relación al logro de aprendizajes significativos e irreversibles para toda la población, vinculado al aumento de las desigualdades sociales. Insistiré no sólo en cuestiones educativas, sino en términos de inequidad social. Argumentaré con insistencia que la equidad debe estar en el centro de la política educativa, para así poder compensar el incremento de desigualdad producido. Hablar del derecho a la educación en Mozambique hoy en día significa afrontar los retos para que los grupos más vulnerables y desfavorecidos puedan lograr su desarrollo integral.

'Candidatus Phytoplasma palmicola', associated with a lethal yellowing-type disease of coconut (Cocos nucifera L.) in Mozambique.

Science.gov (United States)

Harrison, Nigel A; Davis, Robert E; Oropeza, Carlos; Helmick, Ericka E; Narváez, María; Eden-Green, Simon; Dollet, Michel; Dickinson, Matthew

2014-06-01

In this study, the taxonomic position and group classification of the phytoplasma associated with a lethal yellowing-type disease (LYD) of coconut (Cocos nucifera L.) in Mozambique were addressed. Pairwise similarity values based on alignment of nearly full-length 16S rRNA gene sequences (1530 bp) revealed that the Mozambique coconut phytoplasma (LYDM) shared 100% identity with a comparable sequence derived from a phytoplasma strain (LDN) responsible for Awka wilt disease of coconut in Nigeria, and shared 99.0-99.6% identity with 16S rRNA gene sequences from strains associated with Cape St Paul wilt (CSPW) disease of coconut in Ghana and Côte d'Ivoire. Similarity scores further determined that the 16S rRNA gene of the LYDM phytoplasma shared coconut LYDM phytoplasma strains from Mozambique as novel members of established group 16SrXXII, subgroup A (16SrXXII-A). Similarity coefficients of 0.97 were obtained for comparisons between subgroup 16SrXXII-A strains and CSPW phytoplasmas from Ghana and Côte d'Ivoire. On this basis, the CSPW phytoplasma strains were designated members of a novel subgroup, 16SrXXII-B.

Women’s literacy and social development in Mozambique: the experience in Munhava of St. Joseph’s adult school Alfabetización de mujeres y promoción social en Mozambique: la experiencia en Munhava de la escuela de adultos San José

Directory of Open Access Journals (Sweden)

Ramón AGUADERO MIGUEL

2012-08-01

Full Text Available Although literacy is a key to poverty reduction, this right is still denied to the majority of the Mozambican adult population. Gender inequity is an important dimension to be considered. The situation is precarious in slums, where women fight every day for a better life for themselves and their children. In this text, after a summary of the history of literacy in Mozambique, we show the more important events in St. Joseph’s Adult School. Located in the slum of Munhava (Beira, it is an example of option for women’s promotion. Teachers and students tell us their views, needs and wishes. This experience shows the weakness of adult education in Mozambique, but also its potential when women are heard. Slowly, women in Munhava are gaining life skills and discovering their dignity and rights.Aunque la alfabetización es clave para la reducción de la pobreza, este derecho se sigue negando a la mayoría de la población adulta de Mozambique. La desigualdad de género es una cuestión importante a considerar. La situación es especialmente complicada en los suburbios de las ciudades, donde las mujeres luchan cada día por una vida mejor para ellas y sus hijos. En este texto, después de sintetizar la historia de la alfabetización en Mozambique, se muestran los hitos principales en la Escuela de Adultos San José. Situada en el barrio de Munhava (Beira, es un ejemplo de opción por la promoción de la mujer. Profesorado y alumnas exponen sus puntos de vista, necesidades y deseos. Esta experiencia es un ejemplo de la debilidad de la educación de adultos en Mozambique, pero también de su potencial cuando las mujeres son escuchadas. Lentamente, las mujeres de Munhava están adquiriendo habilidades para la vida y descubriendo su dignidad y sus derechos.

Elephant crop damage and electric fence construction in the Maputo Elephant Reserve, Mozambique

NARCIS (Netherlands)

Boer, de W.F.; Ntumi, C.P.

2001-01-01

An electric fence is at present being constructed around the Maputo Elephant Reserve, Mozambique, to protect farmers from elephant raids. Elephants cause crop damage, estimated at US$ 8800 yr-1, or US$ 50 elephant-1. Elephants preferred maize, melons and beans and their raid frequency increased

Monitoring the operational impact of insecticide usage for malaria control on Anopheles funestus from Mozambique

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Sharp Brian L

2007-10-01

Full Text Available Abstract Background Indoor residual spraying (IRS has again become popular for malaria control in Africa. This combined with the affirmation by WHO that DDT is appropriate for use in the absence of longer lasting insecticide formulations in some malaria endemic settings, has resulted in an increase in IRS with DDT as a major malaria vector control intervention in Africa. DDT was re-introduced into Mozambique's IRS programme in 2005 and is increasingly becoming the main insecticide used for malaria vector control in Mozambique. The selection of DDT as the insecticide of choice in Mozambique is evidence-based, taking account of the susceptibility of Anopheles funestus to all available insecticide choices, as well as operational costs of spraying. Previously lambda cyhalothrin had replaced DDT in Mozambique in 1993. However, resistance appeared quickly to this insecticide and, in 2000, the pyrethroid was phased out and the carbamate bendiocarb introduced. Low level resistance was detected by biochemical assay to bendiocarb in 1999 in both An. funestus and Anopheles arabiensis, although this was not evident in WHO bioassays of the same population. Methods Sentinel sites were established and monitored for insecticide resistance using WHO bioassays. These assays were conducted on 1–3 day old F1 offspring of field collected adult caught An. funestus females to determine levels of insecticide resistance in the malaria vector population. WHO biochemical assays were carried out to determine the frequency of insecticide resistance genes within the same population. Results In surveys conducted between 2002 and 2006, low levels of bendiocarb resistance were detected in An. funestus, populations using WHO bioassays. This is probably due to significantly elevated levels of Acetylcholinesterase levels found in the same populations. Pyrethroid resistance was also detected in populations and linked to elevated levels of p450 monooxygenase activity. One site had

The Social and Economic Impact of Refractive Error in Mozambique

OpenAIRE

Thompson, Stephen James

2014-01-01

The purpose of this thesis is to investigate potential key determinants of the success, or otherwise, of endeavours to address avoidable Visual Impairment (VI) by addressing Uncorrected Refractive Error (URE) in Mozambique and the wider region of sub-Saharan Africa by providing optometric services. It includes a Cost Benefit Analysis (CBA) of a higher education optometry training programme, barriers that might prevent the realisation of overarching goals despite a successful training programm...

Antibiotics resistance in El Tor Vibrio cholerae 01 isolated during cholera outbreaks in Mozambique from 2012 to 2015.

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Liliana Candida Dengo-Baloi

Full Text Available Mozambique has recorded cyclically epidemic outbreaks of cholera. Antibiotic therapy is recommended in specific situations for management and control of cholera outbreaks. However, an increase in resistance rates to antibiotics by Vibrio cholerae has been reported in several epidemic outbreaks worldwide. On the other hand, there are few recent records of continuous surveillance of antibiotics susceptibility pattern of V. cholerae in Mozambique.The purpose of this study was to evaluate antibiotics resistance pattern of Vibrio cholerae O1 Ogawa isolated during Cholera outbreaks in Mozambique to commonly used antibiotics.We analyzed data from samples received in the context of surveillance and response to Cholera outbreaks in the National Reference Laboratory of Microbiology from the National Institute of Health of Mozambique, 159 samples suspected of cholera from cholera treatment centers of, Metangula (09, Memba (01, Tete City (08, Moatize (01, Morrumbala (01 districts, City of Quelimane (01, Lichinga (06 and Nampula (86 districts, from 2012 to 2015. Laboratory culture and standard biochemical tests were employed to isolate and identify Vibrio cholerae; serotypes were determined by antisera agglutination reaction in blade. Biotype and presence of important virulence factors analysis was done by PCR. Antibiotics susceptibility pattern was detected by disk diffusion method Kirby Bauer. Antibiotic susceptibility and results were interpreted by following as per recommendations of CLSI (Clinical and Laboratory Standards Institute 2014. All samples were collected and tested in the context of Africhol Project, approved by the National Bioethics Committee for Health.Among isolates from of Vibrio cholerae O1 El Tor Ogawa resistance to Sulphamethoxazole-trimethropim was 100% (53/53 to Trimethoprim-, being 100% (54/54 for Ampicillin, 99% (72/74 for Nalidixic Acid, 97% (64/66 to Chloramphenicol, 95% (42/44 for Nitrofurantoin and (19/20 Cotrimoxazole, 83% (80

Antibiotics resistance in El Tor Vibrio cholerae 01 isolated during cholera outbreaks in Mozambique from 2012 to 2015.

Science.gov (United States)

Dengo-Baloi, Liliana Candida; Semá-Baltazar, Cynthia Amino; Manhique, Lena Vania; Chitio, Jucunu Elias; Inguane, Dorteia Luísa; Langa, José Paulo

2017-01-01

Mozambique has recorded cyclically epidemic outbreaks of cholera. Antibiotic therapy is recommended in specific situations for management and control of cholera outbreaks. However, an increase in resistance rates to antibiotics by Vibrio cholerae has been reported in several epidemic outbreaks worldwide. On the other hand, there are few recent records of continuous surveillance of antibiotics susceptibility pattern of V. cholerae in Mozambique. The purpose of this study was to evaluate antibiotics resistance pattern of Vibrio cholerae O1 Ogawa isolated during Cholera outbreaks in Mozambique to commonly used antibiotics. We analyzed data from samples received in the context of surveillance and response to Cholera outbreaks in the National Reference Laboratory of Microbiology from the National Institute of Health of Mozambique, 159 samples suspected of cholera from cholera treatment centers of, Metangula (09), Memba (01), Tete City (08), Moatize (01), Morrumbala (01) districts, City of Quelimane (01), Lichinga (06) and Nampula (86) districts, from 2012 to 2015. Laboratory culture and standard biochemical tests were employed to isolate and identify Vibrio cholerae; serotypes were determined by antisera agglutination reaction in blade. Biotype and presence of important virulence factors analysis was done by PCR. Antibiotics susceptibility pattern was detected by disk diffusion method Kirby Bauer. Antibiotic susceptibility and results were interpreted by following as per recommendations of CLSI (Clinical and Laboratory Standards Institute) 2014. All samples were collected and tested in the context of Africhol Project, approved by the National Bioethics Committee for Health. Among isolates from of Vibrio cholerae O1 El Tor Ogawa resistance to Sulphamethoxazole-trimethropim was 100% (53/53) to Trimethoprim-, being 100% (54/54) for Ampicillin, 99% (72/74) for Nalidixic Acid, 97% (64/66) to Chloramphenicol, 95% (42/44) for Nitrofurantoin and (19/20) Cotrimoxazole, 83% (80

Demand generation and social mobilisation for integrated community case management (iCCM) and child health: Lessons learned from successful programmes in Niger and Mozambique.

Science.gov (United States)

Sharkey, Alyssa B; Martin, Sandrine; Cerveau, Teresa; Wetzler, Erica; Berzal, Rocio

2014-12-01

We present the approaches used in and outcomes resulting from integrated community case management (iCCM) programmes in Niger and Mozambique with a strong focus on demand generation and social mobilisation. We use a case study approach to describe the programme and contextual elements of the Niger and Mozambique programmes. Awareness and utilisation of iCCM services and key family practices increased following the implementation of the Niger and Mozambique iCCM and child survival programmes, as did care-seeking within 24 hours and care-seeking from appropriate, trained providers in Mozambique. These approaches incorporated interpersonal communication activities and community empowerment/participation for collective change, partnerships and networks among key stakeholder groups within communities, media campaigns and advocacy efforts with local and national leaders. iCCM programmes that train and equip community health workers and successfully engage and empower community members to adopt new behaviours, have appropriate expectations and to trust community health workers' ability to assess and treat illnesses can lead to improved care-seeking and utilisation, and community ownership for iCCM.

Demand generation and social mobilisation for integrated community case management (iCCM and child health: Lessons learned from successful programmes in Niger and Mozambique

Directory of Open Access Journals (Sweden)

Alyssa B Sharkey

2014-11-01

Full Text Available We present the approaches used in and outcomes resulting from integrated community case management (iCCM programmes in Niger and Mozambique with a strong focus on demand generation and social mobilisation. We use a case study approach to describe the programme and contextual elements of the Niger and Mozambique programmes. Awareness and utilisation of iCCM services and key family practices increased following the implementation of the Niger and Mozambique iCCM and child survival programmes, as did care–seeking within 24 hours and care–seeking from appropriate, trained providers in Mozambique. These approaches incorporated interpersonal communication activities and community empowerment/participation for collective change, partnerships and networks among key stakeholder groups within communities, media campaigns and advocacy efforts with local and national leaders. iCCM programmes that train and equip community health workers and successfully engage and empower community members to adopt new behaviours, have appropriate expectations and to trust community health workers’ ability to assess and treat illnesses can lead to improved care–seeking and utilisation, and community ownership for iCCM.

The Global Fund's paradigm of oversight, monitoring, and results in Mozambique.

Science.gov (United States)

Warren, Ashley; Cordon, Roberto; Told, Michaela; de Savigny, Don; Kickbusch, Ilona; Tanner, Marcel

2017-12-12

The Global Fund is one of the largest actors in global health. In 2015 the Global Fund was credited with disbursing close to 10 % of all development assistance for health. In 2011 it began a reform process in response to internal reviews following allegations of recipients' misuse of funds. Reforms have focused on grant application processes thus far while the core structures and paradigm have remained intact. We report results of discussions with key stakeholders on the Global Fund, its paradigm of oversight, monitoring, and results in Mozambique. We conducted 38 semi-structured in-depth interviews in Maputo, Mozambique and members of the Global Fund Board and Secretariat in Switzerland. In-country stakeholders were representatives from Global Fund country structures (eg. Principle Recipient), the Ministry of Health, health or development attachés bilateral and multilateral agencies, consultants, and the NGO coordinating body. Thematic coding revealed concerns about the combination of weak country oversight with stringent and cumbersome requirements for monitoring and evaluation linked to performance-based financing. Analysis revealed that despite the changes associated with the New Funding Model, respondents in both Maputo and Geneva firmly believe challenges remain in Global Fund's structure and paradigm. The lack of a country office has many negative downstream effects including reliance on in-country partners and ineffective coordination. Due to weak managerial and absorptive capacity, more oversight is required than is afforded by country team visits. In-country partners provide much needed support for Global Fund recipients, but roles, responsibilities, and accountability must be clearly defined for a successful long-term partnership. Furthermore, decision-makers in Geneva recognize in-country coordination as vital to successful implementation, and partners welcome increased Global Fund engagement. To date, there are no institutional requirements for

Performance Management of the Police in the Context of Public Sector Reform in Mozambique

NARCIS (Netherlands)

F.I. Alar (Francisco Inácio)

2010-01-01

textabstractThe thesis investigates police performance management in Maputo, which is the capital city of Mozambique. To conduct the analysis, it applies a multiangle and multi-factor framework that enables examination of core values and indicators of governance while taking into account the

The politics of water payments and stakeholder participation in the Limpopo River Basin, Mozambique

NARCIS (Netherlands)

Alba, Rossella; Bolding, Alex; Ducrot, Raphaëlle

2017-01-01

Drawing from the experience of the Limpopo River Basin in Mozambique, the chapter analyses the articulation of a water rights framework in the context of decentralised river basin governance and IWRM-inspired reforms. The nexus between financial autonomy, service provision, stakeholder participation

The politics of water payments and stakeholder participation in the Limpopo River Basin, Mozambique

NARCIS (Netherlands)

Alba, R.; Bolding, J.A.; Ducrot, R.

2016-01-01

Drawing from the experience of the Limpopo River Basin in Mozambique, the paper analyses the articulation of a water rights framework in the context of decentralised river basin governance and IWRM-inspired reforms. The nexus between financial autonomy, service provision, stakeholder participation

Cassava for food and energy: exploring potential benefits of processing of cassava into cassava flour and bioenergy at farmstead and community levels in rural Mozambique

NARCIS (Netherlands)

Zvinavashe, E.; Elbersen, H.W.; Slingerland, M.A.; Kolijn, S.; Sanders, J.P.M.

2011-01-01

As in most of sub-Sahara Africa, rural people in Mozambique use firewood as their main source of energy. The use of firewood is associated with several health problems, and the time spent collecting it reduces time for other activities. Cassava is grown as a reserve crop in Mozambique where it is

Are sawfishes still present in Mozambique? A baseline ecological study

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Ruth H. Leeney

2017-02-01

Full Text Available Sawfishes (Pristidae were formerly abundant in the western Indian Ocean, but current data on sawfish presence and distribution are lacking for most of the region. This paper summarises historical records of sawfishes in Mozambican waters and presents the findings of the first assessment of the presence and status of sawfishes in Mozambique. A countrywide baseline assessment was undertaken between May and July 2014, using interviews with artisanal, semi-industrial and industrial fishers, fish traders and fisheries monitoring staff as the primary source of information on sawfish distribution, recent catches, socio-economic value and cultural importance. Additional interviews were conducted via email or telephone with individuals running sport fishing operations or who otherwise had considerable experience interacting with the fishing sectors or the marine environment in Mozambique. Where encountered, sawfish rostra were photographed and a series of measurements and associated data were collected. In total, 200 questionnaire surveys and seven interviews with recreational fishing and dive operators were conducted, and 19 rostra were documented from museum archives and private collections, belonging to two sawfish species, the Largetooth Sawfish (Pristis pristis and Green Sawfish (P. zijsron. The most recent captures of sawfishes were reported to have occurred in 2014. Two key sites were identified where both recent encounters were reported and numerous Largetooth Sawfish rostra were documented. Gill nets were the fishing gear most commonly attributed to sawfish catches. Sawfishes did not hold any cultural importance in Mozambique, but they have at least some socio-economic importance to artisanal fishers, primarily through the sale of their fins. The meat did not appear to be held in high regard and was usually consumed locally. Sampling and further research is now required to confirm the presence of sawfishes and to assess the primary threats to

Are sawfishes still present in Mozambique? A baseline ecological study.

Science.gov (United States)

Leeney, Ruth H

2017-01-01

Sawfishes (Pristidae) were formerly abundant in the western Indian Ocean, but current data on sawfish presence and distribution are lacking for most of the region. This paper summarises historical records of sawfishes in Mozambican waters and presents the findings of the first assessment of the presence and status of sawfishes in Mozambique. A countrywide baseline assessment was undertaken between May and July 2014, using interviews with artisanal, semi-industrial and industrial fishers, fish traders and fisheries monitoring staff as the primary source of information on sawfish distribution, recent catches, socio-economic value and cultural importance. Additional interviews were conducted via email or telephone with individuals running sport fishing operations or who otherwise had considerable experience interacting with the fishing sectors or the marine environment in Mozambique. Where encountered, sawfish rostra were photographed and a series of measurements and associated data were collected. In total, 200 questionnaire surveys and seven interviews with recreational fishing and dive operators were conducted, and 19 rostra were documented from museum archives and private collections, belonging to two sawfish species, the Largetooth Sawfish ( Pristis pristis) and Green Sawfish ( P. zijsron) . The most recent captures of sawfishes were reported to have occurred in 2014. Two key sites were identified where both recent encounters were reported and numerous Largetooth Sawfish rostra were documented. Gill nets were the fishing gear most commonly attributed to sawfish catches. Sawfishes did not hold any cultural importance in Mozambique, but they have at least some socio-economic importance to artisanal fishers, primarily through the sale of their fins. The meat did not appear to be held in high regard and was usually consumed locally. Sampling and further research is now required to confirm the presence of sawfishes and to assess the primary threats to sawfishes in

Men’s Migration and Women’s Fertility in Rural Mozambique

OpenAIRE

Agadjanian, Victor; Yabiku, Scott T.; Cau, Boaventura

2011-01-01

Labor migration profoundly affects households throughout rural Africa. This study looks at how men’s labor migration influences marital fertility in a context where such migration has been massive while its economic returns are increasingly uncertain. Using data from a survey of married women in southern Mozambique, we start with an event-history analysis of birth rates among women married to migrants and those married to nonmigrants. The model detects a lower birth rate among migrants’ wives...

Limits to Decentralization in Mozambique: Leadership, Politics and Local Government Capacities for Service Delivery

NARCIS (Netherlands)

A.P.J. Machohe (Antonio)

2011-01-01

textabstractMozambique has been a centralized State since its independence in 1975. During this time, local government has depended on the Central Government and has lacked autonomy in both local policy decisions and resource management in addition to the complete failure of effective local services

‘Becoming Mozambicanised’: Nostalgic amnesia among Zimbabweans adapting to ‘disorder’ in Mozambique

DEFF Research Database (Denmark)

Hammar, Amanda

2017-01-01

-simplifications and stereotypes. It suggests that rememberings and representations of an ‘ordered’ past in Zimbabwe set in contrast to a ‘disordered’ Mozambique, are part of a nostalgic amnesia that assists these ambivalent migrants to deal with (or deny) their displacement and losses, and helps them adapt to the new and strange...

Fine particles flotation of the Moatize coal/Mozambique

Science.gov (United States)

Castro, Amilton; de Brum, Irineu A. S.

2017-11-01

This study was done from a sample of coal mined at the Vale-Mozambique mine, located in Moatize district, Tete Province. The aim of this work is to analyze the reagent system in the flotation of coal fines belonging to the UCB layer. Among coal processing methods, flotation stands out as one of the most important for the concentration of this material, in particular in the treatment of fine particles. The total feed of the Vale-Mozambique processing plant is 8000 tph of coal, where 10% of this feed corresponds to the fine fraction that feeds the flotation circuit. The material used in this study had a particle size of 96% smaller than 0.25 mm. The reagents used in the flotation tests were Betacol and diesel oil as hydrophobizing agents and MIBC as frother. The range of Betacol concentrations in the first test phase was 200 g / t at 500 g / t, and in the second phase 200 g / t at 500 g / t of diesel oil and MIBC were kept constant at 300 g / t. The immediate analysis followed the Brazilian standards: NBR 8289, NBR 8293, NBR 8290, NBR 8299. The results showed that it is possible, from a feed with the ash content around 22.84%, to obtain products with levels below of 10% ash, with a mass recovery around 50%. The recovery of carbonaceous matter was also evaluated and presented positive results. Complementing this study, the effect of H2O recovery was evaluated and it was observed that for the concentrations of Betacol the recoveries ranged from 6 to 9%, and for diesel oil plus MIBC were 4 to 7%.

'Let's move, let's not remain stagnant': nationalism, masculinism and school-based education in Mozambique

NARCIS (Netherlands)

Miedema, E.; Millei, Z.; Imre, R.

2016-01-01

In this chapter, I examine the role of public schools in shaping young people’s gendered understanding of citizenship and their "sense of place" in Mozambique. I seek to illuminate two interrelated features of processes of civil enculturation, which is defined as education for and about citizenship

Serological survey of avian influenza virus infection of unvaccinated backyard chickens in Mandlhakazi, Southern Mozambique

Directory of Open Access Journals (Sweden)

Paula Taunde

2017-08-01

Conclusions: Our findings suggested that AIV is widespread within backyard chickens in the studied villages. Further research is needed to identify the circulating virus genotypes and determine the potential role of backyard chickens in the zoonotic transmission of AIV in Mozambique.

The development of a public optometry system in Mozambique: a Cost Benefit Analysis.

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Thompson, Stephen; Naidoo, Kovin; Harris, Geoff; Bilotto, Luigi; Ferrão, Jorge; Loughman, James

2014-09-23

The economic burden of uncorrected refractive error (URE) is thought to be high in Mozambique, largely as a consequence of the lack of resources and systems to tackle this largely avoidable problem. The Mozambique Eyecare Project (MEP) has established the first optometry training and human resource deployment initiative to address the burden of URE in Lusophone Africa. The nature of the MEP programme provides the opportunity to determine, using Cost Benefit Analysis (CBA), whether investing in the establishment and delivery of a comprehensive system for optometry human resource development and public sector deployment is economically justifiable for Lusophone Africa. A CBA methodology was applied across the period 2009-2049. Costs associated with establishing and operating a school of optometry, and a programme to address uncorrected refractive error, were included. Benefits were calculated using a human capital approach to valuing sight. Disability weightings from the Global Burden of Disease study were applied. Costs were subtracted from benefits to provide the net societal benefit, which was discounted to provide the net present value using a 3% discount rate. Using the most recently published disability weightings, the potential exists, through the correction of URE in 24.3 million potentially economically productive persons, to achieve a net present value societal benefit of up to $1.1 billion by 2049, at a Benefit-Cost ratio of 14:1. When CBA assumptions are varied as part of the sensitivity analysis, the results suggest the societal benefit could lie in the range of $649 million to $9.6 billion by 2049. This study demonstrates that a programme designed to address the burden of refractive error in Mozambique is economically justifiable in terms of the increased productivity that would result due to its implementation.

Strategic implementation of integrated water resources management in Mozambique: An A’WOT analysis

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Gallego-Ayala, Jordi; Juízo, Dinis

The Integrated Water Resources Management (IWRM) paradigm has become an important framework in development and management of water resources. Many countries in the Southern Africa region have begun water sector reforms to align the sector with the IWRM concepts. In 2007 the Mozambican Government started to update the policy and the legal framework of the water sector to foster the application of IWRM concept as a basis for achieving sustainable development. However the steps towards the implementation of this national framework are still in preparation. This research aims to identify and establish a priority ranking of the fundamental factors likely to affect the outcome of the IWRM reforms in Mozambique. This study uses the hybrid multi-criteria decision method A’WOT, a methodology coined by Kurttila et al. (2000). This method relies on the combination of the Strengths, Weaknesses, Opportunities, and Threats (SWOT) technique and the Analytic Hierarchy Process (AHP) technique. Using this procedure it is possible to identify and rank the factors affecting the functioning of a system. The key factors affecting the implementation of the IWRM, analysed in this study, were identified through an expert group discussion. These factors have been grouped into different categories of SWOT. Subsequently, the AHP methodology was applied to obtain the relative importance of each factor captured in the SWOT analysis; to this end the authors interviewed a panel of water resources management experts and practitioners. As a result, of this study and the application of the A’WOT methodology, the research identified and ranked the fundamental factors for the success of the IWRM strategy in Mozambique. The results of this study suggest that in Mozambique a planning strategy for the implementation of the IWRM should be guided mainly by combination of interventions in factors falling under opportunity and weakness SWOT groups.

Biofuel developments in Mozambique. Update and analysis of policy, potential and reality

International Nuclear Information System (INIS)

Schut, Marc; Slingerland, Maja; Locke, Anna

2010-01-01

Climate change, rising oil prices and concerns about future energy supplies have contributed to a growing interest in using biomass for energy purposes. Several studies have highlighted the biophysical potential of biofuel production on the African continent, and analysts see Mozambique as one of the most promising African countries. Favorable growing conditions and the availability of land, water and labor are mentioned as major drivers behind this potential. Moreover, the potential of biofuel production to generate socio-economic benefits is reflected in the government's policy objectives for the development of the sector, such as reducing fuel import dependency and creating rural employment. This article provides an overview of biofuel developments in Mozambique and explores to what extent reality matches the suggested potential in the country. We conclude that biofuel developments mainly take place in areas near good infrastructure, processing and storage facilities, where there is (skilled) labor available, and access to services and goods. Moreover, our analysis shows the need to timely harmonize current trends in biofuel developments with the government's policy objectives as the majority of existing and planned projects are not focusing on remote rural areas, and - in absence of domestic markets - principally target external markets.

Health Care in Mozambique: Wartime clinics confront shortages, parasites, and terror

OpenAIRE

Williams, Betsy

1992-01-01

Mozambique has been in a state of near civil war since 1980, which has prevented the country from providing any health care at all to most of its rural citizens. Medications are scarce, and the range of diagnostic tools is limited. The health clinics treat illnesses that include severe anemia, tuberculosis, malnutrition, sexually transmitted diseases, and injuries that are a result of the war, but the biggest killer of all remains malaria.

Exploring opportunities for rural livelihoods and food security in Central Mozambique

OpenAIRE

Leonardo, Wilson José

2017-01-01

Growing awareness of widespread hunger and poverty in many countries in the SSA is spurring a focus on productivity increase in smallholder farming systems. The rationale is that with current production systems many SSA countries are not keeping pace with population growth and changing of peoples’ lifestyles. To respond to this challenge the Government of Mozambique developed its Strategic Plan for Agricultural Development (PEDSA) aiming to improve agricultural productivity of the majority of...

Salmonella enterica serovars Typhimurium and Enteritidis causing mixed infections in febrile children in Mozambique

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García V

2018-01-01

Full Text Available Vanesa García,1 Inácio Mandomando,2,3 Joaquim Ruiz,4 Silvia Herrera-León,5 Pedro L Alonso,3,4 M Rosario Rodicio1 1Departamento de Biología Funcional, Área de Microbiología, Universidad de Oviedo, Oviedo, Spain; 2Centro de Investigação em Saúde de Manhiça, 3Instituto Nacional de Saúde, Ministério da Saúde, Maputo, Mozambique; 4ISGlobal, Barcelona Centre for International Health Research, Hospital Clínic, Universitat de Barcelona, Barcelona, 5Centro Nacional de Microbiología, Instituto de Salud Carlos III, Majadahonda, Madrid, Spain Background and purpose: Invasive nontyphoidal salmonellosis, mostly caused by serovars Typhimurium and Enteritidis of Salmonella enterica, has emerged as a major public health problem in sub-Saharan Africa. The aim of this study was the clinical and microbiological characterization of nontyphoidal salmonellosis episodes affecting febrile children in Mozambique. Patients and methods: The clinical records of the patients were evaluated, and S. enterica isolates were characterized with regard to serovar, phage type, antimicrobial resistance (phenotype/responsible genes, plasmid content, pulsed-field gel electrophoresis, and multilocus sequence typing. Results: Fifteen S. Typhimurium and 21 S. Enteritidis isolates were recovered from blood samples of 25 children, the majority with underlying risk factors. With regard to phage typing, most isolates were either untypeable or reacted but did not conform, revealing that a number of previously unrecognized patterns are circulating in Mozambique. Most isolates were multidrug-resistant, with nearly all of the responsible genes located on derivatives of serovar-specific virulence plasmids. ST313 and ST11 were the predominant sequence types associated with S. Typhimurium and S. Enteritidis, respectively, and the uncommon ST1479 was also detected in S. Enteritidis. A distinct XbaI fragment of ~350 kb was associated with pulsed-field gel electrophoresis patterns of

Differential decay of the East-African Antarctic Orogen : an integrated examination of Northeastern Mozambique

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Ueda, K.; Jacobs, J.; Emmel, B.; Thomas, R. J.; Matola, R.

2009-04-01

In Northeastern Mozambique, the late Proterozoic - early Paleozoic East African-Antarctic Orogen can be subdivided into two major blocks that exhibit some relevant differences. The line of divide is represented by the Lurio Belt, a kinematically poorly constrained shear zone that also marks the conceptual northern limit of frequent late-tectonic granitoid intrusions. Moreover, far-travelled granulite-facies nappes cover a much larger area north of this belt (Viola et. al, 2008), giving rise to the assumption of different exhumation and present exposure levels. U/Pb data from previous surveys (e.g., Norconsult consortium, 2007) show coeval high-grade metamorphism in the whole region between c. 610 - 550 Ma, while the block south of the Lurio Belt also shows continuing metamorphism until c. 490 Ma that can be related to extension. Geothermobarometry for samples from within the Lurio Belt (Engvik et. al, 2007) indicates rapid exhumation after high-pressure granulite facies metamorphism and is consistant with the assumption of long tectonic activity. A possible model for the outlined pattern is the delamination of the orogenic root only in the southern part, followed by rapid mechanical thinning as well as by isostatic accommodation along the Lurio Belt. A valuable marker was identified in the metasedimentary Mecuburi group that overlies the southern basement. U/Pb analysis of detrital zircons have yielded a maximum deposition age of c. 600 Ma, while metamorphism is recorded until c. 505 Ma. Investigations of the relationship between metasediments and older basement show that the basal contact is a fairly preserved depositional contact, allowing to suppose a conjoint post-depositional evolution. It is notable that the timing of deposition shortly follows the onset of the main, widespread high-grade metamorphism. Relatively high but variable degrees of migmatisation in the Mecuburi Group require a phase of burial from surface to deep levels after 600 Ma, followed by

Community perceptions of malaria and vaccines in two districts of Mozambique

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Bingham Allison

2012-11-01

Full Text Available Abstract Background Malaria is a leading cause of mortality and morbidity in Mozambique, with nearly three-quarters of the country’s malaria-related deaths occurring in children younger than five years. A malaria vaccine is not yet available, but planning is underway for a possible introduction, as soon as one becomes available. In an effort to inform the planning process, this study explored sociocultural and health communications issues among individuals at the community level who are both responsible for decisions about vaccine use and who are likely to influence decisions about vaccine use. Methods Researchers conducted a qualitative study in two malaria-endemic districts in southern Mozambique. Using criterion-based sampling, they conducted 23 focus group discussions and 26 in-depth interviews. Implementation was guided by the engagement of community stakeholders. Results Community members recognize that malaria contributes to high death rates and affects the workforce, school attendance, and the economy. Vaccines are seen as a means to reduce the threat of childhood illnesses and to keep children and the rest of the community healthy. Perceived constraints to accessing vaccine services include long queues, staff shortages, and a lack of resources at health care facilities. Local leaders play a significant role in motivating caregivers to have their children vaccinated. Participants generally felt that a vaccine could help to prevent malaria, although some voiced concern that the focus was only on young children and not on older children, pregnant women, and the elderly. Probed on their understanding of vaccine efficacy, participants voiced various views, including the perception that while some vaccines did not fully prevent disease they still had important benefits. Overall, it would be essential for local leaders to be involved in the design of specific messages for a future malaria vaccine communications strategy, and for those

The development of the gas sector in Tanzania and Mozambique. The early stages of two asymmetric experiments

International Nuclear Information System (INIS)

Auge, Benjamin

2016-10-01

As huge gas deposits have been discovered in 2010 in Mozambique and in Tanzania, and as the oil barrel price has dramatically decreased since mid-2014, this report, based on interview with local economic, industrial and political actors, describes the very different situations faced by these two countries regarding the development of their gas sector. First, Mozambique possesses four times more gas than Tanzania. Secondly, they display very different relationships between political power and private investors. Therefore the Mozambican project grows at a much higher rate than the Tanzanian one. The author thus proposes presentations of the status and projects of gas exploitation in these both countries, by mentioning involved actors (notably large oil companies), economic and political relationships between them, assessments and perspectives in terms of gas production

TOWARDS THE LEGAL RECOGNITION AND GOVERNANCE OF FOREST ECOSYSTEM SERVICES IN MOZAMBIQUE

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S Norfolk

2013-06-01

Full Text Available Within the context of Mozambique, this paper examines the state of forest ecosystem services, the dependency of the population on these systems for their well-being, if an adaptive governance regime is being created which will ensure the resilience of the forest ecosystem services including the legal framework, the institutions operating within this framework, the tools available and their functioning, and how cooperative governance is operating.

Teenage pregnancies in Mozambique: the experience of "Servicios Amigos dos Adolescentes" clinics in Beira.

Science.gov (United States)

Pizzol, Damiano; Di Gennaro, Francesco; Boscardin, Chiara; Putoto, Giovanni; Cuppini, Elena; Pita, Graciana; George, Alexandra; Monno, Laura; Saracino, Annalisa; Da Dalt, Liviana; De Palma, Angela

2018-03-01

The purpose of this article is to provide insights into the demand for pregnancy-related health services by adolescent girls and young women in Mozambique. We analysed the patient registers for the first year of operation (2014) of the Servicios Amigos dos Adolescentes (SAAJ) [Friendly Services for Adolescents] clinics in Beira, Mozambique. These registers provide details of the service demands of, and services provided to the 8 290 adolescent girls and young women who accessed the 6 SAAJ clinics in 2014. Analysis of that record, with disaggregation of the patients according to age (9 years or less; 10-14; 15-19; 20-24; 25 and older), show that 3 021 (36%) were pregnant or had previously been pregnant; most being girls in the 15-19 age band (59%). Being pregnant or having been pregnant previously was associated with dropping out of school. Of all the girls and women, 60% agreed to HIV testing and counselling; the HIV prevalence rate amongst this group was 4-5% amongst adolescents and 25% amongst women 25 years and older. A minority of the girls and women who were pregnant or had been pregnant previously agreed to HIV testing and counselling. Notwithstanding the limitations for analysis, the results were alarming: substantially high HIV prevalence rates were indicated (2% amongst 10-14 year old girls; 8% amongst 15-19 year olds; 10% amongst 20-24 year olds; and 28% amongst >24 year olds). The data from the SAAJ clinics and results pertain only to conditions in Beira. However, as the first empirical assessment of pregnancy-related service demand amongst adolescent girls and young women in the country and involving a relatively large sample, we contend that this study affirms the need for expansion of sexual and reproductive health (SRH) services, including HIV services, for adolescent girls and young women in Mozambique.

Evaluation of Satellite Rainfall Estimates for Drought and Flood Monitoring in Mozambique

OpenAIRE

Carolien Toté; Domingos Patricio; Hendrik Boogaard; Raymond van der Wijngaart; Elena Tarnavsky; Chris Funk

2015-01-01

Satellite derived rainfall products are useful for drought and flood early warning and overcome the problem of sparse, unevenly distributed and erratic rain gauge observations, provided their accuracy is well known. Mozambique is highly vulnerable to extreme weather events such as major droughts and floods and thus, an understanding of the strengths and weaknesses of different rainfall products is valuable. Three dekadal (10-day) gridded satellite rainfall products (TAMSAT African Rainfall Cl...

The Welfare Effects of Farm Household Activity Choices in Post-War Mozambique

OpenAIRE

Brück, Tilman

2004-01-01

This paper analyses the effects of activity choices on farm household income and consumption in a war-affected developing country. The study uses household survey data from Mozambique and controls for the endogeneity of activity choices with instrumental variables. War-time activity choices (such as subsistence farming) are shown to enhance welfare in the post-war period. Market and social exchange induce only limited welfare gains. Cotton adoption reduces household welfare, which contradicts...

A pilot study of common health problems in smallholder pigs in Angónia and Boane districts, Mozambique

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C. Matos

2011-04-01

Full Text Available Apilot survey was conducted in 2 districts in Mozambique to determine the most important health problems facing smallholder pig producers. While African swine fever is the most serious disease that affects pigs at all levels of production in Mozambique, it is likely that productivity is reduced by the presence of mange and gastrointestinal parasites, while in traditional systems the conditions are favourable for the development of porcine cysticercosis caused by the pork tapeworm Taenia solium, which poses a health risk to communities. Results of the pilot survey confirmed that, with the exception of African swine fever, ecto- and endoparasites are probably the most important health risks for producers. Porcine cysticercosis is more prevalent among pigs in traditional, free-ranging systems, while mange becomes a serious factor when pigs are permanently confined.

Evaluation of Follow-Up Effects of the International Child Development Programme on Caregivers in Mozambique

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Skar, Ane-Marthe Solheim; Sherr, Lorraine; Clucas, Claudine; von Tetzchner, Stephen

2014-01-01

Parenting programs have been used to good effect in many settings, yet few are systematically introduced and evaluated in developing countries. This study explores the relative long-term effect of participation in the International Child Development Programme (ICDP) in a group of caregivers in Mozambique. A quasi-experimental design was used to…

Health Costs of Wealth Gains: Labor Migration and Perceptions of HIV/AIDS Risks in Mozambique

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Agadjanian, Victor; Arnaldo, Carlos; Cau, Boaventura

2011-01-01

The study employs survey data from rural Mozambique to examine how men's labor migration affects their non-migrating wives' perceptions of HIV/AIDS risks. Using a conceptual framework centered on tradeoffs between economic security and health risks that men's migration entails for their left-behind wives, it compares women married to migrants and…

Pan-African reactivation of the Lurio segment of the Kibaran Belt system: a reappraisal from recent age determinations in northern Mozambique

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Sacchi, R.; Cadoppi, P.; Costa, M.

2000-04-01

The role of the Lurio Belt in northern Mozambique, and the geological evolution of its foreland in the Proterozoic are discussed in the light of recent, single zircon age determinations showing Pan-African age for the granulite-facies metamorphism. The following tentative conclusions are reached, and evidence for and against them is reviewed. The Lurio Belt had a two-fold history, as a crust-forming orogen during the Kibaran and as a transpressive suture in Pan-African times. Together with the Zambezi Belt and the Schlesien-Mwembeshi Lineament, it formed a 3000 km discontinuity which underwent an embryonic oceanic development before being sutured during the Pan-African collisional event. The Lurio Belt foreland had a tectonic-metamorphic evolution at ca 1000 Ma, prior to major, Pan-African overprinting and was probably continuous with the basement of Queen Maud Land (Antarctica) and Natal. In Pan-African times, clockwise transpressive movements along the Lurio Belt brought about emplacement of granulite klippen in its foreland. If there is a southward continuation of the Pan-African Mozambique Belt beyond Mozambique, it is probably to be found in Antarctica.

Between Tradition and Modernity: Girls' Talk about Sexual Relationships and Violence in Kenya, Ghana and Mozambique

Science.gov (United States)

Parkes, Jenny; Heslop, Jo; Januario, Francisco; Oando, Samwel; Sabaa, Susan

2016-01-01

This paper interrogates the influence of a tradition-modernity dichotomy on perspectives and practices on sexual violence and sexual relationships involving girls in three districts of Kenya, Ghana and Mozambique. Through deploying an analytical framework of positioning within multiple discursive sites, we argue that although the dichotomy…

Frequency of human immunodeficiency virus type-2 in hiv infected patients in Maputo City, Mozambique

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Bhatt Nilesh

2011-08-01

Full Text Available Abstract The HIV/AIDS pandemic is primarily caused by HIV-1. Another virus type, HIV-2, is found mainly in West African countries. We hypothesized that population migration and mobility in Africa may have facilitated the introduction and spreading of HIV-2 in Mozambique. The presence of HIV-2 has important implications for diagnosis and choice of treatment of HIV infection. Hence, the aim of this study was to estimate the prevalence of HIV-2 infection and its genotype in Maputo, Mozambique. HIV-infected individuals (N = 1,200 were consecutively enrolled and screened for IgG antibodies against HIV-1 gp41 and HIV-2 gp36 using peptide-based enzyme immunoassays (pepEIA. Specimens showing reactivity on the HIV-2 pepEIA were further tested using the INNO-LIA immunoblot assay and HIV-2 PCR targeting RT and PR genes. Subtype analysis of HIV-2 was based on the protease gene. After screening with HIV-2 pepEIA 1,168 were non-reactive and 32 were reactive to HIV-2 gp36 peptide. Of this total, 30 specimens were simultaneously reactive to gp41 and gp36 pepEIA while two samples reacted solely to gp36 peptide. Only three specimens containing antibodies against gp36 and gp105 on the INNO-LIA immunoblot assay were found to be positive by PCR to HIV-2 subtype A. The proportion of HIV-2 in Maputo City was 0.25% (90%CI 0.01-0.49. The HIV epidemic in Southern Mozambique is driven by HIV-1, with HIV-2 also circulating at a marginal rate. Surveillance program need to improve HIV-2 diagnosis and consider periodical survey aiming to monitor HIV-2 prevalence in the country.

Sexuality education in Ghana and Mozambique : An examination of colonising assemblages informing school-based sexuality education initiatives

NARCIS (Netherlands)

Miedema, E.; Oduro, G.Y.; Rasmussen, M.L.; Allen, L.

2017-01-01

This chapter analyses the historical and socio-political contexts of the design and delivery of school-based sexuality education for young women and men in two sub-Saharan African countries: Ghana and Mozambique. The chapter interrogates colonising tendencies within, and created through,

Economic and social sustainability performance of jatropha projects: results from field surveys in Mozambique, Tanzania and Mali

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Romijn, H.A.; Heijnen, S.; Rom Colthoff, J.; Jong, de B.; Eijck, van J.A.J.

2014-01-01

This paper presents results from comprehensive field surveys of jatropha projects in Mozambique, Tanzania and Mali in 2012. The article singles out the salient economic and social impact results and derives lessons. The results clearly demonstrate the weak business case for jatropha biofuel

Economic and Social Sustainability Performance of Jatropha Projects: Results from Field Surveys in Mozambique, Tanzania and Mali

NARCIS (Netherlands)

Romijn, Henny; Heijnen, Sanne; Rom Colthoff, Jouke; de Jong, Boris; van Eijck, Janske

2014-01-01

This paper presents results from comprehensive field surveys of jatropha projects in Mozambique, Tanzania and Mali in 2012. The article singles out the salient economic and social impact results and derives lessons. The results clearly demonstrate the weak business case for jatropha biofuel

Elite capture and the development of natural resource linkages in Mozambique

DEFF Research Database (Denmark)

Buur, Lars; Monjane, Celso Marcos

2017-01-01

for a more fair distribution of opportunities for local firms to gain from large-scale natural resource investments and for learning and spillover effects to other parts of the economy. In a longer term perspective, it is a potential key source of economic transformation towards higher value added activities......This chapter explores these broader processes from the perspective of linkage creation in Mozambique related to mega-projects in natural resource extraction and development from a political economy perspective. From a resource fairness perspective, linkage creation is essential as it allows...

Brain drain and health workforce distortions in Mozambique.

Science.gov (United States)

Sherr, Kenneth; Mussa, Antonio; Chilundo, Baltazar; Gimbel, Sarah; Pfeiffer, James; Hagopian, Amy; Gloyd, Stephen

2012-01-01

Trained human resources are fundamental for well-functioning health systems, and the lack of health workers undermines public sector capacity to meet population health needs. While external brain drain from low and middle-income countries is well described, there is little understanding of the degree of internal brain drain, and how increases in health sector funding through global health initiatives may contribute to the outflow of health workers from the public sector to donor agencies, non-governmental organisations (NGOs), and the private sector. An observational study was conducted to estimate the degree of internal and external brain drain among Mozambican nationals qualifying from domestic and foreign medical schools between 1980-2006. Data were collected 26-months apart in 2008 and 2010, and included current employment status, employer, geographic location of employment, and main work duties. Of 723 qualifying physicians between 1980-2006, 95.9% (693) were working full-time, including 71.1% (493) as clinicians, 20.5% (142) as health system managers, and 6.9% (48) as researchers/professors. 25.5% (181) of the sample had left the public sector, of which 62.4% (113) continued working in-country and 37.6% (68) emigrated from Mozambique. Of those cases of internal migration, 66.4% (75) worked for NGOs, 21.2% (24) for donor agencies, and 12.4% (14) in the private sector. Annual incidence of physician migration was estimated to be 3.7%, predominately to work in the growing NGO sector. An estimated 36.3% (41/113) of internal migration cases had previously held senior-level management positions in the public sector. Internal migration is an important contributor to capital flight from the public sector, accounting for more cases of physician loss than external migration in Mozambique. Given the urgent need to strengthen public sector health systems, frank reflection by donors and NGOs is needed to assess how hiring practices may undermine the very systems they seek

Brain drain and health workforce distortions in Mozambique.

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Kenneth Sherr

Full Text Available Trained human resources are fundamental for well-functioning health systems, and the lack of health workers undermines public sector capacity to meet population health needs. While external brain drain from low and middle-income countries is well described, there is little understanding of the degree of internal brain drain, and how increases in health sector funding through global health initiatives may contribute to the outflow of health workers from the public sector to donor agencies, non-governmental organisations (NGOs, and the private sector.An observational study was conducted to estimate the degree of internal and external brain drain among Mozambican nationals qualifying from domestic and foreign medical schools between 1980-2006. Data were collected 26-months apart in 2008 and 2010, and included current employment status, employer, geographic location of employment, and main work duties.Of 723 qualifying physicians between 1980-2006, 95.9% (693 were working full-time, including 71.1% (493 as clinicians, 20.5% (142 as health system managers, and 6.9% (48 as researchers/professors. 25.5% (181 of the sample had left the public sector, of which 62.4% (113 continued working in-country and 37.6% (68 emigrated from Mozambique. Of those cases of internal migration, 66.4% (75 worked for NGOs, 21.2% (24 for donor agencies, and 12.4% (14 in the private sector. Annual incidence of physician migration was estimated to be 3.7%, predominately to work in the growing NGO sector. An estimated 36.3% (41/113 of internal migration cases had previously held senior-level management positions in the public sector.Internal migration is an important contributor to capital flight from the public sector, accounting for more cases of physician loss than external migration in Mozambique. Given the urgent need to strengthen public sector health systems, frank reflection by donors and NGOs is needed to assess how hiring practices may undermine the very systems they

Effects of grain-producing cover crops on rice grain yield in Cabo Delgado, Mozambique

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Adriano Stephan Nascente

Full Text Available ABSTRACT Besides providing benefits to the environment such as soil protection, release of nutrients, soil moisture maintenance, and weed control, cover crops can increase food production for grain production. The aim of this study was to evaluate the production of biomass and grain cover crops (and its respective effects on soil chemical and physical attributes, yield components, and grain yield of rice in Mozambique. The study was conducted in two sites located in the province of Cabo Delgado, in Mozambique. The experimental design was a randomized block in a 2 × 6 factorial, with four repetitions. Treatments were carried out in two locations (Cuaia and Nambaua with six cover crops: Millet (Pennisetum glaucum L.; namarra bean (Lablab purpureus (L. Sweet, velvet beans (Mucuna pruriens L., oloco beans (Vigna radiata (L. R. Wilczek, cowpea (Vigna unguiculata L., and fallow. Cover crops provided similar changes in chemical and physical properties of the soil. Lablab purpureus, Vigna unguiculata, and Mucuna pruriens produced the highest dry matter biomass. Vigna unguiculada produced the highest amount of grains. Rice grain yields were similar under all cover crops and higher in Cuaia than Nambaua.

The effects of acute salinity challenges on osmoregulation in Mozambique tilapia reared in a tidally changing salinity.

Science.gov (United States)

Moorman, Benjamin P; Lerner, Darren T; Grau, E Gordon; Seale, Andre P

2015-03-01

This study characterizes the differences in osmoregulatory capacity among Mozambique tilapia, Oreochromis mossambicus, reared in freshwater (FW), in seawater (SW) or under tidally driven changes in salinity. This was addressed through the use of an abrupt exposure to a change in salinity. We measured changes in: (1) plasma osmolality and prolactin (PRL) levels; (2) pituitary expression of prolactin (PRL) and its receptors, PRLR1 and PRLR2; (3) branchial expression of PRLR1, PRLR2, Na(+)/Cl(-) co-transporter (NCC), Na(+)/K(+)/2Cl(-) co-transporter (NKCC), α1a and α1b isoforms of Na(+)/K(+)-ATPase (NKA), cystic fibrosis transmembrane conductance regulator (CFTR), aquaporin 3 (AQP3) and Na(+)/H(+) exchanger 3 (NHE3). Mozambique tilapia reared in a tidal environment successfully adapted to SW while fish reared in FW did not survive a transfer to SW beyond the 6 h sampling. With the exception of CFTR, the change in the expression of ion pumps, transporters and channels was more gradual in fish transferred from tidally changing salinities to SW than in fish transferred from FW to SW. Upon transfer to SW, the increase in CFTR expression was more robust in tidal fish than in FW fish. Tidal and SW fish successfully adapted when transferred to FW. These results suggest that Mozambique tilapia reared in a tidally changing salinity, a condition that more closely represents their natural history, gain an adaptive advantage compared with fish reared in FW when facing a hyperosmotic challenge. © 2015. Published by The Company of Biologists Ltd.

Surgical treatment of peritonitis due to typhoid fever in a Hospital in Mozambique

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Arnulfo Gallego Mariño

2015-07-01

Full Text Available Background: Typhoid fever is a cause of peritonitis by perforation of the intestinal loops and provokes the death of many people; therefore it constitutes a health problem in Mozambique.Objective: To describe the patients operated on, with the diagnosis of peritonitis resulting from typhoid fever, at the surgery department of the Provincial Hospital in Quelimane, Zambezia Province, Mozambique, from November 1, 2011 to April 30, 2012.Methods: A descriptive study of the patients operated on with the diagnosis of peritonitis resulting from typhoid fever, at the hospital and period herein mentioned, was performed. The study population consisted of 96 patients who were operated on. The variables that were measured were: age, sex, onset of symptoms, total perforations, performed surgical treatment and complications.Results: Male patients of the 25 to 50 age group prevailed; most of them visited the service after 72 hours of the onset of symptoms; in 66 patients only one perforation was found and the surgical procedure mostly used was the suture of the perforation and the washout of the abdominal cavity.Conclusions: Most of the patients visited the service 72 hours after the onset of symptoms; they underwent surgery; and wound infection was the most frequent complication.

Plurality of religion, plurality of justice : exploring the role of religion in disputing processes in Gorongosa, Central Mozambique

NARCIS (Netherlands)

Jacobs, C.

2010-01-01

Religion is alive, especially - and increasingly - in the global South. What impact does religion have in everyday life as provider of normative orientations? This research investigates the role of religion in disputing processes in Gorongosa, Mozambique, where both traditional religion and

Does the Limpopo River Basin have sufficient water for massive irrigation development in the plains of Mozambique?

NARCIS (Netherlands)

Zaag, van der P.; Juizo, D.; Vilanculos, A.; Bolding, J.A.; Post Uiterweer, N.C.

2010-01-01

This paper verifies whether the water resources of the transboundary Limpopo River Basin are sufficient for the planned massive irrigation developments in the Mozambique part of this basin, namely 73,000 ha, in addition to existing irrigation (estimated at 9400 ha), and natural growth of common use

Bacterial vaginosis, alterations in vaginal flora and HIV genital shedding among HIV-1-infected women in Mozambique

Directory of Open Access Journals (Sweden)

Robert D Kirkcaldy

2011-05-01

Full Text Available Objectives. We investigated whether abnormal vaginal flora, including bacterial vaginosis (BV, are associated with detection of cervical HIV-1 RNA among HIV-infected women in Mozambique. Methods. We obtained clinical data and vaginal specimens from HIV-infected women registering for their first visit at one of two HIV care clinics in Mozambique. We compared women with detectable cervical HIV viral load (≥40 copies/ml with women with undetectable cervical HIV. Results. We enrolled 106 women. Women with abnormal vaginal flora (intermediate Nugent scores, 4 - 6 were more likely to have detectable cervical HIV RNA then women with normal vaginal flora (adjusted odds ratio 7.2 (95% confidence interval 1.8 - 29.1, adjusted for CD4 count. Women with BV had a non-significantly higher likelihood of detectable cervical HIV than women with normal flora. Conclusions. Abnormal vaginal flora were significantly associated with cervical HIV expression. Further research is needed to confirm this relationship.

Seismicity and lithospheric structure of Central Mozambique: implications for the southward propagation of the East African Rift System

Science.gov (United States)

Fonseca, J. F. B. D.; Domingues, A.

2017-12-01

South of latitude 5ºS, there is scarce support for a single preferred location of continental rifting in SE Africa. Building on the complexity already displayed further north around the Victoria microplate, the structures associated with rifting activity are now distributed over three branches: one directed towards the SW through Zambia and into the Okawango rift in Botswana; one running offshore along the Mozambique Channel; and a central rift system through lake Malawi and Central Mozambique. Our investigation focuses on this central branch, whose tectonic relevance was highlighted by the M7 Machaze earthquake in 2006. Through the temporary deployment of 30 broadband stations in central Mozambique we were able to document that the Shire and Urema grabens linking the Malawi rift to the Machaze epicentral area are seismically active, correlating with a 300 km long narrow band of seismicity reaching the lower crust. No significant seismicity was recorded along the Mazenga graben, south of the Machaze epicentral area. A tomographic model derived from ambient noise analysis showed a strong correlation between the seismicity and a sharp NNE-SSW boundary between the fast crust of the Zimbabwe and Kaapvaal cratons and slower crust underneath the Mozambique Coastal Plains. The seismicity shuts down were this trend rotates to a more N-S direction as the Lebombo monocline is approached. 20th Century seismicity of SE Africa shows a clear cluster in time, with five M>6 earthquakes concentrated in the 1950's, distributed along the edges of the Zimbabwe craton and spanning distances of 600 km. Spatial correlation with such range is hard to reconcile with stress transmission in the crust and may point to the interaction of the cratonic root with asthenospheric flow. Under this light, the M6.5 Central Botswana earthquake of April 2017 and the M7 Machaze earthquake of 2006, both located in the vicinity of the borders of the Kaapvaal craton, may bear a similar correlation. The

Air pollution-related health and climate benefits of clean cookstove programs in Mozambique

Science.gov (United States)

Anenberg, Susan C.; Henze, Daven K.; Lacey, Forrest; Irfan, Ans; Kinney, Patrick; Kleiman, Gary; Pillarisetti, Ajay

2017-02-01

Approximately 95% of households in Mozambique burn solid fuels for cooking, contributing to elevated indoor and outdoor fine particulate matter (PM2.5) concentrations and subsequent health and climate impacts. Little is known about the potential health and climate benefits of various approaches for expanding the use of cleaner stoves and fuels in Mozambique. We use state-of-the-science methods to provide a first-order estimation of potential air pollution-related health and climate benefits of four illustrative scenarios in which traditional cooking fires and stoves are displaced by cleaner and more efficient technologies. For rural areas, we find that a 10% increase in the number of households using forced draft wood-burning stoves could achieve >2.5 times more health benefits from reduced PM2.5 exposure (200 avoided premature deaths and 14 000 avoided disability adjusted life years, DALYs, over a three-year project lifetime) compared to natural draft stoves in the same households, assuming 70% of households use the new technology for both cases. Expanding use of LPG stoves to 10% of households in five major cities is estimated to avoid 160 premature deaths and 11 000 DALYs from reduced PM2.5 exposure for a three-year intervention, assuming 60% of households use the new stove. Advanced charcoal stoves would achieve ∽80% of the PM2.5-related health benefits of LPG stoves. Approximately 2%-5% additional health benefits would result from reduced ambient PM2.5, depending on the scenario. Although climate impacts are uncertain, we estimate that all scenarios would reduce expected climate change-related temperature increases from continued solid fuel use by 4%-6% over the next century. All results are based on an assumed adjustment factor of 0.8 to convert from laboratory-based emission reduction measurements to exposure reductions, which could be optimistic in reality given potential for continued use of the traditional stove. We conclude that cleaner cooking stoves

Book Review: Dams, displacement, and the delusion of development: Cahora Bassa and its legacies in Mozambique, 1965–2007

CSIR Research Space (South Africa)

Meissner, Richard

2015-10-01

Full Text Available Journal of International Affairs Book Review: Dams, displacement, and the delusion of development: Cahora Bassa and its legacies in Mozambique, 1965–2007 Richard Meissner Council for Scientific and Industrial Research, Pretoria, South Africa...

Factors associated with late antiretroviral therapy initiation among adults in Mozambique.

Directory of Open Access Journals (Sweden)

Maria Lahuerta

Full Text Available Despite recent changes to expand the ART eligibility criteria in sub-Saharan Africa, many patients still initiate ART in the advanced stages of HIV infection, which contributes to increased early mortality rates, poor patient outcomes, and onward transmission.To evaluate individual and clinic-level factors associated with late ART initiation in Mozambique, we conducted a retrospective sex-specific analysis of data from 36,411 adult patients who started ART between January 2005 and June 2009 at 25 HIV clinics in Mozambique. Late ART initiation was defined as CD4 count45_vs.26-30 = 0.72, 95%CI [0.67-0.77], entry into care via PMTCT (AOR(entry_through_PMTCT_vs.VCT = 0.42, 95%CI [0.35-0.50], marital status (AOR(married/in union_vs.single = 0.87, 95%CI [0.83-0.92], education (AOR(secondary_or_higher_vs.primary = 0.87, 95%CI [0.83-0.93] and year of ART initiation were associated with a lower likelihood of late ART initiation. Clinic-level factors independently associated with a lower likelihood of late ART initiation included CD4 machine on-site (AOR(CD4_machine_onsite_vs.offsite = 0.83, 95%CI [0.74-0.94] and presence of PMTCT services onsite (AOR = 0.85, 95%CI [0.77-0.93].The risk of starting ART late remained persistently high. Efforts are needed to ensure identification and enrollment of patients at earlier stages of HIV disease. Individual and clinic level factors identified may provide clues for upstream structural interventions.

Mid-level healthcare personnel training: an evaluation of the revised, nationally-standardized, pre-service curriculum for clinical officers in Mozambique.

Science.gov (United States)

Feldacker, Caryl; Chicumbe, Sergio; Dgedge, Martinho; Augusto, Gerito; Cesar, Freide; Robertson, Molly; Mbofana, Francisco; O'Malley, Gabrielle

2014-01-01

Mozambique suffers from a critical shortage of healthcare workers. Mid-level healthcare workers, (Tecnicos de Medicina Geral (TMG)), in Mozambique require less money and time to train than physicians. From 2009-2010, the Mozambique Ministry of Health (MoH) and the International Training and Education Center for Health (I-TECH), University of Washington, Seattle, revised the TMG curriculum. To evaluate the effect of the curriculum revision, we used mixed methods to determine: 1) if TMGs meet the MoH's basic standards of clinical competency; and 2) do scores on measurements of clinical knowledge, physical exam, and clinical case scenarios differ by curriculum? T-tests of differences in means examined differences in continuous score variables between curriculum groups. Univariate and multivariate linear regression models assess curriculum-related and demographic factors associated with assessment scores on each of the three evaluation methods at the pTMG scores on both the clinical cases and physical exam. TMGs trained in either curriculum may be inadequately prepared to provide quality care. Curriculum changes are a necessary, but insufficient, part of improving TMG knowledge and skills overall. A more comprehensive, multi-level approach to improving TMG training that includes post-graduation mentoring, strengthening the pre-service internship training, and greater resources for training institute faculty may result in improvements in TMG capacity and patient care over time.

South-South REDD: A Brazil-Mozambique initiative

Energy Technology Data Exchange (ETDEWEB)

MacQueen, Duncan

2011-06-15

The South-South REDD initiative - that aims to help facilitate the development of a National Action Plan for REDD+ for Mozambique based on sound baselines and monitoring, reporting and verification (MRV), clear analysis of the causes of deforestation and degradation, and appropriate benefit sharing mechanisms in support of activities to address them - is now in its second year. Extensive national consultations have led to the development of a National Action Plan for REDD+ which is currently being used as the basis for developing the countries REDD-Readiness Preparation Proposal (R-PP) for submission to the World Bank Forest Carbon Partnership Facility (FCPF). The National Action Plan for REDD+ seeks to create favourable conditions for the progressive reduction of the current rate of deforestation (0.58%) to 0.21% by 2025 and ultimately to zero, simultaneously reducing the rate of degradation and encouraging forest restoration to sequester 30 million tonnes of carbon by 2025.

Multi-site cholera surveillance within the African Cholera Surveillance Network shows endemicity in Mozambique, 2011-2015.

Science.gov (United States)

Semá Baltazar, Cynthia; Langa, José Paulo; Dengo Baloi, Liliana; Wood, Richard; Ouedraogo, Issaka; Njanpop-Lafourcade, Berthe-Marie; Inguane, Dorteia; Elias Chitio, Jucunu; Mhlanga, Themba; Gujral, Lorna; D Gessner, Bradford; Munier, Aline; A Mengel, Martin

2017-10-01

Mozambique suffers recurrent annual cholera outbreaks especially during the rainy season between October to March. The African Cholera Surveillance Network (Africhol) was implemented in Mozambique in 2011 to generate accurate detailed surveillance data to support appropriate interventions for cholera control and prevention in the country. Africhol was implemented in enhanced surveillance zones located in the provinces of Sofala (Beira), Zambézia (District Mocuba), and Cabo Delgado (Pemba City). Data were also analyzed from the three outbreak areas that experienced the greatest number of cases during the time period under observation (in the districts of Cuamba, Montepuez, and Nampula). Rectal swabs were collected from suspected cases for identification of Vibrio cholerae, as well as clinical, behavioral, and socio-demographic variables. We analyzed factors associated with confirmed, hospitalized, and fatal cholera using multivariate logistic regression models. A total of 1,863 suspected cases and 23 deaths (case fatality ratio (CFR), 1.2%) were reported from October 2011 to December 2015. Among these suspected cases, 52.2% were tested of which 23.5% were positive for Vibrio cholerae O1 Ogawa. Risk factors independently associated with the occurrence of confirmed cholera were living in Nampula city district, the year 2014, human immunodeficiency virus infection, and the primary water source for drinking. Cholera was endemic in Mozambique during the study period with a high CFR and identifiable risk factors. The study reinforces the importance of continued cholera surveillance, including a strong laboratory component. The results enhanced our understanding of the need to target priority areas and at-risk populations for interventions including oral cholera vaccine (OCV) use, and assess the impact of prevention and control strategies. Our data were instrumental in informing integrated prevention and control efforts during major cholera outbreaks in recent years.

Severe canine distemper outbreak in unvaccinated dogs in Mozambique.

Science.gov (United States)

Zacarias, Julieta; Dimande, Alberto; Achá, Sara; Dias, Paula T; Leonel, Elisa M; Messa, Aurora; Macucule, Baltazar; Júnior, José L; Bila, Custódio G

2016-07-15

Although significant animal suffering caused by preventable diseases is frequently seen in developing countries, reports of this are scarce. This report describes avoidable animal suffering owing to a suspected canine distemper (CD) outbreak in unvaccinated dogs owned by low-income families in Mozambique that killed approximately 200 animals. Affected dogs exhibited clinical signs, and gross and microscopic lesions compatible with CD. Immunohistochemical staining confirmed the presence of canine distemper virus (CDV) in the kidney of one dog from the cohort. This brief communication again illustrates that large outbreaks of CDV in unvaccinated dogs occur and that large-scale avoidable suffering and threats to the health of dogs and wild canines continue. Mass vaccination supported by government and non-government organisations is recommended.

Development of a Study Module on and Pedagogical Approaches to Industrial Environmental Engineering and Sustainability in Mozambique

Science.gov (United States)

Husgafvel, Roope; Martikka, Mikko; Egas, Andrade; Ribiero, Natasha; Dahl, Olli

2017-01-01

Addressing the sustainability challenges in the forest sector in Mozambique requires capacity building for higher education and training of new skilled expert and future decision-makers. Our approach was to develop a study module on and pedagogical approaches to industrial environmental engineering and sustainability. The idea was to develop a…

Language policies and sign language translation and interpreting: connections between Brazil and Mozambique

Directory of Open Access Journals (Sweden)

Silvana Aguiar dos Santos

2015-12-01

Full Text Available http://dx.doi.org/10.5007/1984-8420.2015v16n2p101 This paper is the result of an initial attempt to establish a connection between Brazil and Mozambique regarding sign language translation and interpreting. It reviews some important landmarks in language policies aimed at sign languages in these countries and discusses how certain actions directly impact political decisions related to sign lan­guage translation and interpreting. In this context, two lines of argument are developed. The first one addresses the role of sign language translation and interpreting in the Por­tuguese-speaking context, since Portuguese is the official language in both countries; the other offers some reflections about the Deaf movements and the movements of sign lan­guage translators and interpreters, the legal recognition of sign languages, the develop­ment of undergraduate courses and the contemporary challenges in the work of transla­tion professionals. Finally, it is suggested that sign language translators and interpreters in both Brazil and Mozambique undertake efforts to press government bodies to invest in: (i area-specific training for translators and interpreters, (ii qualification of the ser­vices provided by such professionals, and (iii development of human resources at mas­ter’s and doctoral levels in order to strengthen research on sign language translation and interpreting in the Community of Portuguese-Speaking Countries.

HIV drug resistance patterns in pregnant women using next generation sequence in Mozambique.

Science.gov (United States)

Rupérez, María; Noguera-Julian, Marc; González, Raquel; Maculuve, Sonia; Bellido, Rocío; Vala, Anifa; Rodríguez, Cristina; Sevene, Esperança; Paredes, Roger; Menéndez, Clara

2018-01-01

Few data on HIV resistance in pregnancy are available from Mozambique, one of the countries with the highest HIV toll worldwide. Understanding the patterns of HIV drug resistance in pregnant women might help in tailoring optimal regimens for prevention of mother to child transmission of HIV (pMTCT) and antenatal care. To describe the frequency and characteristics of HIV drug resistance mutations (HIVDRM) in pregnant women with virological failure at delivery, despite pMTCT or antiretroviral therapy (ART). Samples from HIV-infected pregnant women from a rural area in southern Mozambique were analysed. Only women with HIV-1 RNA >400c/mL at delivery were included in the analysis. HIVDRM were determined using MiSeq® (detection threshold 1%) at the first antenatal care (ANC) visit and at the time of delivery. Ninety and 60 samples were available at the first ANC visit and delivery, respectively. At first ANC, 97% of the women had HIV-1 RNA>400c/mL, 39% had CD4+ counts HIV-1 genotyping, less than 20% of women with detectable viremia at delivery had HIVDRM before initiating pMTCT or ART. This suggests that factors other than pre-existing resistance, such as lack of adherence or interruptions of the ANC chain, are also relevant to explain lack of virological suppression at the time of delivery in women receiving antiretrovirals drugs during pregnancy.

Poverty mapping based on first order dominance with an example from Mozambique

DEFF Research Database (Denmark)

Arndt, Channing; Hussain, Azhar M.; Salvucci, Vincenzo

2016-01-01

We explore a novel first-order dominance (FOD) approach to poverty mapping and compare its properties to small-area estimation. The FOD approach uses census data directly, is straightforward to implement, is multidimensional allowing for a broad conception of welfare and accounts rigorously...... for welfare distributions in both levels and trends. An application to Mozambique highlights the value of the approach, including its advantages in the monitoring and evaluation of public expenditures. We conclude that the FOD approach to poverty mapping constitutes a useful addition to the toolkit of policy...

Poverty mapping based on first order dominance with an example from Mozambique

DEFF Research Database (Denmark)

Arndt, Channing; Hussain, Azhar; Salvucci, Vincenzo

We explore a novel first order dominance (FOD) approach to poverty mapping and compare its properties to small area estimation. The FOD approach uses census data directly; is straightforward to implement; is multidimensional allowing for a broad conception of welfare; and accounts rigorously...... for welfare distributions in both levels and trends. An application to Mozambique highlights the value of the approach, including its advantages in the monitoring and evaluation of public expenditures. We conclude that the FOD approach to poverty mapping constitutes a useful addition to the toolkit of policy...

Seasonal household income dependency on forest and environmental resources in rural Mozambique

DEFF Research Database (Denmark)

Walelign, Solomon Zena; Nielsen, Øystein Juul

2013-01-01

Households in agrarian societies engage in variety of income generating activities. These activities are often seasonal and the associated income generated is volatile. Based on an income survey from 2006 in rural Mozambique, this study assesses the seasonal contribution of different income sources....... The volatility did vary across income sources; crop income seems the most volatile income component. Volatility in crop income is likely to have severe negative implications for rural households as poverty is widespread and other income opportunities are few. Therefore, the government and other developments...

Agreement between the Republic of Mozambique and the International Atomic Energy Agency for the Application of Safeguards in Connection with the Treaty on the Non Proliferation of Nuclear Weapons

International Nuclear Information System (INIS)

2011-01-01

The text of the Agreement (and the Protocol thereto) between the Republic of Mozambique and the International Atomic Energy Agency for the Application of Safeguards in Connection with the Treaty on the Non-Proliferation of Nuclear Weapons is reproduced in this document for the information of all Members. The Board of Governors approved the Agreement on 22 November 2007. It was signed on 23 June 2010 in Lisbon, Portugal, and on 8 July 2010 in Vienna, Austria. Pursuant to Article 24 of the Agreement, the Agreement entered into force on 1 March 2011, the date on which the Agency received from the Republic of Mozambique written notification that Mozambique's statutory and constitutional requirements for entry into force had been met. Pursuant to Article II of the Protocol, the Protocol entered into force on the same date

Community perspectives on the determinants of maternal health in rural southern Mozambique: a qualitative study.

Science.gov (United States)

Firoz, Tabassum; Vidler, Marianne; Makanga, Prestige Tatenda; Boene, Helena; Chiaú, Rogério; Sevene, Esperança; Magee, Laura A; von Dadelszen, Peter; Munguambe, Khátia

2016-09-30

Mozambique has one of the highest rates of maternal mortality in sub-Saharan Africa. The main influences on maternal health encompass social, economic, political, environmental and cultural determinants of health. To effectively address maternal mortality in the post-2015 agenda, interventions need to consider the determinants of health so that their delivery is not limited to the health sector. The objective of this exploratory qualitative study was to identify key community groups' perspectives on the perceived determinants of maternal health in rural areas of southern Mozambique. Eleven focus group discussions were conducted with women of reproductive age, pregnant women, matrons, male partners, community leaders and health workers. Participants were recruited using sampling techniques of convenience and snow balling. Focus groups had an average of nine participants each. The heads of 12 administrative posts were also interviewed to understand the local context. Data were coded and analysed thematically using NVivo software. A broad range of political, economic, socio-cultural and environmental determinants of maternal health were identified by community representatives. It was perceived that the civil war has resulted in local unemployment and poverty that had a number of downstream effects including lack of funds for accessing medical care and transport, and influence on socio-cultural determinants, particularly gender relations that disadvantaged women. Socio-cultural determinants included intimate partner violence toward women, and strained relationships with in-laws and co-spouses. Social relationships were complex as there were both negative and positive impacts on maternal health. Environmental determinants included natural disasters and poor access to roads and transport exacerbated by the wet season and subsequent flooding. In rural southern Mozambique, community perceptions of the determinants of maternal health included political, economic, socio

Assessing immunization data quality from routine reports in Mozambique

Directory of Open Access Journals (Sweden)

Mavimbe João C

2005-10-01

Full Text Available Abstract Background Worldwide immunization coverage shows an increase in the past years but the validity of the official reports for measuring change over time has been questioned. Facing this problem, donor supported initiatives like the Global Alliance for Vaccine and Immunizations, have been putting a lot of effort into assessing the quality of data used, since accurate immunization information is essential for the Expanded Program on Immunization managers to track and improve program performance. The present article, discusses the practices on record keeping, reporting and the support mechanism to ensure data quality in Mozambique. Methods A process evaluation study was carried out in Mozambique in one district (Cuamba in Niassa Province, between January and March 2003. The study was based on semi-structured interviews, participant observation and review of the data collection materials. Results Differences were found for all vaccine types when comparing facility reports with the tally sheets. The same applies when comparing facility reports with district reports. The study also showed that a routine practice during supervision visits was data quality assessment for the outpatient services but none related to data consistency between the tally sheets and the facility report. For the Expanded Program on Immunization, supervisors concentrated more on the consistency checks between data in the facility reports and the number of vaccines received during the same period. Meetings were based on criticism, for example, why health workers did not reach the target. Nothing in terms of data quality was addressed nor validation rules. Conclusion In this paper we have argued that the quality of data, and consequently of the information system, must be seen in a broader perspective not focusing only on technicalities (data collection tools and the reporting system but also on support mechanisms. Implications of a poor data quality system will be

Alfabetización de mujeres y promoción social en Mozambique: la experiencia en Munhava de la escuela de adultos San José

Directory of Open Access Journals (Sweden)

Ramón AGUADERO MIGUEL

2012-08-01

Full Text Available Aunque la alfabetización es clave para la reducción de la pobreza, este derecho se sigue negando a la mayoría de la población adulta de Mozambique. La desigualdad de género es una cuestión importante a considerar. La situación es especialmente complicada en los suburbios de las ciudades, donde las mujeres luchan cada día por una vida mejor para ellas y sus hijos. En este texto, después de sintetizar la historia de la alfabetización en Mozambique, se muestran los hitos principales en la Escuela de Adultos San José. Situada en el barrio de Munhava (Beira, es un ejemplo de opción por la promoción de la mujer. Profesorado y alumnas exponen sus puntos de vista, necesidades y deseos. Esta experiencia es un ejemplo de la debilidad de la educación de adultos en Mozambique, pero también de su potencial cuando las mujeres son escuchadas. Lentamente, las mujeres de Munhava están adquiriendo habilidades para la vida y descubriendo su dignidad y sus derechos.

Multi-site cholera surveillance within the African Cholera Surveillance Network shows endemicity in Mozambique, 2011–2015

Science.gov (United States)

Langa, José Paulo; Dengo Baloi, Liliana; Wood, Richard; Ouedraogo, Issaka; Njanpop-Lafourcade, Berthe-Marie; Inguane, Dorteia; Elias Chitio, Jucunu; Mhlanga, Themba; Gujral, Lorna; D. Gessner, Bradford; Munier, Aline; A. Mengel, Martin

2017-01-01

Background Mozambique suffers recurrent annual cholera outbreaks especially during the rainy season between October to March. The African Cholera Surveillance Network (Africhol) was implemented in Mozambique in 2011 to generate accurate detailed surveillance data to support appropriate interventions for cholera control and prevention in the country. Methodology/Principal findings Africhol was implemented in enhanced surveillance zones located in the provinces of Sofala (Beira), Zambézia (District Mocuba), and Cabo Delgado (Pemba City). Data were also analyzed from the three outbreak areas that experienced the greatest number of cases during the time period under observation (in the districts of Cuamba, Montepuez, and Nampula). Rectal swabs were collected from suspected cases for identification of Vibrio cholerae, as well as clinical, behavioral, and socio-demographic variables. We analyzed factors associated with confirmed, hospitalized, and fatal cholera using multivariate logistic regression models. A total of 1,863 suspected cases and 23 deaths (case fatality ratio (CFR), 1.2%) were reported from October 2011 to December 2015. Among these suspected cases, 52.2% were tested of which 23.5% were positive for Vibrio cholerae O1 Ogawa. Risk factors independently associated with the occurrence of confirmed cholera were living in Nampula city district, the year 2014, human immunodeficiency virus infection, and the primary water source for drinking. Conclusions/Significance Cholera was endemic in Mozambique during the study period with a high CFR and identifiable risk factors. The study reinforces the importance of continued cholera surveillance, including a strong laboratory component. The results enhanced our understanding of the need to target priority areas and at-risk populations for interventions including oral cholera vaccine (OCV) use, and assess the impact of prevention and control strategies. Our data were instrumental in informing integrated prevention and

Exploring competing experiences and expectations of the revitalized community health worker programme in Mozambique: an equity analysis.

Science.gov (United States)

Give, Celso Soares; Sidat, Mohsin; Ormel, Hermen; Ndima, Sozinho; McCollum, Rosalind; Taegtmeyer, Miriam

2015-09-01

Mozambique launched its revitalized community health programme in 2010 in response to inequitable coverage and quality of health services. The programme is focused on health promotion and disease prevention, with 20 % of community health workers' (known in Mozambique as Agentes Polivalentes Elementares (APEs)) time spent on curative services and 80 % on activities promoting health and preventing illness. We set out to conduct a health system and equity analysis, exploring experiences and expectations of APEs, community members and healthcare workers supervising APEs. This exploratory qualitative study captured the perspectives of a range of participants including women caring for children under 5 years (service clients), community leaders, service providers (APEs) and their supervisors. Participants in the Moamba and Manhiça districts, located in Maputo Province (Mozambique), were selected purposively. In total, 29 in-depth interviews and 9 focus group discussions were conducted in the local language and/or Portuguese. A framework approach was used for analysis, assisted by NVivo10 software. Our analysis revealed that health equity is viewed as linked to the quality and coverage of the APE programme. Demand and supply factors interplay to shape health equity. The availability of responsive and appropriate services led to tensions between community expectations for curative services (and APEs' willingness to perform them) and official policy focusing APE efforts mainly on preventive services and health promotion. The demand for more curative services by community members is a result of having limited access to healthcare services other than those offered by APEs. This study highlights the need to pay attention to the determinants of demand and supply of community interventions in health, to understand the opportunities and challenges of the difficult interface role played by APEs and to create communication among stakeholders in order to build a stronger, more

Training laypersons and hospital personnel in basic resuscitation techniques: an approach to impact the global trauma burden in Mozambique.

Science.gov (United States)

Merchant, Amina; Outhay, Malena; Gonzaléz-Calvo, Lazáro; Moon, Troy D; Sidat, Mohsin; Taibo, Catia Luciana Abdulfattáhe; McQueen, Kelly

2015-06-01

Over half of prehospital deaths in low-income countries are the result of airway compromise, respiratory failure, or uncontrolled hemorrhage; all three conditions can be addressed using simple first-aid measures. For both hospital personnel and laypersons, a basic trauma resuscitation training in modified ABCD (airway, breathing, circulation, disability) techniques can be easily learned and applied to increase the number of first responders in Mozambique, a resource-challenged country. A trauma training session was administered to 100 people in Mozambique: half were hospital personnel from 7 district medical centers and the other half were selected laypersons. This session included a pre-test, intervention, and post-test to evaluate and demonstrate first response skills. Eighty-eight people completed both the pre- and post-tests. Following the education intervention, both groups demonstrated an improvement in test scores. Hospital personnel had a mean post-test score of 60% (SD = 17, N = 43) and community laypeople had a mean score of 51% (SD = 16, N = 45). A t test for equal variances demonstrated significant difference between the post-intervention scores for the two groups (p = 0.01). All 100 participants were able to open an airway, externally control hemorrhage, and transport a patient with appropriate precautions. The trauma training session served as new information that improved knowledge as well as skills for both groups, and increased the number of capable responders in Mozambique. This study supports WHO recommendations to utilize the strengths of a developing nation-population-as the first step in establishing an organized trauma triage system.

Urban morphology, urban transformations and conservation in Maputo, Mozambique. Lessons learnt and transfer of knowledge to other regions

DEFF Research Database (Denmark)

Eskemose Andersen, Jørgen

2013-01-01

This paper draws on the research programme Home Space in the African City (www.homespace.dk) and aims at providing insights to the development of African cities with an emphasis on planning and housing, based on in-depth empirical data from Maputo, the capital of Mozambique. The Home Space concept...

Protocol Additional to the Agreement between the Republic of Mozambique and the International Atomic Energy Agency for the Application of Safeguards in Connection with the Treaty on the Non-Proliferation of Nuclear Weapons

International Nuclear Information System (INIS)

2011-01-01

The text of the Protocol Additional to the Agreement between the Republic of Mozambique and the International Atomic Energy Agency for the Application of Safeguards in Connection with the Treaty on the Non-Proliferation of Nuclear Weapons is reproduced in this document for the information of all Members. The Board of Governors approved the Additional Protocol on 22 November 2007. It was signed on 23 June 2010 in Lisbon, Portugal, and on 8 July 2010 in Vienna, Austria. Pursuant to Article 17 of the Additional Protocol, the Protocol entered into force on 1 March 2011, the date on which the Agency received from the Republic of Mozambique written notification that Mozambique's statutory and constitutional requirements for entry into force had been met

Urogenital schistosomiasis in Cabo Delgado, northern Mozambique: baseline findings from the SCORE study.

Science.gov (United States)

Phillips, Anna E; Gazzinelli-Guimarães, Pedro H; Aurelio, Herminio O; Dhanani, Neerav; Ferro, Josefo; Nala, Rassul; Deol, Arminder; Fenwick, Alan

2018-01-10

The results presented here are part of a five-year cluster-randomised intervention trial that was implemented to understand how best to gain and sustain control of schistosomiasis through different preventive chemotherapy strategies. This paper presents baseline data that were collected in ten districts of Cabo Delgado province, northern Mozambique, before treatment. A cross-sectional study of 19,039 individuals was sampled from 144 villages from May to September 2011. In each village prevalence and intensity of S. haematobium were investigated in 100 children first-year students (aged 5-8 years), 100 school children aged 9-12 years (from classes 2 to 7) and 50 adults (20-55 years). Prevalence and intensity of S. haematobium infection were evaluated microscopically by two filtrations, each of 10 ml, from a single urine specimen. Given that individual and community perceptions of schistosomiasis influence control efforts, community knowledge and environmental risk factors were collected using a face-to-face interview. Data were entered onto mobile phones using EpiCollect. Data summary was made using descriptive statistics. Chi-square and logistic regression were used to determine the association between dependent and independent variables. The overall prevalence of urogenital schistosomiasis was 60.4% with an arithmetic mean intensity of infection of 55.8 eggs/10 ml of urine. Heavy infections were detected in 17.7%, of which 235 individuals (6.97%) had an egg count of 1000 eggs/10 ml or more. There was a significantly higher likelihood of males being infected than females across all ages (62% vs 58%; P Cabo Delgado. In addition, poor community knowledge about the causes of schistosomiasis and how to prevent it increases the significant public health challenge for the national control program. This was the first study in Mozambique that examined infection levels among adults, where results showed that S. haematobium infection was also extremely high. Given

Impulses for Perishable Products : Quick Scan of Potato, Aquaculture, and Horticulture Cold Chain Opportunities in the Zambezi Valley, Mozambique

NARCIS (Netherlands)

Brouwer, J.H.; Haverkort, A.J.; Montsma, M.P.; Rothuis, A.J.

2013-01-01

In the fast-changing Zambezi Valley in Mozambique food security is not yet a reality, despite the economic growth due to e.g. mining. Quick scans were conducted for Zambezi Valley Development Agency to assess the potential for market-driven inclusive development of three value chains: potato,

Making a difference in adult-child relationships: evidence from an adult-child communication intervention in Botswana, Malawi, and Mozambique.

Science.gov (United States)

Schwandt, Hilary M; Underwood, Carol

2013-12-01

Girls are vulnerable to HIV in part because the social systems in which they live have failed to protect them. This study evaluates a program aimed at strengthening adult-child relationships to reduce girls' vulnerability to HIV in Botswana, Malawi, and Mozambique. In addition to an extensive process evaluation, a cross-sectional post-intervention survey was conducted in the three countries. The total sample size was 1418 adolescent girls (ages 11-18). Bivariate and multilevel, multivariate analyses were conducted to assess the association between adult program exposure and adult-child relationship improvement. In Botswana, Malawi, and Mozambique, girls whose mothers and fathers participated in the program, as compared to those whose parents did not participate in the program, were significantly more likely to report that their relationships with their parents had improved. Research has shown the important role that adults can play in the mitigation of youth risk taking behavior. Copyright © 2013 The Foundation for Professionals in Services for Adolescents. All rights reserved.

History writing and state legitimisation in postcolonial Mozambique: the case of the History Workshop, Centre for African Studies, 1980-1986

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Carlos Fernandes

Full Text Available This article discusses, through an examination of the work of the Oficina de História of the Centre for African Studies (CEA at Eduardo Mondlane University, the politics of historical production and nation-state building in post-Independence Mozambique and the ambivalent position in which CEA historians were placed within that intellectual and political context. This ambivalence is in relation to two main assumptions, which can only be understood in the specific historical context of FRELIMO's strategy for socialist construction. First, the CEA researchers were well aware of their role as critical historians and fought to exercise it at the Centre. Second, they were intellectually engaged in producing a new historical narrative of FRELIMO's liberation war and the liberated zones. This meant not only producing a counter-narrative to the colonial historiography (writing 'history from below', rescuing the 'voices' of the Mozambican people etc., but also producing a strategy to legitimise FRELIMO's hegemonic project in the post-independence period. It was in the intersection between the social production of historical knowledge and the perpetuation of FRELIMO's worldview that the historians at CEA were able to safeguard and exercise their perceived role as critical historians, opening a new form of historical inquiry in Mozambique: a history of the present, at once critical and policy-oriented. Put differently, the CEA historians were able to safeguard and exercise their critical role, not on the sensitive, controversial and dangerous terrain of writing the history of FRELIMO's liberation war and the 'liberated zones', but on the writing of the history of the present en route to socialism. As they would claim, it was not possible to understand the past unless you could understand the present. With this shift these historians were able to 'escape' from simply becoming 'trapped' by their intellectual commitment to the power elite. This was done by

Barriers to access to antiretroviral treatment in Mozambique, as perceived by patients and health workers in urban and rural settings.

NARCIS (Netherlands)

Posse, M.E.; Baltussen, R.M.P.M.

2009-01-01

This study identifies, ranks, and compares factors perceived as barriers to accessing antiretroviral treatment (ART) in urban and rural settings in Mozambique. Data were collected between March and July 2008. It consisted of 13 focus group discussions and a structured questionnaire administered to

Closing the mental health gap in low-income settings by building research capacity: perspectives from Mozambique.

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Sweetland, Annika C; Oquendo, Maria A; Sidat, Mohsin; Santos, Palmira F; Vermund, Sten H; Duarte, Cristiane S; Arbuckle, Melissa; Wainberg, Milton L

2014-01-01

Neuropsychiatric disorders are the leading cause of disability worldwide, accounting for 22.7% of all years lived with disability. Despite this global burden, fewer than 25% of affected individuals ever access mental health treatment; in low-income settings, access is much lower, although nonallopathic interventions through traditional healers are common in many venues. Three main barriers to reducing the gap between individuals who need mental health treatment and those who have access to it include stigma and lack of awareness, limited material and human resources, and insufficient research capacity. We argue that investment in dissemination and implementation research is critical to face these barriers. Dissemination and implementation research can improve mental health care in low-income settings by facilitating the adaptation of effective treatment interventions to new settings, particularly when adapting specialist-led interventions developed in high-resource countries to settings with few, if any, mental health professionals. Emerging evidence from other low-income settings suggests that lay providers can be trained to detect mental disorders and deliver basic psychotherapeutic and psychopharmacological interventions when supervised by an expert. We describe a new North-South and South-South research partnership between Universidade Eduardo Mondlane (Mozambique), Columbia University (United States), Vanderbilt University (United States), and Universidade Federal de São Paulo (Brazil), to build research capacity in Mozambique and other Portuguese-speaking African countries. Mozambique has both the political commitment and available resources for mental health, but inadequate research capacity and workforce limits the country's ability to assess local needs, adapt and test interventions, and identify implementation strategies that can be used to effectively bring evidence-based mental health interventions to scale within the public sector. Global training and

Geophysical evidence for the crustal variation and distribution of magmatism along the central coast of Mozambique

Science.gov (United States)

Mueller, Christian Olaf; Jokat, Wilfried

2017-08-01

For our understanding of the timing and geometry of the initial Gondwana break-up, still a consistent image of the crustal composition of the conjugated margins of central Mozambique and Antarctica and the location of their continent-ocean boundaries is missing. In this regard, a main objective is the explanation for the source of the different magnetic signature of the conjugate margins. Based on a revised investigation of wide-angle seismic data along two profiles across the Mozambican margin by means of an amplitude modelling, this study presents the crustal composition across and along the continental margin of central Mozambique. Supported by 2D magnetic modelling, the results are compared to the conjugate margin in Antarctica and allow new conclusions about their joined tectonic evolution. An observed crustal diversity between the north-eastern and south-western parts of the central Mozambican margin, testifies to the complex break-up history of this area. Conspicuous is the equal spatial extent of the HVLCB along the margin of 190-215 km. The onset of oceanic crust at the central Mozambican margin is refined to chron M38n.2n (164.1 Ma). Magnetic modelling supports the presence of reversed polarized SDRs in the continent-ocean transition that were mainly emplaced between 168.5 and 166.8 Ma (M42-M40). Inferred SDRs in the Riiser-Larsen Sea might be emplaced sometime between 166.8 and 164.1 Ma (M39-M38), but got overprinted by normal polarized intrusions of a late stage of rift volcanism, causing the opposite magnetic signature of the conjugate margins. The distribution of the magmatic material along the central coast of Mozambique clearly indicates the eastern extension of the north-eastern branch of the Karoo triple rift along the entire margin. The main magmatic phase affecting this area lasted for at least 12 Myr between 169 and 157 Ma, followed by the cease of the magmatism, perhaps due to the relative southwards motion of the magmatic centre.

Gas in Mozambique, a highly risky economic evolution

International Nuclear Information System (INIS)

Auge, Benjamin

2014-04-01

As, after the discovery of gas resources and the development of important coal projects, Mozambique has become an important place of investments and is about to enter a new development phase whereas its steady economic history is only twenty year old, and conflicts left the country with endemic poverty in some regions, an almost total absence of trained workforce, and a striking lack of infrastructures. Moreover, private sector is still poorly developed and in the hands of leaders of the governing party. Based on meetings with politicians, representatives of oil companies, ambassadors, fund donors, representatives of bilateral and multilateral cooperation, journalists and representatives of NGOs, this note proposes an analysis of the way the Mozambican government prepares this new phase of development. The author presents an overview of the status of gas exploitation, outlines that the extraction sector is far from being actually operational, that counter-powers are still weak, and that donors are bringing a support which is often perceived as contradictory

Early Vocabulary Development in Rural and Urban Mozambique

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Paul Vogt

2015-01-01

Full Text Available This paper presents an adaptation of the MacArthur-Bates Communicative Development Inventories (short version into three languages spoken in Southern Mozambique. The tool was adapted to study vocabulary development among children of 12 to 25 months of age in two communities: a rural, monolingual Changana speaking community and an urban bilingual Ronga and Portuguese speaking community. We present a norming study carried out with the adaptation, as well as a validation study. The norming study revealed various predictors for reported expressive and receptive vocabulary size. These predictors include age, socioeconomic status, reported health problems, caregiving practices, and location. The validation of the CDI among a small sample in both communities shows positive correlations between the reported expressive vocabulary scores and children’s recorded word production. We conclude that the adapted CDI is useful for research purposes and could be used as a template for adaptations into other languages from similar cultures.

The Successes and Challenges of Reintegrating Street Children through Nonformal Education in Maputo City, Mozambique

OpenAIRE

SALOKANGAS, RIIKKA

2010-01-01

The objective of the research was to explore challenges and successes that street children centres encounter while reintegrating and educating their children. Research questions divide in two: what kind of nonformal education is available for street children in certain organisations and what are the challenges and successes of children's nonformal education and the reintegration process? Research targets are two centres, a closed and an open one in Maputo city, Mozambique. The research ap...

Spatial Resilience of Outdoor Domestic Space in Mozambique

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Céline Felicio Veríssimo

2012-07-01

Full Text Available Historically, the people of Mozambique have faced oppression and social spatial segregation and responded in a way that has reinforced rather than dismantled their traditional values. Since pre-colonial times, the population’s strategy for escaping from environmental and foreign political disruption has been to reinvent tradition, based on the principles of resilience, resistance and self-reliance. The development of decentralised human settlements, involving the appropriation of land for domestic space and the self-organisation of neighbourhoods, were strategies to protect communities from adversity and secure collective self-reliance. Following Mozambique’s conversion to globalization, the post-colonial ‘cement city’ is now the core of neo-liberalism, as a node of the global economy, where foreign donors and international market economy control national political economy, exacerbating the premise of the negation of self-sufficiency that continues to evolve resiliently at its margins. The adoption of a neo-liberal model of development during the 1990s, completely bypasses the realities of Mozambican society. This paper argues that the strategy of self-production of space regarding the household/Outdoor Domestic Space unit, which existed previously as a resistance strategy, first of all against colonialism and secondly, against the statist definition of socialism, thirdly, has become a successful strategy for survival, as the building block of the decentralised Agrocity, in the face of a global economy which totally neglects both the people and the land. Outdoor Domestic Space is a multifaceted space that refers to the external space surrounding the built house and which, in the case of Mozambique, is where daily life takes place, involving strong social, ecological and productive functions. Under successive periods of political economy oppression and environmental adversity, the Outdoor Domestic Space has been adapted and refined to

Public Financial Accountability: A pre-requisite to the management of Development Assistance in Mozambique beyond 2015

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Clive Makina

2016-12-01

Full Text Available In Sub-Saharan Africa, Mozambique remains as one of the poorest countries in the region receiving large volumes of Development Assistance (DA from the international donor community yet the majority of its population still continue to suffer from poverty. This article places much emphasis on efficient and effective Public Financial Management (PFM as a key ingredient for the achievement of both the national and international development goals in Mozambique. Through a literature based study, the article acknowledges progress that has been recorded in the Millennium Development Goals. However, the paper considers the strengthening of PFM systems through enhanced accountability and transparency as essential elements in face of the recent global development commitment to the Sustainable Development Goals. A reviewof challenges experienced in the era of MDGs in the country points to a need for greater transparency and accountability in the management of DA if the country is to achieve the SDGs. Thus, arguing on the basis of the Agency theory, the article proposes the adoption of a stringent governance mechanism for Public Financial Management measures to shape government and donor financial accountability frameworks with the view of creating an enabling environment aimed at ensuring the achievement of Agenda 2025 and the 2030 Sustainable Development Goal (SDG targets.

How Can the Health System Retain Women in HIV Treatment for a Lifetime? A Discrete Choice Experiment in Ethiopia and Mozambique.

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Margaret E Kruk

Full Text Available Option B+, an approach that involves provision of antiretroviral therapy (ART to all HIV-infected pregnant women for life, is the preferred strategy for prevention of mother to child transmission of HIV. Lifelong retention in care is essential to its success. We conducted a discrete choice experiment in Ethiopia and Mozambique to identify health system characteristics preferred by HIV-infected women to promote continuity of care.Women living with HIV and receiving care at hospitals in Oromia Region, Ethiopia and Zambézia Province, Mozambique were shown nine choice cards and asked to select one of two hypothetical health facilities, each with six varying characteristics related to the delivery of HIV services for long term treatment. Mixed logit models were used to estimate the influence of six health service attributes on choice of clinics.2,033 women participated in the study (response rate 97.8% in Ethiopia and 94.7% in Mozambique. Among the various attributes of structure and content of lifelong ART services, the most important attributes identified in both countries were respectful provider attitude and ability to obtain non-HIV health services during HIV-related visits. Availability of counseling support services was also a driver of choice. Facility type, i.e., hospital versus health center, was substantially less important.Efforts to enhance retention in HIV care and treatment for pregnant women should focus on promoting respectful care by providers and integrating access to non-HIV health services in the same visit, as well as continuing to strengthen counseling.

Social cost of land mines in four countries: Afghanistan, Bosnia, Cambodia, and Mozambique.

Science.gov (United States)

Andersson, N; da Sousa, C P; Paredes, S

1995-09-16

To document the effects of land mines on the health and social conditions of communities in four affected countries. A cross design of cluster survey and rapid appraisal methods including a household questionnaire and qualitative data from key informants, institutional reviews, and focus groups of survivors of land mines from the same communities. 206 communities, 37 in Afghanistan, 66 in Bosnia, 38 in Cambodia, and 65 in Mozambique. 174,489 people living in 32,904 households in the selected communities. Effects of land mines on food security, residence, livestock, and land use; risk factors: extent of individual land mine injuries; physical, psychological, social, and economic costs of injuries during medical care and rehabilitation. Between 25% and 87% of households had daily activities affected by land mines. Based on expected production without the mines, agricultural production could increase by 88-200% in different regions of Afghanistan, 11% in Bosnia, 135% in Cambodia, and 3.6% in Mozambique. A total of 54,554 animals was lost because of land mines, with a minimum cash value of $6.5m, or nearly $200 per household. Overall, 6% of households (1964) reported a land mine victim; a third of victims died in the blast. One in 10 of the victims was a child. The most frequent activities associated with land mine incidents were agricultural or pastoral, except in Bosnia where more than half resulted from military activities, usually during patrols. Incidences have more than doubled between 1980-3 and 1990-3, excluding the incidents in Bosnia. Some 22% of victims (455/2100) were from households reporting attempts to remove land mines; in these households there was a greatly increased risk of injury (odds ratio 4.2 and risk difference 19% across the four countries). Lethality of the mines varied; in Bosnia each blast killed an average of 0.54 people and injured 1.4, whereas in Mozambique each blast killed 1.45 people and wounded 1.27. Households with a land mine victim

High HIV prevalence and incidence among women in Southern Mozambique: Evidence from the MDP microbicide feasibility study.

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Sibone Mocumbi

Full Text Available The study aimed to assess the feasibility of conducting large scale HIV prevention clinical trials in Mozambique by measuring HIV prevalence and incidence among women of reproductive age. This paper describes the baseline socio-demographic characteristics of the Mozambique Microbicides Development Programme (MDP feasibility cohort, baseline prevalence of HIV and other STIs, and HIV incidence.The Mozambique MDP feasibility study was conducted from September 2007 to August 2009 in urban Mavalane and rural Manhiça, in Southern Mozambique. Sexually active, HIV negative women aged 18 years and above were recruited to attend the study clinic every 4 weeks for a total of 40 weeks. At baseline, we collected demographic and sexual behaviour data, samples to test for sexually transmitted infections (STI and conducted HIV rapid testing. STI and HIV testing were repeated at clinical follow-up visits. We describe HIV prevalence of women at screening, the demographic, behavioural and clinical characteristics of women at enrolment, and HIV incidence during follow-up.We screened 793 women (369 at Mavalane and 424 at Manhiça and enrolled 505 eligible women (254 at Mavalane and 251 at Manhiça. Overall HIV prevalence at screening was 17%; 10% at Mavalane and 22% at Manhiça. Women screened at Manhiça were twice as likely as women screened at Mavalane to be HIV positive and HIV positive status was associated with younger age (18-34, lower educational level, not using a reliable method of contraception and being Zionist compared to other Christian religions. At enrolment contraceptive use was low in both clinics at 19% in Mavalane and 21% in Manhiça, as was reported condom use at last sex act at 48% in Mavalane and 25% in Manhiça. At enrolment, 8% of women tested positive for Trichomonas vaginalis, 2% for Neisseria gonorrhoeae, 4% for Chlamydia trachomatis and 46% for bacterial vaginosis. In Manhiça, 8% of women had active syphilis at screening. HIV incidence

Medicines registration in Portuguese-speaking African countries, focusing in the following countries: Angola, Cap Verde and Mozambique

OpenAIRE

Figueiredo, Alina Maria Moreira de

2015-01-01

This work aims to present the regulation perspective on the medicines registration in PALOPs – Países Africanos de Língua Oficial Portuguesa (Portuguese‐speaking African countries), their regulatory requirements, constraints and opportunities, focusing on the following countries: Angola, Cape Verde and Mozambique. This thesis has as purpose to deepen and systematize knowledge with regard to the registration procedure of medicines in the selected countries. Regulatory pers...

Evaluation of Satellite Rainfall Estimates for Drought and Flood Monitoring in Mozambique

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Carolien Toté

2015-02-01

Full Text Available Satellite derived rainfall products are useful for drought and flood early warning and overcome the problem of sparse, unevenly distributed and erratic rain gauge observations, provided their accuracy is well known. Mozambique is highly vulnerable to extreme weather events such as major droughts and floods and thus, an understanding of the strengths and weaknesses of different rainfall products is valuable. Three dekadal (10-day gridded satellite rainfall products (TAMSAT African Rainfall Climatology And Time-series (TARCAT v2.0, Famine Early Warning System NETwork (FEWS NET Rainfall Estimate (RFE v2.0, and Climate Hazards Group InfraRed Precipitation with Stations (CHIRPS are compared to independent gauge data (2001–2012. This is done using pairwise comparison statistics to evaluate the performance in estimating rainfall amounts and categorical statistics to assess rain-detection capabilities. The analysis was performed for different rainfall categories, over the seasonal cycle and for regions dominated by different weather systems. Overall, satellite products overestimate low and underestimate high dekadal rainfall values. The RFE and CHIRPS products perform as good, generally outperforming TARCAT on the majority of statistical measures of skill. TARCAT detects best the relative frequency of rainfall events, while RFE underestimates and CHIRPS overestimates the rainfall events frequency. Differences in products performance disappear with higher rainfall and all products achieve better results during the wet season. During the cyclone season, CHIRPS shows the best results, while RFE outperforms the other products for lower dekadal rainfall. Products blending thermal infrared and passive microwave imagery perform better than infrared only products and particularly when meteorological patterns are more complex, such as over the coastal, central and south regions of Mozambique, where precipitation is influenced by frontal systems.

Evaluation of satellite rainfall estimates for drought and flood monitoring in Mozambique

Science.gov (United States)

Tote, Carolien; Patricio, Domingos; Boogaard, Hendrik; van der Wijngaart, Raymond; Tarnavsky, Elena; Funk, Christopher C.

2015-01-01

Satellite derived rainfall products are useful for drought and flood early warning and overcome the problem of sparse, unevenly distributed and erratic rain gauge observations, provided their accuracy is well known. Mozambique is highly vulnerable to extreme weather events such as major droughts and floods and thus, an understanding of the strengths and weaknesses of different rainfall products is valuable. Three dekadal (10-day) gridded satellite rainfall products (TAMSAT African Rainfall Climatology And Time-series (TARCAT) v2.0, Famine Early Warning System NETwork (FEWS NET) Rainfall Estimate (RFE) v2.0, and Climate Hazards Group InfraRed Precipitation with Stations (CHIRPS)) are compared to independent gauge data (2001–2012). This is done using pairwise comparison statistics to evaluate the performance in estimating rainfall amounts and categorical statistics to assess rain-detection capabilities. The analysis was performed for different rainfall categories, over the seasonal cycle and for regions dominated by different weather systems. Overall, satellite products overestimate low and underestimate high dekadal rainfall values. The RFE and CHIRPS products perform as good, generally outperforming TARCAT on the majority of statistical measures of skill. TARCAT detects best the relative frequency of rainfall events, while RFE underestimates and CHIRPS overestimates the rainfall events frequency. Differences in products performance disappear with higher rainfall and all products achieve better results during the wet season. During the cyclone season, CHIRPS shows the best results, while RFE outperforms the other products for lower dekadal rainfall. Products blending thermal infrared and passive microwave imagery perform better than infrared only products and particularly when meteorological patterns are more complex, such as over the coastal, central and south regions of Mozambique, where precipitation is influenced by frontal systems.

Task-shifting: experiences and opinions of health workers in Mozambique and Zambia

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Ferrinho Paulo

2012-09-01

Full Text Available Abstract Background This paper describes the task-shifting taking place in health centres and district hospitals in Mozambique and Zambia. The objectives of this study were to identify the perceived causes and factors facilitating or impeding task-shifting, and to determine both the positive and negative consequences of task-shifting for the service users, for the services and for health workers. Methods Data collection involved individual and group interviews and focus group discussions with health workers from the civil service. Results In both the Republic of Mozambique and the Republic of Zambia, health workers have to practice beyond the traditional scope of their professional practice to cope with their daily tasks. They do so to ensure that their patients receive the level of care that they, the health workers, deem due to them, even in the absence of written instructions. The “out of professional scope” activities consume a significant amount of working time. On occasions, health workers are given on-the-job training to assume new roles, but job titles and rewards do not change, and career progression is unheard of. Ancillary staff and nurses are the two cadres assuming a greater diversity of functions as a result of improvised task-shifting. Conclusions Our observations show that the consequences of staff deficits and poor conditions of work include heavier workloads for those on duty, the closure of some services, the inability to release staff for continuing education, loss of quality, conflicts with patients, risks for patients, unsatisfied staff (with the exception of ancillary staff and hazards for health workers and managers. Task-shifting is openly acknowledged and widespread, informal and carries risks for patients, staff and management.

Strengthening Child Protection Systems for Unaccompanied Migrant Children in Mozambique

DEFF Research Database (Denmark)

Verdasco Martinez, Andrea

children. By identifying children’s reasons for migrating, it identifies the main risks they encounter once they start living and working in Ressano Garcia. These include: lack of access to educational opportunities, exposure to child labour exploitation, trafficking and smuggling. This paper argues......This research sets out to understand the why, how and with whom of rural-urban internal migration of children to Ressano Garcia, a border town between Mozambique and South Africa. It addresses the overarching research question of how to strengthen child protection systems for unaccompanied migrant...... that child protection systems must respond to the unique situation of migrant children’s needs. Child protection and migration policies need to strike a balance between discouraging unsafe migration, which has the potential to expose children to violence, and ensuring that systems are in place for safe...

Asymmetry of ARCH effects and natural resources disease or virtue: Mozambique experience

Science.gov (United States)

Faias, Marta; Mota, Pedro; Mulenga, Alberto; Pina, Joaquim P.

2016-06-01

We study the exchange rate behavior, mainly as to the presence of asymmetry in the shocks to conditional variance. Particularly, we investigate if the presence of that asymmetric response is specific to a marked behavior of the currency, appreciation/Dutch disease/depreciation, and if it appears masked when taking long non-homogeneous periods. Taking Mozambique Metical bilateral exchange rate against South Africa Rand, a major trading partner, we identify specific movements in defined sub-periods, where the most recent has the Dutch disease under scrutiny. Our results point out that asymmetry emerges especially when the currency is depreciating, while it is masked when considering larger periods that combine differences in currency behavior.

Comparative analysis between grid extension and decentralized solutions for rural electrification. Case study: Sofala Province in Mozambique

Energy Technology Data Exchange (ETDEWEB)

Graf, Jakob; Le Fol, Yoann; Donnay, Adrian; Chatzipoulidis, Ioannis; Mozumder, M. Zahangir; Zampouki, Maria; Carlson, Anna; Boje Blarke, Morten [Aalborg Univ. (Denmark). Dept. of Development and Planning

2011-07-01

A special early excerpt of the IEA's World Energy Outlook 2010 focusing on energy poverty indicates that 1.4 billion people don't have access to electricity, 85% of which live in rural areas. The social, economic and local environmental benefits from having access to electricity are well-known, including less indoor pollution, less spending on fuel, less stress on the local eco-system, expansion of the productive and social hours of the day, cooling for food and medicine, and enabling education in the evening hours. This study examines options for rural electrification in Mozambique, where 89% of the population doesn't have access to electricity. Conventional and alternative options are compared with respect to energy, environmental, and economic consequences. The research methodology follows a knowledge-based approach, which allows for a comprehensive and holistic evaluation of how different rural electrification options affect the society in general, and the economy in particular. The paper presents an innovative techno-economic model for Mozambique that evaluates how different stakeholders and economic sectors are influenced by conventional and alternative options for rural electrification. The study offers new qualitative and quantitative empirical data, which support a significantly better understanding of how different rural electrification strategies are impacting society. (orig.)

Salsola sp. A of Flora Zambesiaca from the coast of Mozambique is Caroxylon littoralis (Amaranthaceae subfam. Salsoloideae), hitherto only known from Madagascar

DEFF Research Database (Denmark)

Friis, Ib; Holt, Sune

2017-01-01

We have identified plants from the coast of the Inhambane Province, Mozambique, with the incompletely known species Salsola sp. A of Flora Zambesiaca and with Caroxylon littoralis (Moq.) Akhani & Roalson (Salsola littoralis Moq.), a species hitherto believed to be endemic to Madagascar and Île...

Vectorial status and insecticide resistance of Anopheles funestus from a sugar estate in southern Mozambique.

Science.gov (United States)

Kloke, R Graham; Nhamahanga, Eduardo; Hunt, Richard H; Coetzee, Maureen

2011-02-09

The dual problems of rising insecticide resistance in the malaria vectors and increasing human malaria cases since 2001 in southern Mozambique are cause for serious concern. The selection of insecticides for use in indoor residual spraying (IRS) programmes is highly dependent on the extent to which local mosquitoes are susceptible to the approved classes of insecticides. The insecticide resistance status and role in malaria transmission of Anopheles funestus was evaluated at the Maragra Sugar Estate in southern Mozambique where an IRS vector control programme has been in operation for seven years using the carbamate insecticide bendiocarb. No Anopheles species were captured inside the sugar estate control area. Anopheles funestus group captured outside of the estate represented 90% (n = 475) of the total collections. Of the specimens identified to species by PCR (n = 167), 95% were An. funestus s.s. One An. rivulorum was identified and seven specimens did not amplify. The Anopheles gambiae complex was less abundant (n = 53) and of those identified (n = 33) 76% were An. arabiensis and 24% An. merus. Insecticide susceptibility tests showed that wild-caught and F-1 family An. funestus were resistant to deltamethrin (32.5% mortality) and lambda-cyhalothrin (14.6% mortality), less so to bendiocarb (71.5% mortality) and fully susceptible to both malathion and DDT (100%). Bendiocarb and pyrethroid resistance was nullified using 4% piperonyl butoxide (Pbo), strongly suggesting that both are mediated by P450 monooxygenase detoxification. ELISA tests of An. funestus for Plasmodium falciparum, gave a sporozoite rate of 6.02% (n = 166). One unidentified member of the An. gambiae complex tested positive for P. falciparum sporozoites. Anopheles funestus was found to be the most abundant and principle vector of malaria in this area, with members of the An. gambiae complex being secondary vectors. Despite the continual use of bendiocarb within the estate for seven years and the

Vectorial status and insecticide resistance of Anopheles funestus from a sugar estate in southern Mozambique

Directory of Open Access Journals (Sweden)

Nhamahanga Eduardo

2011-02-01

Full Text Available Abstract Background The dual problems of rising insecticide resistance in the malaria vectors and increasing human malaria cases since 2001 in southern Mozambique are cause for serious concern. The selection of insecticides for use in indoor residual spraying (IRS programmes is highly dependent on the extent to which local mosquitoes are susceptible to the approved classes of insecticides. The insecticide resistance status and role in malaria transmission of Anopheles funestus was evaluated at the Maragra Sugar Estate in southern Mozambique where an IRS vector control programme has been in operation for seven years using the carbamate insecticide bendiocarb. Results No Anopheles species were captured inside the sugar estate control area. Anopheles funestus group captured outside of the estate represented 90% (n = 475 of the total collections. Of the specimens identified to species by PCR (n = 167, 95% were An. funestus s.s. One An. rivulorum was identified and seven specimens did not amplify. The Anopheles gambiae complex was less abundant (n = 53 and of those identified (n = 33 76% were An. arabiensis and 24% An. merus. Insecticide susceptibility tests showed that wild-caught and F-1 family An. funestus were resistant to deltamethrin (32.5% mortality and lambda-cyhalothrin (14.6% mortality, less so to bendiocarb (71.5% mortality and fully susceptible to both malathion and DDT (100%. Bendiocarb and pyrethroid resistance was nullified using 4% piperonyl butoxide (Pbo, strongly suggesting that both are mediated by P450 monooxygenase detoxification. ELISA tests of An. funestus for Plasmodium falciparum, gave a sporozoite rate of 6.02% (n = 166. One unidentified member of the An. gambiae complex tested positive for P. falciparum sporozoites. Conclusion Anopheles funestus was found to be the most abundant and principle vector of malaria in this area, with members of the An. gambiae complex being secondary vectors. Despite the continual use of

Mid-level healthcare personnel training: an evaluation of the revised, nationally-standardized, pre-service curriculum for clinical officers in Mozambique.

Directory of Open Access Journals (Sweden)

Caryl Feldacker

Full Text Available Mozambique suffers from a critical shortage of healthcare workers. Mid-level healthcare workers, (Tecnicos de Medicina Geral (TMG, in Mozambique require less money and time to train than physicians. From 2009-2010, the Mozambique Ministry of Health (MoH and the International Training and Education Center for Health (I-TECH, University of Washington, Seattle, revised the TMG curriculum. To evaluate the effect of the curriculum revision, we used mixed methods to determine: 1 if TMGs meet the MoH's basic standards of clinical competency; and 2 do scores on measurements of clinical knowledge, physical exam, and clinical case scenarios differ by curriculum?T-tests of differences in means examined differences in continuous score variables between curriculum groups. Univariate and multivariate linear regression models assess curriculum-related and demographic factors associated with assessment scores on each of the three evaluation methods at the p<0.05 level. Qualitative interviews and focus groups inform interpretation.We found no significant differences in sex, marital status and age between the 112 and 189 TMGs in initial and revised curriculum, respectively. Mean scores at graduation of initial curriculum TMGs were 56.7%, 63.5%, and 49.1% on the clinical cases, knowledge test, and physical exam, respectively. Scores did not differ significantly from TMGs in the revised curriculum. Results from linear regression models find that training institute was the most significant predictor of TMG scores on both the clinical cases and physical exam.TMGs trained in either curriculum may be inadequately prepared to provide quality care. Curriculum changes are a necessary, but insufficient, part of improving TMG knowledge and skills overall. A more comprehensive, multi-level approach to improving TMG training that includes post-graduation mentoring, strengthening the pre-service internship training, and greater resources for training institute faculty may

Phylogeny, genetic variability and colour polymorphism of an emerging animal model: the short-lived annual Nothobranchius fishes from southern Mozambique

Czech Academy of Sciences Publication Activity Database

Dorn, A.; Ng'oma, E.; Janko, Karel; Reichwald, K.; Polačik, Matej; Platzer, M.; Cellerino, A.; Reichard, Martin

2011-01-01

Roč. 61, č. 3 (2011), s. 739-749 ISSN 1055-7903 R&D Projects: GA ČR GA206/09/0815 Institutional research plan: CEZ:AV0Z50450515; CEZ:AV0Z60930519 Keywords : Ageing * Allopatric speciation * Cyprinodontiformes * Killifish * Life history * Mozambique Subject RIV: EG - Zoology Impact factor: 3.609, year: 2011

Cahora Bassa and Tete Province (Mozambique): A great potential for an industrial hub in Southern Africa

International Nuclear Information System (INIS)

Sebitosi, A.B.; Graca, A. da

2009-01-01

Mozambique is host to the great Zambezi River Basin and the World Famous Cahora Bassa power plant that generates some 13,000 GWh annually. The bulk of this energy (85%) is exported but the revenue raised does not appear to have any appreciable impact on the host economy. Moreover it is estimated that a further 10% of the generated energy is lost along the 1414 km long transmission line to South Africa. So quite evidently, Mozambique would benefit more if its energy were utilized by locally based industry. This would also save on the losses that are currently incurred during regional transmission. In this paper the authors visit Tete, the Mozambican Province that hosts the Zambezi Basin. They examine its natural and human resources. They observe that its strategic location gives it easy access to regional markets. They also hold interviews with a number of administrators in the Province. Finally, they conclude that Tete is uniquely advantaged to develop into the next regional industrial hub for the Southern African region. This would also greatly add value to the local resources. To realize this dream will require, conviction supported by strong and timely political commitment as well as hard work. Current trends towards integrated regional trading blocks will provide an even easier access to potential markets and human skills pools.

Neoproterozoic collision tectonics in the Mozambique Belt of East Africa: evidence from the Uluguru mountains, Tanzania

Science.gov (United States)

Muhongo, Sospeter

1994-10-01

The fault-bounded Proterozoic metamorphic terranes lying to the E of the Tanzanian craton make up the Usagara tectonic domain and are a part of the transcontinental Mozambique Orogenic Belt (MB). The lithotectonic units in the MB of the East Africa consist of comparable rock assembles which underwent the same complex deformational history and are thought to represent large thrust sheets or nappes. Their shelf- and fore-deep terranes border the Tanzanian craton and make up the foreland terranes of the Pan-African Mozambique Belt. Granulite-gneiss nappes are ubiquitous in the orogen. Granulite-facies metamorphism, associated with recumbent folds, was due to crustal thickening, which took place during the collision between Gondwana fragments. Isotope data suggest a collision (and concomitant granulite-facies metamorphism) age of between 700 and 550 Ma. The orientations of planar and linear fabrics in the granulite-facies rocks of the Uluguru mountains are used to infer the relative crustal block motions during this collisional event. This Pan-African collisional event was characterized by NW-directed movements, oblique to the N-S trend of the orogen, and involved SE-directed backthrusting. The Ubendian Belt of Tanzania and the Aswa Shear Zone in Uganda and Kenya, which both bifurcate around the Tanzania craton, accommodated the tectonically thickened crust, created by the collisional event, through NW-SE sinistral strike-slip movements.

Determinants of prevalent HIV infection and late HIV diagnosis among young women with two or more sexual partners in Beira, Mozambique

NARCIS (Netherlands)

Zango, Arlinda; Dubé, Karine; Kelbert, Sílvia; Meque, Ivete; Cumbe, Fidelina; Chen, Pai Lien; Ferro, Josefo J.; Feldblum, Paul J.; van de Wijgert, Janneke

2013-01-01

The prevalence and determinants of HIV and late diagnosis of HIV in young women in Beira, Mozambique, were estimated in preparation for HIV prevention trials. An HIV prevalence survey was conducted between December 2009 and October 2012 among 1,018 women aged 18-35 with two or more sexual partners

‘Candidatus Phytoplasma palmicola’, a novel taxon associated with a lethal yellowing-type disease (LYD) of coconut (Cocos nucifera L.) in Mozambique

Science.gov (United States)

In this study, the taxonomic position and group classification of the phytoplasma associated with a lethal yellowing-type disease (LYD) of coconut (Cocos nucifera L.) in Mozambique were addressed. Pairwise sequence similarity values based on alignment of near full-length 16SrRNA genes (1530 bp) reve...

Soil phytoliths from miombo woodlands in Mozambique

Science.gov (United States)

Mercader, Julio; Bennett, Tim; Esselmont, Chris; Simpson, Steven; Walde, Dale

2011-01-01

This paper describes topsoil phytolith assemblages from 25 loci underneath miombo woodlands on an eco-transect intersecting the Mozambican Rift along a geographical, altitudinal, climatic and botanical gradient. We provide the first comprehensive overview of the phytolith spectrum that defines northern Mozambique's Zambezian floristic zone. Our classifying criteria derive from comparison with previously described and quantified reference collections of trees and grasses growing in the study area. We characterize the sedimentological and soil features of the matrices where phytoliths are found, establishing correlation among geo-edaphic variables and phytoliths. Descriptive statistics along with nonparametric and parametric statistical analyses evaluate phytolith grouping criteria, variation, robustness, and membership. From a taphonomic perspective, we attest that topsoil phytolith assemblages are polygenic and do not represent an episodic snapshot of extant vegetation, but a palimpsest from plants representing various disturbance episodes, succession stages, and ecological trends. Phytoliths retrieved from Mozambican miombo soils do not seem to trace altitudinal, temperature, or precipitation gradients, and no significant differences exist between highland and lowland phytolith assemblages. This article provides a phytolith analog for woodland environments that can guide future paleoenvironmental research. It also confirms that phytolith analysis is able to detect shifts in the woodland/grassland interface.

Father's Migration and Leaving the Parental Home in Rural Mozambique

Science.gov (United States)

Chae, Sophia; Hayford, Sarah R.; Agadjanian, Victor

2016-01-01

Migration is an increasingly common demographic phenomenon and has important implications for the well-being of family members left behind. Although extensive research has examined the impact of parental labor migration on school-age children, less is known about its effect on adolescents. In this study, the authors used longitudinal survey data collected in rural Mozambique (N = 515) to assess the association between father's migration and adolescent children's leaving the parental home, an important component of the transition to adulthood. The results showed that father's migration delays home-leaving for adolescent girls and that these effects are not mediated by school enrollment. The results for boys were inconclusive. The authors also found that remittances and longer durations of paternal migration were negatively associated with the transition out of the home. On the basis of the findings, they argue that father's migration delays girls’ marriage. PMID:27499554

Vertical funding, non-governmental organizations, and health system strengthening: perspectives of public sector health workers in Mozambique.

Science.gov (United States)

Mussa, Abdul H; Pfeiffer, James; Gloyd, Stephen S; Sherr, Kenneth

2013-06-14

In the rapid scale-up of human immunodeficiency virus (HIV) care and acquired immunodeficiency syndrome (AIDS) treatment, many donors have chosen to channel their funds to non-governmental organizations and other private partners rather than public sector systems. This approach has reinforced a private sector, vertical approach to addressing the HIV epidemic. As progress on stemming the epidemic has stalled in some areas, there is a growing recognition that overall health system strengthening, including health workforce development, will be essential to meet AIDS treatment goals. Mozambique has experienced an especially dramatic increase in disease-specific support over the last eight years. We explored the perspectives and experiences of key Mozambican public sector health managers who coordinate, implement, and manage the myriad donor-driven projects and agencies. Over a four-month period, we conducted 41 individual qualitative interviews with key Ministry workers at three levels in the Mozambique national health system, using open-ended semi-structured interview guides. We also reviewed planning documents. All respondents emphasized the value and importance of international aid and vertical funding to the health sector and each highlighted program successes that were made possible by recent increased aid flows. However, three serious concerns emerged: 1) difficulties coordinating external resources and challenges to local control over the use of resources channeled to international private organizations; 2) inequalities created within the health system produced by vertical funds channeled to specific services while other sectors remain under-resourced; and 3) the exodus of health workers from the public sector health system provoked by large disparities in salaries and work. The Ministry of Health attempted to coordinate aid by implementing a "sector-wide approach" to bring the partners together in setting priorities, harmonizing planning, and coordinating

Factors influencing access to finance by SMEs in Mozambique: Case of SMEs in Maputo central business district

OpenAIRE

Osano, Hezron Mogaka; Languitone, Hilario

2016-01-01

SMEs play an important role in the economic development of Mozambique. Access to finance is important for the growth of SMEs. Thus, the purpose of the study was to establish the factors that influence access to finance by SMEs. The factors that were addressed included structure of financial sector, awareness of funding opportunities, collateral requirements, and small business support services. The target population was 2725 which comprised of 2075 staff of three Banks, namely BIM Bank, BCI B...

Have You Heard of Schistosomiasis? Knowledge, Attitudes and Practices in Nampula Province, Mozambique.

Science.gov (United States)

Rassi, Christian; Kajungu, Dan; Martin, Sandrine; Arroz, Jorge; Tallant, Jamie; Zegers de Beyl, Celine; Counihan, Helen; Newell, James N; Phillips, Anna; Whitton, Jane; Muloliwa, Artur Manuel; Graham, Kirstie

2016-03-01

Schistosomiasis is a parasitic disease which affects almost 300 million people worldwide each year. It is highly endemic in Mozambique. Prevention and control of schistosomiasis relies mainly on mass drug administration (MDA), as well as adoption of basic sanitation practices. Individual and community perceptions of schistosomiasis are likely to have a significant effect on prevention and control efforts. In order to establish a baseline to evaluate a community engagement intervention with a focus on schistosomiasis, a survey to determine knowledge, attitudes and practices relating to the disease was conducted. A representative cross-sectional household survey was carried out in four districts of Nampula province, Mozambique. Interviews were conducted in a total of 791 households, using a structured questionnaire. While awareness of schistosomiasis was high (91%), correct knowledge of how it is acquired (18%), transmitted (26%) and prevented (13%) was low among those who had heard of the disease. Misconceptions, such as the belief that schistosomiasis is transmitted through sexual contact (27%), were common. Only about a third of those who were aware of the disease stated that they practiced a protective behaviour and only a minority of those (39%) reported an effective behaviour. Despite several rounds of MDA for schistosomiasis in the recent past, only a small minority of households with children reported that at least one of them had received a drug to treat the disease (9%). Poor knowledge of the causes of schistosomiasis and how to prevent it, coupled with persisting misconceptions, continue to pose barriers to effective disease prevention and control. To achieve high levels of uptake of MDA and adoption of protective behaviours, it will be essential to engage individuals and communities, improving their understanding of the causes and symptoms of schistosomiasis, recommended prevention mechanisms and the rationale behind MDA.

Expression of Key Ion Transporters in the Gill and Esophageal-Gastrointestinal Tract of Euryhaline Mozambique Tilapia Oreochromis mossambicus Acclimated to Fresh Water, Seawater and Hypersaline Water

Science.gov (United States)

Li, Zhengjun; Lui, Eei Yin; Wilson, Jonathan M.; Ip, Yuen Kwong; Lin, Qingsong; Lam, Toong Jin; Lam, Siew Hong

2014-01-01

The ability of euryhaline Mozambique tilapia to tolerate extreme environmental salinities makes it an excellent model for investigating iono-regulation. This study aimed to characterize and fill important information gap of the expression levels of key ion transporters for Na+ and Cl− in the gill and esophageal-gastrointestinal tract of Mozambique tilapia acclimated to freshwater (0 ppt), seawater (30 ppt) and hypersaline (70 ppt) environments. Among the seven genes studied, it was found that nkcc2, nkcc1a, cftr, nka-α1 and nka-α3, were more responsive to salinity challenge than nkcc1b and ncc within the investigated tissues. The ncc expression was restricted to gills of freshwater-acclimated fish while nkcc2 expression was restricted to intestinal segments irrespective of salinity challenge. Among the tissues investigated, gill and posterior intestine were found to be highly responsive to salinity changes, followed by anterior and middle intestine. Both esophagus and stomach displayed significant up-regulation of nka-α1 and nka-α3, but not nkcc isoforms and cftr, in hypersaline-acclimated fish suggesting a response to hypersalinity challenge and involvement of other forms of transporters in iono-regulation. Changes in gene expression levels were partly corroborated by immunohistochemical localization of transport proteins. Apical expression of Ncc was found in Nka-immunoreactive cells in freshwater-acclimated gills while Nkcc co-localized with Nka-immunoreactive cells expressing Cftr apically in seawater- and hypersaline-acclimated gills. In the intestine, Nkcc-stained apical brush border was found in Nka-immunoreactive cells at greater levels under hypersaline conditions. These findings provided new insights into the responsiveness of these genes and tissues under hypersalinity challenge, specifically the posterior intestine being vital for salt absorption and iono-osmoregulation in the Mozambique tilapia; its ability to survive in hypersalinity may be in

Symptoms of depression, anxiety, and somatization in female victims and perpetrators of intimate partner violence in Maputo City, Mozambique

Directory of Open Access Journals (Sweden)

Soares JJ

2012-09-01

Full Text Available Antonio Eugenio Zacarias,1,2 Gloria Macassa,3 Joaquim JF Soares,1 Leif Svanström,1 Diddy Antai1,41Karolinska Institutet, Department of Public Health Sciences, Division of Social Medicine, Stockholm, Sweden; 2Eduardo Mondlane University, Faculty of Medicine, Maputo, Mozambique; 3University of Gävle, Department of Occupational and Health Sciences, Gävle, Sweden; 4Division of Global Health and Inequalities, The Angels Trust – Nigeria, Abuja, NigeriaBackground: Little knowledge exists in Mozambique and sub-Saharan Africa about the mental health (symptoms of depression, anxiety, and somatization of women victims and perpetrators of intimate partner violence (IPV by type of abuse (psychological aggression, physical assault without/with injury, and sexual coercion. This study scrutinizes factors associated with mental health among women victims and perpetrators of IPV over the 12 months prior to the study.Methods and materials: Mental health data were analyzed with bivariate and multiple regression methods for 1442 women aged 15–49 years who contacted Forensic Services at Maputo Central Hospital (Maputo City, Mozambique for IPV victimization between April 1, 2007 and March 31, 2008.Results: In bivariate analyses, victims and perpetrators of IPVs scored higher on symptoms of mental health than their unaffected counterparts. Multiple regressions revealed that controlling behaviors, mental health comorbidity, social support, smoking, childhood abuse, sleep difficulties, age, and lack of education were more important in explaining symptoms of mental health than demographics/socioeconomics or life-style factors. Victimization and perpetration across all types of IPV were not associated with symptoms of mental health.Conclusion: In our sample, victimization and perpetration were not important factors in explaining mental ill health, contrary to previous findings. More research into the relationship between women’s IPV victimization and perpetration

Studies on the bionomics of male Anopheles gambiae Giles and male Anopheles funestus Giles from southern Mozambique

DEFF Research Database (Denmark)

Charlwood, J D

2011-01-01

Little is known about the fitness of wild male mosquitoes, the females of which are vectors of malaria. The problem of studying male biology has been exacerbated by difficulties associated with catching them. In southern Mozambique, however, almost the entire adult population of An. funestus and An...... strategies of sterile or genetically modified mosquitoes....

Incentives for non-physician health professionals to work in the rural and remote areas of Mozambique--a discrete choice experiment for eliciting job preferences.

Science.gov (United States)

Honda, Ayako; Vio, Ferruccio

2015-04-26

Successfully motivating and retaining health workers is critical for the effective performance of health systems. In Mozambique, a shortage of health care professionals and low levels of staff motivation in rural and remote areas pose challenges to the provision of equitable health care delivery. This study provides quantitative information on the job preferences of non-physician health professionals in Mozambique, examining how different aspects of jobs are valued and how health professionals might respond to policy options that would post them to district hospitals in rural areas. The study used a discrete choice experiment (DCE) to elicit the job preferences of non-physician health professionals. Data collection took place in four Mozambique provinces: Maputo City, Maputo Province, Sofala and Nampula. DCE questionnaires were administered to 334 non-physician health professionals with specialized or university training ('mid-level specialists' and N1 and N2 categories). In addition, questionnaires were administered to 123 N1 and N2 students to enable comparison of the results for those with work experience with those without and determine how new N1 and N2 graduates can be attracted to rural posts. The results indicate that the provision of basic government housing has the greatest impact on the probability of choosing a job at a public health facility, followed by the provision of formal education opportunities and the availability of equipment and medicine at a health facility. The sub-group analysis suggests that job preferences vary according to stage of life and that incentive packages should vary accordingly. Recruitment strategies to encourage non-clinical professionals to work in rural/remote areas should also consider birthplace, as those born in rural/remote areas are more willing to work remotely. The study was undertaken within an overarching project that aimed to develop incentive packages for non-physician health professionals assigned to work in

Direct Ionic Regulation of the Activity of Myo-Inositol Biosynthesis Enzymes in Mozambique Tilapia.

Directory of Open Access Journals (Sweden)

Fernando D Villarreal

Full Text Available Myo-inositol (Ins is a major compatible osmolyte in many cells, including those of Mozambique tilapia (Oreochromis mossambicus. Ins biosynthesis is highly up-regulated in tilapia and other euryhaline fish exposed to hyperosmotic stress. In this study, enzymatic regulation of two enzymes of Ins biosynthesis, Ins phosphate synthase (MIPS and inositol monophosphatase (IMPase, by direct ionic effects is analyzed. Specific MIPS and IMPase isoforms from Mozambique tilapia (MIPS-160 and IMPase 1 were selected based on experimental, phylogenetic, and structural evidence supporting their role for Ins biosynthesis during hyperosmotic stress. Recombinant tilapia IMPase 1 and MIPS-160 activity was assayed in vitro at ionic conditions that mimic changes in the intracellular milieu during hyperosmotic stress. The in vitro activities of MIPS-160 and IMPase 1 are highest at alkaline pH of 8.8. IMPase 1 catalytic efficiency is strongly increased during hyperosmolality (particularly for the substrate D-Ins-3-phosphate, Ins-3P, mainly as a result of [Na+] elevation. Furthermore, the substrate-specificity of IMPase 1 towards D-Ins-1-phosphate (Ins-1P is lower than towards Ins-3P. Because MIPS catalysis results in Ins-3P this results represents additional evidence for IMPase 1 being the isoform that mediates Ins biosynthesis in tilapia. Our data collectively demonstrate that the Ins biosynthesis enzymes are activated under ionic conditions that cells are exposed to during hypertonicity, resulting in Ins accumulation, which, in turn, results in restoration of intracellular ion homeostasis. We propose that the unique and direct ionic regulation of the activities of Ins biosynthesis enzymes represents an efficient biochemical feedback loop for regulation of intracellular physiological ion homeostasis during hyperosmotic stress.

Direct Ionic Regulation of the Activity of Myo-Inositol Biosynthesis Enzymes in Mozambique Tilapia.

Science.gov (United States)

Villarreal, Fernando D; Kültz, Dietmar

2015-01-01

Myo-inositol (Ins) is a major compatible osmolyte in many cells, including those of Mozambique tilapia (Oreochromis mossambicus). Ins biosynthesis is highly up-regulated in tilapia and other euryhaline fish exposed to hyperosmotic stress. In this study, enzymatic regulation of two enzymes of Ins biosynthesis, Ins phosphate synthase (MIPS) and inositol monophosphatase (IMPase), by direct ionic effects is analyzed. Specific MIPS and IMPase isoforms from Mozambique tilapia (MIPS-160 and IMPase 1) were selected based on experimental, phylogenetic, and structural evidence supporting their role for Ins biosynthesis during hyperosmotic stress. Recombinant tilapia IMPase 1 and MIPS-160 activity was assayed in vitro at ionic conditions that mimic changes in the intracellular milieu during hyperosmotic stress. The in vitro activities of MIPS-160 and IMPase 1 are highest at alkaline pH of 8.8. IMPase 1 catalytic efficiency is strongly increased during hyperosmolality (particularly for the substrate D-Ins-3-phosphate, Ins-3P), mainly as a result of [Na+] elevation. Furthermore, the substrate-specificity of IMPase 1 towards D-Ins-1-phosphate (Ins-1P) is lower than towards Ins-3P. Because MIPS catalysis results in Ins-3P this results represents additional evidence for IMPase 1 being the isoform that mediates Ins biosynthesis in tilapia. Our data collectively demonstrate that the Ins biosynthesis enzymes are activated under ionic conditions that cells are exposed to during hypertonicity, resulting in Ins accumulation, which, in turn, results in restoration of intracellular ion homeostasis. We propose that the unique and direct ionic regulation of the activities of Ins biosynthesis enzymes represents an efficient biochemical feedback loop for regulation of intracellular physiological ion homeostasis during hyperosmotic stress.

The hydrography of the Mozambique Channel from six years of continuous temperature, salinity, and velocity observations

Science.gov (United States)

Ullgren, J. E.; van Aken, H. M.; Ridderinkhof, H.; de Ruijter, W. P. M.

2012-11-01

Temperature, salinity and velocity data are presented, along with the estimated volume transport, from seven full-length deep sea moorings placed across the narrowest part of the Mozambique Channel, southwest Indian Ocean, during the period November 2003 to December 2009. The dominant water mass in the upper layer is Sub-Tropical Surface Water (STSW) which overlies South Indian Central Water (SICW), and is normally capped by fresher Tropical Surface Water (TSW). Upper ocean salinity increased through 2005 as a result of saline STSW taking up a relatively larger part of the upper layer, at the expense of TSW. Upper waters are on average warmer and lighter in the central Channel than on the sides. Throughout the upper 1.5 km of the water column there is large hydrographic variability, short-term as well as interannual, and in particular at frequencies (four to seven cycles per year) associated with the southward passage of anticyclonic Mozambique Channel eddies. The eddies have a strong T-S signal, in the upper and central waters as well as on the intermediate level, as the eddies usually carry saline Red Sea Water (RSW) in their core. While the interannual frequency band displays an east-west gradient with higher temperature variance on the western side, the eddy frequency band shows highest variance in the centre of the Channel, where the eddy band contains about 40% of the total isopycnal hydrographic variability. Throughout the >6 years of measurements, the frequency and characteristics of eddies vary between periods, both in terms of strength and vertical structure of eddy T-S signals. These changes contribute to the interannual variability of water mass properties: an increase in central water salinity to a maximum in late 2007 coincided with a period of unusually frequent eddies with strong salinity signals. The warmest and most saline deep water is found within the northward flowing Mozambique Undercurrent, on the western side of the Channel. The Undercurrent

eSIP-Saúde: Mozambique's novel approach for a sustainable human resources for health information system.

Science.gov (United States)

Waters, Keith P; Mazivila, Moises Ernesto; Dgedge, Martinho; Necochea, Edgar; Manharlal, Devan; Zuber, Alexandra; de Faria Leão, Beatriz; Bossemeyer, Debora; Vergara, Alfredo E

2016-11-05

Over the past decade, governments and international partners have responded to calls for health workforce data with ambitious investments in human resources information systems (HRIS). However, documentation of country experiences in the use of HRIS to improve strategic planning and management has been lacking. The purpose of this case presentation is to document for the first time Mozambique's novel approach to HRIS, sharing key success factors and contributing to the scant global knowledge base on HRIS. Core components of the system are a Government of Mozambique (GOM) registry covering all workers in the GOM payroll and a "health extension" which adds health-sector-specific data to the GOM registry. Separate databases for pre-service and in-service training are integrated through a business intelligence tool. The first aim of the HRIS was to identify the following: who and where are Mozambique's health workers? As of July 2015, 95 % of countrywide health workforce deployment information was populated in the HRIS, allowing the identification of health professionals' physical working location and their pay point. HRIS data are also used to quantify chronic issues affecting the Ministry of Health (MOH) health workforce. Examples include the following: HRIS information was used to examine the deployment of nurses trained in antiretroviral therapy (ART) vis-à-vis the health facilities where ART is being provided. Such results help the MOH align specialized skill sets with service provision. Twenty-five percent of the MOH health workforce had passed the 2-year probation period but had not been updated in the MOH information systems. For future monitoring of employee status, the MOH established a system of alerts in semi-monthly reports. As of August 2014, 1046 health workers were receiving their full salary but no longer working at the facilities. The MOH is now analyzing this situation to improve the retirement process and coordination with Social Security. The

Treatment, Services and Follow-up for Victims of Family Violence in Health Clinics in Maputo, Mozambique

Directory of Open Access Journals (Sweden)

Jetha, Eunice Abdul Remane

2011-07-01

Full Text Available Background: Family violence (FV is a global health problem that not only impacts the victim, but the family unit, local community and society at large.Objective: To quantitatively and qualitatively evaluate the treatment and follow up provided to victims of violence amongst immediate and extended family units who presented to three health centers in Mozambique for care following violence.Methods: We conducted a verbally-administered survey to self-disclosed victims of FV who presented to one of three health units, each at a different level of service, in Mozambique for treatment of their injuries. Data were entered into SPSS (SPSS, version 13.0 and analyzed for frequencies. Qualitative short answer data were transcribed during the interview, coded and analyzed prior to translation by the principal investigator.Results: One thousand two hundred and six assault victims presented for care during the eight-week study period, of which 216 disclosed the relationship of the assailant, including 92 who were victims of FV. Almost all patients (90% waited less than one hour to be seen, with most patients (67% waiting less than 30 minutes. Most patients did not require laboratory or radiographic diagnostics at the primary (70% and secondary (93% health facilities, while 44% of patients received a radiograph at the tertiary care center. Among all three hospitals, only 10% were transferred to a higher level of care, 14% were not given any form of follow up or referral information, while 13% required a specialist evaluation. No victims were referred for psychological follow-up or support. Qualitative data revealed that some patients did not disclose violence as the etiology, because they believed the physician was unable to address or treat the violence-related issues and/or had limited time to discuss.Conclusion: Healthcare services for treating the physical injuries of victims of FV were timely and rarely required advanced levels of medical care, but there

X-ray-induced changes in growth of Mozambique tilapia

International Nuclear Information System (INIS)

Jana, B.B.; Basu, M.

1995-01-01

Early fry (30 d postfertilization) and 7-8-week-old Mozambique tilapias (Tilapia mossambica) were exposed to X rays in dosages of 50, 100, 200, 300, 400 or 500 roentgens and reared in outdoor culture tanks between May 1981 and October 1988. Fish of either sex that were irradiated as fry grew faster than controls at all test X-ray doses. Among fish irradiated at 7-8 weeks, males grew significantly faster, but females grew significantly slower, than controls at all test doses. X-ray-induced changes in growth were dose-dependent: growth rates of fry (both sexes) and of juvenile males rose relative to those of controls with increased radiation dose. The growth increase per unit of radiation dose was higher for fry than for older juveniles. The length-weight regression was steeper for irradiated males than for controls. The average weights of F 1 offspring of irradiated fish were greatly reduced as compared with controls, which suggests the transfer of the detrimental effects of X rays from irradiated parents to their offspring. 39 refs., 3 figs., 3 tabs

Coal prospects in Botswana, Mozambique, Zambia, Zimbabwe and Namibia

Energy Technology Data Exchange (ETDEWEB)

NONE

2013-12-01

Increasing demand for coal in Asia is stimulating interest in the potentially large coal resources in Southern African countries such as Botswana, Mozambique, Zambia, Zimbabwe and Namibia. These countries have been slow to utilise their coal as local demand has been limited and the means to export coal has been inadequate. The governments in these regions are now recognising coal as a strategically important commodity, capable of earning foreign revenue but also adding value to the economy by generating much needed electricity. This report looks in turn at the role of coal in the energy economies of each of these countries. As in most emerging economies, the provision of a reliable and cost-effective supply of electricity to industries and people is essential for economic growth and the welfare of communities. Demand for Africa's mineral commodities such as diamonds and copper is driving a massive need for electricity and coal will play a major role. Not only does the mining industry need power, but with these growing industries come communities and commerce which are also in need of energy.

Neurologic manifestations associated with an outbreak of typhoid fever, Malawi--Mozambique, 2009: an epidemiologic investigation.

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Sejvar, James; Lutterloh, Emily; Naiene, Jeremias; Likaka, Andrew; Manda, Robert; Nygren, Benjamin; Monroe, Stephan; Khaila, Tadala; Lowther, Sara A; Capewell, Linda; Date, Kashmira; Townes, David; Redwood, Yanique; Schier, Joshua; Barr, Beth Tippett; Demby, Austin; Mallewa, Macpherson; Kampondeni, Sam; Blount, Ben; Humphrys, Michael; Talkington, Deborah; Armstrong, Gregory L; Mintz, Eric

2012-01-01

The bacterium Salmonella enterica serovar Typhi causes typhoid fever, which is typically associated with fever and abdominal pain. An outbreak of typhoid fever in Malawi-Mozambique in 2009 was notable for a high proportion of neurologic illness. Describe neurologic features complicating typhoid fever during an outbreak in Malawi-Mozambique Persons meeting a clinical case definition were identified through surveillance, with laboratory confirmation of typhoid by antibody testing or blood/stool culture. We gathered demographic and clinical information, examined patients, and evaluated a subset of patients 11 months after onset. A sample of persons with and without neurologic signs was tested for vitamin B6 and B12 levels and urinary thiocyanate. Between March - November 2009, 303 cases of typhoid fever were identified. Forty (13%) persons had objective neurologic findings, including 14 confirmed by culture/serology; 27 (68%) were hospitalized, and 5 (13%) died. Seventeen (43%) had a constellation of upper motor neuron findings, including hyperreflexia, spasticity, or sustained ankle clonus. Other neurologic features included ataxia (22, 55%), parkinsonism (8, 20%), and tremors (4, 10%). Brain MRI of 3 (ages 5, 7, and 18 years) demonstrated cerebral atrophy but no other abnormalities. Of 13 patients re-evaluated 11 months later, 11 recovered completely, and 2 had persistent hyperreflexia and ataxia. Vitamin B6 levels were markedly low in typhoid fever patients both with and without neurologic signs. Neurologic signs may complicate typhoid fever, and the diagnosis should be considered in persons with acute febrile neurologic illness in endemic areas.

Flooding, resettlement, and change in livelihoods: evidence from rural Mozambique.

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Arnall, Alex; Thomas, David S G; Twyman, Chasca; Liverman, Diana

2013-07-01

Post-disaster development policies, such as resettlement, can have major impacts on communities. This paper examines how and why people's livelihoods change as a result of resettlement, and relocated people's views of such changes, in the context of natural disasters. It presents two historically-grounded, comparative case studies of post-flood resettlement in rural Mozambique. The studies demonstrate a movement away from rain-fed subsistence agriculture towards commercial agriculture and non-agricultural activities. The ability to secure a viable livelihood was a key determinant of whether resettlers remained in their new locations or returned to the river valleys despite the risks posed by floods. The findings suggest that more research is required to understand i) why resettlers choose to stay in or abandon designated resettlement areas, ii) what is meant by 'voluntary' and 'involuntary' resettlement in the realm of post-disaster reconstruction, and iii) the policy drivers of resettlement in developing countries. © 2013 The Author(s). Journal compilation © Overseas Development Institute, 2013.

Father's Labour Migration and Children's School Discontinuation in Rural Mozambique.

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Yabiku, Scott T; Agadjanian, Victor

2017-08-01

We examine how the discontinuation of schooling among left-behind children is related to multiple dimensions of male labor migration: the accumulation of migration experience, the timing of these migration experiences in the child's life course, and the economic success of the migration. Our setting is rural southern Mozambique, an impoverished area with massive male labor out-migration. Results show that fathers' economically successful labor migration is more beneficial for children's schooling than unsuccessful migration or non-migration. There are large differences, however, by gender: compared to sons of non-migrants, sons of migrant fathers (regardless of migration success) have lower rates of school discontinuation, while daughters of migrant fathers have rates of school discontinuation no different than daughters of non-migrants. Furthermore, accumulated labor migration across the child's life course is beneficial for boys' schooling, but not girls'. Remittances sent in the past year reduce the rate of discontinuation for sons, but not daughters.

Dyrkning af jatropha blandt småbønder i Mozambique - En strategi til reduceret CO2-udledning og lokal udvikling?

DEFF Research Database (Denmark)

Rasmussen, Laura Vang

2010-01-01

I Cabo Delgado-regionen i det nordlige Mozambique er småbønder inden for de sidste tre år begyndt at dyrke biobrændselsafgrøden jatropha. Bønderne har plantet jatrophatræer som hække langs de eksisterende majsmarker. Da dyrkningen af jatropha anses for en strategi til at skabe lokal udvikling i...

Methodological approach to the comparative study between digital libraries in Mozambique, Brazil and Paraguay

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José Antonio Moreiro González

2013-08-01

Full Text Available This article exposes the results of a PhD thesis that it intends to investigate the social impact of digital libraries, comparatively in Brazil, Mozambique and Paraguay. The study outlines the integrated systems of the Libraries of the Universities of São Paulo, Eduardo Mondlane and National de Asuncion, trough checking qualitative and quantitative indicators of the impact from digital libraries, uses as methodology the survey and interview applied to its users, students, teachers, librarians, support staff and directors. The results aim to foster the creation of other similar libraries, reduce the digital gap and contribute significantly to the sustainable development of each country.

Cash income, intrahousehold cooperative conflict, and child health in central Mozambique.

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Pfeiffer, James

2003-01-01

This study presents qualitative data on individual cash income generation and intrahousehold bargaining in a sample of 100 households in central Mozambique. It is now recognized that intrahousehold resource allocation patterns can be critical determinants of children's health in the developing world. Recently developed "bargaining-power" models suggest that individual incomes are often not pooled in households and that decisions are the result of a bargaining process that involves cooperation and conflict between men and women. Women's income, many believe, is more often spent on child welfare. Development projects should target benefits to women for greater impact on child health. Some argue that households consist of separate, gendered spheres of economic responsibility that intersect through a "conjugal contract" that defines the terms of cooperation. The findings here support the "separate-spheres" depiction of the household and reveal women's subordinated position in the external cash economy, which undermines their intrahousehold bargaining power.

Stepped-Wedge Cluster Randomized Controlled Trial to Promote Option B+ Retention in Central Mozambique.

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Pfeiffer, James T; Napúa, Manuel; Wagenaar, Bradley H; Chale, Falume; Hoek, Roxanne; Micek, Mark; Manuel, João; Michel, Cathy; Cowan, Jessica Greenberg; Cowan, James F; Gimbel, Sarah; Sherr, Kenneth; Gloyd, Stephen; Chapman, Rachel R

2017-11-01

This randomized trial studied performance of Option B+ in Mozambique and evaluated an enhanced retention package in public clinics. The study was conducted at 6 clinics in Manica and Sofala Provinces in central Mozambique. Seven hundred sixty-one pregnant women tested HIV+, immediately initiated antiretroviral (ARV) therapy, and were followed to track retention at 6 clinics from May 2014 to May 2015. Clinics were randomly allocated within a stepped-wedge fashion to intervention and control periods. The intervention included (1) workflow modifications and (2) active patient tracking. Retention was defined as percentage of patients returning for 30-, 60-, and 90-day medication refills within 25-35 days of previous refills. During control periods, 52.3% of women returned for 30-day refills vs. 70.8% in intervention periods [odds ratio (OR): 1.80; 95% confidence interval (CI): 1.05 to 3.08]. At 60 days, 46.1% control vs. 57.9% intervention were retained (OR: 1.82; CI: 1.06 to 3.11), and at 90 days, 38.3% control vs. 41.0% intervention (OR: 1.04; CI: 0.60 to 1.82). In prespecified subanalyses, birth before pickups was strongly associated with failure-women giving birth before ARV pickup were 33.3 times (CI: 4.4 to 250.3), 7.5 times (CI: 3.6 to 15.9), and 3.7 times (CI: 2.2 to 6.0) as likely to not return for ARV pickups at 30, 60, and 90 days, respectively. The intervention was effective at 30 and 60 days, but not at 90 days. Combined 90-day retention (40%) and adherence (22.5%) were low. Efforts to improve retention are particularly important for women giving birth before ARV refills.

Retention in care of HIV-infected pregnant and lactating women starting ART under Option B+ in rural Mozambique.

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Llenas-García, Jara; Wikman-Jorgensen, Philip; Hobbins, Michael; Mussa, Manuel Aly; Ehmer, Jochen; Keiser, Olivia; Mbofana, Francisco; Wandeler, Gilles

2016-08-01

In 2013, Mozambique adopted Option B+, universal lifelong antiretroviral therapy (ART) for all pregnant and lactating women, as national strategy for prevention of mother-to-child transmission of HIV. We analysed retention in care of pregnant and lactating women starting Option B+ in rural northern Mozambique. We compared ART outcomes in pregnant ('B+ pregnant'), lactating ('B+ lactating') and non-pregnant non-lactating women of childbearing age starting ART according to clinical and/or immunological criteria ('own health') between July 2013 and June 2014. Lost to follow-up was defined as no contact >180 days after the last visit. Multivariable competing risk models were adjusted for type of facility (type 1 vs. peripheral type 2 health centre), age, WHO stage and time from HIV diagnosis to ART. Over 333 person-years of follow-up (243 'B+ pregnant', 65'B+ lactating' and 317 'own health' women), 3.7% of women died and 48.5% were lost to follow-up. 'B+ pregnant' and 'B+ lactating' women were more likely to be lost in the first year (57% vs. 56.9% vs. 31.6%; P pregnant' (adjusted subhazard ratio [asHR]: 2.77; 95% CI: 2.18-3.50; P HIV in rural settings with weak health systems will depend on specific improvements in counselling and retention measures, especially at the beginning of treatment. © 2016 John Wiley & Sons Ltd.

Seroprevalence of Toxoplasma gondii IgG antibody in HIV/AIDS-infected individuals in Maputo, Mozambique

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Abílio Domingos

2013-10-01

Full Text Available OBJECTIVE To analyze the prevalence of IgG antibodies to Toxoplasma gondii in patients infected with HIV/AIDS and the association of demographic and social variables. METHODS Descriptive cross-sectional study that included the analysis of sociodemographic data and laboratory findings of 200 patients infected with HIV/AIDS treated in a laboratory unit in Maputo, Mozambique, in 2010. Individual data for all participants were collected with a self-administered questionnaire. Plasma samples were tested for IgG testing of anti- T. gondii using hemagglutination for the analysis of antibodies. RESULTS The seroprevalence of IgG anti- T. gondii was 46.0% (95%CI 39.2;52.9, 39.3% (95%CI 29.5;50.0 in men and 50.9% (95%CI 41.9;59.8 in women, with no difference between sex (OR 1.30; 95%CI 0.95;1.77; p = 0.12. Ages ranged from 10 to 60 years, with a higher prevalence of infection in older age groups, but with no significant difference between them. Regularly consuming cattle meat (OR 1.74; 95%CI 1.04;2.89, p = 0.05, breeding cats/dogs (OR 6.18; 95%CI 3.60;10.62, p < 0.000 and having regular contact with soil (OR 3.38; 95%CI 2.19;5.21; p < 0.000 were significantly associated with risk of latent infection. CONCLUSIONS Toxoplasmosis is an infection with high prevalence in Mozambique. Cultural and behavioral aspects increase the risk. Toxoplasmosis can be responsible in our environment by the great burden of morbidity and mortality associated with meningoencephalic injuries in patients with HIV/AIDS.

Forging the frontiers: Travellers and documents on the South Africa-Mozambique border, 1890s-1940s

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Andrew MacDonald

Full Text Available It is well known that the Union of South Africa started to build an onerous border regime at the turn of the twentieth century in order to secure a White Man's Country in southern Africa. Newly formed, ambitious Immigration Departments consequently targeted 'Asiatics', poor whites and finally 'surplus' Africans from the 1920s onwards. An infrastructure of exclusion (detention and deportation compounds, police patrols, fingerprint offices and so on soon emerged at the region's maritime gateways as the colonial states sought to undermine decentralised indigenous societies characterised by long-term mobility. This article shows that the Union remained vulnerable on its eastern frontier with Mozambique and Swaziland, where 'undesirables' continued to arrive in numbers. Long-distance movement had a long precedent in these borderlands, and it proved difficult for colonial states to forge effective border controls until deep into the twentieth century. Based on extensive and critical engagement with multiple border control archives, the article traces the gradual 'paperisation of the border, and follows a thriving market in identity permits in southern Mozambique and Swaziland, which became important backdoor entry points to the Union. The main people to exploit corrupt local officials and entrepreneurial headmen on either side of the border were those associated with the merchant houses of coastal west India, syndicates from the Portuguese Atlantic island of Madeira, and long-distance, so-called 'tropical', African migrants. Together they forged sophisticated networks that moved permits, people and money across the region and gave south-east Africa's border builders hard and often thankless paperwork.

The clinical and economic impact of point-of-care CD4 testing in mozambique and other resource-limited settings: a cost-effectiveness analysis.

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Emily P Hyle

2014-09-01

Full Text Available Point-of-care CD4 tests at HIV diagnosis could improve linkage to care in resource-limited settings. Our objective is to evaluate the clinical and economic impact of point-of-care CD4 tests compared to laboratory-based tests in Mozambique.We use a validated model of HIV testing, linkage, and treatment (CEPAC-International to examine two strategies of immunological staging in Mozambique: (1 laboratory-based CD4 testing (LAB-CD4 and (2 point-of-care CD4 testing (POC-CD4. Model outcomes include 5-y survival, life expectancy, lifetime costs, and incremental cost-effectiveness ratios (ICERs. Input parameters include linkage to care (LAB-CD4, 34%; POC-CD4, 61%, probability of correctly detecting antiretroviral therapy (ART eligibility (sensitivity: LAB-CD4, 100%; POC-CD4, 90% or ART ineligibility (specificity: LAB-CD4, 100%; POC-CD4, 85%, and test cost (LAB-CD4, US$10; POC-CD4, US$24. In sensitivity analyses, we vary POC-CD4-specific parameters, as well as cohort and setting parameters to reflect a range of scenarios in sub-Saharan Africa. We consider ICERs less than three times the per capita gross domestic product in Mozambique (US$570 to be cost-effective, and ICERs less than one times the per capita gross domestic product in Mozambique to be very cost-effective. Projected 5-y survival in HIV-infected persons with LAB-CD4 is 60.9% (95% CI, 60.9%-61.0%, increasing to 65.0% (95% CI, 64.9%-65.1% with POC-CD4. Discounted life expectancy and per person lifetime costs with LAB-CD4 are 9.6 y (95% CI, 9.6-9.6 y and US$2,440 (95% CI, US$2,440-US$2,450 and increase with POC-CD4 to 10.3 y (95% CI, 10.3-10.3 y and US$2,800 (95% CI, US$2,790-US$2,800; the ICER of POC-CD4 compared to LAB-CD4 is US$500/year of life saved (YLS (95% CI, US$480-US$520/YLS. POC-CD4 improves clinical outcomes and remains near the very cost-effective threshold in sensitivity analyses, even if point-of-care CD4 tests have lower sensitivity/specificity and higher cost than published

Social and behavior change communication in the fight against malaria in Mozambique.

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Arroz, Jorge Alexandre Harrison

2017-03-23

Long-lasting insecticide-treated nets and/or indoor residual spraying, associated with case management, are key interventions in the control of malaria in Africa. The objective of this study is to comment on the role of social and behavior change communication as a potential key intervention in the control of malaria in Mozambique. RESUMO As redes mosquiteiras impregnadas com insecticidade de longa duração e/ou pulverização intra-domiciliária, associada ao manejo de casos são intervenções-chave no controlo da malária em África. O objetivo deste estudo foi comentar o papel da comunicação para a mudança social e de comportamento como intervenção potencialmente chave no controlo da malária em Moçambique.

Radial variation of wood physical properties in Pinus patula growing in Mozambique

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Claudio Gumane Francisco Juizo

2015-09-01

Full Text Available  This study aimed to evaluate wood physical properties of Pinus patula, aged 38, from a forest stand located in Machipanda, central region of Mozambique. Determination of physical properties, such as basic specific gravity, shrinkage, and moisture content of wood in the pith-bark followed the recommendations of the Panamerican Standard - COPANT. Results showed statistically significant differences at significance level of 5%, in the radial direction for the shrinkage coefficient in the pith-bark. Radial and tangential shrinkage values were 6.06 and 8.80% in juvenile wood and 6.18 and 8.65% in adult wood, respectively, with anisotropy coefficient of 1.43 for juvenile wood and 2.44 for adult wood. Pinus patula growing in Inhamacari forest shows stable wood at age 38. It can be used for structural purposes and for manufacture of joinery and furniture.

Global general pediatric surgery partnership: The UCLA-Mozambique experience.

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Amado, Vanda; Martins, Deborah B; Karan, Abraar; Johnson, Brittni; Shekherdimian, Shant; Miller, Lee T; Taela, Atanasio; DeUgarte, Daniel A

2017-09-01

There has been increasing recognition of the disparities in surgical care throughout the world. Increasingly, efforts are being made to improve local infrastructure and training of surgeons in low-income settings. The purpose of this study was to review the first 5-years of a global academic pediatric general surgery partnership between UCLA and the Eduardo Mondlane University in Maputo, Mozambique. A mixed-methods approach was utilized to perform an ongoing needs assessment. A retrospective review of admission and operative logbooks was performed. Partnership activities were summarized. The needs assessment identified several challenges including limited operative time, personnel, equipment, and resources. Review of logbooks identified a high frequency of burn admissions and colorectal procedures. Partnership activities focused on providing educational resources, on-site proctoring, training opportunities, and research collaboration. This study highlights the spectrum of disease and operative case volume of a referral center for general pediatric surgery in sub-Saharan Africa, and it provides a context for academic partnership activities to facilitate training and improve the quality of pediatric general surgical care in limited-resource settings. Level IV. Copyright © 2017 Elsevier Inc. All rights reserved.

Health and socio-demographic profile of women of reproductive age in rural communities of southern Mozambique

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Sacoor, Charfudin; Payne, Beth; Augusto, Orvalho; Vilanculo, Faustino; Nhacolo, Ariel; Vidler, Marianne; Makanga, Prestige Tatenda; Munguambe, Khátia; Lee, Tang; Macete, Eusébio; von Dadelszen, Peter; Sevene, Esperança

2018-01-01

Reliable statistics on maternal morbidity and mortality are scarce in low and middle-income countries, especially in rural areas. This is the case in Mozambique where many births happen at home. Furthermore, a sizeable number of facility births have inadequate registration. Such information is crucial for developing effective national and global health policies for maternal and child health. The aim of this study was to generate reliable baseline socio-demographic information on women of reproductive age as well as to establish a demographic surveillance platform to support the planning and implementation of the Community Level Intervention for Pre-eclampsia (CLIP) study, a cluster randomized controlled trial. This study represents a census of all women of reproductive age (12–49 years) in twelve rural communities in Maputo and Gaza provinces of Mozambique. The data were collected through electronic forms implemented in Open Data Kit (ODK) (an app for android based tablets) and household and individual characteristics. Verbal autopsies were conducted on all reported maternal deaths to determine the underlying cause of death. Between March and October 2014, 50,493 households and 80,483 women of reproductive age (mean age 26.9 years) were surveyed. A total of 14,617 pregnancies were reported in the twelve months prior to the census, resulting in 9,029 completed pregnancies. Of completed pregnancies, 8,796 resulted in live births, 466 resulted in stillbirths and 288 resulted in miscarriages. The remaining pregnancies had not yet been completed during the time of the survey (5,588 pregnancies). The age specific fertility indicates that highest rate (188 live births per 1,000 women) occurs in the age 20–24 years old. The estimated stillbirth rate was 50.3/1,000 live and stillbirths; neonatal mortality rate was 13.3/1,000 live births and maternal mortality ratio was 204.6/100,000 live births. The most common direct cause of maternal death was eclampsia and

Health and socio-demographic profile of women of reproductive age in rural communities of southern Mozambique.

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Charfudin Sacoor

Full Text Available Reliable statistics on maternal morbidity and mortality are scarce in low and middle-income countries, especially in rural areas. This is the case in Mozambique where many births happen at home. Furthermore, a sizeable number of facility births have inadequate registration. Such information is crucial for developing effective national and global health policies for maternal and child health. The aim of this study was to generate reliable baseline socio-demographic information on women of reproductive age as well as to establish a demographic surveillance platform to support the planning and implementation of the Community Level Intervention for Pre-eclampsia (CLIP study, a cluster randomized controlled trial. This study represents a census of all women of reproductive age (12-49 years in twelve rural communities in Maputo and Gaza provinces of Mozambique. The data were collected through electronic forms implemented in Open Data Kit (ODK (an app for android based tablets and household and individual characteristics. Verbal autopsies were conducted on all reported maternal deaths to determine the underlying cause of death. Between March and October 2014, 50,493 households and 80,483 women of reproductive age (mean age 26.9 years were surveyed. A total of 14,617 pregnancies were reported in the twelve months prior to the census, resulting in 9,029 completed pregnancies. Of completed pregnancies, 8,796 resulted in live births, 466 resulted in stillbirths and 288 resulted in miscarriages. The remaining pregnancies had not yet been completed during the time of the survey (5,588 pregnancies. The age specific fertility indicates that highest rate (188 live births per 1,000 women occurs in the age 20-24 years old. The estimated stillbirth rate was 50.3/1,000 live and stillbirths; neonatal mortality rate was 13.3/1,000 live births and maternal mortality ratio was 204.6/100,000 live births. The most common direct cause of maternal death was eclampsia and

Development of Nevirapine Resistance in Children Exposed to the Prevention of Mother-to-Child HIV-1 Transmission Programme in Maputo, Mozambique.

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Francisco Antunes

Full Text Available Single-dose nevirapine (sd-NVP has been the main option for prevention of mother-to-child transmission (PMTCT of HIV-1 in low-resource settings. However, sd-NVP can induce the selection of HIV-1 resistant mutations in mothers and infants. In Mozambique, there are limited data regarding the profile of NVP resistance associated mutations (RAM in the context of PMTCT.To assess the prevalence and the factors associated with NVP RAM among children born to HIV-1 infected mothers enrolled in the PMTCT programme adopted in Mozambique.One hundred and fifty seven children aged 6 to 48 weeks were sequentially included (July 2011 to March 2012 at four centres in Maputo. Genotyping of RAM was performed in samples with HIV-1 RNA≥ 100 copies/μL (Viroseq. Sequencing was performed with ABI 3100 (Applied Biosystems. Logistic regression modelling was undertaken to identify the factors associated with NVP RAM.Seventy-nine children had their samples genotyped. Their median age was 7.0 (3-12 months and 92.4% received prophylaxis with sd-NVP at birth plus daily NVP. 35.4% of mothers received antiretrovirals (ARVs for PMTCT. ARV RAM were detected in 43 (54.4% of the children. 45.6% of these children had at least one NVP RAM. The most common mutations associated with NVP resistance were K103N (n = 16 and Y181C (n = 15. NVP RAM was significantly associated with mother exposure to PMTCT (crude odds ratio [OR] 30.3, 95% CI 4.93-186.34 and with mother's CD4 count < 350 cells/mm3 (crude OR 3.08, 95% CI 1.02-9.32. In the multivariable analysis the mother's exposure to PMTCT was the only variable significantly associated with NVP RAM (adjusted OR 48.65, 95% CI 9.33-253.66.We found a high prevalence of NVP RAM among children who were exposed to the drug regimen for PMTCT in Mozambique. The mothers' exposure to PMTCT significantly increased the risk of NVP RAM.

Using theory and formative research to design interventions to improve community health worker motivation, retention and performance in Mozambique and Uganda.

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Strachan, Daniel Llywelyn; Källander, Karin; Nakirunda, Maureen; Ndima, Sozinho; Muiambo, Abel; Hill, Zelee

2015-04-30

Community health workers (CHWs) are increasingly being used in low-income countries to address human resources shortages, yet there remain few effective, evidence-based strategies for addressing the enduring programmatic constraints of worker motivation, retention and performance. This paper describes how two interventions were designed by the Innovations at Scale for Community Access and Lasting Effects (inSCALE) project to address these constraints in Uganda and Mozambique drawing on behavioural theory and formative research results. A review of the work motivation and CHW motivation literature--incorporating influences on retention and performance--was conducted on articles sourced through electronic web searches. Formative research with a focus on the barriers and facilitators to CHW motivation, retention and performance was conducted with community health workers and key stakeholders in Uganda and Mozambique. An analytical induction approach to the thematic analysis of transcripts from 98 in-depth interviews and 26 focus group discussions was adopted across the country settings. From the theoretical review, it was determined that the interventions should promote CHWs as members of a collective by highlighting a sense of shared experience, focus on alignment between worker and programme goals, and emphasise the actions that lead to good performance. The Social Identity Approach was selected as the theory most likely to lead to the development of effective, scalable and sustainable interventions by addressing the identified gap in the literature of the influence of CHW working context. The formative research indicated that CHWs value feedback and feeling connected to the health system and their community, are motivated by status and community standing, and want to be provided with the necessary tools to perform. Two interventions based on these results were developed: a participatory, local community approach and an information communication technology (ICT

Cost-effectiveness of intermittent preventive treatment of malaria in pregnancy in southern Mozambique.

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Elisa Sicuri

2010-10-01

Full Text Available Malaria in pregnancy is a public health problem for endemic countries. Economic evaluations of malaria preventive strategies in pregnancy are needed to guide health policies.This analysis was carried out in the context of a trial of malaria intermittent preventive treatment in pregnancy with sulphadoxine-pyrimethamine (IPTp-SP, where both intervention groups received an insecticide treated net through the antenatal clinic (ANC in Mozambique. The cost-effectiveness of IPTp-SP on maternal clinical malaria and neonatal survival was estimated. Correlation and threshold analyses were undertaken to assess the main factors affecting the economic outcomes and the cut-off values beyond which the intervention is no longer cost-effective. In 2007 US$, the incremental cost-effectiveness ratio (ICER for maternal malaria was 41.46 US$ (95% CI 20.5, 96.7 per disability-adjusted life-year (DALY averted. The ICER per DALY averted due to the reduction in neonatal mortality was 1.08 US$ (95% CI 0.43, 3.48. The ICER including both the effect on the mother and on the newborn was 1.02 US$ (95% CI 0.42, 3.21 per DALY averted. Efficacy was the main factor affecting the economic evaluation of IPTp-SP. The intervention remained cost-effective with an increase in drug cost per dose up to 11 times in the case of maternal malaria and 183 times in the case of neonatal mortality.IPTp-SP was highly cost-effective for both prevention of maternal malaria and reduction of neonatal mortality in Mozambique. These findings are likely to hold for other settings where IPTp-SP is implemented through ANC visits. The intervention remained cost-effective even with a significant increase in drug and other intervention costs. Improvements in the protective efficacy of the intervention would increase its cost-effectiveness. Provision of IPTp with a more effective, although more expensive drug than SP may still remain a cost-effective public health measure to prevent malaria in pregnancy

Vocational Literacy in Mozambique: Historical Development, Current Challenges and Contradictions

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Oleg Popov

2016-03-01

Full Text Available The study analyses the historical development of vocational literacy in basic education and Non-Formal Vocational Education (NFVE in Mozambique, as well as current challenges and contradictions. The theoretical lens of Cultural-Historical Activity Theory (CHAT is employed in the study. Methodologically the study was executed through an analysis of oral, printed and e-resources produced by the main stakeholders and also the reflective experiences of the authors in their extensive educational work in the country. The findings reveal poorly developed vocational literacy education in schools and non-formal settings in spite of recurrent political declarations about its importance. There is a strong dependence by formal and particularly NFVE sectors on the technical and financial support provided by international organisations. Vocational literacy courses are characterized by a lack of adequate equipment and poor practice. As a consequence, theoretical or elementary forms of vocational knowledge are dominant in the courses, resulting in the dissatisfaction of both learners and educators. Vocational literacy development proved to be a complex field that faces many challenges and ischaracterised by diverse internal contradictions.

HIV scale-up in Mozambique: Exceptionalism, normalisation and global health

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Høg, Erling

2014-01-01

The large-scale introduction of HIV and AIDS services in Mozambique from 2000 onwards occurred in the context of deep political commitment to sovereign nation-building and an important transition in the nation's health system. Simultaneously, the international community encountered a willing state partner that recognised the need to take action against the HIV epidemic. This article examines two critical policy shifts: sustained international funding and public health system integration (the move from parallel to integrated HIV services). The Mozambican government struggles to support its national health system against privatisation, NGO competition and internal brain drain. This is a sovereignty issue. However, the dominant discourse on self-determination shows a contradictory twist: it is part of the political rhetoric to keep the sovereignty discourse alive, while the real challenge is coordination, not partnerships. Nevertheless, we need more anthropological studies to understand the political implications of global health funding and governance. Other studies need to examine the consequences of public health system integration for the quality of access to health care. PMID:24499102

Modelling the influence of climate on malaria occurrence in Chimoio Municipality, Mozambique.

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Ferrão, João Luís; Mendes, Jorge M; Painho, Marco

2017-05-25

Mozambique was recently ranked fifth in the African continent for the number of cases of malaria. In Chimoio municipality cases of malaria are increasing annually, contrary to the decreasing trend in Africa. As malaria transmission is influenced to a large extent by climatic conditions, modelling this relationship can provide useful insights for designing precision health measures for malaria control. There is a scarcity of information on the association between climatic variability and malaria transmission risk in Mozambique in general, and in Chimoio in particular. Therefore, the aim of this study is to model the association between climatic variables and malaria cases on a weekly basis, to help policy makers find adequate measures for malaria control and eradication. Time series analysis was conducted using data on weekly climatic variables and weekly malaria cases (counts) in Chimoio municipality, from 2006 to 2014. All data were analysed using SPSS-20, R 3.3.2 and BioEstat 5.0. Cross-correlation analysis, linear processes, namely ARIMA models and regression modelling, were used to develop the final model. Between 2006 and 2014, 490,561 cases of malaria were recorded in Chimoio. Both malaria and climatic data exhibit weekly and yearly systematic fluctuations. Cross-correlation analysis showed that mean temperature and precipitation present significantly lagged correlations with malaria cases. An ARIMA model (2,1,0) (2,1,1) 52 , and a regression model for a Box-Cox transformed number of malaria cases with lags 1, 2 and 3 of weekly malaria cases and lags 6 and 7 of weekly mean temperature and lags 12 of precipitation were fitted. Although, both produced similar widths for prediction intervals, the last was able to anticipate malaria outbreak more accurately. The Chimoio climate seems ideal for malaria occurrence. Malaria occurrence peaks during January to March in Chimoio. As the lag effect between climatic events and malaria occurrence is important for the

Safety and Acceptability of Community-Based Distribution of Injectable Contraceptives: A Pilot Project in Mozambique.

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Jacinto, Ana; Mobaracaly, Mahomed Riaz; Ustáb, Momade Bay; Bique, Cassimo; Blazer, Cassandra; Weidert, Karen; Prata, Ndola

2016-09-28

Mozambique has witnessed a climbing total fertility rate in the last 20 years. Nearly one-third of married women have an unmet need for family planning, but the supply of family planning services is not meeting the demand. This study aimed to explore the safety and effectiveness of training 2 cadres of community health workers-traditional birth attendants (TBAs) and agentes polivalentes elementares (APEs) (polyvalent elementary health workers)-to administer the injectable contraceptive depot-medroxyprogesterone acetate (DMPA), and to provide evidence to policy makers on the feasibility of expanding community-based distribution of DMPA in areas where TBAs and APEs are present. A total of 1,432 women enrolled in the study between February 2014 and April 2015. The majority (63% to 66%) of women in the study started using contraception for the first time during the study period, and most women (over 66%) did not report side effects at the 3-month and 6-month follow-up visits. Very few (less than 0.5%) experienced morbidities at the injection site on the arm. Satisfaction with the performance of TBAs and APEs was high and improved over the study period. Overall, the project showed a high continuation rate (81.1%) after 3 injections, with TBA clients having significantly higher continuation rates than APE clients after 3 months and after 6 months. Clients' reported willingness to pay for DMPA (64%) highlights the latent demand for modern contraceptives. Given Mozambique's largely rural population and critical health care workforce shortage, community-based provision of family planning in general and of injectable contraceptives in particular, which has been shown to be safe, effective, and acceptable, is of crucial importance. This study demonstrates that community-based distribution of injectable contraceptives can provide access to family planning to a large group of women that previously had little or no access. © Jacinto et al.

Spontaneous adverse drug reaction reporting in rural districts of Mozambique.

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Sevene, Esperança; Mariano, Alda; Mehta, Ushma; Machai, Maria; Dodoo, Alexander; Vilardell, David; Patel, Sam; Barnes, Karen; Carné, Xavier

2008-01-01

The roll out of various public health programmes involving mass administration of medicines calls for the deployment of responsive pharmacovigilance systems to permit identification of signals of rare or even common adverse reactions. In developing countries in Africa, these systems are mostly absent and their performance under any circumstance is difficult to predict given the known shortage of human, financial and technical resources. Nevertheless, the importance of such systems in all countries is not in doubt, and research to identify problems, with the aim of offering pragmatic solutions, is urgently needed. To examine the impact of training and monitoring of healthcare workers, making supervisory visits and the availability of telecommunication and transport facilities on the implementation of a pharmacovigilance system in Mozambique. This was a descriptive study enumerating the lessons learnt and challenges faced in implementing a spontaneous reporting system in two rural districts of Mozambique - Namaacha and Matutuíne - where remote location, poor telecommunication services and a low level of education of health professionals are ongoing challenges. A 'yellow card' system for spontaneous reporting of adverse drug reactions (ADRs) was instituted following training of health workers in the selected districts. Thirty-five health professionals (3 medical doctors, 2 technicians, 24 nurses, 4 basic healthcare agents and 2 pharmacy agents) in these districts were trained to diagnose, treat and report ADRs to all medicines using a standardized yellow card system. There were routine site visits to identify and clarify any problems in filling in and sending the forms. One focal person was identified in each district to facilitate communication between the health professionals and the National Pharmacovigilance Unit (NPU). The report form was assessed for quality and causality. The availability of telecommunications and transport was assessed. Fourteen months after

Plant communities and landscapes of the Parque Nacional de Zinave, Mozambique

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Marc Stalmans

2010-03-01

Full Text Available The Parque Nacional de Zinave covers 400 000 ha in Mozambique to the south of the Save River. Until recently, this park had been characterised by neglect and illegal hunting that caused the demise of most of its large wildlife. A recent initiative has been launched that aims at rehabilitating the park within the scope of the Greater Limpopo Transfrontier Park (GLTP. A vegetation map was required as input to its management plan. The three primary objectives of the study were, firstly, to understand the environmental and biotic determinants of the vegetation, secondly, to identify and describe individual plant communities in terms of species composition and structure along the roads in the study area and, thirdly, to delineate landscapes in terms of their plant community make-up, environmental as well as biotic determinants and distribution. This is the third survey and description of the landscapes of the national parks located in the Mozambique part of the GLTP. A combination of feldwork and analysis of LANDSAT satellite imagery was used. A total of 75 sample plots were surveyed. A brief subjective visual assessment was undertaken for another 114 sample points. The accuracy of the landscape map was evaluated by means of 582 points assessed during an aerial game count. The ordination results clearly indicate the overriding importance of moisture availability in determining vegetation composition. Ten distinct plant communities were recognised. Different combinations of these plant communities can be grouped in six major landscapes, namely the Save River channel and river banks, Save riverine forest, Acacia nigrescens woodland landscape, mopane landscape, miombo landscape and sandveld landscape. The landscapes with their individual plant communities represent habitats that are highly suitable for the reintroduction of many game species that were lost during the latter part of the last century. Conservation implication: No formal description and

Household cost of malaria overdiagnosis in rural Mozambique

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Armázio Luiz

2008-02-01

Full Text Available Abstract Background It is estimated that over 70% of patients with suspected malaria in sub-Saharan Africa, diagnose and manage their illness at home without referral to a formal health clinic. Of those patients who do attend a formal health clinic, malaria overdiagnosis rates are estimated to range between 30–70%. Methods This paper details an observational cohort study documenting the number and cost of repeat consultations as a result of malaria overdiagnosis at two health care providers in a rural district of Mozambique. 535 adults and children with a clinical diagnosis of malaria were enrolled and followed over a 21 day period to assess treatment regimen, symptoms, number and cost of repeat visits to health providers in patients misdiagnosed with malaria compared to those with confirmed malaria (determined by positive bloodfilm reading. Results Diagnosis based solely on clinical symptoms overdiagnosed 23% of children ( Conclusion Overdiagnosis of malaria results in a greater number of healthcare visits and associated cost for adult patients. Additionally, it is clear that the poorest individuals pay significantly more proportionally for their healthcare making it imperative that the treatment they receive is correct in order to prevent wastage of limited economic resources. Thus, investment in accurate malaria diagnosis and appropriate management at primary level is critical for improving health outcomes and reducing poverty.

Evaluating the piscicide rotenone as an option for eradication of invasive Mozambique tilapia in a Hawaiian brackish-water wetland complex

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Nico, Leo; Englund, Ronald A.; Jelks, Howard L.

2015-01-01

Mozambique tilapia Oreochromis mossambicus were recently discovered in ‘Aimakapā Fishpond, a 12-hectare brackish-water wetland complex in Kaloko-Honokōhau National Historical Park, on the Island of Hawai’i. As a possible eradication method, we evaluated rotenone, a natural piscicide used in fish management and the active ingredient in plants traditionally used by indigenous Hawaiians for capturing fish. To assess rotenone’s efficacy in killing tilapia and effects on non-target species, laboratory toxicity tests involved exposing organisms to various concentrations of liquid CFT Legumine (5% rotenone) in static trials of 48-h to 72-h duration. Test organisms included: Mozambique tilapia, non-native guppy Poecilia reticulata, the non-native odonate Rambur’s forktail Ischnura ramburii, native feeble shrimp Palaemon debilis, and native ‘ōpae’ula shrimp Halocaridina rubra. All organisms and water used in tests were obtained from ‘Aimakapā (12.6–12.7 ppt salinity), or, for H. rubra, an anchialine pool (15.0–15.2 ppt salinity). Survival analyses indicated CFT Legumine concentrations >3 ppm (>0.15 mg/L rotenone) achieved 100% mortality of tilapia and 93% of guppies within 24 h, with most tilapia killed by 6 h and most guppies by 2 h. Little or no mortality was observed among invertebrate exposed to 1 to 5 mg/L CFT Legumine: 0% mortality for ‘ōpae’ula shrimp, 4% for feeble shrimp; and 16% for odonate larvae. The 48 h LC50 values for Mozambique tilapia and guppy were 0.06 and 0.11 mg/L rotenone, respectively. Results demonstrate rotenone’s potential for non-native fish eradication in brackish-water habitats, with benefit of low mortality to certain macro-invertebrates. High rotenone tolerance displayed by ‘ōpae’ula shrimp is noteworthy. Invasive fish are common in anchialine pools, threatening existence of shrimp and other invertebrate fauna. Although rotenone’s effects on freshwater organisms have been well studied, our research

Characterization of the profile of energy consumption in isolated regions of Mozambique; Caracterizacao do perfil de consumo energetico em regioes isoladas de Mocambique

Energy Technology Data Exchange (ETDEWEB)

Santos, Afonso Henriques Moreira; Cruz, Ricardo A. Passos da; Magalhaes, Ricardo Nogueira

2008-07-01

This article summarizes the characterization of energy demand in isolated regions of Mozambique, the result of a work for government of that country. In essence, the profile does not differ much from Brazilian reality in poor regions, except for tribal characteristics, absent here. The importance of anthropogenic energy and almost no zoogenic energy are still points of major difference between the two realities.

General characterisation of the solar radiation behaviour in Mozambique

Energy Technology Data Exchange (ETDEWEB)

Cuamba, B.C. [Renewable Energies Research and Training Programme, Department of Physics, Faculty of Sciences, Eduardo Mondlane University (UEM), Maputo (Mozambique)]|[Action Group for Renewable Energies and Sustainable Development, Maputo (Mozambique); Chenene, M.L.; Mahumane, G. [Renewable Energies Research and Training Programme, Department of Physics, Faculty of Sciences, Eduardo Mondlane University (UEM), Maputo (Mozambique); Quissico, D.Z. [Renewable Energies Research and Training Programme, Department of Physics, Faculty of Sciences, Eduardo Mondlane University (UEM), Maputo (Mozambique)]|[National Institute of Meteorology, Maputo (Mozambique); Vasco, E. [National Institute of Meteorology, Maputo (Mozambique); Lovseth, J. [Solar Energy and Environmental Group, Department of Physics (LADE), Trondheim University of Science and Technology (NTNU) (Norway); O' Keefe, P. [University of Northumbria at Newcastle, Newcastle Upon Tyne (United Kingdom)

2004-07-01

Just as with the other Southern African Development Community (SADC) countries, Mozambique faces severe and interrelated problems of energy and environment linked with the massive consumption of fuel wood biomass. The conventional power grid caters for less than 7% of the energy needs for the country's 17 million inhabitants, and about 83% of the energy consumed in the country comes from biomass. Areas around the major urban centres and along the main development corridors are the most affected by energy shortages. This hinders the country's economic and social development as it is generally acknowledged that no development can be sustainable without linking it to energy planning and environmental management. Renewable energy resources can play an important role in the process of development of the country. From the vast renewable energy resources available in the country, solar energy represents one of those with the highest potential. Thus the evaluation of its potential is of extreme importance. This paper represents a first attempt to systemise the solar radiation data being measured by the National Institute of Meteorology (INAM). The period considered for analysis is from 1970 to 2000. Results of the present work reveal that the country has substantial solar energy resources for a variety of solar energy technologies. (orig.)

Water, sanitation, and hygiene in schools: Status and implications of low coverage in Ethiopia, Kenya, Mozambique, Rwanda, Uganda, and Zambia.

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Morgan, Camille; Bowling, Michael; Bartram, Jamie; Lyn Kayser, Georgia

2017-08-01

Adequate access to water, sanitation, and hygiene (WaSH) in schools impacts health, educational outcomes, and gender disparities. Little multi-country research has been published on WaSH in rural schools in Sub-Saharan Africa. In this multi-national cross-sectional WaSH study, we document WaSH access, continuity, quality, quantity, and reliability in 2270 schools that were randomly sampled in rural regions of six Sub-Saharan African countries: Ethiopia, Kenya, Mozambique, Rwanda, Uganda, and Zambia. Data collection included: school WaSH surveys containing internationally established WaSH indicators, direct observation, and field- and laboratory-based microbiological water quality testing. We found 1% of rural schools in Ethiopia and Mozambique to 23% of rural schools in Rwanda had improved water sources on premises, improved sanitation, and water and soap for handwashing. Fewer than 23% of rural schools in the six countries studied met the World Health Organization's recommended student-to-latrine ratios for boys and for girls. Fewer than 20% were observed to have at least four of five recommended menstrual hygiene services (separate-sex latrines with doors and locks, water for use, waste bin). The low access to safe and adequate WaSH services in rural schools suggest opportunities for WaSH interventions that could have substantive impact on health, education, and gender disparities. Copyright © 2017 Elsevier GmbH. All rights reserved.

Consensus on context-specific strategies for reducing the stigma of human immunodeficiency virus/acquired immunodeficiency syndrome in Zambézia Province, Mozambique

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Mukolo, Abraham; Torres, Isabel; Bechtel, Ruth M.; Sidat, Mohsin; Vergara, Alfredo E.

2014-01-01

Stigma has been implicated in poor outcomes of human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) care. Reducing stigma is important for HIV prevention and long-term treatment success. Although stigma reduction interventions are conducted in Mozambique, little is known about the current nature of stigma and the efficacy and effectiveness of stigma reduction initiatives. We describe action research to generate consensus on critical characteristics of HIV stigma and an...

Evaluation of potential impacts of climate change and water management on streamflow in the Rovuma River, Mozambique and Tanzania

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Minihane, M.; Lettenmaier, D. P.

2012-12-01

Economic development and public health are tied to water resources development in many parts of the world. Effective use of water management infrastructure investments requires projections of future climatic and water use conditions. This is particularly true in developing countries. We explore in this work water resource availability in the Rovuma River, which lies in a sparsely-populated region of southeastern Africa, on the border of Mozambique and Tanzania. While there are only limited documented observations of flow of the Rovuma River and it's tributaries, particularly in recent years, there is widespread interest in development of the water resources of the region. The national governments are interested in hydropower potential while private companies, many of them large multinational organizations, have started irrigation programs to increase agricultural output. While the Mozambique and Tanzania governments have a joint agreement over the river development, there is a need to assess both current and potential future water resource conditions in the basin. The sustainability of these developments, however, may be affected by climate change. Here we quantify potential changes in streamflow in the Rovuma River under dry and wet climate projection scenarios using the delta method and the Variable Infiltration Capacity (VIC) macro-scale hydrology model. We then evaluate streamflow changes relative to water withdrawals required for a range of irrigated agriculture scenarios. Our analysis is intended to be a starting point for planners to consider potential impacts of both streamflow withdrawal permits (for irrigated agriculture) and future uncertain climate conditions.

Impacts of Jatropha-based biodiesel production on above and below-ground carbon stocks: A case study from Mozambique

International Nuclear Information System (INIS)

Vang Rasmussen, Laura; Rasmussen, Kjeld; Bech Bruun, Thilde

2012-01-01

The need to mitigate climate change makes production of liquid biofuels a high priority. Substituting fossil fuels by biodiesel produced from Jatropha curcas has gained widespread attention as Jatropha cultivation is claimed to offer green house gas emission reductions. Farmers respond worldwide to this increasing demand by converting forests into Jatropha, but whether Jatropha-based biodiesel offers carbon savings depends on the carbon emissions that occur when land use is changed to Jatropha. This paper provides an impact assessment of a small-scale Jatropha project in Cabo Delgado, Mozambique. The paper outlines the estimated impacts on above and below-ground carbon stocks when land use is changed to increase Jatropha production. The results show that expansion of Jatropha production will most likely lead to the conversion of miombo forest areas to Jatropha, which implies a reduction in above and below-ground carbon stocks. The carbon debts created by the land use change can be repaid by replacing fossil fuels with Jatropha-based biodiesel. A repayment time of almost two centuries is found with optimistic estimates of the carbon debt, while the use of pessimistic values results in a repayment time that approaches the millennium. - Highlights: ► Demands for biofuels make production of Jatropha-based biodiesel a priority. ► Farmers in Northern Mozambique are likely to convert un-logged miombo to Jatropha. ► Converting miombo to Jatropha creates reductions in above and below-ground carbon. ► It takes 187–966 years to repay emissions from above and below-ground carbon stocks.

Mozambique field epidemiology and laboratory training program: a pathway for strengthening human resources in applied epidemiology.

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Baltazar, Cynthia Semá; Taibo, Cátia; Sacarlal, Jahit; Gujral, Lorna; Salomão, Cristolde; Doyle, Timothy

2017-01-01

In the last decades, Mozambique has been undergoing demographic, epidemiological, economic and social transitions, which have all had a notable impact on the National Health System. New challenges have emerged, causing a need to expand the preparation and response to emerging disease threats and public health emergencies. We describe the structure and function of the Mozambique Field Epidemiology Training Program (MZ-FELTP) and the main outputs achieved during the first 6 years of program implementation (consisting of 3 cohorts). We also outline the contribution of the program to the National Health System and assess the retention of the graduates. The MZ-FELTP is a post-graduate in-service training program, based on the acquisition of skills, within two tracks: applied epidemiology and laboratory management. The program was established in 2010, with the objective of strengthening capacity in applied epidemiology and laboratory management, so that events of public health importance can be detected and investigated in a timely and effective manner. The program is in its seventh year, having successfully trained 36 health professionals in the advanced course. During the first six years of the program, more than 40 outbreaks were investigated, 37 surveillance system evaluations were conducted and 39 descriptive data analyses were performed. Surveillance activities were implemented for mass events and emergency situations. In addition, more than 100 oral and poster presentations were given by trainees at national and international conferences. The MZ-FELTP has helped provide the Ministry of Health with the human and technical resources and operational capacity, to rapidly and effectively respond to major public health challenges in the country. The continuous involvement of key stakeholders is necessary for the continuation, expansion and ongoing sustainability of the program.

[Stigma and discrimination: the experiences of HIV-positive women in poor neighborhoods of Maputo, Mozambique].

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Andrade, Rosário Gregório; Iriart, Jorge Alberto Bernstein

2015-03-01

The HIV/AIDS epidemic is a serious public health problem in Mozambique. The country has high prevalence rates, and the epidemic's impact is aggravated by the stigma affecting HIV-positive persons. This study takes a socio-anthropological perspective to analyze the experience of HIV-positive women in poor neighborhoods of Maputo and the ways they cope with stigma and discrimination. Semi-structured interviews were conducted with 10 HIV-positive women. The results show how gender inequalities increase women's vulnerability to HIV and contribute to their stigmatization and discrimination. In dealing with stigma, women try to keep their diagnosis confidential, seeking support in group meetings with others living with HIV. Public policies should focus on women's empowerment and the reduction of HIV/AIDS-related stigma.

Factors associated with HIV testing and condom use in Mozambique: implications for programs.

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Agha, Sohail

2012-09-05

To identify predictors of HIV testing and condom use in Mozambique. Nationally representative survey data collected in Mozambique in 2009 was analyzed. Logistic regression analysis was used for two outcomes: HIV testing and condom use. Women at a higher risk of HIV were less likely to be tested for HIV than women at a lower risk: compared to married women, HIV testing was lower among never married women (OR = 0.37, CI: 0.25-0.54); compared to women with one lifetime partner, HIV testing was lower among women with four or more lifetime partners (OR = 0.62, CI: 0.47-0.83). Large wealth differentials were observed: compared to the poorest women, HIV testing was higher among the wealthiest women (OR = 3.03, CI: 1.96-4.68). Perceived quality of health services was an important predictor of HIV testing: HIV testing was higher among women who rated health services as being of very good quality (OR = 2.12, CI: 1.49-3.00). Type of sexual partner was the strongest predictor of condom use: condom use was higher among men who reported last sex with a girlfriend (OR = 9.75, CI: 6.81-13.97) or a casual partner (OR = 11.05, CI: 7.21-16.94). Being tested for HIV during the last two years was the only programmatic variable that predicted condom use. Interestingly, being tested for HIV more than two years ago was not associated with condom use. Frequent mass media exposure was neither associated with HIV testing nor with condom use. The focus of HIV testing should shift from married women (routinely tested during antenatal care visits) to unmarried women and women with multiple sexual partners. Financial barriers to HIV testing appear to be substantial. Since HIV testing is done without a fee being charged, these barriers are presumably related to the cost of transportation to static health facilities. Mechanisms should be developed to cover the cost of transportation to health facilities. Substantially increasing community-based counseling is one way of reducing the cost of

Factors associated with HIV testing and condom use in Mozambique: implications for programs

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Agha Sohail

2012-09-01

Full Text Available Abstract Background To identify predictors of HIV testing and condom use in Mozambique. Methods Nationally representative survey data collected in Mozambique in 2009 was analyzed. Logistic regression analysis was used for two outcomes: HIV testing and condom use. Results Women at a higher risk of HIV were less likely to be tested for HIV than women at a lower risk: compared to married women, HIV testing was lower among never married women (OR = 0.37, CI: 0.25-0.54; compared to women with one lifetime partner, HIV testing was lower among women with four or more lifetime partners (OR = 0.62, CI: 0.47-0.83. Large wealth differentials were observed: compared to the poorest women, HIV testing was higher among the wealthiest women (OR = 3.03, CI: 1.96-4.68. Perceived quality of health services was an important predictor of HIV testing: HIV testing was higher among women who rated health services as being of very good quality (OR = 2.12, CI: 1.49-3.00. Type of sexual partner was the strongest predictor of condom use: condom use was higher among men who reported last sex with a girlfriend (OR = 9.75, CI: 6.81-13.97 or a casual partner (OR = 11.05, CI: 7.21-16.94. Being tested for HIV during the last two years was the only programmatic variable that predicted condom use. Interestingly, being tested for HIV more than two years ago was not associated with condom use. Frequent mass media exposure was neither associated with HIV testing nor with condom use. Conclusions The focus of HIV testing should shift from married women (routinely tested during antenatal care visits to unmarried women and women with multiple sexual partners. Financial barriers to HIV testing appear to be substantial. Since HIV testing is done without a fee being charged, these barriers are presumably related to the cost of transportation to static health facilities. Mechanisms should be developed to cover the cost of transportation to health facilities

The Relationship of Repeated Technical Assistance Support Visits to the Delivery of Positive Health, Dignity, and Prevention (PHDP) Messages by Healthcare Providers in Mozambique: A Longitudinal Multilevel Analysis.

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Gutin, Sarah A; Amico, K Rivet; Hunguana, Elsa; Munguambe, António Orlando; Rose, Carol Dawson

Positive health, dignity, and prevention (PHDP) is Mozambique's strategy to engage clinicians in the delivery of prevention messages to their HIV-positive clients. This national implementation strategy uses provider trainings on offering key messages and focuses on intervening on 9 evidence-based risk reduction areas. We investigated the impact of longitudinal technical assistance (TA) as an addition to this basic training. We followed 153 healthcare providers in 5 Mozambican provinces over 6 months to evaluate the impact of on-site, observation-based TA on PHDP implementation. Longitudinal multilevel models were estimated to model change in PHDP message delivery over time among individual providers. With each additional TA visit, providers delivered about 1 additional PHDP message ( P < .001); clinicians and nonclinicians started at about the same baseline level, but clinicians improved more quickly ( P = .004). Message delivery varied by practice sector; maternal and child health sectors outperformed other sectors. Longitudinal TA helped reach the programmatic goals of the PHDP program in Mozambique.

Prevalence, incidence and determinants of herpes simplex virus type 2 infection among HIV-seronegative women at high-risk of HIV infection: a prospective study in Beira, Mozambique

NARCIS (Netherlands)

Meque, Ivete; Dubé, Karine; Feldblum, Paul J.; Clements, Archie C. A.; Zango, Arlinda; Cumbe, Fidelina; Chen, Pai Lien; Ferro, Josefo J.; van de Wijgert, Janneke H.

2014-01-01

To estimate the prevalence, incidence and determinants of herpes simplex type 2 (HSV-2) infection, and associations between HSV-2 and incident HIV infection, among women at higher risk for HIV infection in Beira, Mozambique. Between 2009 and 2012, 411 women aged 18-35 years at higher risk of HIV

Urban Re-qualification and New Centralization in Quelimane, Mozambique

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Klayde Karmila Gaspar Evaristo

2017-12-01

Full Text Available This essay analyses urban restructuring caused by the introduction of new economic activities undertaken by private sector agents in Quelimane, Mozambique. The research investigated the process of urbanization and expansion of the city, economic dynamics and production of urban space, the growth of commerce and specialized services, social inequality and socio-spatial precariousness. The study seeks to demonstrate how issues related to the economic activities, agents and roles of actors in the process of urban restructuring are portrayed. A qualitative approach was used, involving interviews of key actors. The research revealed that urban restructuring in Quelimane in the recent past occurred informally and spontaneously as it still does today. Urban expansion reflects occupational models, the most expressive being economic activities undertaken by small and medium enterprises involving hotels, the provision of specialized goods and services, commerce, civil construction, entertainment and passenger transport in bicycle taxis. The study suggests that in the process of urban restructuring planners must be morecareful to embrace excluded actors. Similarly, the process of urban restructuring and city expansion must follow models of urban re-qualification based not only on official norms but which also take indigenous knowledge into account. This is fundamental in times of globalization in order to accommodate political, cultural and socio-economic functional systems.

Nexusing Charcoal in South Mozambique: A Proposal To Integrate the Nexus Charcoal-Food-Water Analysis With a Participatory Analytical and Systemic Tool

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Ricardo Martins

2018-06-01

Full Text Available Nexus analysis identifies and explores the synergies and trade-offs between energy, food and water systems, considered as interdependent systems interacting with contextual drivers (e.g., climate change, poverty. The nexus is, thus, a valuable analytical and policy design supporting tool to address the widely discussed links between bioenergy, food and water. In fact, the Nexus provides a more integrative and broad approach in relation to the single isolated system approach that characterizes many bioenergy analysis and policies of the last decades. In particular, for the South of Mozambique, charcoal production, food insecurity and water scarcity have been related in separated studies and, thus, it would be expected that Nexus analysis has the potential to provide the basis for integrated policies and strategies focused on charcoal as a development factor. However, to date there is no Nexus analysis focused on charcoal in Mozambique, neither is there an assessment of the comprehensiveness and relevance of Nexus analysis when applied to charcoal energy systems. To address these gaps, this work applies the Nexus to the charcoal-food-water system in Mozambique, integrating national, regional and international studies analysing the isolated, or pairs of, systems. This integration results in a novel Nexus analysis graphic for charcoal-food-water relationship. Then, to access the comprehensiveness and depth of analysis, this Nexus analysis is critically compared with the 2MBio-A, a systems analytical and design framework based on a design tool specifically developed for Bioenergy (the 2MBio. The results reveal that Nexus analysis is “blind” to specific fundamental social, ecological and socio-historical dynamics of charcoal energy systems. The critical comparison also suggests the need to integrate the high level systems analysis of Nexus with non-deterministic, non-prescriptive participatory analysis tools, like the 2MBio-A, as a means to

Influence of mesoscale features on micronekton and large pelagic fish communities in the Mozambique Channel

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Potier, Michel; Bach, Pascal; Ménard, Frédéric; Marsac, Francis

2014-02-01

We investigated the diversity and distribution of two communities, micronekton organisms and large predatory fishes, sampled in mesoscale features of the Mozambique Channel from 2003 to 2009, by combining mid-water trawls, stomach contents of fish predators and instrumented longline fishing surveys. The highest species richness for assemblages was found in divergences and fronts rather than in the core of eddies. Despite an unbalanced scheme, diversity indices did not differ significantly between cyclonic and anticyclonic eddies, divergences and fronts. We found that eddies and associated physical cues did not substantially affect the distribution of micronektonic species which are mainly driven by the diel vertical migration pattern. Top predators exhibited a more complex response. Swordfish (Xiphias gladius) associated better with mesoscale features than tunas, with a clear preference for divergences which is consistent with the diel vertical migrations and occurrence of its main prey, the flying squids Sthenoteuthis oualaniensis (Ommastrephidae). On the other hand, the probability of presence of yellowfin tuna was not tied to any specific eddy structure. However, the highest values of positive yellowfin CPUEs were associated with low horizontal gradients of sea-level anomalies. We also showed a non-linear response of positive yellowfin CPUEs with respect to the depth of the minimal oxygen content. The larger the distance between the hooks and the minimal oxygen layer, towards the surface or at greater depths, the higher the CPUE, highlighting that yellowfin congregated in well-oxygenated waters. Micronekton sampled by mid-water trawls and stomach contents exhibited different species composition. The highly mobile organisms were not caught by trawling whereas they remain accessible to predators. The combination of stomach contents and mid-water trawls undoubtedly improved our understanding of the micronekton assemblage distribution. Our results provide some

A food-based approach introducing orange-fleshed sweet potatoes increased vitamin A intake and serum retinol concentrations in young children in rural Mozambique.

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Low, Jan W; Arimond, Mary; Osman, Nadia; Cunguara, Benedito; Zano, Filipe; Tschirley, David

2007-05-01

Vitamin A deficiency is widespread and has severe consequences for young children in the developing world. Food-based approaches may be an appropriate and sustainable complement to supplementation programs. Orange-fleshed sweet potato (OFSP) is rich in beta-carotene and is well accepted by young children. In an extremely resource poor area in Mozambique, the effectiveness of introduction of OFSP was assessed in an integrated agriculture and nutrition intervention, which aimed to increase vitamin A intake and serum retinol concentrations in young children. The 2-y quasi-experimental intervention study followed households and children (n = 741; mean age 13 mo at baseline) through 2 agricultural cycles. In y 2, 90% of intervention households produced OFSP, and mean OFSP plot size in intervention areas increased from 33 to 359 m(2). Intervention children (n = 498) were more likely than control children (n = 243) to eat OFSP 3 or more d in the last wk (55% vs. 8%, P children (median 426 vs. 56 microg retinol activity equivalent, P children and did not increase significantly in control subjects. Integrated promotion of OFSP can complement other approaches and contribute to increases in vitamin A intake and serum retinol concentrations in young children in rural Mozambique and similar areas in Sub-Saharan Africa.

Bringing Dicynodonts Back to Life: Paleobiology and Anatomy of a New Emydopoid Genus from the Upper Permian of Mozambique

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Júnior, Luís C.; Angielczyk, Kenneth D.; Martins, Gabriel G.; Martins, Rui M. S.; Chaouiya, Claudine; Beckmann, Felix; Wilde, Fabian

2013-01-01

Dicynodontia represent the most diverse tetrapod group during the Late Permian. They survived the Permo-Triassic extinction and are central to understanding Permo-Triassic terrestrial ecosystems. Although extensively studied, several aspects of dicynodont paleobiology such as, neuroanatomy, inner ear morphology and internal cranial anatomy remain obscure. Here we describe a new dicynodont (Therapsida, Anomodontia) from northern Mozambique: Niassodon mfumukasi gen. et sp. nov. The holotype ML1620 was collected from the Late Permian K5 formation, Metangula Graben, Niassa Province northern Mozambique, an almost completely unexplored basin and country for vertebrate paleontology. Synchrotron radiation based micro-computed tomography (SRµCT), combined with a phylogenetic analysis, demonstrates a set of characters shared with Emydopoidea. All individual bones were digitally segmented allowing a 3D visualization of each element. In addition, we reconstructed the osseous labyrinth, endocast, cranial nerves and vasculature. The brain is narrow and the cerebellum is broader than the forebrain, resembling the conservative, “reptilian-grade” morphology of other non-mammalian therapsids, but the enlarged paraflocculi occupy the same relative volume as in birds. The orientation of the horizontal semicircular canals indicates a slightly more dorsally tilted head posture than previously assumed in other dicynodonts. In addition, synchrotron data shows a secondary center of ossification in the femur. Thus ML1620 represents, to our knowledge, the oldest fossil evidence of a secondary center of ossification, pushing back the evolutionary origins of this feature. The fact that the specimen represents a new species indicates that the Late Permian tetrapod fauna of east Africa is still incompletely known. PMID:24324653

Bringing dicynodonts back to life: paleobiology and anatomy of a new emydopoid genus from the Upper Permian of Mozambique.

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Rui Castanhinha

Full Text Available Dicynodontia represent the most diverse tetrapod group during the Late Permian. They survived the Permo-Triassic extinction and are central to understanding Permo-Triassic terrestrial ecosystems. Although extensively studied, several aspects of dicynodont paleobiology such as, neuroanatomy, inner ear morphology and internal cranial anatomy remain obscure. Here we describe a new dicynodont (Therapsida, Anomodontia from northern Mozambique: Niassodon mfumukasi gen. et sp. nov. The holotype ML1620 was collected from the Late Permian K5 formation, Metangula Graben, Niassa Province northern Mozambique, an almost completely unexplored basin and country for vertebrate paleontology. Synchrotron radiation based micro-computed tomography (SRµCT, combined with a phylogenetic analysis, demonstrates a set of characters shared with Emydopoidea. All individual bones were digitally segmented allowing a 3D visualization of each element. In addition, we reconstructed the osseous labyrinth, endocast, cranial nerves and vasculature. The brain is narrow and the cerebellum is broader than the forebrain, resembling the conservative, "reptilian-grade" morphology of other non-mammalian therapsids, but the enlarged paraflocculi occupy the same relative volume as in birds. The orientation of the horizontal semicircular canals indicates a slightly more dorsally tilted head posture than previously assumed in other dicynodonts. In addition, synchrotron data shows a secondary center of ossification in the femur. Thus ML1620 represents, to our knowledge, the oldest fossil evidence of a secondary center of ossification, pushing back the evolutionary origins of this feature. The fact that the specimen represents a new species indicates that the Late Permian tetrapod fauna of east Africa is still incompletely known.

Four-year treatment outcomes of adult patients enrolled in Mozambique's rapidly expanding antiretroviral therapy program.

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Andrew F Auld

Full Text Available BACKGROUND: In Mozambique during 2004-2007 numbers of adult patients (≥15 years old enrolled on antiretroviral therapy (ART increased about 16-fold, from 60 kg, WHO stage IV (AHR 1.7; 95% CI, 1.3-2.4, reference group WHO stage I/II, lack of co-trimoxazole prescription (AHR 1.4; 95% CI, 1.0-1.8, and later calendar year of ART initiation (AHR 1.5; 95% CI, 1.2-1.8. Rates of immunologic treatment failure and regimen-switch were 14.0 and 0.6 events per 100-patient years, respectively. CONCLUSIONS: ART initiation at earlier disease stages and scale-up of co-trimoxazole among ART patients could improve outcomes. Research to determine reasons for low regimen-switch rates and increasing rates of attrition during program expansion is needed.

Implementation of evidence-based antenatal care in Mozambique: a cluster randomized controlled trial: study protocol.

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Chavane, Leonardo; Merialdi, Mario; Betrán, Ana Pilar; Requejo-Harris, Jennifer; Bergel, Eduardo; Aleman, Alicia; Colomar, Mercedes; Cafferata, Maria Luisa; Carbonell, Alicia; Crahay, Beatrice; Delvaux, Therese; Geelhoed, Diederike; Gülmezoglu, Metin; Malapende, Celsa Regina; Melo, Armando; Nguyen, My Huong; Osman, Nafissa Bique; Widmer, Mariana; Temmerman, Marleen; Althabe, Fernando

2014-05-21

Antenatal care (ANC) reduces maternal and perinatal morbidity and mortality directly through the detection and treatment of pregnancy-related illnesses, and indirectly through the detection of women at increased risk of delivery complications. The potential benefits of quality antenatal care services are most significant in low-resource countries where morbidity and mortality levels among women of reproductive age and neonates are higher.WHO developed an ANC model that recommended the delivery of services scientifically proven to improve maternal, perinatal and neonatal outcomes. The aim of this study is to determine the effect of an intervention designed to increase the use of the package of evidence-based services included in the WHO ANC model in Mozambique. The primary hypothesis is that the intervention will increase the use of evidence-based practices during ANC visits in comparison to the standard dissemination channels currently used in the country. This is a demonstration project to be developed through a facility-based cluster randomized controlled trial with a stepped wedge design. The intervention was tailored, based on formative research findings, to be readily applicable to local prenatal care services and acceptable to local pregnant women and health providers. The intervention includes four components: the provision of kits with all necessary medicines and laboratory supplies for ANC (medical and non-medical equipment), a storage system, a tracking system, and training sessions for health care providers. Ten clinics were selected and will start receiving the intervention in a random order. Outcomes will be computed at each time point when a new clinic starts the intervention. The primary outcomes are the delivery of selected health care practices to women attending the first ANC visit, and secondary outcomes are the delivery of selected health care practices to women attending second and higher ANC visits as well as the attitude of midwives in

Serological evidence of Rift Valley fever virus circulation in sheep and goats in Zambézia Province, Mozambique.

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José Fafetine

Full Text Available Rift Valley fever (RVF is endemic in most parts of Africa and has also been reported to occur in the Arabian Peninsula. It is responsible for significant morbidity and mortality, particularly in livestock, but also in humans. During the last two decades several outbreaks of RVF have been reported in countries in Southern Africa. In contrast to other countries, no clinical disease has been reported in Mozambique during this period. In a serological study conducted in 2007 in five districts of Zambézia Province, Mozambique, of a total of 654 small ruminants sampled (277 sheep and 377 goats, 35.8% of sheep sera and 21.2% of goat sera were positive for RVF virus (RVFV antibodies in a virus neutralization test (VN and in an IgG enzyme-linked immunosorbent assay (ELISA. In 2010, a cross-sectional survey was conducted in 313 sheep and 449 goats in two districts of the same province. This study revealed an overall seropositivity rate of 9.2% in sheep and 11.6% in goat and an increased likelihood of being seropositive in older animals (OR = 7.3; p<0.001 using an IgG ELISA. 29 out of 240 animals assessed for RVF specific IgM by ELISA were positive, suggesting recent exposure to RVFV. However, a longitudinal study carried out between September 2010 and April 2011 in a cohort of 125 of these animals (74 sheep and 51 goats failed to demonstrate seroconversion. The results of the study indicate that RVFV circulates sub-clinically in domestic small ruminants in Zambézia Province.

Assessment of coverage of preventive treatment and insecticide-treated mosquito nets in pregnant women attending antenatal care services in 11 districts in Mozambique in 2011: the critical role of supply chain.

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Salomão, Cristolde; Sacarlal, Jahit; Gudo, Eduardo Samo

2017-05-25

Malaria during pregnancy is associated with poor maternal and pregnancy outcome and the World Health Organization recommends the administration of intermittent preventive treatment in pregnancy (IPTp) with sulfadoxine-pyrimethamine (SP) and distribution of insecticide-treated mosquito nets (ITNs) to all pregnant women attending antenatal care (ANC) services. This study was conducted with the aim to assess the uptake of IPTp and ITNs in pregnant women attending ANC services and correlate with ANC attendance and frequency of stock-outs in 22 health facilities Mozambique. A cross-sectional study was conducted between July and December 2011 in 22 health units in 11 districts situated in 11 provinces in Mozambique. Two health facilities were selected per district (one urban and one rural). Data were collected by reviewing logbooks of antenatal consultations as well as from monthly district reports. During the period under investigation, a total of 23,524 pregnant women attended their 1st antenatal care visits, of which 12,775 (54.3%) and 7581 (32.2%) received one and two doses of IPTp, respectively. In regard to ITNs, a total of 16,436 (69.9%) pregnant women received ITNs. Uptake of IPTp and ITNs by pregnant women at ANC services was higher in southern Mozambique and lower in districts situated in the northern part of the country. Stock-outs of SP and ITNs were reported in 50.0% (11/22) and 54.5% (12/22) of the health facilities, respectively. Coverage of IPTp and ITN in health facilities with stock-outs of SP and ITNs was much lower as compared to health facilities with no stock-outs. Altogether, data from this study shows that coverage of the 2nd dose of IPTp, as well as ITNs, was low in pregnant women attending ANC services in Mozambique. In addition, this data also shows that stock-outs of SP and ITNs were frequent and led to lower coverage of IPTp and ITN, representing a serious barrier for the accomplishment of targets. In conclusion, this study recommends that

Proyecto de cooperación para el desarrollo: Fomento de prácticas apícolas en el Distrito de Muanza-Sofala-Mozambique

OpenAIRE

Nur Mário Alves, Rafael

2016-01-01

El presente proyecto surge como iniciativa frente a la pobreza, deforestación y pérdida de biodiversidad presentes en las inmediaciones del Parque Nacional de Gorongosa, en el centro de Mozambique, asociada a una agricultura poco desarrollada, que provoca que las comunidades rurales tengan que buscar medios de subsistencia ambientalmente insostenibles, destruyendo la flora y fauna silvestre, para su posterior transformación en productos de autoconsumo y comercializables. En la ...

COMPENSATORY GROWTH IN MOZAMBIQUE TILAPIA (Oreochromis mossambicus, FED A SUB-OPTIMAL DIET

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Ewen McLean

1998-04-01

Full Text Available Mozambique tilapia, Oreochromis mossambicus, held in 30%o seawater and at 29-30 °C, were divided into four groups (n = 50/group in replicate, and given one of four feed cycles: 1 control, with continuous feedind, 2 5:5, 3 10:10 and 4 15:15, wherein fish were subjected to starvation and subsequent refeeding cycles of 5, 10 and 15 days respectively. All animals were fed a commercial diet containing 18.4% protein, 6.7% lipid, 58.6% carbohydrate and 7.2% ash, over a 60 day trial period. Growth compensation was observed in the feed cycled groups as increased (P < 0.03 weight specific growth rates during refeeding. However, feed cycled groups were unable to achieve the weghts of control fish. Starvation reduced (P<0.01 haematocrit values when compared to control levels and, in the 15:15 cycled groups, elevated the testicular index (P < 0.02. The results are considered with respect to the commercial application of compensatory growth during production of tilapia.

PHYSICAL FITNESS AND BIRTH WEIGHT IN YOUNG MEN FROM MAPUTO CITY, MOZAMBIQUE

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Mario Eugénio Tchamo

2016-02-01

Full Text Available ABSTRACT Introduction: Birth weight has been considered an important marker of the nutritional transition in developing countries. Objective: To evaluate the influence of birth weight on body composition and physical fitness of young men born in Maputo, Mozambique. Methods: One hundred and seventy-nine students (aged 19 to 22 years were divided into four groups (low birth weight 3.999 g, HBW, n = 31. Anthropometry and body composition were measured. Physical fitness was assessed by handgrip strength, muscle endurance, flexibility, agility, and running speed. Results: IBW showed lower values of body mass and fat free mass while LBW and HBW had high values of hip circumference, suprailiac, subscapular and abdominal skinfold when compared to NBW. LBW and HBW showed a high percentage of individuals with low performance in flexibility, right handgrip, agility, abdominal resistance, arms strength, and horizontal long jump. Around 70% of HBW showed low performance in the running speed test. Conclusion: Both low and high birth weight can influence adult adiposity and the performance in physical fitness tests.

Design of a water quality monitoring network for the Limpopo River Basin in Mozambique

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Chilundo, M.; Kelderman, P.; O´keeffe, J. H.

The measurement of chemical, physical and biological parameters is important for the characterization of streams health. Thus, cost-effective and targeted water quality (WQ) monitoring programmes are required for proper assessment, restoration and protection of such systems. This research proposes a WQ monitoring network for the Limpopo River Basin (LRB) in Mozambique located in Southern Africa, a region prone to severe droughts. In this Basin both anthropogenic and natural driven processes, exacerbated by the increased water demand by the four riparian countries (Botswana, South Africa, Zimbabwe and Mozambique) are responsible for the degradation of surface waters, impairing their downstream use, either for aquatic ecosystem, drinking, industrial or irrigation. Hence, physico-chemical, biological and microbiological characteristics at 23 sites within the basin were studied in November 2006 and January 2007. The physico-chemical and microbiological samples were analyzed according to American Public Health Association (APHA) standard methods, while the biological monitoring working party method (BMWP) was used for biological assessment. The assessment of the final WQ condition at sampled points was done taking into account appropriate indexes, the Mozambican standards for receiving waters and the WHO guidelines for drinking WQ. The assessed data indicated that sites located at proximities to the border with upstream countries were contaminated with heavy metals. The Elephants subcatchment was found with a relatively better WQ, whereas the Changane subcatchment together with the effluent point discharges in the basin were found polluted as indicated by the low dissolved oxygen and high total dissolved solids, electric conductivity, total hardness, sodium adsorption ratio and low benthic macroinvertebrates taxa. Significant differences ( p < 0.05) were found for some parameters when the concentrations recorded in November and January were tested, therefore, indicating

Community Radio: the future speaks "glocal". An African experience: the Guinea-Bissau & Mozambique cases

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Patrícia Mota Paula

2011-01-01

Full Text Available Este artículo es un análisis comparativo de realidades de radio comunitaria en dos países africanos lusófonos: Guinea-Bissau y Mozambique, cuyas investigaciones se refieren a 2003, 2004, 2007 y 2009, respectivamente. Se centra en la tensa relación entre poder político y radios comunitarias a través de una revisión teórica de dos conceptos nuevos: "Comunicación para Desarrollo" y "Glocalización". Un estudio amplio e innovador con el objetivo de determinar el papel que estos medios tienen para construir una ciudadanía exigente y participativa. Expone peligros que amenazan la sostenibilidad de estas herramientas de empoderamiento, estando privadas de los marcos institucionales viables. El objetivo principal es identificar similitudes y diferencias, discutir problemas y proponer soluciones viables a la normalización de los criterios y definiciones.

Prolactin 177, prolactin 188, and extracellular osmolality independently regulate the gene expression of ion transport effectors in gill of Mozambique tilapia.

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Inokuchi, Mayu; Breves, Jason P; Moriyama, Shunsuke; Watanabe, Soichi; Kaneko, Toyoji; Lerner, Darren T; Grau, E Gordon; Seale, Andre P

2015-11-15

This study characterized the local effects of extracellular osmolality and prolactin (PRL) on branchial ionoregulatory function of a euryhaline teleost, Mozambique tilapia (Oreochromis mossambicus). First, gill filaments were dissected from freshwater (FW)-acclimated tilapia and incubated in four different osmolalities, 280, 330, 380, and 450 mosmol/kg H2O. The mRNA expression of Na(+)/K(+)-ATPase α1a (NKA α1a) and Na(+)/Cl(-) cotransporter (NCC) showed higher expression with decreasing media osmolalities, while Na(+)/K(+)/2Cl(-) cotransporter 1a (NKCC1a) and PRL receptor 2 (PRLR2) mRNA levels were upregulated by increases in media osmolality. We then incubated gill filaments in media containing ovine PRL (oPRL) and native tilapia PRLs (tPRL177 and tPRL188). oPRL and the two native tPRLs showed concentration-dependent effects on NCC, NKAα1a, and PRLR1 expression; Na(+)/H(+) exchanger 3 (NHE3) expression was increased by 24 h of incubation with tPRLs. Immunohistochemical observation showed that oPRL and both tPRLs maintained a high density of NCC- and NKA-immunoreactive ionocytes in cultured filaments. Furthermore, we found that tPRL177 and tPRL188 differentially induce expression of these ion transporters, according to incubation time. Together, these results provide evidence that ionocytes of Mozambique tilapia may function as osmoreceptors, as well as directly respond to PRL to modulate branchial ionoregulatory functions. Copyright © 2015 the American Physiological Society.

Effectiveness of a new long-lasting insecticidal nets delivery model in two rural districts of Mozambique: a before-after study.

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Arroz, Jorge A H; Candrinho, Baltazar; Mendis, Chandana; Varela, Pablo; Pinto, João; Martins, Maria do Rosário O

2018-02-05

In 2015, Mozambique piloted a new model of long-lasting insecticidal nets (LLINs) delivery in a campaign. The new delivery model was used in two rural districts were, and two others were considered as control, maintaining the old delivery model. The aim of this study is to compare the coverage of ownership and use of LLINs in intervention and control districts in Mozambique. A before-after design with control group was carried out 6 months after LLINs distribution. Using systematic probabilistic sampling, 1547 households were surveyed by means of a questionnaire. To find associations between the district categories (intervention and control) and the main outcomes of the study (LLIN ownership, use, and universal coverage achievement), odds ratio (OR) and respective confidence intervals were calculated. Of the 760 households surveyed in the intervention districts, 98.8% had at least one LLIN; of the 787 households surveyed in the control districts, 89.6% had at least one LLIN [OR: 9.7, 95% (CI 4.84-19.46)]. Around 95 and 87% of households owning at least one LLIN reported having slept under the LLIN the previous night in the intervention and control districts, respectively [OR: 3.2; 95% (CI 2.12-4.69)]. Seventy-one percent of the households surveyed achieved universal coverage in the intervention districts against 59.6% in the control districts [OR: 1.6; 95% (CI 1.33-2.03)]. The universal coverage campaign piloted with the new delivery model has increased LLINs ownership, use, and progression for reaching universal coverage targets in the community.

Measuring the Impact of Road Rehabilitation on Spatial Market Efficiency in Maize Markets in Mozambique

DEFF Research Database (Denmark)

Cirera, Xavier; Arndt, Channing

2008-01-01

to the existing literature in three ways. First, a unique data set, where road rehabilitation episodes between market pairs are identified, is developed. Second, special care is devoted to estimation of transaction costs due to the sensitivity of the PBM model to the quality of transaction costs estimates......This article analyzes the impact of road rehabilitation on the spatial market efficiency of maize markets in Mozambique. We estimate a modified version of the Parity Bounds Model (PBM) that allows us to test the impact of road rehabilitation on spatial efficiency. This article seeks to contribute....... Finally, as opposed to most existing literature that focuses on relatively distant markets, the article focuses on spatially closed markets. We find that maize markets tend to be segmented due to high transport costs. Following road rehabilitation, inefficiency and average absolute price differentials...

Mantakassa: an epidemic of spastic paraparesis associated with chronic cyanide intoxication in a cassava staple area of Mozambique. 2. Nutritional factors and hydrocyanic acid content of cassava products. Ministry of Health, Mozambique.

Science.gov (United States)

1984-01-01

An outbreak of spastic paraparesis which mostly affected women and children occurred in a northern province of Mozambique in 1981. The epidemic was related to chronic cyanide intoxication associated with a diet consisting almost exclusively of cassava. A prolonged drought in the area had exhausted all food resources except cassava, especially the bitter varieties. A nutritional, toxicological and botanical investigation was carried out in two of the five districts affected. The main findings were that cyanide levels were unusually high in the cassava plant as a consequence of the drought with daily intakes estimated at 15-31.5 mg HCN. Detoxification of the bitter varieties by sun-drying was inadequate because of the general food shortage, and metabolic detoxification was probably reduced owing to the absence of sulfur-containing amino acids in the diet. The raw and dried uncooked cassava was eaten mostly by women and children. The nutritional status of the population, however, was not very poor and symptoms of advanced under-nutrition were rarely seen.

Messages on pregnancy and family planning that providers give women living with HIV in the context of a Positive Health, Dignity, and Prevention intervention in Mozambique

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Hilliard S

2014-12-01

Full Text Available Starr Hilliard, Sarah A Gutin, Carol Dawson Rose Department of Community Health Systems, School of Nursing, University of California at San Francisco, San Francisco, CA, USA Background: Family planning is an important HIV prevention tool for women living with HIV (WLHIV. In Mozambique, the prevalence of HIV among women of reproductive age is 13.1% and the average fertility rate is high. However, family planning and reproductive health for WLHIV are under-addressed in Mozambique. This study explores provider descriptions of reproductive health messages in order to identify possible barriers and facilitators to successfully addressing family planning and pregnancy concerns of WLHIV. Methods: In 2006, a Positive Health, Dignity, and Prevention program was introduced in Mozambique focused on training health care providers to work with patients to reduce their transmission risks. Providers received training on multiple components, including family planning and prevention of mother-to-child transmission (PMTCT. In-depth interviews were conducted with 31 providers who participated in the training in five rural clinics in three provinces. Data were analyzed using qualitative content analysis. Results: Analysis showed that providers' clinical messages on family planning, pregnancy, and PMTCT for WLHIV could be arranged along a continuum. Provider statements ranged from saying that WLHIV should not become pregnant and condoms are the only valid form of family planning for WLHIV, to suggesting that WLHIV can have safe pregnancies. Conclusion: These data indicate that many providers continue to believe that WLHIV should not have children and this represents a challenge for integrating family planning into the care of WLHIV. Also, not offering WLHIV a full selection of family planning methods severely limits their ability to protect themselves from unintended pregnancies and to fully exercise their reproductive rights. Responding to the reproductive health

Um olhar sobre a realidade de Moçambique: a enfermagem e a saúde Una mirada sobre la realidad de Mozambique: enfermería y salud A closer look at the Mozambique reality: nursing and health

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Ana Paula Faustino Gilio

2008-02-01

Full Text Available A identidade e a memória da Enfermagem são feitas por meio inserção histórica, política e social dos enfermeiros e de suas associações de classe, na busca e fortalecimento dos valores profissionais. Nessa ótica, o presente estudo tem como objetivos compartilhar com os profissionais de enfermagem e os estudantes dessa área algumas vivências e impressões acerca das realidades sócio-política e de saúde na República Popular de Moçambique, bem como a atuação dos profissionais de enfermagem naquele país, dificuldades e conquistas, e contribuir para um processo reflexivo acerca do reconhecimento social da enfermagem.La identidad y la memoria de la Enfermería se hace a traves de estudios de los aspectos históricos, políticos y sociales de la profesión y sus organizaciones colectivas en la búsqueda de fortalecer sus valores. Dentro de esta visión, los objetivos de este estúdio son: compartir con los profesionales y estudiantes una experiência de visitar Mozambique y recojer algunas informaciones sobre las condiciones sociales, políticas y de vida del pueblo dentro de este país; y, diseminar esta experiência entre los enfermeros y colegas a fin de estimular oportunidades similares de un muy rico aprendizage.Identity and memory of Nursing are built through studies on historical, political and social aspects of the profession and its collective organizations searching to strengthening its values. In this view, goals of this study are: to share with nursing professionals and students an experience of visiting Mozambique and collecting some information on social, political, health and living conditions of people within this country; and, to disseminate this experience among nurses and colleagues in order to stimulate similar very enriching learning opportunities.

Scaling-up health information systems to improve HIV treatment: An assessment of initial patient monitoring systems in Mozambique.

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Hochgesang, Mindy; Zamudio-Haas, Sophia; Moran, Lissa; Nhampossa, Leopoldo; Packel, Laura; Leslie, Hannah; Richards, Janise; Shade, Starley B

2017-01-01

The rapid scale-up of HIV care and treatment in resource-limited countries requires concurrent, rapid development of health information systems to support quality service delivery. Mozambique, a country with an 11.5% prevalence of HIV, has developed nation-wide patient monitoring systems (PMS) with standardized reporting tools, utilized by all HIV treatment providers in paper or electronic form. Evaluation of the initial implementation of PMS can inform and strengthen future development as the country moves towards a harmonized, sustainable health information system. This assessment was conducted in order to 1) characterize data collection and reporting processes and PMS resources available and 2) provide evidence-based recommendations for harmonization and sustainability of PMS. This baseline assessment of PMS was conducted with eight non-governmental organizations that supported the Ministry of Health to provide 90% of HIV care and treatment in Mozambique. The study team conducted structured and semi-structured surveys at 18 health facilities located in all 11 provinces. Seventy-nine staff were interviewed. Deductive a priori analytic categories guided analysis. Health facilities have implemented paper and electronic monitoring systems with varying success. Where in use, robust electronic PMS facilitate facility-level reporting of required indicators; improve ability to identify patients lost to follow-up; and support facility and patient management. Challenges to implementation of monitoring systems include a lack of national guidelines and norms for patient level HIS, variable system implementation and functionality, and limited human and infrastructure resources to maximize system functionality and information use. This initial assessment supports the need for national guidelines to harmonize, expand, and strengthen HIV-related health information systems. Recommendations may benefit other countries with similar epidemiologic and resource

Validity of a Minimally Invasive Autopsy for Cause of Death Determination in Adults in Mozambique: An Observational Study

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Castillo, Paola; Martínez, Miguel J.; Ussene, Esperança; Jordao, Dercio; Lovane, Lucilia; Ismail, Mamudo R.; Carrilho, Carla; Lorenzoni, Cesaltina; Ferreira, Luiz; Lacerda, Marcus; Mandomando, Inacio; Vila, Jordi; Munguambe, Khátia; Maixenchs, Maria; Quintó, Llorenç; Macete, Eusebio; Alonso, Pedro; Bassat, Quique; Menéndez, Clara; Ordi, Jaume

2016-01-01

Background There is an urgent need to identify tools able to provide reliable information on the cause of death in low-income regions, since current methods (verbal autopsy, clinical records, and complete autopsies) are either inaccurate, not feasible, or poorly accepted. We aimed to compare the performance of a standardized minimally invasive autopsy (MIA) approach with that of the gold standard, the complete diagnostic autopsy (CDA), in a series of adults who died at Maputo Central Hospital in Mozambique. Methods and Findings In this observational study, coupled MIAs and CDAs were performed in 112 deceased patients. The MIA analyses were done blindly, without knowledge of the clinical data or the results of the CDA. We compared the MIA diagnosis with the CDA diagnosis of cause of death. CDA diagnoses comprised infectious diseases (80; 71.4%), malignant tumors (16; 14.3%), and other diseases, including non-infectious cardiovascular, gastrointestinal, kidney, and lung diseases (16; 14.3%). A MIA diagnosis was obtained in 100/112 (89.2%) cases. The overall concordance between the MIA diagnosis and CDA diagnosis was 75.9% (85/112). The concordance was higher for infectious diseases and malignant tumors (63/80 [78.8%] and 13/16 [81.3%], respectively) than for other diseases (9/16; 56.2%). The specific microorganisms causing death were identified in the MIA in 62/74 (83.8%) of the infectious disease deaths with a recognized cause. The main limitation of the analysis is that both the MIA and the CDA include some degree of expert subjective interpretation. Conclusions A simple MIA procedure can identify the cause of death in many adult deaths in Mozambique. This tool could have a major role in improving the understanding and surveillance of causes of death in areas where infectious diseases are a common cause of mortality. PMID:27875530

Challenges and opportunities in municipal solid waste management in Mozambique: a review in the light of nexus thinking

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Jana Sallwey

2017-09-01

Full Text Available As one of the least developed countries in the world, Mozambique has many challenges to overcome during its attempts to arrange the country’s solid waste management system. Some of these challenges are unique to the country while many are common to other developing countries in the region as well as elsewhere. One unique challenge to overcome is the adverse impact made by the 16-year long civil war that ended in the 1990’s. Financial difficulties combined with lack of proper planning/coordination has not allowed some waste-related industries to come back to full swing yet. Lack of financial, technical, and trained human resources as well as the inefficiencies in the legal and intuitional arrangements are some of the issues common to many other developing countries. However, some of the challenges can be converted to opportunities relatively easily. Finding ways to capitalize on the high organic fraction of the country’s municipal solid waste (MSW is one such example. Together with a comprehensive review of the current status of MSW management, this manuscript presents a study conducted on how integrated resources management concepts may help Mozambique to make its MSW management more sustainable. Building on the existing initiatives that support recycling and other resource recovery efforts, as well as capacity and institutional development, this investigation explores how nexus thinking can help to improve the status of solid waste management. It is also interesting to note that this process will in turn help the country to achieve some of the sustainable development goals (SDGs set by the United Nations. While proper and sustainable MSW management addresses SDG 12 in a comprehensive way, it also helps with achieving other goals such as 3, 6, and 15 to a certain extent.

Validity of a Minimally Invasive Autopsy for Cause of Death Determination in Adults in Mozambique: An Observational Study.

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Paola Castillo

2016-11-01

Full Text Available There is an urgent need to identify tools able to provide reliable information on the cause of death in low-income regions, since current methods (verbal autopsy, clinical records, and complete autopsies are either inaccurate, not feasible, or poorly accepted. We aimed to compare the performance of a standardized minimally invasive autopsy (MIA approach with that of the gold standard, the complete diagnostic autopsy (CDA, in a series of adults who died at Maputo Central Hospital in Mozambique.In this observational study, coupled MIAs and CDAs were performed in 112 deceased patients. The MIA analyses were done blindly, without knowledge of the clinical data or the results of the CDA. We compared the MIA diagnosis with the CDA diagnosis of cause of death. CDA diagnoses comprised infectious diseases (80; 71.4%, malignant tumors (16; 14.3%, and other diseases, including non-infectious cardiovascular, gastrointestinal, kidney, and lung diseases (16; 14.3%. A MIA diagnosis was obtained in 100/112 (89.2% cases. The overall concordance between the MIA diagnosis and CDA diagnosis was 75.9% (85/112. The concordance was higher for infectious diseases and malignant tumors (63/80 [78.8%] and 13/16 [81.3%], respectively than for other diseases (9/16; 56.2%. The specific microorganisms causing death were identified in the MIA in 62/74 (83.8% of the infectious disease deaths with a recognized cause. The main limitation of the analysis is that both the MIA and the CDA include some degree of expert subjective interpretation.A simple MIA procedure can identify the cause of death in many adult deaths in Mozambique. This tool could have a major role in improving the understanding and surveillance of causes of death in areas where infectious diseases are a common cause of mortality.

Predictors of successful early infant diagnosis of HIV in a rural district hospital in Zambézia, Mozambique.

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Cook, Rebecca E; Ciampa, Philip J; Sidat, Mohsin; Blevins, Meridith; Burlison, Janeen; Davidson, Mario A; Arroz, Jorge A; Vergara, Alfredo E; Vermund, Sten H; Moon, Troy D

2011-04-01

A key challenge inhibiting the timely initiation of pediatric antiretroviral treatment is the loss to follow-up of mothers and their infants between the time of mothers' HIV diagnoses in pregnancy and return after delivery for early infant diagnosis of HIV. We sought to identify barriers to follow-up of HIV-exposed infants in rural Zambézia Province, Mozambique. We determined follow-up rates for early infant diagnosis and age at first test in a retrospective cohort of 443 HIV-infected mothers and their infants. Multivariable logistic regression models were used to identify factors associated with successful follow-up. Of the 443 mother-infant pairs, 217 (49%) mothers enrolled in the adult HIV care clinic, and only 110 (25%) infants were brought for early infant diagnosis. The predictors of follow-up for early infant diagnosis were larger household size (odds ratio [OR], 1.29; 95% confidence interval [CI], 1.09-1.53), independent maternal source of income (OR, 10.8; 95% CI, 3.42-34.0), greater distance from the hospital (OR, 2.14; 95% CI, 1.01-4.51), and maternal receipt of antiretroviral therapy (OR, 3.15; 95% CI, 1.02-9.73). The median age at first test among 105 infants was 5 months (interquartile range, 2-7); 16% of the tested infants were infected. Three of four HIV-infected women in rural Mozambique did not bring their children for early infant HIV diagnosis. Maternal receipt of antiretroviral therapy has favorable implications for maternal health that will increase the likelihood of early infant diagnosis. We are working with local health authorities to improve the linkage of HIV-infected women to HIV care to maximize early infant diagnosis and care.

The economics and politics of local content in African extractives: Lessons from Tanzania, Uganda and Mozambique

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Wendelboe Hansen, Michael; Buur, Lars; Kjær, Anne Mette

2016-01-01

expectations, local content is limited, shallow and inefficient. The paper explores why local content apparently is so difficult to achieve in these African countries. It is argued that conventional economic explanations, focusing on market failures and weak institutions, are partial at best and therefore must......Extractive foreign direct investment (FDI) is heralded as the new development opportunity in Africa. A key precondition for FDI’s contribution, however, is that foreign investors create ‘local content’ by linking up to the local economy. Consequently, African host governments are contemplating ways...... in which they can promote local content. This paper examines local content policies and practices in three African countries – Tanzania, Uganda and Mozambique – all countries with huge expectations for extractive based economic development. It is found that in spite of high ambitions and strong...

Possible zircon U-Pb evidence for Pan-African granulite-facies metamorphism in the Mozambique belt of southern Tanzania

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Coolen, J.J.M.M.M.

1982-01-01

Four zircon fractions of garnet-bearing two-pyroxene granulite, from the Furua granulite complex of southern Tanzania, plot very close to concordia. A discordia yields a lower intercept at 652 +- 10 Ma, an age slightly higher than the Rb-Sr whole-rock and mineral ages reported from the surrounding amphibolite-facies rocks. The U-Pb systematics indicate the presence of a very small amount of older (2-3 Ga) radiogenic lead. The zircon data may be interpreted as indicating an event of granulite-facies metamorphism during the Pan-African thermotectonic episode. This interpretation is at variance with current models postulating that the granulite complexes in the Mozambique belt are relicts of older, possibly Archaean events of metamorphism. (Auth.)

"All I eat is ARVs": the paradox of AIDS treatment interventions in central Mozambique.

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Kalofonos, Ippolytos Andreas

2010-09-01

The number of people on antiretroviral treatment in Mozambique has increased by over 1,500 percent since it first became free and publicly available in 2004. The rising count of "lives saved" seems to portray a success story of high-tech treatment being provided in one of the poorest contexts in the world, as people with AIDS experience dramatic recoveries and live longer. The "scale-up" has had significant social effects, however, as it unfolds in a region with a complicated history and persistent problems related to poverty. Hunger is the principal complaint of people on antiretroviral treatment. The inability of current interventions to adequately address this issue leads to intense competition among people living with HIV/AIDS for the scarce resources available, undermining social solidarity and the potential for further community action around HIV/AIDS issues. Discourses of hunger serve as a critique of these shortcomings, and of the wider political economy underlying the HIV/AIDS epidemic.

Women's decision-making autonomy and children's schooling in rural Mozambique.

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Luz, Luciana; Agadjanian, Victor

2015-03-24

Women's decision-making autonomy in developing settings has been shown to improve child survival and health outcomes. However, little research has addressed possible connections between women's autonomy and children's schooling. To examine the relationship between rural women's decision-making autonomy and enrollment status of primary school-age children living in their households and how this relationship differs by child's gender. The analysis uses data from a 2009 survey of rural households in four districts of Gaza province in southern Mozambique. Multilevel logistic models predict the probability of being in school for children between 6 and 14 years old. The results show a positive association of women's decision-making autonomy with the probability of being enrolled in primary school for daughters, but not for sons. The effect of women's autonomy is net of other women's characteristics typically associated with enrollment and does not mediate the effects of those characteristics. Based on the results, we argue that women with higher levels of decision-making autonomy may have a stronger preference for daughters' schooling and may have a greater say in making and implementing decisions regarding daughters' education, compared to women with lower autonomy levels. Results also illustrate a need for considering a broader set of autonomy-related characteristics when examining the effects of women's status on children's educational outcomes.

Dietary fiber, organic acids and minerals in selected wild edible fruits of Mozambique.

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Magaia, Telma; Uamusse, Amália; Sjöholm, Ingegerd; Skog, Kerstin

2013-12-01

The harvesting, utilization and marketing of indigenous fruits and nuts have been central to the livelihoods of the majority of rural communities in African countries. In this study we report on the content of dietary fiber, minerals and selected organic acids in the pulps and kernels of the wild fruits most commonly consumed in southern Mozambique. The content of soluble fiber in the pulps ranged from 4.3 to 65.6 g/100 g and insoluble fiber from 2.6 to 45.8 g/100 g. In the kernels the content of soluble fiber ranged from 8.4 to 42.6 g/100 g and insoluble fiber from 14.7 to 20.9 g/100 g. Citric acid was found in all fruits up to 25.7 g/kg. The kernels of Adansonia digitata and Sclerocarya birrea were shown to be rich in calcium, iron, magnesium and zinc. The data may be useful in selecting wild fruit species appropriate for incorporation into diets.

Evaluating the effect of innovative motivation and supervision approaches on community health worker performance and retention in Uganda and Mozambique: study protocol for a randomised controlled trial.

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Källander, Karin; Strachan, Daniel; Soremekun, Seyi; Hill, Zelee; Lingam, Raghu; Tibenderana, James; Kasteng, Frida; Vassall, Anna; Meek, Sylvia; Kirkwood, Betty

2015-04-12

If trained, equipped and utilised, community health workers (CHWs) delivering integrated community case management for sick children can potentially reduce child deaths by 60%. However, it is essential to maintain CHW motivation and performance. The inSCALE project aims to evaluate, using a cluster randomised controlled trial, the effect of interventions to increase CHW supervision and performance on the coverage of appropriate treatment for children with diarrhoea, pneumonia and malaria. Participatory methods were used to identify best practices and innovative solutions. Quantitative community based baseline surveys were conducted to allow restricted randomisation of clusters into intervention and control arms. Individual informed consent was obtained from all respondents. Following formative research and stakeholder consultations, two intervention packages were developed in Uganda and one in Mozambique. In Uganda, approximately 3,500 CHWs in 39 clusters were randomised into a mobile health (mHealth) arm, a participatory community engagement arm and a control arm. In Mozambique, 275 CHWs in 12 clusters were randomised into a mHealth arm and a control arm. The mHealth interventions encompass three components: 1) free phone communication between users; 2) data submission using phones with automated feedback, messages to supervisors for targeted supervision, and online data access for district statisticians; and 3) motivational messages. The community engagement arm in Uganda established village health clubs seeking to 1) improve the status and standing of CHWs, 2) increase demand for health services and 3) communicate that CHWs' work is important. Process evaluation was conducted after 10 months and end-line surveys will establish impact after 12 months in Uganda and 18 months in Mozambique. Main outcomes include proportion of sick children appropriately treated, CHW performance and motivation, and cost effectiveness of interventions. Study strengths include a user

HIV testing service awareness and service uptake among female heads of household in rural Mozambique: results from a province-wide survey.

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Paulin, Heather N; Blevins, Meridith; Koethe, John R; Hinton, Nicole; Vaz, Lara M E; Vergara, Alfredo E; Mukolo, Abraham; Ndatimana, Elisée; Moon, Troy D; Vermund, Sten H; Wester, C William

2015-02-12

HIV voluntary counseling and testing (VCT) utilization remains low in many sub-Saharan African countries, particularly in remote rural settings. We sought to identify factors associated with service awareness and service uptake of VCT among female heads of household in rural Zambézia Province of north-central Mozambique which is characterized by high HIV prevalence (12.6%), poverty, and suboptimal health service access and utilization. Our population-based survey of female heads of household was administered to a representative two-stage cluster sample using a sampling frame created for use on all national surveys and based on census results. The data served as a baseline measure for the Ogumaniha project initiated in 2009. Survey domains included poverty, health, education, income, HIV stigma, health service access, and empowerment. Descriptive statistics and logistic regression were used to describe service awareness and service uptake of VCT. Of 3708 women surveyed, 2546 (69%) were unaware of available VCT services. Among 1162 women who were aware of VCT, 673 (58%) reported no prior testing. In the VCT aware group, VCT awareness was associated with higher education (aOR = 2.88; 95% CI = 1.61, 5.16), higher income (aOR = 1.41, 95% CI = 1.06, 1.86), higher numeracy (aOR = 1.05, CI 1.03, 1.08), more children mobile phone ownership (aOR = 1.37; 95% CI = 1.03, 1.84) (all p-values marketing of VCT are needed in rural Mozambique with special attention to issues of community-level stigma reduction.

Promises and challenges of faith-based AIDS care and support in Mozambique.

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Agadjanian, Victor; Sen, Soma

2007-02-01

We sought to examine the role of religious organizations in the provision of HIV/AIDS-related assistance in Africa. We used data collected from Christian religious organizations in southern Mozambique. Bivariate comparisons and logistic regression analysis of survey data were performed. We conducted an analysis of the qualitative data to complement the quantitative results. Our analysis revealed little involvement of religious organizations in provision of assistance. Most assistance was decentralized and consisted of psychological support and some personal care and household help. Material or financial help was rare. Assistance to nonmembers of congregations was reported more often than to members. Members of larger and better-secularly connected congregations were more likely to report assistance than were members of smaller and less-secularly engaged ones. Assistance was reported more in cities than in rural areas. Women were more likely than men to report providing assistance to congregation members, and the reverse was true for assistance provided to nonmembers. The cooperation of religious organizations in provision of assistance was hindered by financial constraints and institutional rivalry. Policy efforts to involve religious organizations in provision of HIV/AIDS-related assistance should take into account that organization's resources, institutional goals, and social characteristics.

Precambrian-Cambrian provenance of Matinde Formation, Karoo Supergroup, northwestern Mozambique, constrained from detrital zircon U-Pb age and Lu-Hf isotope data

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Bicca, Marcos Müller; Jelinek, Andrea Ritter; Philipp, Ruy Paulo; de Carvalho Lana, Cristiano; Alkmim, Ana Ramalho

2018-02-01

The Permian-Triassic time interval was a period of high sedimentation rates in the intracontinental Karoo rift basin of northwestern Mozambique, reflecting high exhumation rates in the surrounding high ground Precambrian-Cambrian basement and juxtaposed nappes. U-Pb LA-MC-ICPMS dating and Lu-Hf isotopic analysis of detrital zircons from the Late Permian-Early Triassic Matinde Formation of the Karoo Supergroup is used as a reliable proxy to map denudation patterns of source regions. Data allow discrimination of U-Pb age populations of ca. 1250-900 Ma, a secondary population between ca. 900-700 and a major contribution of ages around ca. 700-490 Ma. Zircon grains of the Mesoproterozoic age population present Mesoproterozoic (1000-1500 Ma) to Paleoproterozoic (1800-2300 Ma) Hf TDM ages, with positive (0 to +11) and negative εHf values (-3 to -15), respectively. The younger U-Pb age population also presents two different groups of zircon grains according to Lu-Hf isotopes. The first group comprise Paleoproterozoic (1800-2300 Ma) ages, with highly negative εHf values, between -10 and -22, and the second group exhibits Mesoproterozoic ages (1200-1500 Ma), with increased juvenile εHf values (ca. 0 to -5). These Hf isotopes reinforce the presence of unexposed ancient crust in this region. The oldest U-Pb age population resembles the late stages of Grenville Orogeny and the Rodinia Supercontinent geotectonic activity mostly represented by magmatic rocks, which are widely present in the basement of northern Mozambique. The juvenile Hf-isotope signature with an older age component is associated to rocks generated from subduction processes with crust assimilation by continental arcs, which we correlate to rocks of the Nampula Complex, south and east of the Moatize-Minjova Basin. The U-Pb ages between 900 and 700 Ma were correlated to the calc-alkaline magmatism registered in the Guro Suite, related to the breakup phase of Rodinia, and mark the western limit of the Moatize

A large-scale intervention to introduce orange sweet potato in rural Mozambique increases vitamin A intakes among children and women.

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Hotz, Christine; Loechl, Cornelia; de Brauw, Alan; Eozenou, Patrick; Gilligan, Daniel; Moursi, Mourad; Munhaua, Bernardino; van Jaarsveld, Paul; Carriquiry, Alicia; Meenakshi, J V

2012-07-14

β-Carotene-rich orange sweet potato (OSP) has been shown to improve vitamin A status of infants and young children in controlled efficacy trials and in a small-scale effectiveness study with intensive exposure to project inputs. However, the potential of this important food crop to reduce the risk of vitamin A deficiency in deficient populations will depend on the ability to distribute OSP vines and promote its household production and consumption on a large scale. In rural Mozambique, we conducted a randomised, controlled effectiveness study of a large-scale intervention to promote household-level OSP production and consumption using integrated agricultural, demand creation/behaviour change and marketing components. The following two intervention models were compared: a low-intensity (1 year) and a high-intensity (nearly 3 years) training model. The primary nutrition outcomes were OSP and vitamin A intakes by children 6-35 months and 3-5·5 years of age, and women. The intervention resulted in significant net increases in OSP intakes (model 1: 46, 48 and 97 g/d) and vitamin A intakes (model 1: 263, 254 and 492 μg retinol activity equivalents/d) among the younger children, older children and women, respectively. OSP accounted for 47-60 % of all sweet potato consumed and, among reference children, provided 80 % of total vitamin A intakes. A similar magnitude of impact was observed for both models, suggesting that group-level trainings in nutrition and agriculture could be limited to the first project year without compromising impact. Introduction of OSP to rural, sweet potato-producing communities in Mozambique is an effective way to improve vitamin A intakes.

Distribution and Phylogeny of Microsymbionts Associated with Cowpea (Vigna unguiculata) Nodulation in Three Agroecological Regions of Mozambique.

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Chidebe, Ifeoma N; Jaiswal, Sanjay K; Dakora, Felix D

2018-01-15

Cowpea derives most of its N nutrition from biological nitrogen fixation (BNF) via symbiotic bacteroids in root nodules. In Sub-Saharan Africa, the diversity and biogeographic distribution of bacterial microsymbionts nodulating cowpea and other indigenous legumes are not well understood, though needed for increased legume production. The aim of this study was to describe the distribution and phylogenies of rhizobia at different agroecological regions of Mozambique using PCR of the BOX element (BOX-PCR), restriction fragment length polymorphism of the internal transcribed spacer (ITS-RFLP), and sequence analysis of ribosomal, symbiotic, and housekeeping genes. A total of 122 microsymbionts isolated from two cowpea varieties (IT-1263 and IT-18) grouped into 17 clades within the BOX-PCR dendrogram. The PCR-ITS analysis yielded 17 ITS types for the bacterial isolates, while ITS-RFLP analysis placed all test isolates in six distinct clusters (I to VI). BLAST n sequence analysis of 16S rRNA and four housekeeping genes ( glnII , gyrB , recA , and rpoB ) showed their alignment with Rhizobium and Bradyrhizobium species. The results revealed a group of highly diverse and adapted cowpea-nodulating microsymbionts which included Bradyrhizobium pachyrhizi , Bradyrhizobium arachidis , Bradyrhizobium yuanmingense , and a novel Bradyrhizobium sp., as well as Rhizobium tropici , Rhizobium pusense , and Neorhizobium galegae in Mozambican soils. Discordances observed in single-gene phylogenies could be attributed to horizontal gene transfer and/or subsequent recombinations of the genes. Natural deletion of 60 bp of the gyrB region was observed in isolate TUTVU7; however, this deletion effect on DNA gyrase function still needs to be confirmed. The inconsistency of nifH with core gene phylogenies suggested differences in the evolutionary history of both chromosomal and symbiotic genes. IMPORTANCE A diverse group of both Bradyrhizobium and Rhizobium species responsible for cowpea

Mobile health treatment support intervention for HIV and tuberculosis in Mozambique: Perspectives of patients and healthcare workers.

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José António Nhavoto

Full Text Available Studies have been conducted in developing countries using SMS to communicate with patients to reduce the number of missed appointments and improve retention in treatment, however; very few have been scaled up. One possible reason for this could be that patients or staff are dissatisfied with the method in some way. This paper reports a study of patients' and healthcare workers' (HCW views on an mHealth intervention aiming to support retention in antiretroviral therapy (ART and tuberculosis (TB treatment in Mozambique.The study was conducted at five healthcare centres in Mozambique. Automated SMS health promotions and reminders were sent to patients in a RCT. A total of 141 patients and 40 HCWs were interviewed. Respondents rated usefulness, perceived benefits, ease of use, satisfaction, and risks of the SMS system using a Likert scale questionnaire. A semi-structured interview guide was followed. Interviews were transcribed and thematic analysis was conducted.Both patients and HCW found the SMS system useful and reliable. Most highly rated positive effects were reducing the number of failures to collect medication and avoiding missing appointments. Patients' confidence in the system was high. Most perceived the system to improve communication between health-care provider and patient and assist in education and motivation. The automatic recognition of questions from patients and the provision of appropriate answers (a unique feature of this system was especially appreciated. A majority would recommend the system to other patients or healthcare centres. Risks also were mentioned, mostly by HCW, of unintentional disclosure of health status in cases where patients use shared phones.The results suggest that SMS technology for HIV and TB should be used to transmit reminders for appointments, medications, motivational texts, and health education to increase retention in care. Measures must be taken to reduce risks of privacy intrusion, but these are

Does the Limpopo River Basin have sufficient water for massive irrigation development in the plains of Mozambique?

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van der Zaag, Pieter; Juizo, Dinis; Vilanculos, Agostinho; Bolding, Alex; Uiterweer, Nynke Post

This paper verifies whether the water resources of the transboundary Limpopo River Basin are sufficient for the planned massive irrigation developments in the Mozambique part of this basin, namely 73,000 ha, in addition to existing irrigation (estimated at 9400 ha), and natural growth of common use irrigation (4000 ha). This development includes the expansion of sugar cane production for the production of ethanol as a biofuel. Total additional water requirements may amount to 1.3 × 10 9 m 3/a or more. A simple river basin simulation model was constructed in order to assess different irrigation development scenarios, and at two storage capacities of the existing Massingir dam. Many uncertainties surround current and future water availability in the Lower Limpopo River Basin. Discharge measurements are incomplete and sometimes inconsistent, while upstream developments during the last 25 years have been dramatic and future trends are unknown. In Mozambique it is not precisely known how much water is currently consumed, especially by the many small-scale users of surface and shallow alluvial groundwater. Future impacts of climate change increase existing uncertainties. Model simulations indicate that the Limpopo River does not carry sufficient water for all planned irrigation. A maximum of approx. 58,000 ha of irrigated agriculture can be sustained in the Mozambican part of the basin. This figure assumes that Massingir will be operated at increased reservoir capacity, and implies that only about 44,000 ha of new irrigation can be developed, which is 60% of the envisaged developments. Any additional water use would certainly impact downstream users and thus create tensions. Some time will elapse before 44,000 ha of new irrigated land will have been developed. This time could be used to improve monitoring networks to decrease current uncertainties. Meanwhile the four riparian Limpopo States are preparing a joint river basin study. In this study a methodology could be

Trends in cancer incidence in Maputo, Mozambique, 1991-2008.

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Cesaltina Lorenzoni

Full Text Available Very limited information is available regarding the incidence of cancer in sub-Saharan Africa. We analyzed changes in cancer patterns from 1991 to 2008 in Maputo (Mozambique.We calculated the rates of incidence of different cancer sites by sex in the 5-year age-group of the population of Maputo city as well as age-standardized rates (ASRs and average annual percentage changes (AAPC.Over the 18-year study period a total of 12,674 cases of cancer (56.9% females were registered with an overall increase in the risk of cancer in both sexes. In males, the most common cancers were those of the prostate, Kaposi sarcoma (KS and the liver. Prostate cancer showed the most dramatic increase over the whole study period (AAPC +11.3%; 95% CI: 9.7-13.0, with an ASR of 61.7 per 105 in 2003-2008. In females, the most frequent cancers were of the uterine cervix, the breast and KS, with the former increasing along the whole study period (AAPC + 4.7%; 95% CI: 3.4-6 with an ASR of 62.0 per 105 in 2003-2008 as well as breast cancer (AAPC +6.5%; 95%CI: 4.3-8.7.Overall, the risk of cancer rose in both sexes during the study period, particularly among cancers associated with westernization of lifestyles (prostate, breast, combined with increasingly rising incidences or limited changes in cancers associated with infection and poverty (uterine cervix, liver. Moreover, the burden of AIDS-associated cancers has shown a marked increase.

Invasive bacterial disease trends and characterization of group B streptococcal isolates among young infants in southern Mozambique, 2001-2015.

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Betuel Sigaúque

Full Text Available Maternal group B streptococcal (GBS vaccines under development hold promise to prevent GBS disease in young infants. Sub-Saharan Africa has the highest estimated disease burden, although data on incidence and circulating strains are limited. We described invasive bacterial disease (IBD trends among infants <90 days in rural Mozambique during 2001-2015, with a focus on GBS epidemiology and strain characteristics.Community-level birth and mortality data were obtained from Manhiça's demographic surveillance system. IBD cases were captured through ongoing surveillance at Manhiça district hospital. Stored GBS isolates from cases underwent serotyping by multiplex PCR, antimicrobial susceptibility testing, and whole genome sequencing.There were 437 IBD cases, including 57 GBS cases. Significant declines in overall IBD, neonatal mortality, and stillbirth rates were observed (P<0.0001, but not for GBS (P = 0.17. In 2015, GBS was the leading cause of young infant IBD (2.7 per 1,000 live births. Among 35 GBS isolates available for testing, 31 (88.6% were highly related serotype III isolates within multilocus sequence types (STs 17 (68.6% or 109 (20.0%. All seven ST109 isolates (21.9% had elevated minimum inhibitory concentration (MIC to penicillin (≥0.12 μg/mL associated with penicillin-binding protein (PBP 2x substitution G398A. Epidemiologic and molecular data suggest this is a well-established clone.A notable young infant GBS disease burden persisted despite improvements in overall maternal and neonatal health. We report an established strain with pbp2x point mutation, a first-step mutation associated with reduced penicillin susceptibility within a well-known virulent lineage in rural Mozambique. Our findings further underscores the need for non-antibiotic GBS prevention strategies.

Crisp clustering of airborne geophysical data from the Alto Ligonha pegmatite field, northeastern Mozambique, to predict zones of increased rare earth element potential

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Eberle, Detlef G.; Daudi, Elias X. F.; Muiuane, Elônio A.; Nyabeze, Peter; Pontavida, Alfredo M.

2012-01-01

The National Geology Directorate of Mozambique (DNG) and Maputo-based Eduardo-Mondlane University (UEM) entered a joint venture with the South African Council for Geoscience (CGS) to conduct a case study over the meso-Proterozoic Alto Ligonha pegmatite field in the Zambézia Province of northeastern Mozambique to support the local exploration and mining sectors. Rare-metal minerals, i.e. tantalum and niobium, as well as rare-earth minerals have been mined in the Alto Ligonha pegmatite field since decades, but due to the civil war (1977-1992) production nearly ceased. The Government now strives to promote mining in the region as contribution to poverty alleviation. This study was undertaken to facilitate the extraction of geological information from the high resolution airborne magnetic and radiometric data sets recently acquired through a World Bank funded survey and mapping project. The aim was to generate a value-added map from the airborne geophysical data that is easier to read and use by the exploration and mining industries than mere airborne geophysical grid data or maps. As a first step towards clustering, thorium (Th) and potassium (K) concentrations were determined from the airborne geophysical data as well as apparent magnetic susceptibility and first vertical magnetic gradient data. These four datasets were projected onto a 100 m spaced regular grid to assemble 850,000 four-element (multivariate) sample vectors over the study area. Classification of the sample vectors using crisp clustering based upon the Euclidian distance between sample and class centre provided a (pseudo-) geology map or value-added map, respectively, displaying the spatial distribution of six different classes in the study area. To learn the quality of sample allocation, the degree of membership of each sample vector was determined using a-posterior discriminant analysis. Geophysical ground truth control was essential to allocate geology/geophysical attributes to the six classes

Street Food Environment in Maputo (STOOD Map): a Cross-Sectional Study in Mozambique.

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Gelormini, Marcello; Damasceno, Albertino; Lopes, Simão António; Maló, Sérgio; Chongole, Célia; Muholove, Paulino; Casal, Susana; Pinho, Olívia; Moreira, Pedro; Padrão, Patrícia; Lunet, Nuno

2015-08-05

Street food represents a cultural, social, and economic phenomenon that is typical of urbanized areas, directly linked with a more sedentary lifestyle and providing a very accessible and inexpensive source of nutrition. Food advertising may contribute to shaping consumers' preferences and has the potential to drive the supply of specific foods. The purpose of this study is to characterize the street food offerings available to the urban population of Maputo, the capital city of Mozambique, and the billboard food advertising in the same setting. People selling ready-to-eat foods, beverages, or snacks from venues such as carts, trucks, stands, and a variety of improvised informal setups (eg, shopping carts, trunks of cars, sides of vans, blankets on the sidewalk, etc) will be identified in the district of KaMpfumu. We will gather information about the actual food being sold through direct observation and interviews to vendors, and from the billboard advertising in the same areas. A second phase of the research entails collecting food samples to be analyzed in a specialized laboratory. The street food environment will be characterized, overall and according to socioeconomic and physical characteristics of the neighborhood, using descriptive statistics and spatial analysis. The study protocol was approved by the National Committee for Bioethics for Health in Mozambique. Data collection, including the identification of street food vending sites and billboard advertising, started on October 20, 2014, and lasted for 1 month. The collection of food samples took place in December 2014, and the bromatological analyses are expected to be concluded in August 2015. The district of KaMpfumu is the wealthiest and most urbanized in Maputo, and it is the area with the highest concentration and variety of street food vendors. The expected results may yield important information to assess the nutritional environment and the characteristics of the foods to which a great majority of

Gobernabilidad y Formas Populares de Justicia en la Nueva Sudáfrica y Mozambique: Tribunales Comunitarios y Vigilantismo

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Jokin Alberdi Bidaguren

2001-01-01

Full Text Available La debilidad de los Estados sudafricano y mozambiqueño tiene su reflejo en sus sistemas judiciales. A pesar de las reformas democráticas, una gran mayoría de los ciudadanos y ciudadanas de estos países, sobre todo aquellos que cuentan con menores recursos económicos, no tienen garantizado el acceso a la justicia. Esta debilidad del Estado para garantizar el orden y la seguridad ha tenido desde antaño una respuesta social. En el actual contexto de democracia representativa, distinguimos entre: 1. Aquellas respuestas que cuestionan frontalmente la legitimidad de los nuevos Estados. 2. Aquellas otras prácticas que aceptan el nuevo marco constitucional y el respeto a los derechos humanos.

Research ethics review at University Eduardo Mondlane (UEM)/Maputo Central Hospital, Mozambique (2013-2016): a descriptive analysis of the start-up of a new research ethics committee (REC).

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Sacarlal, Jahit; Muchanga, Vasco; Mabutana, Carlos; Mabui, Matilde; Mariamo, Arlete; Cuamba, Assa Júlio; Fumo, Leida Artur; Silveira, Jacinta; Heitman, Elizabeth; Moon, Troy D

2018-05-23

Mozambique has seen remarkable growth in biomedical research over the last decade. To meet a growing need, the National Committee for Bioethics in Health of Mozambique (CNBS) encouraged the development of ethical review processes at institutions that regularly conduct medical and social science research. In 2012, the Faculty of Medicine (FM) of University Eduardo Mondlane (UEM) and the Maputo Central Hospital (MCH) established a joint Institutional Committee on Bioethics for Health (CIBS FM & MCH). This study examines the experience of the first 4 years of the CIBS FM & MCH. This study provides a descriptive, retrospective analysis of research protocols submitted to and approved by the CIBS FM & MCH between March 1, 2013 and December 31, 2016, together with an analysis of the Committee's respective reviews and actions. A total of 356 protocols were submitted for review during the period under analysis, with 309 protocols approved. Sixty-four percent were submitted by students, faculty, and researchers from UEM, mainly related to Master's degree research (42%). Descriptive cross-sectional studies were the most frequently reviewed research (61%). The majority were prospective (71%) and used quantitative methodologies (51%). The Departments of Internal Medicine at MCH and Community Health at the FM submitted the most protocols from their respective institutions, with 38 and 53% respectively. The CIBS's average time to final approval for all protocols was 56 days, rising to 161 for the 40 protocols that required subsequent national-level review by the CNBS. Our results show that over its first 4 years, the CIBS FM & MCH has been successful in managing a constant demand for protocol review and that several broad quality improvement initiatives, such as investigator mentoring and an electronic protocol submission platform have improved efficiency in the review process and the overall quality of the protocols submitted. Beyond Maputo, long-term investments in training

Loss to Follow-Up Among HIV-Exposed Children in an HIV Clinic in Beira, Mozambique

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Ana Judith Blanco

2015-07-01

Full Text Available Loss to follow-up contributes to the low coverage of HIV care interventions among HIV-exposed infants in Beira, Mozambique. This qualitative study explores the perceptions of HIV-infected women and their health care providers regarding the main obstacles preventing women from attending follow-up visits for HIV care, and factors influencing women’s decisions about newborn care. Fifty-two in-depth interviews and two focus group discussions were conducted; transcripts were coded and analyzed using ATLAS.ti. Interviewees perceived three major barriers to follow-up: food insecurity, difficulties navigating the health system, and women’s familial roles and responsibilities. Our findings unveil the complex context in which HIV-infected women and their children live, and suggest that the structure and function of the HIV care system should be reviewed. Economic empowerment of women is crucial to achieving better compliance with medical care. Integration of mother and child services and more efficient and culturally sensitive medical services may improve follow-up.

Review: Chris Alden, Sergio Chichava (eds, China and Mozambique: From Comrades to Capitalists (2014 / Giles Mohan et al., Chinese Migrants and Africa’s Development: New Imperialists or Agents of Change? (2014

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Laurence Marfaing

2015-01-01

Full Text Available Review of: Chris Alden and Sergio Chichava (eds, China and Mozambique: From Comrades to Capitalists, Johannesburg: Jacana Media, 2014, ISBN 9781920196943, 240 pp.andGiles Mohan, Ben Lampert, May Tan-Mullins and Daphne Chang, Chinese Migrants and Africa’s Development: New Imperialists or Agents of Change?, London: Zed Books, 2014, ISBN 9781780329178, 192 pp.

Influence of religious affiliation and education on HIV knowledge and HIV-related sexual behaviors among unmarried youth in rural central Mozambique.

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Noden, Bruce H; Gomes, Aurelio; Ferreira, Aldina

2010-10-01

The interactions between religious affiliation, education, HIV knowledge, and HIV-related sexual behaviors among African church youth are poorly understood. In this socio-demographic study, 522 unmarried youth 12-28 years old in rural central Mozambique were surveyed with a structured questionnaire. Using binary logistic regression analysis, we used religious affiliation and education to measure influence on (1) HIV transmission and prevention knowledge and attitudes and (2) HIV-related sexual behaviors among youth. Religiously affiliated males were more likely than non-religious males to know when a condom should be used, respond correctly to HIV transmission questions and respond with less stigma to HIV-related scenarios. Increased levels of education among males corresponded significantly to increased knowledge of condom usage and HIV prevention strategies and less likelihood to respond with stigma. Only education levels influenced young female responses. Religious affiliation and education had minimal effects on sexual activity, condom usage, and multiple partnerships. African Independent Church/Zionist males were 1.6 times more likely to be sexually inexperienced than non-religious males but were also significantly less likely to use condoms (0.23, p=0.024). Non-religious youth were most likely to have visited sex workers and did not use condoms. These results suggest that religious affiliation, possibly as the result of educational opportunities afforded by religious-affiliated schools, is contributing to increased HIV transmission and prevention knowledge among youth in rural Central Mozambique but not influencing HIV-related sexual behavior. The need exists to strengthen the capacity of religious congregations to teach about HIV/AIDS and target non-religious youth with HIV transmission and prevention information.

Is small-scale irrigation an efficient pro-poor strategy in the upper Limpopo Basin in Mozambique?

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Ducrot, Raphaelle

2017-08-01

In Sub-Saharan Africa, there is evidence that households with access to small-scale irrigation are significantly less poor than households that do not have access to irrigation. However, private motopumps tend to be distributed inequitably. This paper investigates the success of explicit pro-poor interventions with emphasis on small-scale irrigation in the semi-arid Limpopo Basin in Mozambique. It reveals that high irrigation costs are progressively excluding the poor, who are unable to generate a cash income from other activities they need to fund irrigation. In addition, the operation of collective schemes involving the poor is being jeopardized by the development of private irrigation schemes, which benefit from hidden subsidies appropriated by local elites. This results in unequal access to irrigation, which can cause resentment at community level. This weakens community cohesiveness, as well as communities' capacities for collective action and coordination, which are crucial for collective irrigation.

Tectonic setting of the Great Dyke, Chembadzi, Chewore and Atchiza layered complexes in Zimbabwe and Mozambique

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Master, S.

1990-01-01

The Great Dyke of Zimbabwe is one of the largest ultramafic-mafic layered igneous complexexs in the world. Because of the economic importance of large layered intrusions like the Great Dyke, their tectonic setting is of great interest. The Chembadzi complex is a 14 km long, dyke-like layered intrusion up to 800m wide. The Chewore complex, which was thought to have the structure of an irregular lopolith, outcrops over an area of about 200 km in horst blocks in the lower Zambezi Valley in northern Zimbabwe. The Atchiza complex is situated just north of the Cahora Bassa lake and the Zambezi River valley in Mozambique. In considering the tectonic setting of the Great Dyke and its correlatives, most attention has been focussed on events in the Limpopo Mobile Belt, which were responsible for producing the fractures in the Zimbabwe craton that is occupied by the intrusives. 39 refs

Structure and floristic composition of Miombo woodland in Mocuba district, Mozambique

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Salvador José António Nanvonamuquitxo

2017-08-01

Full Text Available To ensuresustainable use of natural forests, it is necessary the development of appropriate silvicultural techniques, based on the ecology of each type of plant formation. This study aimed to characterize the horizontal structure of a Miombo forest, located in Mocuba District, Zambézia province in Mozambique, aiming to provide technical support to the development of efficient management systems forest. The forest inventory was conducted using systematic sampling process, in which the horizontal structure was characterized taking into account the forest highlighting the floristic composition, phytosociology, species diversity and diameter distribution. In the area were foud 1090 individuals from 34 species, 29 genera and 12 families. The most important species in accordance with the ecological importance value index were Fabaceae family such BrachystegiaspiciformisBenth., CordylaafricanaLour., Burkeaafricana Hook., Pterocarpusangolensis DC., which make up about 58% of all species in the area. The behavior observed for the Shannon-Wienner (H ' and Pielou (J' diversity index of 0,88 and 0,85 respectively, showed that the study area exhibits low diversity of species compared to studies in similar forests. The diameter distribution adjusted by the Meyer function showed a deficit of individuals in class 12,5 cm and 17,5 cm as a result of underutilization of individuals of lower diametric class by the local community, however, this is showing good resilience of its structure.

Predictive Blood Chemistry Parameters for Pansteatitis-Affected Mozambique Tilapia (Oreochromis mossambicus)

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Chapman, Robert W.; Somerville, Stephen E.; Guillette, Matthew P.; Botha, Hannes; Hoffman, Andre; Luus-Powell, Wilmien J.; Smit, Willem J.; Lebepe, Jeffrey; Myburgh, Jan; Govender, Danny; Tucker, Jonathan; Boggs, Ashley S. P.

2016-01-01

One of the largest river systems in South Africa, the Olifants River, has experienced significant changes in water quality due to anthropogenic activities. Since 2005, there have been various “outbreaks” of the inflammatory disease pansteatitis in several vertebrate species. Large-scale pansteatitis-related mortality events have decimated the crocodile population at Lake Loskop and decreased the population at Kruger National Park. Most pansteatitis-related diagnoses within the region are conducted post-mortem by either gross pathology or histology. The application of a non-lethal approach to assess the prevalence and pervasiveness of pansteatitis in the Olifants River region would be of great importance for the development of a management plan for this disease. In this study, several plasma-based biomarkers accurately classified pansteatitis in Mozambique tilapia (Oreochromis mossambicus) collected from Lake Loskop using a commercially available benchtop blood chemistry analyzer combined with data interpretation via artificial neural network analysis. According to the model, four blood chemistry parameters (calcium, sodium, total protein and albumin), in combination with total length, diagnose pansteatitis to a predictive accuracy of 92 percent. In addition, several morphometric traits (total length, age, weight) were also associated with pansteatitis. On-going research will focus on further evaluating the use of blood chemistry to classify pansteatitis across different species, trophic levels, and within different sites along the Olifants River. PMID:27115488

Predictive Blood Chemistry Parameters for Pansteatitis-Affected Mozambique Tilapia (Oreochromis mossambicus.

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John A Bowden

Full Text Available One of the largest river systems in South Africa, the Olifants River, has experienced significant changes in water quality due to anthropogenic activities. Since 2005, there have been various "outbreaks" of the inflammatory disease pansteatitis in several vertebrate species. Large-scale pansteatitis-related mortality events have decimated the crocodile population at Lake Loskop and decreased the population at Kruger National Park. Most pansteatitis-related diagnoses within the region are conducted post-mortem by either gross pathology or histology. The application of a non-lethal approach to assess the prevalence and pervasiveness of pansteatitis in the Olifants River region would be of great importance for the development of a management plan for this disease. In this study, several plasma-based biomarkers accurately classified pansteatitis in Mozambique tilapia (Oreochromis mossambicus collected from Lake Loskop using a commercially available benchtop blood chemistry analyzer combined with data interpretation via artificial neural network analysis. According to the model, four blood chemistry parameters (calcium, sodium, total protein and albumin, in combination with total length, diagnose pansteatitis to a predictive accuracy of 92 percent. In addition, several morphometric traits (total length, age, weight were also associated with pansteatitis. On-going research will focus on further evaluating the use of blood chemistry to classify pansteatitis across different species, trophic levels, and within different sites along the Olifants River.

The emergence of insecticide resistance in central Mozambique and potential threat to the successful indoor residual spraying malaria control programme

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Wilding Craig S

2011-05-01

Full Text Available Abstract Background Malaria vector control by indoor residual spraying was reinitiated in 2006 with DDT in Zambézia province, Mozambique. In 2007, these efforts were strengthened by the President's Malaria Initiative. This manuscript reports on the monitoring and evaluation of this programme as carried out by the Malaria Decision Support Project. Methods Mosquitoes were captured daily through a series of 114 window exit traps located at 19 sentinel sites, identified to species and analysed for sporozoites. Anopheles mosquitoes were collected resting indoors and tested for insecticide resistance following the standard WHO protocol. Annual cross sectional household parasite surveys were carried out to monitor the impact of the control programme on prevalence of Plasmodium falciparum in children aged 1 to 15 years. Results A total of 3,769 and 2,853 Anopheles gambiae s.l. and Anopheles funestus, respectively, were captured from window exit traps throughout the period. In 2010 resistance to the pyrethroids lambda-cyhalothrin and permethrin and the carbamate, bendiocarb was detected in An. funestus. In 2006, the sporozoite rate in An. gambiae s.s. was 4% and this reduced to 1% over 4 rounds of spraying. The sporozoite rate for An. funestus was also reduced from 2% to 0 by 2008. Of the 437 Anopheles arabiensis identified, none were infectious. Overall prevalence of P. falciparum in the sentinel sites fell from 60% to 32% between October 2006 and October 2008. Conclusion Both An. gambiae s.s. and An. funestus were controlled effectively with the DDT-based IRS programme in Zambézia, reducing disease transmission and burden. However, the discovery of pyrethroid resistance in the province and Mozambique's policy change away from DDT to pyrethroids for IRS threatens the gains made here.

Interaction between fires and elephants in relation to vegetation structure and composition of miombo woodlands in northern Mozambique

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Ribeiro, Natasha Sofia

Miombo woodlands represent one of the most important dry deciduous ecosystems in southern Africa. They provide goods and services for over 80% of the population in the sub-continent. The ecology of this important ecosystem is strongly defined by the trio climate-fire-herbivory. Thus, miombo woodlands have a key role in the regional, and the global, energy, water and carbon balances. Niassa Reserve located in northern Mozambique, embodies the largest and most pristine conservation area of miombo woodlands in the region. It was left abandoned for almost twenty years of armed conflict in Mozambique. Currently it has the lowest human population and the highest density of elephants within miombo woodlands in the country. Fires occur every year within Niassa Reserve. Thus, Niassa Reserve represents a key area to investigate the relationships between vegetation and environmental drivers, a crucial question in miombo woodlands. The goal of this study is to contribute to the understanding of the vegetation dynamics in relation to rainfall, fire and herbivory by elephants. To accomplish this goal, I used an innovative approach within miombo woodlands that couples field and remote sensing data. Field data collection aimed to gather information on woody species composition, structure and production (measured as biomass and leaf area index). Production data was used to calibrate remote sensing data and address large-scale variations in woody vegetation production. The results from this study indicate that there is a gradient of decreasing fire frequency, elephant density and rainfall and increasing woody production from east to west of Niassa Reserve. There is also a varied species composition along the same direction. These results provide information for ecological models predicting ecosystem dynamics under environmental changing conditions. Regionally, this study contributes to the understanding of the fundamental functioning of miombo woodlands and the associated driving

Detection of Clostridium botulinum type C cells in the gastrointestinal tracts of Mozambique tilapia (Oreochromis mossambicus) by polymerase chain reaction

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Nol, P.; Williamson, J.L.; Rocke, T.E.; Yuill, Thomas M.

2004-01-01

We established a method of directly detecting Clostridium botulinum type C cells, while minimizing spore detection, in the intestinal contents of Mozambique tilapia (Oreochromis mossambicus). This technique involved extraction of predominantly cellular DNA from tilapia intestinal tracts and used a polymerase chain reaction assay to detect presence of type C1 toxin gene. We consistently detected C. botulinum type C cells in tilapia gastrointestinal contents at a level of 7.5×104 cells per 0.25 g material or 1.9×103 cells. This technique is useful for determining prevalence of the potentially active organisms within a given population of fish and may be adapted to other types of C. botulinum and vertebrate populations as well.

Assessment on the ownership and use of mosquito nets in Mozambique.

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Arroz, Jorge Alexandre Harrison; Chirrute, Francisco; Mendis, Chandana; Chande, Marta Honesta; Kollhoff, Veronique

2016-12-22

To assess the ownership and use of mosquito nets in 2014, in Mozambique. This observational and cross-sectional study assessed, in February and March 2015, 69 districts (nine of 11 provinces of Mozambique) that have benefited from the mass distribution of mosquito nets. The Lot Quality Assurance Sampling methodology was used. Each locality was denominated supervision area. The Lot Quality Assurance Sampling opts for a minimum of 19 households (in this case, we decided for a minimum of 100 households per district) from each supervision area to assess an indicator (in this case, two indicators were assessed: ownership and use of mosquito nets). Two questions guided the research: a) received a mosquito net; b) used a mosquito net the night before. A total of 6,725 households were assessed. Eighty three percent of them had received mosquito nets in the campaign. Of the 6,232 respondents, 82.0% said they used mosquito nets the night before. The districts of the provinces with low coverage of ownership and use were Tete (69.5% and 60.0%, respectively), Zambezia (79.0% and 60.0%, respectively), and Gaza (81.6% and 70.7%, respectively). The largest coverage of ownership and use were observed in the districts of Nampula (96.7% and 93.8%, respectively) and Niassa (86.0% and 85.4% respectively). In the districts assessed, the progression of ownership and use of mosquito nets is satisfactory. Nampula and Niassa are the only provinces where ownership and use are at desired levels. Avaliar a posse e o uso das redes mosquiteiras no ano de 2014 em Moçambique. Este estudo observacional transversal avaliou, em fevereiro e março de 2015, 68 distritos (nove das 11 províncias de Moçambique) que se beneficiaram da distribuição de redes em massa. Usou-se a metodologia Lot Quality Assurance Sampling. Cada localidade foi designada de área de supervisão. O Lot Quality Assurance Sampling opta por um mínimo de 19 agregados familiares (neste caso decidiu-se um mínimo de 100 agregados

Effects of salinity on metabolic rate and branchial expression of genes involved in ion transport and metabolism in Mozambique tilapia (Oreochromis mossambicus).

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Zikos, Aris; Seale, Andre P; Lerner, Darren T; Grau, E Gordon; Korsmeyer, Keith E

2014-12-01

This study investigated the effects of two rearing salinities, and acute salinity transfer, on the energetic costs of osmoregulation and the expression of metabolic and osmoregulatory genes in the gill of Mozambique tilapia. Using automated, intermittent-flow respirometry, measured standard metabolic rates (SMRs) of tilapia reared in seawater (SW, 130 mg O₂ kg⁻¹ h⁻¹) were greater than those reared in fresh water (FW, 103 mg O₂ kg⁻¹ h⁻¹), when normalized to a common mass of 0.05 kg and at 25±1°C. Transfer from FW to 75% SW increased SMR within 18h, to levels similar to SW-reared fish, while transfer from SW to FW decreased SMR to levels similar to FW-reared fish. Branchial gene expression of Na⁺-K⁺-2Cl⁻ cotransporter (NKCC), an indicator of SW-type mitochondria-rich (MR) cells, was positively correlated with SMR, while Na⁺-Cl⁻ cotransporter (NCC), an indicator of FW-type MR cells, was negatively correlated. Principal Components Analysis also revealed that branchial expression of cytochrome c oxidase subunit IV (COX-IV), glycogen phosphorylase (GP), and a putative mitochondrial biogenesis regulator in fish, peroxisome proliferator-activated receptor γ coactivator 1α (PGC-1α), were correlated with a higher SMR, plasma osmolality, and environmental salinity, while expression of glycogen synthase (GS), PGC-1β, and nuclear respiratory factor 1 (NRF-1) had negative correlations. These results suggest that the energetic costs of osmoregulation are higher in SW than in FW, which may be related to the salinity-dependent differences in osmoregulatory mechanisms found in the gills of Mozambique tilapia. Copyright © 2014 Elsevier Inc. All rights reserved.

Strong population genetic structuring in an annual fish, Nothobranchius furzeri, suggests multiple savannah refugia in southern Mozambique.

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Bartáková, Veronika; Reichard, Martin; Janko, Karel; Polačik, Matej; Blažek, Radim; Reichwald, Kathrin; Cellerino, Alessandro; Bryja, Josef

2013-09-12

Intraspecific genetic variation of African fauna has been significantly affected by pronounced climatic fluctuations in Plio-Pleistocene, but, with the exception of large mammals, very limited empirical data on diversity of natural populations are available for savanna-dwelling animals. Nothobranchius furzeri is an annual fish from south-eastern Africa, inhabiting discrete temporary savannah pools outside main river alluvia. Their dispersal is limited and population processes affecting its genetic structure are likely a combination of those affecting terrestrial and aquatic taxa. N. furzeri is a model taxon in ageing research and several populations of known geographical origin are used in laboratory studies. Here, we analysed the genetic structure, diversity, historical demography and temporal patterns of divergence in natural populations of N. furzeri across its entire distribution range. Genetic structure and historical demography of N. furzeri were analysed using a combination of mitochondrial (partial cytochrome b sequences, 687 bp) and nuclear (13 microsatellites) markers in 693 fish from 36 populations. Genetic markers consistently demonstrated strong population structuring and suggested two main genetic groups associated with river basins. The split was dated to the Pliocene (>2 Mya). The northern group inhabits savannah pools across the basin of the intermittent river Chefu in south-western Mozambique and eastern Zimbabwe. The southern group (from southernmost Mozambique) is subdivided, with the River Limpopo forming a barrier (maximum divergence time 1 Mya). A strong habitat fragmentation (isolated temporary pools) is reflected in significant genetic structuring even between adjacent pools, with a major influence of genetic drift and significant isolation-by-distance. Analysis of historical demography revealed that the expansion of both groups is ongoing, supported by frequent founder effects in marginal parts of the range and evidence of secondary

Relaunch of the official community health worker programme in Mozambique: is there a sustainable basis for iCCM policy?

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Chilundo, Baltazar Gm; Cliff, Julie L; Mariano, Alda Re; Rodríguez, Daniela C; George, Asha

2015-12-01

In Mozambique, integrated community case management (iCCM) of diarrhoea, malaria and pneumonia is embedded in the national community health worker (CHW) programme, mainstreaming it into government policy and service delivery. Since its inception in 1978, the CHW programme has functioned unevenly, was suspended in 1989, but relaunched in 2010. To assess the long-term success of iCCM in Mozambique, this article addresses whether the current CHW programme exhibits characteristics that facilitate or impede its sustainability. We undertook a qualitative case study based on document review (n = 54) and key informant interviews (n = 21) with respondents from the Ministry of Health (MOH), multilateral and bilateral agencies and non-governmental organizations (NGOs) in Maputo in 2012. Interviews were mostly undertaken in Portuguese and all were coded using NVivo. A sustainability framework guided thematic analysis according to nine domains: strategic planning, organizational capacity, programme adaptation, programme monitoring and evaluation, communications, funding stability, political support, partnerships and public health impact. Government commitment was high, with the MOH leading a consultative process in Maputo and facilitating successful technical coordination. The MOH made strategic decisions to pay CHWs, authorize their prescribing abilities, foster guidance development, support operational planning and incorporate previously excluded 'old' CHWs. Nonetheless, policy negotiations excluded certain key actors and uncertainty remains about CHW integration into the civil service and their long-term retention. In addition, reliance on NGOs and donor funding has led to geographic distortions in scaling up, alongside challenges in harmonization. Finally, dependence on external funding, when both external and government funding are declining, may hamper sustainability. Our analysis represents a nuanced assessment of the various domains that influence CHW programme

Emigração de quadros, formação superior e desenvolvimento: o caso de Moçambique Skilled migration, higher education and development: the Mozambique case

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Ana Bénard da Costa

2009-04-01

Full Text Available A formação superior, a fuga de cérebros e o desenvolvimento constituem os temas centrais deste artigo centrado em Moçambique. Estes temas são abordados sob diferentes ângulos, de forma a captar quer as principais linhas teóricas que actualmente informam os estudos sobre essas temáticas, quer a complexidade da realidade social e das estratégias dos actores que a vivem. Desta forma apresenta-se, inicialmente, o estado da arte em relação à problemática da fuga de cérebros, relacionando-a com o aumento da mobilidade e da concorrência internacional de, e por, estudantes universitários. Conclui-se esta parte com um breve apontamento sobre aquilo que desta problemática se aferiu em relação a Moçambique. Seguidamente, e tendo por base histórias de vida de moçambicanos com formação superior que são agentes de desenvolvimento no seu país de origem, abordam-se questões que se prendem com as identidades familiares desses quadros e com os critérios de legitimação das elites em Moçambique, relacionando este último aspecto com as problemáticas do desenvolvimento e do ensino superior.Higher education, brain drain and development are the main subjects of this article focused on Mozambique. They are addressed from different perspectives in order to capture the main lines that currently inform theoretical studies regarding these issues, as well as the complexity of social reality and social actors' strategies. First, the author presents the state of the art of the brain drain issue, relating it to increased mobility and international competition for university students and among them. This part of the text is concluded with some brief notes regarding information collected in Mozambique. Based on life stories of Mozambicans with university degrees and who are also development agents in their own country, the second part of this article addresses topics on these people's family identities and the criteria for the legitimacy of

Chemical composition and biological activity of the essential oil from leaves of Moringa oleifera Lam. cultivated in Mozambique.

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Marrufo, Tatiana; Nazzaro, Filomena; Mancini, Emilia; Fratianni, Florinda; Coppola, Raffaele; De Martino, Laura; Agostinho, Adelaide Bela; De Feo, Vincenzo

2013-09-09

The antioxidant capacity and antimicrobial activity of the essential oil of Moringa oleifera (Moringaceae) grown in Mozambique was investigated. The chemical composition was studied by means of GC and GC-MS analysis. Hexacosane (13.9%), pentacosane (13.3%) and heptacosane (11.4%) were the main components. Ultra High Performance Chromatography-DAD analysis detected the flavonoids quercetin (126 μg/g) and luteolin (6.2 μg/g). The essential oil exhibited a relatively low free radical scavenging capacity. The antimicrobial activity of the essential oil was assayed against two Gram-positive strains (Bacillus cereus, Staphylococcus aureus), two Gram-negative strains (Escherichia coli, Pseudomonas aeruginosa), and five fungal strains of agro-food interest (Penicillium aurantiogriseum, Penicillium expansum, Penicillium citrinum, Penicillium digitatum, and Aspergillus niger spp.). B. cereus and P. aeruginosa, as well as the fungal strains were sensitive to the essential oil.

Serological evidence of avian encephalomyelitis virus and Pasteurella multocida infections in free-range indigenous chickens in Southern Mozambique.

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Taunde, Paula; Timbe, Palmira; Lucas, Ana Felicidade; Tchamo, Cesaltina; Chilundo, Abel; Dos Anjos, Filomena; Costa, Rosa; Bila, Custodio Gabriel

2017-06-01

A total of 398 serum samples from free-range indigenous chickens originating from four villages in Southern Mozambique were tested for the presence of avian encephalomyelitis virus (AEV) and Pasteurella multocida (PM) antibodies through commercial enzyme-linked immunosorbent assay (ELISA) kits. AEV and PM antibodies were detected in all villages surveyed. The proportion of positive samples was very high: 59.5% (95% confidence interval (CI) 51.7-67.7%) for AEV and 71.5% (95% CI 67.7-77.3%) for PM. Our findings revealed that these pathogens are widespread among free-range indigenous chickens in the studied villages and may represent a threat in the transmission of AEV and PM to wild, broiler or layer chickens in the region. Further research is warranted on epidemiology of circulating strains and impact of infection on the poultry industry.

Men’s Migration, Women’s Personal Networks, and Responses to HIV/AIDS in Mozambique

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Victor Agadjanian

2013-03-01

Full Text Available This study brings together the literature on social network approaches to social capital and health and on migration and HIV risks to examine how non-migrating wives of labor migrants use their personal networks to cope with perceived risks of HIV infection in rural southern Mozambique. Using data from a 2006 survey of 1,680 women and their dyadic interactions, we compare the composition of personal networks, HIV/AIDS communication, and preventive behavior of women married to migrants and those married to non-migrants. Results show that migrants’ wives were more likely than non-migrants’ wives to have other migrants’ wives as personal network members, to engage in HIV/AIDS communication, and to discuss HIV prevention. However, they were no more likely to talk about HIV/AIDS with migrants’ wives than with non-migrants’ wives. They were also no more likely to talk about AIDS and its prevention than non-migrants’ wives who express worry about HIV infection from their spouses. Finally, we detect that network members’ prevention behavior was similar to respondents’, although this did not depend on migration. We contextualize these findings within the literature and discuss their policy implications.

Promoting the development of children with disabilities through school inclusion: clinical psychology in supporting teachers in Mozambique

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Manuela Tomai

2017-12-01

Full Text Available This article presents an intervention study developed within an international cooperation program, and aimed at promoting the school inclusion of children with disabilities in Mozambique. To avoid the risk of exporting models from a local context to another, and in order to favour a sustainable social change, a participatory and ecological framework was adopted. The main aim of the Participatory Action Research (PAR carried out was to explore teachers’ views and beliefs concerning disability and inclusion, and determine best practices to fully include students with disabilities. The paper illustrates the overall outcomes of a participatory research development process, and the results achieved in each phase. The final purpose is to increase the knowledge on school inclusion of children with disabilities in the Global South. Potentials and challenges of using clinical psychological, ecological and collaborative paradigms to address issues concerning health promotion and development of children with disabilities and local development are also discussed.

Seroepidemiology of leptospirosis among febrile patients in a rapidly growing suburban slum and a flood-vulnerable rural district in Mozambique, 2012â2014: Implications for the management of fever

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Policarpo Ribeiro; Nilesh Bhatt; Sádia Ali; Vanessa Monteiro; Edmilson da Silva; Ilana Teruszkin Balassiano; Carolina Aquino; Nilsa de Deus; Onelia Guiliche; Argentina Felisbela Muianga; Pascoal Jorge Alho; Virginia Lara Evaristo; Ivan Manhiça; Marco Medeiros; Eduardo Samo Gudo

2017-01-01

Objective: Leptospirosis is one of the most widespread zoonoses in the world and is caused by spirochetes of the genus Leptospira. In Mozambique, the disease is largely ignored and its epidemiology is unknown. The objective of this study was to investigate the occurrence of leptospirosis in febrile patients. Methods: This cross-sectional study was performed between July 2012 and September 2015 among febrile patients. A total of 373 paired serum samples were drawn from febrile patients; 208 we...

Dissolved inorganic carbon, pH, alkalinity, temperature, salinity and other variables collected from discrete sample and profile observations using Alkalinity titrator, CTD and other instruments from MIRAI in the Indian Ocean and Mozambique Channel from 2003-12-09 to 2004-01-24 (NODC Accession 0108101)

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National Oceanic and Atmospheric Administration, Department of Commerce — NCEI Accession 0108101 includes discrete sample and profile data collected from MIRAI in the Indian Ocean and Mozambique Channel from 2003-12-09 to 2004-01-24. These...

Chemical Composition and Biological Activity of the Essential Oil from Leaves of Moringa oleifera Lam. Cultivated in Mozambique

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Adelaide Bela Agostinho

2013-09-01

Full Text Available The antioxidant capacity and antimicrobial activity of the essential oil of Moringa oleifera (Moringaceae grown in Mozambique was investigated. The chemical composition was studied by means of GC and GC-MS analysis. Hexacosane (13.9%, pentacosane (13.3% and heptacosane (11.4% were the main components. Ultra High Performance Chromatography-DAD analysis detected the flavonoids quercetin (126 μg/g and luteolin (6.2 μg/g. The essential oil exhibited a relatively low free radical scavenging capacity. The antimicrobial activity of the essential oil was assayed against two Gram-positive strains (Bacillus cereus, Staphylococcus aureus, two Gram-negative strains (Escherichia coli, Pseudomonas aeruginosa, and five fungal strains of agro-food interest (Penicillium aurantiogriseum, Penicillium expansum, Penicillium citrinum, Penicillium digitatum, and Aspergillus niger spp.. B. cereus and P. aeruginosa, as well as the fungal strains were sensitive to the essential oil.

Urban morphology, urban transformations and conservation in Maputo, Mozambique. Lessons learnt and transfer of knowledge to other regions

DEFF Research Database (Denmark)

Eskemose Andersen, Jørgen

2013-01-01

This paper draws on the research programme Home Space in the African City (www.homespace.dk) and aims at providing insights to the development of African cities with an emphasis on planning and housing, based on in-depth empirical data from Maputo, the capital of Mozambique. The Home Space concept...... involves feelings of security (physical and legal), concepts of family and social networks, relation to neighbourhood and how objects and spaces are invested with symbolic meanings. The study argues that the Maputo peri-urban inhabitants are acting as the de facto city makers with limited, if any...... was developed in order to record the spaces within which the majority of African urban residents dwell - dwelling being both a material place, an identity, an investment and a process. The unit of analysis was the land, the plot on which people reside regardless whether being planned or unplanned, formal...

High Burden of HIV Infection and Risk Behaviors Among Female Sex Workers in Three Main Urban Areas of Mozambique.

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Augusto, Ângelo do Rosário; Young, Peter W; Horth, Roberta Z; Inguane, Celso; Sathane, Isabel; Ngale, Katia; Benedetti, Marcos; Cummings, Beverley; Botão, Carlos Francisco Sande; Baltazar, Cynthia Amino Semá; Frank, Heidi; Fagan, Jennifer; Fisher Raymond, Henry; McFarland, Willi

2016-04-01

This is the first integrated biological and behavioral survey among female sex workers (FSW) in Mozambique. Using respondent-driven sampling, 400, 411 and 429 FSW were enrolled respectively in Maputo, Beira and Nampula in 2011-2012. Estimates were produced using RDSAT 7.1. HIV prevalence was 31.2, 23.6, and 17.8 % in each location respectively. Among HIV-positive FSW, 48.1, 79.8 and 89.6 % in each city, were unaware of their serostatus. Condom use at last sex with a client was 85.8, 73.4 and 62.8 % among FSW, respectively. HIV was associated with current age, age of first sex for money, low educational level, and having had a genital ulcer in the last 6 months. Results suggest the urgent need to increase behavioral and structural interventions in this key population.

An analysis of the major challenges and obstacles for international technical cooperation in health, Brazil-Mozambique.

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Pereira, Eduardo Mazzaroppi Barao

2017-07-01

Health has become a priority issue on the agenda in relation to Brazilian international technical cooperation in the last decade. This applies to Mozambique which is a strategic partner of Brazil's when one takes into consideration the volume of projects that have been undertaken between the two countries and the available resources on offer. There has been a shift in the foreign policy paradigm which has resulted in a new Brazilian foreign policy posture that promotes bilateral agreements and international cooperation. On conducting a retrospective and current analysis it is clear that there are, however, major obstacles and challenges for bilateral agreements and technical international cooperation that require in-depth study and which need to be dealt with in the area of health. This paper seeks to identify and analyze these obstacles with a view to providing proposals for ways forward. It takes the approach of using the methodology of reviewing specialized journals on this topic as well as using qualitative research from the main actors and institutions involved in bilateral cooperation.

Community oriented interprofessional health education in Mozambique: one student/one family program.

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Ferrão, L J; Fernandes, Tito H

2014-01-01

In the remote northern region of Mozambique the ratio of doctors to patients is 1:50,000. In 2007, Lúrio University initiated an innovative, "One Student/One Family" program of teaching and learning for health professions students, to complement their traditional core curriculum. All students of each of the school's six health degree programs complete a curriculum in "Family and Community Health" in each year of their training. Groups of six students from six different health professions training programs make weekly visits to communities, where each student is allocated to a family. Students learn from their families about community life and health issues, within a community where 80% of the population still lacks access to modern health care and rely on indigenous doctors and traditional remedies. In turn, students transmit information to families about modern health care and report to the faculty any major health problems they find. The educational/experiential approach is interprofessional and community-oriented. The main perceived advantages of the program are that it is applied and problem-based learning for students, while simultaneously providing needed healthcare services to the community. The major disadvantages include the complexity of coordinating multidisciplinary groups, the time and distance required of students in traveling to communities, and interpretation of multiple reports with variable data. This community-oriented education program involving students from six disciplines uses nontraditional teaching/learning methods is the basis of the ex libris of Lúrio University.

Women’s decision-making autonomy and children’s schooling in rural Mozambique

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Luz, Luciana; Agadjanian, Victor

2015-01-01

BACKGROUND Women’s decision-making autonomy in developing settings has been shown to improve child survival and health outcomes. However, little research has addressed possible connections between women’s autonomy and children’s schooling. OBJECTIVE To examine the relationship between rural women’s decision-making autonomy and enrollment status of primary school-age children living in their households and how this relationship differs by child’s gender. METHODS The analysis uses data from a 2009 survey of rural households in four districts of Gaza province in southern Mozambique. Multilevel logistic models predict the probability of being in school for children between 6 and 14 years old. RESULTS The results show a positive association of women’s decision-making autonomy with the probability of being enrolled in primary school for daughters, but not for sons. The effect of women’s autonomy is net of other women’s characteristics typically associated with enrollment and does not mediate the effects of those characteristics. CONCLUSIONS Based on the results, we argue that women with higher levels of decision-making autonomy may have a stronger preference for daughters’ schooling and may have a greater say in making and implementing decisions regarding daughters’ education, compared to women with lower autonomy levels. Results also illustrate a need for considering a broader set of autonomy-related characteristics when examining the effects of women’s status on children’s educational outcomes. PMID:26491400

Urinary Sodium and Potassium Excretion and Dietary Sources of Sodium in Maputo, Mozambique

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Ana Queiroz

2017-08-01

Full Text Available This study aimed to evaluate the urinary excretion of sodium and potassium, and to estimate the main food sources of sodium in Maputo dwellers. A cross-sectional evaluation of a sample of 100 hospital workers was conducted between October 2012 and May 2013. Sodium and potassium urinary excretion was assessed in a 24-h urine sample; creatinine excretion was used to exclude unlikely urine values. Food intake in the same period of urine collection was assessed using a 24-h dietary recall. The Food Processor Plus® was used to estimate sodium intake corresponding to naturally occurring sodium and sodium added to processed foods (non-discretionary sodium. Salt added during culinary preparations (discretionary sodium was computed as the difference between urinary sodium excretion and non-discretionary sodium. The mean (standard deviation urinary sodium excretion was 4220 (1830 mg/day, and 92% of the participants were above the World Health Organization (WHO recommendations. Discretionary sodium contributed 60.1% of total dietary sodium intake, followed by sodium from processed foods (29.0% and naturally occurring sodium (10.9%. The mean (standard deviation urinary potassium excretion was 1909 (778 mg/day, and 96% of the participants were below the WHO potassium intake recommendation. The mean (standard deviation sodium to potassium molar ratio was 4.2 (2.4. Interventions to decrease sodium and increase potassium intake are needed in Mozambique.

Narrative Fortresses: Crisis Narratives and Conflict in the Conservation of Mount Gorongosa, Mozambique

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Christy Schuetze

2015-01-01

Full Text Available A single narrative about the Gorongosa Restoration Project (GRP in Mozambique circulates widely in the popular media. This story characterises the project as an innovative intervention into an ecological crisis situation. The narrative hails the project′s aim to use profits from tourism to address the goals of both human development and conservation of biodiversity, and portrays the park project as widely embraced by long-term residents. This representation helps the project attract broad acclaim, donor funding, and socially conscious visitors, yet it obscures the early emergence of unified opposition to the project′s interventions among long-term residents of Gorongosa Mountain. This article draws on ethnographic research conducted on Gorongosa Mountain between 2006 and 2008 to examine the project′s early activities there. I examine two crisis narratives that led to entrenched conflict between park-based actors and mountain residents. Focusing on the emergence and solidification of divergent narratives-narrative fortresses-about the extension of the park′s activities to Gorongosa Mountain offers insight into the powerful role of crisis narratives in producing and maintaining conflict, leading to outcomes counter to the desires of conservationists. Ultimately, the article points to ways in which narratives of environmental crisis work against aspirations of partnership and collaboration with resident populations in conservation and development schemes.

Mozambique child soldier life outcome study: lessons learned in rehabilitation and reintegration efforts.

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Boothby, N; Crawford, J; Halperin, J

2006-01-01

As the use of child soldiers continues to proliferate throughout the world, effective psychosocial interventions must be developed and evaluated. Our research shows that former child soldiers who are provided rehabilitative services and accepted back into their families and communities are able to become productive, responsible and caring adults. In 1988, 39 captured or escaped child soldiers were brought by the Mozambican government to the Lhanguene Rehabilitation Center in Maputo, Mozambique's capital city. Interventions that focused on rehabilitating the children both psychologically and physically were initiated during their 6-month stay at the Lhanguene centre, and reintegration assistance was provided for 2 years thereafter to support their return to families and communities. Our research continued to follow these former child soldiers for 16 years, and focused on their psychological, social and economic functioning. The study included qualitative and quantitative data collection methods to obtain adult well-being outcomes and was also designed to identify interventions that enabled these child soldiers to re-enter civilian life and lead relatively productive lives. Efficacious rehabilitation activities included those that strengthened individuals' coping skills for anticipated trauma and grief, instilled a sense of social responsibility and promoted self-regulation and security (versus survival) seeking behaviour. Activities that supported long term reintegration and self-sufficiency included community acceptance and forgiveness, traditional cleansing and healing rituals, livelihoods and apprenticeships.

Radionuclides and radiation doses in heavy mineral sands and other mining operations in Mozambique

International Nuclear Information System (INIS)

Carvalho, F. P.; Matine, O. F.; Taimo, S.; Oliveira, J. M.; Silva, L.; Malta, M.

2014-01-01

Sites at the littoral of Mozambique with heavy mineral sands exploited for ilmenite, rutile and zircon and inland mineral deposits exploited for tantalite, uranium and bauxite were surveyed for ambient radiation doses, and samples were collected for the determination of radionuclide concentrations. In heavy mineral sands, 238 U and 232 Th concentrations were 70±2 and 308±9 Bq kg -1 dry weight (dw), respectively, whereas after separation of minerals, the concentrations in the ilmenite fraction were 2240±64 and 6125±485 Bq kg -1 (dw), respectively. Tantalite displayed the highest concentrations with 44 738±2474 Bq kg -1 of 238 U. Radiation exposure of workers in mining facilities is likely to occur at levels above the dose limit for members of the public (1 mSv y -1 ) and therefore radiation doses should be assessed as occupational exposures. Local populations living in these regions in general are not exposed to segregated minerals with high radionuclide concentrations. However, there is intensive traditional mining and a large number of artisan miners and their families may be exposed to radiation doses exceeding the dose limit. A radiation protection programme is therefore needed to ensure radiation protection of the public and workers of developing mining projects. (authors)

Radionuclides and radiation doses in heavy mineral sands and other mining operations in Mozambique.

Science.gov (United States)

Carvalho, Fernando P; Matine, Obete F; Taímo, Suzete; Oliveira, João M; Silva, Lídia; Malta, Margarida

2014-01-01

Sites at the littoral of Mozambique with heavy mineral sands exploited for ilmenite, rutile and zircon and inland mineral deposits exploited for tantalite, uranium and bauxite were surveyed for ambient radiation doses, and samples were collected for the determination of radionuclide concentrations. In heavy mineral sands, (238)U and (232)Th concentrations were 70±2 and 308±9 Bq kg(-1) dry weight (dw), respectively, whereas after separation of minerals, the concentrations in the ilmenite fraction were 2240±64 and 6125±485 Bq kg(-1) (dw), respectively. Tantalite displayed the highest concentrations with 44 738±2474 Bq kg(-1) of (238)U. Radiation exposure of workers in mining facilities is likely to occur at levels above the dose limit for members of the public (1 mSv y(-1)) and therefore radiation doses should be assessed as occupational exposures. Local populations living in these regions in general are not exposed to segregated minerals with high radionuclide concentrations. However, there is intensive artisanal mining and a large number of artisanal miners and their families may be exposed to radiation doses exceeding the dose limit. A radiation protection programme is therefore needed to ensure radiation protection of the public and workers of developing mining projects.

Frequency of Pathogenic Paediatric Bacterial Meningitis in Mozambique: The Critical Role of Multiplex Real-Time Polymerase Chain Reaction to Estimate the Burden of Disease.

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Nhantumbo, Aquino Albino; Cantarelli, Vlademir Vicente; Caireão, Juliana; Munguambe, Alcides Moniz; Comé, Charlotte Elizabeth; Pinto, Gabriela do Carmo; Zimba, Tomás Francisco; Mandomando, Inácio; Semá, Cynthia Baltazar; Dias, Cícero; Moraes, Milton Ozório; Gudo, Eduardo Samo

2015-01-01

In Sub-Saharan Africa, including Mozambique, acute bacterial meningitis (ABM) represents a main cause of childhood mortality. The burden of ABM is seriously underestimated because of the poor performance of culture sampling, the primary method of ABM surveillance in the region. Low quality cerebrospinal fluid (CSF) samples and frequent consumption of antibiotics prior to sample collection lead to a high rate of false-negative results. To our knowledge, this study is the first to determine the frequency of ABM in Mozambique using real-time polymerase chain reaction (qPCR) and to compare results to those of culture sampling. Between March 2013 and March 2014, CSF samples were collected at 3 regional hospitals from patients under 5 years of age, who met World Health Organization case definition criteria for ABM. Macroscopic examination, cytochemical study, culture, and qPCR were performed on all samples. A total of 369 CSF samples were collected from children clinically suspected of ABM. qPCR showed a significantly higher detection rate of ABM-causing pathogens when compared to culture (52.3% [193/369] versus 7.3% [27/369], p = 0.000). The frequency of Streptococcus pneumoniae, Haemophilus influenzae, group B Streptococci, and Neisseria meningitidis were 32.8% (121⁄369), 12.2%, (45⁄369), 3.0% (16⁄369) and 4.3% (11⁄369), respectively, significantly higher compared to that obtained on culture (p < 0.001 for each). Our findings demonstrate that culture is less effective for the diagnosis of ABM than qPCR. The common use of culture rather than qPCR to identify ABM results in serious underestimation of the burden of the disease, and our findings strongly suggest that qPCR should be incorporated into surveillance activities for ABM. In addition, our data showed that S. pneumoniae represents the most common cause of ABM in children under 5 years of age.

Genetic characterization of canine parvovirus type 2 subtypes in Maputo, Mozambique.

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Figueiredo, J; Miranda, C; Souto, R; Silva, E; Fafetine, J; Thompson, G

2017-05-01

Canine parvovirus type 2 (CPV-2) comprises three antigenic subtypes (2a, 2b and 2c) that have been reported in many countries. These subtypes cause serious disease in dogs with characteristic gastroenteritis signs. Little information has been documented in Africa about the genetic characterization of CPV-2. The aim of this study was to detect and to characterize the CPV-2 subtypes circulating in dogs admitted to Veterinary Clinics from two cities of Mozambique, Maputo and Matola, in 2010. A total of 40 field fecal samples were collected and tested for CPV-2 by polymerase chain reaction assay. The partial length VP2 gene of the positive samples were sequenced and genetically analyzed. Twenty-six (65%) fecal samples were positive for CPV-2. The restriction fragment length polymorphism analysis was also performed from positive samples and did not reveal the presence of CPV-2c subtype. The results of the sequencing revealed the presence of CPV-2a (n = 9) and CPV-2b (n = 17). No CPV-2 and CPV-2c were detected. Sequence analysis comparison showed nucleotide identities of 99.6-100% among our CPV-2 isolates. Amino acid analysis showed predicted amino acid changes. Phylogenetically, all of the CPV-2a strains isolated formed a cluster together with South African and Nigerian isolates. Most of Mozambican CPV-2b isolates also tended to cluster together with South African isolates; however, four were more closely related to French strain and one isolates to the American strain. The present study was the first to characterize the CPV-2 circulating in the Mozambican dog population.

Spatial and spatiotemporal pattern analysis of coconut lethal yellowing in Mozambique.

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Bonnot, F; de Franqueville, H; Lourenço, E

2010-04-01

Coconut lethal yellowing (LY) is caused by a phytoplasma and is a major threat for coconut production throughout its growing area. Incidence of LY was monitored visually on every coconut tree in six fields in Mozambique for 34 months. Disease progress curves were plotted and average monthly disease incidence was estimated. Spatial patterns of disease incidence were analyzed at six assessment times. Aggregation was tested by the coefficient of spatial autocorrelation of the beta-binomial distribution of diseased trees in quadrats. The binary power law was used as an assessment of overdispersion across the six fields. Spatial autocorrelation between symptomatic trees was measured by the BB join count statistic based on the number of pairs of diseased trees separated by a specific distance and orientation, and tested using permutation methods. Aggregation of symptomatic trees was detected in every field in both cumulative and new cases. Spatiotemporal patterns were analyzed with two methods. The proximity of symptomatic trees at two assessment times was investigated using the spatiotemporal BB join count statistic based on the number of pairs of trees separated by a specific distance and orientation and exhibiting the first symptoms of LY at the two times. The semivariogram of times of appearance of LY was calculated to characterize how the lag between times of appearance of LY was related to the distance between symptomatic trees. Both statistics were tested using permutation methods. A tendency for new cases to appear in the proximity of previously diseased trees and a spatially structured pattern of times of appearance of LY within clusters of diseased trees were detected, suggesting secondary spread of the disease.

Jatropha cultivation in Malawi and Mozambique: impact on ecosystem services, local human well-being, and poverty alleviation

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Graham P. von Maltitz

2016-09-01

Full Text Available Jatropha-based biofuels have undergone a rapid boom-and-bust cycle in southern Africa. Despite strong initial support by governments, donors, and the private sector, there is a lack of empirical studies that compare the environmental and socioeconomic impacts of Jatropha's two dominant modes of production: large plantations and smallholder-based projects. We apply a rapid ecosystem services assessment approach to understand the impact of two Jatropha projects that are still operational despite widespread project collapse across southern Africa: a smallholder-based project (BERL, Malawi and a large plantation (Niqel, Mozambique. Our study focuses on changes in provisioning ecosystem services such as biofuel feedstock, food, and woodland products that can have important effects on human well-being locally. Qualitative information is provided for other regulating and cultural ecosystem services. Although at this stage no impact is tremendously positive or negative, both projects show some signs of viability and local poverty alleviation potential. However, their long-term sustainability is not guaranteed given low yields, uncertain markets, and some prevailing management practices.

The thermal history of the Karoo Moatize-Minjova Basin, Tete Province, Mozambique: An integrated vitrinite reflectance and apatite fission track thermochronology study

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Fernandes, Paulo; Cogné, Nathan; Chew, David M.; Rodrigues, Bruno; Jorge, Raul C. G. S.; Marques, João; Jamal, Daud; Vasconcelos, Lopo

2015-12-01

The Moatize-Minjova Basin is a Karoo-aged rift basin located in the Tete Province of central Mozambique along the present-day Zambezi River valley. In this basin the Permian Moatize and Matinde formations consist of interbedded carbonaceous mudstones and sandstones with coal seams. The thermal history has been determined using rock samples from two coal exploration boreholes (ca. 500 m depth) to constrain the burial and exhumation history of the basin. Organic maturation levels were determined using vitrinite reflectance and spore fluorescence/colour. Ages and rates of tectonic uplift and denudation have been assessed by apatite fission track analysis. The thermal history was modelled by inverse modelling of the fission track and vitrinite reflectance data. The Moatize Formation attained a coal rank of bituminous coals with low to medium volatiles (1.3-1.7%Rr). Organic maturation levels increase in a linear fashion downhole in the two boreholes, indicating that burial was the main process controlling peak temperature maturation. Calculated palaeogeothermal gradients range from 59 °C/km to 40 °C/km. According to the models, peak burial temperatures were attained shortly (3-10 Ma) after deposition. Apatite fission track ages [146 to 84 Ma (Cretaceous)] are younger than the stratigraphic age. Thermal modelling indicates two episodes of cooling and exhumation: a first period of rapid cooling between 240 and 230 Ma (Middle - Upper Triassic boundary) implying 2500-3000 m of denudation; and a second period, also of rapid cooling, from 6 Ma (late Miocene) onwards implying 1000-1500 m of denudation. The first episode is related to the main compressional deformation event within the Cape Fold Belt in South Africa, which transferred stress northwards on pre-existing transtensional fault systems within the Karoo rift basins, causing tectonic inversion and uplift. During the Mesozoic and most of the Cenozoic the basin is characterized by very slow cooling. The second period

Multidrug-resistant typhoid fever with neurologic findings on the Malawi-Mozambique border.

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Lutterloh, Emily; Likaka, Andrew; Sejvar, James; Manda, Robert; Naiene, Jeremias; Monroe, Stephan S; Khaila, Tadala; Chilima, Benson; Mallewa, Macpherson; Kampondeni, Sam D; Lowther, Sara A; Capewell, Linda; Date, Kashmira; Townes, David; Redwood, Yanique; Schier, Joshua G; Nygren, Benjamin; Tippett Barr, Beth; Demby, Austin; Phiri, Abel; Lungu, Rudia; Kaphiyo, James; Humphrys, Michael; Talkington, Deborah; Joyce, Kevin; Stockman, Lauren J; Armstrong, Gregory L; Mintz, Eric

2012-04-01

Salmonella enterica serovar Typhi causes an estimated 22 million cases of typhoid fever and 216 000 deaths annually worldwide. We investigated an outbreak of unexplained febrile illnesses with neurologic findings, determined to be typhoid fever, along the Malawi-Mozambique border. The investigation included active surveillance, interviews, examinations of ill and convalescent persons, medical chart reviews, and laboratory testing. Classification as a suspected case required fever and ≥1 other finding (eg, headache or abdominal pain); a probable case required fever and a positive rapid immunoglobulin M antibody test for typhoid (TUBEX TF); a confirmed case required isolation of Salmonella Typhi from blood or stool. Isolates underwent antimicrobial susceptibility testing and subtyping by pulsed-field gel electrophoresis (PFGE). We identified 303 cases from 18 villages with onset during March-November 2009; 214 were suspected, 43 were probable, and 46 were confirmed cases. Forty patients presented with focal neurologic abnormalities, including a constellation of upper motor neuron signs (n = 19), ataxia (n = 22), and parkinsonism (n = 8). Eleven patients died. All 42 isolates tested were resistant to ampicillin, chloramphenicol, and trimethoprim-sulfamethoxazole; 4 were also resistant to nalidixic acid. Thirty-five of 42 isolates were indistinguishable by PFGE. The unusual neurologic manifestations posed a diagnostic challenge that was resolved through rapid typhoid antibody testing in the field and subsequent blood culture confirmation in the Malawi national reference laboratory. Extending laboratory diagnostic capacity, including blood culture, to populations at risk for typhoid fever in Africa will improve outbreak detection, response, and clinical treatment.

RISK MANAGEMENT AND RISK COMMUNICATION IN MOZAMBIQUE: THE CASE OF ARMS AND AMMUNITION DEPOTS OF MALHAZINE

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Luca Bussotti

2017-12-01

Full Text Available Risk management and risk communication affect everybody’s daily life. Local authorities have the duty to manage public structures, to inform civilians of the risks coming from these structures, to implement prophylaxis procedures. Military storage sites are fully included in this category. This article presents – through a qualitative methodology based on risk analysis – how risk management and communication in weapons and ammunition warehouses is managed in a “partially free” country, using as a case-study, the Malhazine depot in Mozambique, which resulted in more than 100 deaths. In 2007, an extraordinary accident related to the management of obsolete conventional weapons occurred at the Malazhine warehouse. In this circumstance, the Mozambican Government adopted a policy of classifying the information “highly confidential”. This policy aimed at obscuring facts and responsibilities by hiding the causes of such a huge tragedy. This article concludes with the consideration that a high level of confidentiality in treating issues of public interest, such as the one kept in regard to Malhazine, does not help public authorities to effectively manage and prevent similar risks from occurring again, with resulting negative impacts on local populations.

The Influence of Rainfall, Vegetation, Elephants and People on Fire Frequency of Miombo Woodlands, Northern Mozambique

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Ribeiro, N. S.; Okin, G. S.; Shugart, H. H.; Swap, R. J.

2008-12-01

Miombo woodlands are important in southern Africa as they occupy over 50% of the land and, their good and services support a large proportion of people in the region. Anthropogenic fires occur in miombo every year especially in the dry season (May - October). This study explores the influence of annual rainfall, elephant density, human density and corridors, and vegetation on the fire frequency. It was carried out in Niassa Reserve located in northern Mozambique, the largest and more pristine conservation area of miombo woodlands in the world. We used a time series analysis and statistical t-test of MODIS-derived Normalized Difference Vegetation Index (NDVI) and Enhanced Vegetation Index (EVI) to explore the relationship between biomass and fire frequency. The influence of rainfall, elephants, people and vegetation on fire return was explored using a stepwise logistic regression analysis. The results of this study indicate that fire frequency is higher in places with high biomass at beginning of the dry season. In these areas fire seems to be more intense and to strongly reduce biomass in the late dry season. Land cover is the strongest predictor of fire frequency, but elephant density, annual rainfall and human corridors are also important.

Rotavirus A strains obtained from children with acute gastroenteritis in Mozambique, 2012-2013: G and P genotypes and phylogenetic analysis of VP7 and partial VP4 genes.

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João, Eva Dora; Strydom, Amy; O'Neill, Hester G; Cuamba, Assa; Cassocera, Marta; Acácio, Sozinho; Mandomando, Inácio; Motanyane, Lithabiso; Page, Nicola; de Deus, Nilsa

2018-01-01

In Mozambique rotavirus (RV) was shown to be the greatest cause of acute diarrhoea in infants from 0 to 11 months, and in 2015, national rotavirus vaccination was introduced. As with other developing countries, there is very limited active strain characterisation. Rotavirus positive clinical specimens, collected between 2012 and 2013, have now provided information on the genotypes circulating in southern Mozambique prior to vaccine introduction. Genotypes G2 (32.4%), G12 (28.0%), P[4] (41.4%) and P[6] (22.9%) (n = 157) strains were commonly detected with G2P[4] (42.3%) RVs being predominant, specifically during 2013. Phylogenetic evaluation of the VP7 and VP8* encoding genes showed, for the majority of the Mozambican strains, that they clustered with other African strains based on genotype. RVA/Human-wt/MOZ/0153/2013/G2P[4], RVA/Human-wt/MOZ/0308/2012/G2P[4] and RVA/Human-wt/MOZ/0288/2012/G12P[8] formed separate clusters from the other Mozambican strains with similar genotypes, suggesting possible reassortment. Amino acid substitutions in selected epitope regions also supported phylogenetic clustering. As expected, the VP7 and VP8* genes from the Mozambican strains differed from both the RotaTeq ® (SC2-9) G2P[5] and Rotarix ® (A41CB052A) G1P[8] genes. This study provides information on the genetic diversity of rotavirus strains prior to vaccine introduction and generates baseline data for future monitoring of any changes in rotavirus strains in response to vaccine pressure.

Potential Roles of Mhealth for Community Health Workers: Formative Research With End Users in Uganda and Mozambique.

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Thondoo, Meelan; Strachan, Daniel Ll; Nakirunda, Maureen; Ndima, Sozinho; Muiambo, Abel; Källander, Karin; Hill, Zelee

2015-07-23

Community health workers are reemerging as an essential component of health systems in low-income countries. However, there are concerns that unless they are adequately supported, their motivation and performance will be suboptimal. mHealth presents an opportunity to improve support for community health workers; however, most interventions to date have been designed through a top-down approach, rarely involve the end user, and have not focused on motivation. To use formative research to explore the views of community health workers in Uganda and Mozambique on the potential role of mHealth in their work delivering integrated community case management of children. We conducted 24 in-depth interviews and 5 focus group discussions with community health workers in Uganda and Mozambique. Data were collected on: current phone use, preferred phone and charger characteristics, and perceptions of a range of potential mHealth interventions. Interviews were conducted in the local language, were audio recorded and converted into expanded notes. Interviews were coded for key thematic areas using both deductive and inductive codes. Deductive codes included mHealth's potential impact on motivation and performance. The most salient roles of mHealth in improving performance and motivation were reducing the need for travel, improving efficiency and planning, receiving feedback and information, and improving communication with supervisors and other community health workers. This was mostly through improved voice and short message service (SMS) text communication. Specific components of mHealth interventions that participants felt could improve motivation included increasing their visibility and credibility through branding of phones; providing an SMS response to data submission; and sending SMS messages about the importance of their work and achievements, rather than just reminders or technical messages. Participants identified feasibility issues related to the language of SMS

Market for Artemether-Lumefantrine to treat childhood malaria in a district of southern Mozambique.

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Alonso, Sergi; Munguambe, Khátia; Sicuri, Elisa

2017-12-01

Malaria is one of the leading causes of death in sub-Saharan Africa. Artemisinin-based combination therapies are used as first-line treatment drugs, but their market is far from competitive. Market failures include limited availability, low quality, lack of information, and high costs of access. We estimated the theoretical demand for one of the most common artemisinin-based combination therapies, artemether-lumefantrine (AL), and its determinants among caregivers of children with malaria seeking care at public health facilities, thus, entitled to receive drugs for free, in southern Mozambique (year 2012). The predicted theoretical demand was contrasted with international and local private market AL prices. Respondents stated high willingness to pay but lower ability to pay (ATP), which was defined as the theoretical demand. The ATP was on average of 0.94 USD for the treatment of a malaria episode. This implied an average gap of 1.04 USD between average local private prices and theoretical demand. Predicted ATP decreased by 14% for every additional malaria episode that the child had suffered during the malaria season. The market price was unaffordable for a large share of our sample, highlighting an unequal welfare distribution between suppliers and potential consumers, as well as issues of inequity in the private delivery of AL. Copyright © 2017 John Wiley & Sons, Ltd.

The Impact of Charcoal Production on Forest Degradation: a Case Study in Tete, Mozambique

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Sedano, F.; Silva. J. A.; Machoco, R.; Meque, C. H.; Sitoe, A.; Ribeiro, N.; Anderson, K.; Ombe, Z. A.; Baule, S. H.; Tucker, C. J.

2016-01-01

Charcoal production for urban energy consumption is a main driver of forest degradation in sub-Saharan Africa. Urban growth projections for the continent suggest that the relevance of this process will increase in the coming decades. Forest degradation associated to charcoal production is difficult to monitor and commonly overlooked and underrepresented in forest cover change and carbon emission estimates. We use a multi-temporal dataset of very high-resolution remote sensing images to map kiln locations in a representative study area of tropical woodlands in central Mozambique. The resulting maps provided a characterization of the spatial extent and temporal dynamics of charcoal production. Using an indirect approach we combine kiln maps and field information on charcoal making to describe the magnitude and intensity of forest degradation linked to charcoal production, including aboveground biomass and carbon emissions. Our findings reveal that forest degradation associated to charcoal production in the study area is largely independent from deforestation driven by agricultural expansion and that its impact on forest cover change is in the same order of magnitude as deforestation. Our work illustrates the feasibility of using estimates of urban charcoal consumption to establish a link between urban energy demands and forest degradation. This kind of approach has potential to reduce uncertainties in forest cover change and carbon emission assessments in sub-Saharan Africa.

The availability of essential medicines for mental healthcare in Sofala, Mozambique

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Wagenaar, Bradley H.; Stergachis, Andy; Rao, Deepa; Hoek, Roxanne; Cumbe, Vasco; Napúa, Manuel; Sherr, Kenneth

2015-01-01

Objective We assessed the availability of essential medicines for mental healthcare (MH) across levels of the public healthcare system to aid in future systems planning. Design Non-expired MH medications were assessed in 24 public health facilities and 13 district warehouses across Sofala Province, Mozambique, from July to August 2014. Medication categories included: antipsychotics, antidepressants, benzodiazepines, antiepileptics and mood stabilizers, and anticholinergics and antihistamines. Results Only 7 of 12 (58.3%) district warehouses, 11 of 24 (45.8%) of all health facilities, and 10 of 12 (83.3%) of facilities with trained MH staff had availability of at least one medication of each category. Thioridazine was the most commonly available antipsychotic across all facilities (9 of 24, 37.5%), while chlorpromazine and thioridazine were most common at facilities providing MH care (8 of 12, 66.7%). The atypical antipsychotic risperidone was not available at any facility or district warehouse. Amitriptyline was the most commonly available antidepressant (10 of 12 districts; 12 of 24 overall facilities; 9 or 12 MH facilities). Despite being on the national essential drug list, fluoxetine was only available at one quaternary-level facility and no district warehouses. Conclusions Essential psychotropic medicines are routinely unavailable at public health facilities. Current essential drug lists include six typical but no atypical antipsychotics, which is concerning given the side-effect profiles of typical antipsychotics. Ensuring consistent availability of at least one selective serotonin reuptake inhibitor should also be a priority, as they are essential for the treatment of individuals with underlying cardiovascular disease and/or suicidal ideation. Similar to successful task-sharing approaches used for HIV/AIDS, mid-level providers could be retrained and certified to prescribe and monitor first-line psychotropic regimens. PMID:26081970

A flexible method to model HIV serodiscordance among couples in Mozambique.

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Adelino J C Juga

Full Text Available Whereas the number of people newly infected by HIV is continuing to decline globally, the epidemic continues to expand in many parts of the world. As the HIV/AIDS epidemic has matured in many countries, it is believed that the proportion of new infections occurring within couples has risen. Across countries, including Mozambique, a sizeable proportion of couples with HIV infection are discordant. A serodiscordant couple is a couple in which one partner has tested positive for HIV and the other has not. To describe the HIV serodiscordance among couples, a variety of association measures can be used. In this paper, we propose the serodiscordance measure (SDM as a new alternative measure. Focus is on the specification of flexible marginal and random effects models for multivariate correlated binary data together with a full-likelihood estimation method, to adequately and directly describe the measure of interest. Fitting joint models allows examining the effects of different risk factors and other covariates on the probability to be HIV positive for each member within a couple, and estimating common effects for both probabilities more efficiently, while accounting for the association between their infection status. Moreover, the interpretation of the proposed association parameter SDM is more direct and relevant and effects of covariates can be studied as well. Results show that the HIV prevalence for the province where a couple was located as well as the union number for the woman within a couple are factors associated with HIV serodiscordance. These findings are important for the Mozambican public health policy makers to design national prevention plans, which include policies to stimulate regular HIV testing for couples as well as adolescents and young adults, prior to getting married or living together as a couple.

Late quaternary savannah history of the Colombian Llanos Orientales from Lagunas Chenevo and Mozambique: A transects synthesis

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Berrio, Juan Carlos; Hooghiemstra, Henry; Behling, Hermann; Botero, Pedro; Klaas Van Der Borg

2002-01-01

A 7000-yr pollen record a 90cm core from Chenevo (4 degrade 05' N, 70 degrade 21' W; 150 m alt.) and a 3500-yr pollen record of a 285-cm core from Mozambique (3 degrade 58' N, 73 degrade 03' W; 175 m alt.) both from the savannahs of the Llanos Orientales, Colombia, are presented. The records show dynamics between open savannah (Poaceae, Cyperaceae), woody savannah (Byrsonima, Curatella, Didymopanax) palm swamp (Mauritia, Mauritiella), and forest and gallery forest taxa. These reflect plant available moisture, i.e. precipitation and length of the dry season, and more latterly human impact. The record from Chenevo shows the following development: from 7260 to 6930 14 Cyr BP en savanna vegetation and gallery forest along the drainage system, from 6930 to 4000 14 C yr BP forest and gallery forest expanded, from 5500 14 C yr BP Mauritia palm forest increased and particularly so from 4000 to 2380 14 C yr BP also in combination with gallery forest expansion, from 2380 14 C yr BP to present day gallery forest, Mauritia and Mauritiella palm forest is most abundant

Assessing spatial patterns of HIV knowledge in rural Mozambique using geographic information systems.

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Buehler, Charlotte P; Blevins, Meridith; Ossemane, Ezequiel B; González-Calvo, Lázaro; Ndatimana, Elisée; Vermund, Sten H; Sidat, Mohsin; Olupona, Omo; Moon, Troy D

2015-03-01

To conduct a cross-sectional mapping analysis of HIV knowledge in Zambézia Province, Mozambique, and to examine spatial patterns of HIV knowledge and associated household characteristics. A population-based cluster survey was administered in 2010; data were analysed from 201 enumeration areas in three geographically diverse districts: Alto Molócuè, Morrumbala and Namacurra. We assessed HIV knowledge scores (0-9 points) using previously validated assessment tools. Using geographic information systems (GIS), we mapped hot spots of high and low HIV knowledge. Our multivariable linear regression model estimated HIV knowledge associations with distance to nearest clinic offering antiretroviral therapy, respondent age, education, household size, number of children under five, numeracy, literacy and district of residence. We found little overall HIV knowledge in all three districts. People in Alto Molócuè knew comparatively most about HIV, with a median score of 3 (IQR 2-5) and 22 of 51 (43%) enumeration areas scoring ≥4 of 9 points. Namacurra district, closest to the capital city and expected to have the best HIV knowledge levels, had a median score of 1 (IQR 0-3) and only 3 of 57 (5%) enumeration areas scoring ≥4 points. More HIV knowledge was associated with more education, age, household size, numeracy and proximity to a health facility offering antiretroviral therapy. HIV knowledge is critical for its prevention and treatment. By pinpointing areas of poor HIV knowledge, programme planners can prioritize educational resources and outreach initiatives within the context of antiretroviral therapy expansion. © 2014 John Wiley & Sons Ltd.

Impact of vaccination on the incidence of measles in Mozambique in the period 2000 to 2011 Impacto de la vacunación sobre la incidencia del sarampión en Mozambique durante el período de 2000-2011 Impacto da vacinação sobre a incidência de sarampo em Moçambique no período de 2000-2011

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Artur Manuel Muloliwa

2013-02-01

Full Text Available The aim of this study was to contribute to the better planning of measles elimination actions in Mozambique, by considering the impact of vaccination actions over the period 2000 to 2011. Descriptive and ecological studies and case records made available by the Ministry of Health were used to analyze measles vaccination coverage. Statistical analysis was performed using time series and spatial analysis. Vaccine coverage rates ranged from 82% to 99%. Coverage rates in Maputo city were under 70% and in Niassa province they were over 100%. Coverage showed a clustered pattern in the districts. The measles incidence rate was 1.58 per 100,000 inhabitants (0.00-40.08 per 100,000 inhabitants; districts bordering neighboring countries presented high incidence rates. Although measles morbidity and mortality has decreased in Mozambique, vaccine coverage has been insufficient to interrupt measles transmission. Enhanced surveillance, including investigation of cases and outbreaks, and improvements in measles vaccination are recommended in order to achieve a homogenous coverage rate of ≥ 95% for both routine and mass vaccination campaigns.El objetivo de este artículo fue analizar las acciones de eliminación del sarampión en Mozambique, considerando el impacto del programa de vacunación a lo largo del período de 2000-2011. Se revisaron los datos de vacunación y casos de sarampión, disponibles en el Ministerio de Salud. Se aplicaron análisis de series temporales y técnicas estadísticas de análisis espacial. Las coberturas variaron entre un 82% y un 99% por nivel. En las provincias, la Ciudad de Maputo tuvo coberturas por debajo de un 70%, mientras que la provincia de Niassa tuvo coberturas por encima de un 100%. Las coberturas presentaron un patrón espacial que se modificó con el tiempo. La tasa de incidencia de sarampión en el país fue de un 1,58 (0,00-40,08 distritos por 100 mil habitantes. Los distritos que tienen fronteras con pa

Healthcare workers' challenges in the implementation of tuberculosis infection prevention and control measures in Mozambique.

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Brouwer, Miranda; Coelho, Eliana; Mosse, Carla das Dores; Brondi, Luciana; Winterton, Laura; van Leth, Frank

2014-01-01

Healthcare Workers (HCWs) have a higher frequency of TB exposure than the general population and have therefore an occupational TB risk that infection prevention and control (IPC) measures aim to reduce. HCWs are crucial in the implementation of these measures. The objective of the study was to investigate Mozambican HCWs' perceptions of their occupational TB risk and the measures they report using to reduce this risk. In addition, we explored the challenges HCWs encounter while using these TBIPC measures. Focus group discussion. Analysis according content method. Four categories of HCWs: auxiliary workers, medical (doctors and clinical officers), nurses and TB program staff. HCWs are aware of their occupational TB risk and use various measures to reduce their risk of infection. HCWs find it challenging to employ measures that minimize such risks and a lack of clear guidelines contributes to these challenges. HCWs' and patient behavior further complicate the use of TBIPC measures. HCWs in Mozambique perceive a high occupational risk of TB infection. They report several challenges using measures to reduce this risk such as shortage of material, lack of clear guidelines, insufficient motivation and inadequate training. Robust training with motivational approaches, alongside supervision and support for HCWs could improve implementation of TBIPC measures. Healthcare management should address the areas for improvement that are beyond the individual HCW's control.

Validity of a minimally invasive autopsy tool for cause of death determination in pediatric deaths in Mozambique: An observational study

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Jordao, Dercio; Lovane, Lucilia; Nhampossa, Tacilta; Santos Ritchie, Paula; Bandeira, Sónia; Sambo, Calvino; Chicamba, Valeria; Ismail, Mamudo R.; Carrilho, Carla; Lorenzoni, Cesaltina; Fernandes, Fabiola; Cisteró, Pau; Mayor, Alfredo; Cossa, Anelsio; Mandomando, Inacio; Navarro, Mireia; Casas, Isaac; Vila, Jordi; Munguambe, Khátia; Quintó, Llorenç; Macete, Eusebio; Alonso, Pedro; Menéndez, Clara; Ordi, Jaume

2017-01-01

Background In recent decades, the world has witnessed unprecedented progress in child survival. However, our knowledge of what is killing nearly 6 million children annually in low- and middle-income countries remains poor, partly because of the inadequacy and reduced precision of the methods currently utilized in these settings to investigate causes of death (CoDs). The study objective was to validate the use of a minimally invasive autopsy (MIA) approach as an adequate and more acceptable substitute for the complete diagnostic autopsy (CDA) for pediatric CoD investigation in a poor setting. Methods and findings In this observational study, the validity of the MIA approach in determining the CoD was assessed in 54 post-neonatal pediatric deaths (age range: ≥1 mo to 15 y) in a referral hospital of Mozambique by comparing the results of the MIA with those of the CDA. Concordance in the category of disease obtained by the two methods was evaluated by the Kappa statistic, and the sensitivity, specificity, and positive and negative predictive values of the MIA diagnoses were calculated. A CoD was identified in all cases in the CDA and in 52/54 (96%) of the cases in the MIA, with infections and malignant tumors accounting for the majority of diagnoses. The MIA categorization of disease showed a substantial concordance with the CDA categorization (Kappa = 0.70, 95% CI 0.49–0.92), and sensitivity, specificity, and overall accuracy were high. The ICD-10 diagnoses were coincident in up to 75% (36/48) of the cases. The MIA allowed the identification of the specific pathogen deemed responsible for the death in two-thirds (21/32; 66%) of all deaths of infectious origin. Discrepancies between the MIA and the CDA in individual diagnoses could be minimized with the addition of some basic clinical information such as those ascertainable through a verbal autopsy or clinical record. The main limitation of the analysis is that both the MIA and the CDA include some degree of expert

A Cross-Sectional Study on the Diet and Nutritional Status of Adolescent Girls in Zambézia Province, Mozambique (the ZANE Study): Design, Methods, and Population Characteristics

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Freese, Riitta; Fidalgo, Lourdes; Selvester, Kerry; Ismael, Carina; Mutanen, Marja

2014-01-01

Background There is very little published work on dietary intake and nutritional status of Mozambicans. We conducted a population-based cross-sectional study on the diet and nutritional status of adolescent girls in different types of communities in Zambézia Province, Central Mozambique, in two distinct seasons. Objective The purpose of this paper is to present the design, methods, and study population characteristics of the Estudo do Estado Nutricional e da Dieta em Raparigas Adolescentes na Zambézia (the ZANE Study). Methods Data was collected in January-February 2010 ("hunger season") and in May-June 2010 ("harvest season"). A total of 551 girls in the age group 14-19 years old were recruited from one urban area and two districts (district towns and rural villages). The study protocol included a background interview, a 24-hour dietary recall interview, a food frequency questionnaire, anthropometric measurements, bioimpedance, hemoglobin measurement, and venous blood, urine, buccal cell, and fecal sampling. Results Adolescent motherhood was common in all study regions. Stunting prevalence for the total study population as a weighted percentage was 17.8% (95/549; 95% CI 14.3-22.0) with no regional differences. Overweight was found mainly in the urban area where the prevalence was 12.6% (20/159; 95% CI 7.5-17.6), thinness was rare. There were regional differences in the prevalence of malaria parasitemia and intestinal helminth infestation, but not human immunodeficiency virus. Conclusions The fully analyzed data from the ZANE Study will yield results useful for setting priorities in nutrition policy and further research on the diet and nutritional status in Mozambique and other countries with similar nutritional problems. Trial Registration ClinicalTrials.gov: NCT01944891; http://www.clinicaltrials.gov/ct2/show/NCT01944891 (Archived by WebCite at http://www.webcitation.org/6L9OUrsq8). PMID:24598035

A controlled, before-and-after trial of an urban sanitation intervention to reduce enteric infections in children: research protocol for the Maputo Sanitation (MapSan) study, Mozambique

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Brown, Joe; Cumming, Oliver; Bartram, Jamie; Cairncross, Sandy; Ensink, Jeroen; Holcomb, David; Knee, Jackie; Kolsky, Peter; Liang, Kaida; Liang, Song; Nala, Rassul; Norman, Guy; Rheingans, Richard; Stewart, Jill; Zavale, Olimpio; Zuin, Valentina; Schmidt, Wolf-Peter

2015-01-01

Introduction Access to safe sanitation in low-income, informal settlements of Sub-Saharan Africa has not significantly improved since 1990. The combination of a high faecal-related disease burden and inadequate infrastructure suggests that investment in expanding sanitation access in densely populated urban slums can yield important public health gains. No rigorous, controlled intervention studies have evaluated the health effects of decentralised (non-sewerage) sanitation in an informal urban setting, despite the role that such technologies will likely play in scaling up access. Methods and analysis We have designed a controlled, before-and-after (CBA) trial to estimate the health impacts of an urban sanitation intervention in informal neighbourhoods of Maputo, Mozambique, including an assessment of whether exposures and health outcomes vary by localised population density. The intervention consists of private pour-flush latrines (to septic tank) shared by multiple households in compounds or household clusters. We will measure objective health outcomes in approximately 760 children (380 children with household access to interventions, 380 matched controls using existing shared private latrines in poor sanitary conditions), at 2 time points: immediately before the intervention and at follow-up after 12 months. The primary outcome is combined prevalence of selected enteric infections among children under 5 years of age. Secondary outcome measures include soil-transmitted helminth (STH) reinfection in children following baseline deworming and prevalence of reported diarrhoeal disease. We will use exposure assessment, faecal source tracking, and microbial transmission modelling to examine whether and how routes of exposure for diarrhoeagenic pathogens and STHs change following introduction of effective sanitation. Ethics Study protocols have been reviewed and approved by human subjects review boards at the London School of Hygiene and Tropical Medicine, the

Oficinas pedagógicas en red como estrategia de mejora de la formación del profesorado en Mozambique

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Irene Martínez Martín

2015-01-01

Full Text Available El desarrollo, asumido como empoderamiento de las poblaciones, se incluye como objetivo a alcanzar desde la educación, entendida como medio para mejorar la calidad de vida de las personas, transformando y promoviendo las capacidades de cada una de ellas en base a ese desarrollo. Una formación del profesorado de calidad, mejora las iniciativas de promoción educativa y fomenta un desarrollo integral. Este será el objetivo del artículo, sustentado en este enfoque y atendiendo a diversos estudios e investigaciones cualitativas enmarcada en proyectos de cooperación interuniversitaria realizados en Mozambique. El artículo propone un plan de acción para fortalecer una red de Oficinas Pedagógicas, la cual aglutine y amplíe los recursos para la formación del profesorado, respondiendo a principios de formación críticos y emancipadores, teniendo en cuenta las características contextuales, la acción comunitaria y la sostenibilidad como elementos sustentadores de la misma.

Assessing the benefits of five years of different approaches to treatment of urogenital schistosomiasis: A SCORE project in Northern Mozambique.

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Anna E Phillips

2017-12-01

Full Text Available In Mozambique, schistosomiasis is highly endemic across the whole country. The Schistosomiasis Consortium for Operational Research and Evaluation (SCORE coordinates a five-year study that has been implemented in various African countries, including Mozambique. The overall goal of SCORE was to better understand how to best apply preventive chemotherapy with praziquantel (PZQ for schistosomiasis control by evaluating the impact of alternative treatment approaches.This was a cluster-randomised trial that compared the impact of different treatment strategies in study areas with prevalence among school children of ≥21% S. haematobium infection by urine dipstick. Each village was randomly allocated to one of six possible combinations of community-wide treatment (CWT, school-based treatment (SBT, and/or drug holidays over a period of four years, followed by final data collection in the fifth year. The most intense intervention arm involved four years of CWT, while the least intensive arm involved two years of SBT followed by two consecutive years of PZQ holiday. Each study arm included 25 villages randomly assigned to one of the six treatment arms. The primary outcome of interest was change in prevalence and intensity of S. haematobium among 100 children aged 9-to-12-years that were sampled each year in every village. In addition to children aged 9-to-12 years, 100 children aged 5-8 years in their first-year of school and 50 adults (aged 20-55 years were tested in the first and final fifth year of the study. Prevalence and intensity of S. haematobium infection was evaluated by two filtrations, each of 10mL, from a single urine specimen.In total, data was collected from 81,167 individuals across 149 villages in ten districts of Cabo Delgado province, Northern Mozambique. Overall PZQ treatment resulted in a significant reduction in the prevalence of S. haematobium infection from Year 1 to Year 5, where the average prevalence went from 60.5% to 38

Effectiveness of Community Dialogue in Changing Gender and Sexual Norms for HIV Prevention: Evaluation of the Tchova Tchova Program in Mozambique.

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Figueroa, Maria Elena; Poppe, Patricia; Carrasco, Maria; Pinho, Maria Dirce; Massingue, Felisberto; Tanque, Maria; Kwizera, Amata

2016-05-01

Structural HIV prevention interventions have gained prominence as ways to address underlying social and cultural factors that fuel the HIV epidemic. Identifying theories that explain how structural interventions are expected to change such factors can substantially increase their success. The Tchova Tchova community dialogue program, a theory-based intervention implemented in 2009-2010 in the provinces of Zambezia and Sofala, Mozambique, aimed to change gender and sexual norms for HIV prevention. Through facilitated sessions, the program sparked critical thinking and open dialogue among participants. This article measures the program's effectiveness based on a sample of 462 participants and 453 nonparticipants. The results show that the program was successful in producing changes in three of the underlying structural factors of HIV: gender attitudes, gender roles, and HIV stigma. The program was also successful in changing other factors associated with HIV infection, including HIV prevention knowledge, discussion of HIV between sex partners, and having multiple sex partners.

The osmoregulatory effects of rearing Mozambique tilapia in a tidally changing salinity.

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Moorman, Benjamin P; Inokuchi, Mayu; Yamaguchi, Yoko; Lerner, Darren T; Grau, E Gordon; Seale, Andre P

2014-10-01

The native distribution of Mozambique tilapia, Oreochromis mossambicus, is characterized by estuarine areas subject to salinity variations between fresh water (FW) and seawater (SW) with tidal frequency. Osmoregulation in the face of changing environmental salinity is largely mediated through the neuroendocrine system and involves the activation of ion uptake and extrusion mechanisms in osmoregulatory tissues. We compared plasma osmolality, plasma prolactin (PRL), pituitary PRL mRNA, and mRNA of branchial ion pumps, transporters, channels, and PRL receptors in tilapia reared in FW, SW, brackish water (BW) and in tidally-changing salinity, which varied between FW (TF) and SW (TS) every 6h. Plasma PRL was higher in FW tilapia than in SW, BW, TF, and TS tilapia. Unlike tilapia reared in FW or SW, fish in salinities that varied tidally showed no correlation between plasma osmolality and PRL. In FW fish, gene expression of PRL receptor 1 (PRLR1), Na(+)/Cl(-) cotransporter (NCC), aquaporin 3 (AQP3) and two isoforms of Na(+)/K(+)-ATPase (NKA α1a and NKA α1b) was higher than that of SW, BW or tidally-changing salinity fish. Gene expression of the Na(+)/K(+)/2Cl(-) cotransporter (NKCC1a), and the cystic fibrosis transmembrane conductance regulator (CFTR) were higher in fish in SW, BW or a tidally-changing salinity than in FW fish. Immunocytochemistry revealed that ionocytes of fish in tidally-changing salinities resemble ionocytes of SW fish. This study indicated that tilapia reared in a tidally-changing salinity can compensate for large changes in external osmolality while maintaining osmoregulatory parameters within a narrow range closer to that observed in SW-acclimated fish. Copyright © 2014 Elsevier Inc. All rights reserved.

When good practices by water committees are not relevant: Sustainability of small water infrastructures in semi-arid mozambique

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Ducrot, Raphaëlle

2017-12-01

This paper explores the contradiction between the need for large scale interventions in rural water supplies and the need for flexibility when providing support for community institutions, by investigating the implementation of the Mozambique - National Rural Water Supply and Sanitation Program in a semi-arid district of the Limpopo Basin. Our results showed that coordinated leadership by key committee members, and the level of village governance was more important for borehole sustainability than the normative functioning of the committee. In a context in which the centrality of leadership prevails over collective action the sustainability of rural water infrastructure derives from the ability of leaders to motivate the community to provide supplementary funding. This, in turn, depends on the added value to the community of the water points and on village politics. Any interventions that increased community conflicts, for example because of lack of transparency or unequitable access to the benefit of the intervention, weakened the coordination and the collective action capacity of the community and hence the sustainability of the infrastructures even if the intervention was not directly related to water access. These results stress the importance of the project/program implementation pathway.

Partial pressure (or fugacity) of carbon dioxide, salinity and other variables collected from Surface underway observations using Carbon dioxide (CO2) gas analyzer, Shower head chamber equilibrator for autonomous carbon dioxide (CO2) measurement and other instruments from MIRAI in the Indian Ocean, Mozambique Channel and South Atlantic Ocean from 2003-12-09 to 2004-01-24 (NCEI Accession 0144250)

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National Oceanic and Atmospheric Administration, Department of Commerce — NCEI Accession 0144250 includes Surface underway data collected from MIRAI in the Indian Ocean, Mozambique Channel and South Atlantic Ocean from 2003-12-09 to...

External governance and the EU policy for sustainable biofuels, the case of Mozambique

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Di Lucia, Lorenzo

2010-01-01

Growing demand for transport biofuels in the EU is driving an expansion of the industry in developing countries. Large-scale production of energy crops for biofuel, if mismanaged, could cause detrimental environmental and social impacts. The aim of this study is to examine whether the newly adopted EU Directive 2009/28/EC and its sustainability certification system can effectively ensure sustainable production of biofuels outside the EU. Mozambique, a least developed country with biofuels ambitions, is selected as empirical case. The effectiveness of the EU policy in analysed employing ideal models of external governance (hierarchical, market and network governance) as analytical framework. The findings show that the EU attempts to impose its rules and values on sustainable biofuels using its leverage through trade. The market approach adopted by the EU is expected to produce only unstable (subject to abrupt changes of market prices and demand) and thin (limited to climate and biodiversity issues) policy results. Stronger emphasis on a network oriented approach based on substantial involvement of foreign actors, and on international policy legitimacy is suggested as a way forward. - Research highlights: →The EU attempts to impose its rules and values on sustainable biofuels using its leverage through trade. →The market approach adopted by the EU is expected to produce only unstable (subject to abrupt changes of market prices and demand) and thin (limited to climate and biodiversity issues) policy results.→In order to promote simultaneously stable and substantial impacts, the EU governance approach based on market access should be integrated with a network mode of governance based on policy legitimacy.

Risky sexual behaviour among women: Does economic empowerment matter? Case of Gabon, Mozambique, Sierra-Leone and Zambia.

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Odimegwu, Clifford O; De Wet, Nicole; Banda, Pamela C

2016-12-01

The link between economic empowerment and high risky sexual behaviour has been debated by different scholars in various settings. However, no consistently clear connection between poverty and lack of education has been found regarding engagement in risky sexual behaviour. Also, not much research has been done to examine the strength of these relationships for adolescents and women. The objectives of this study were to assess the relationship between female economic empowerment and risky sexual behaviour in Africa. Using the latest Demographic and Health Surveys Data (DHS 2011-2014) from Gabon, Mozambique, Sierra Leone and Zambia, univariate, bivariate and multivariate analysis was done on women aged 15 to 49 to examine the patterns of and differences in the association between women's economic empowerment and risky sexual behaviour. The findings both at community and individual level indicate that empowered women (higher education and wealth household) and adolescents aged 15 to 19 are highly significantly associated with engagement in high risky behaviour. The result of this study stresses the need to look further than individual factors in the quest to resolve risky sexual behaviour in Africa. The interrelations between female economic empowerment and engagement in risky sexual behaviour are more complicated and less straightforward than usually presumed.

Drivers' and conductors' views on the causes and ways of preventing workplace violence in the road passenger transport sector in Maputo City, Mozambique

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Tillgren Per

2011-10-01

Full Text Available Abstract Background Workplace violence (WPV is an occupational health hazard in both low and high income countries. To design WPV prevention programs, prior knowledge and understanding of conditions in the targeted population are essential. This study explores and describes the views of drivers and conductors on the causes of WPV and ways of preventing it in the road passenger transport sector in Maputo City, Mozambique. Methods The design was qualitative. Participants were purposefully selected from among transport workers identified as victims of WPV in an earlier quantitative study, and with six or more years of experience in the transport sector. Data were collected in semi-structured interviews. Seven open questions covered individual views on causes of WPV and its prevention, based on the interviewees' experiences of violence while on duty. Thirty-two transport professionals were interviewed. The data were analyzed by means of qualitative content analysis. Results The triggers and causes of violence included fare evasion, disputes over revenue owing to owners, alcohol abuse, overcrowded vehicles, and unfair competition for passengers. Failures to meet passenger expectations, e.g. by-passing parts of a bus route or missing stops, were also important. There was disrespect on the part of transport workers, e.g. being rude to passengers and jumping of queues at taxi ranks, and there were also robberies. Proposals for prevention included: training for workers on conflict resolution, and for employers on passenger-transport administration; and, promoting learning among passengers and workers on how to behave when traveling collectively. Regarding control and supervision, there were expressed needs for the recording of mileage, and for the sanctioning of workers who transgress queuing rules at taxi ranks. The police or supervisors should prevent drunken passengers from getting into vehicles, and drivers should refuse to go to dangerous, secluded

Regarding realities: Using photo-based projective techniques to elicit normative and alternative discourses on gender, relationships, and sexuality in Mozambique.

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Holman, Emily S; Harbour, Catherine K; Azevedo Said, Rosa Valéria; Figueroa, Maria Elena

2016-01-01

This paper argues for the methodological merit of photo-based projective techniques (PT) in formative HIV communication research. We used this technique in Mozambique to study multiple sexual partnerships (MSPs) and the roles of social and gender norms in promoting or discouraging these behaviours. Facilitators used ambiguous photographs and vignettes to ease adult men and women into discussions of sexual risk behaviour and HIV transmission. Visuals upheld a third-person perspective in discussions, enabling participants to safely project their worldviews onto the photographed characters, and indirectly share their attitudes, normative environments, personal and peer experiences, perceived risks and benefits, and theories about motivations for extramarital sex. Visually grounded storylines contained rich detail about the circumstances and interpersonal conversations that contextualise MSP behaviour and norms. The research yielded findings about conflicting social practices of public encouragement and private disapproval. Despite concerns around the verifiability of PTs, the repetition and convergence in the elicited conversations - and confirmation through subsequent campaign design and evaluation - suggest these techniques can reliably elicit information for formative public health and communication research on psychosocial and normative factors.

Soil carbon sequestration, carbon markets, and conservation agriculture practices: A hypothetical examination in Mozambique

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Timoteo E. Simone

2017-09-01

Full Text Available Payments for Environmental Services (PES are relatively novel mechanisms whereby the adoption of sustainable management practices by a stakeholder is rewarded by incentives linked to external markets. Adoption of PES for conservation agricultural practices (CAPS by smallholder farmers may provide opportunities to increase household income or cover the technology costs of adoption if the carbon sequestration benefits of CAPS are quantifiable, adoption rates are accelerated and maintained, a mechanism exists whereby carbon sequestration services can be compensated, and carbon offset exchange markets are viable. This research suggests a methodology to examine a PES market for carbon offsets generated by the adoption of CAPS by farmers in Mozambique. Assuming a cumulative adoption of 60% over a 20-year period, revenue from PES market participation to CA adopters was two times higher than revenue earned when disadoption occurred midway through the simulation. Lower adoption targets are associated with higher per household returns when fertilizer rates typical to the region are increased. Establishing and maintaining a sustainable PES system in the study region would require significant investment in time and resources. The lack of on-the-ground institutions or local support for such a program would also challenge successful implementation. Finally, the programs where participant success depends on external markets, such as the hypothetical one suggested here, are subject to the ebb and flow of foreign demand for carbon offsets. Addressing these three broad constraints to a PES/CAPS program in the region would require grass-roots driven policy initiatives with buy-in at multiple social, economic, and political levels.

Spatial vulnerability assessment : methodology for the community and district level applied to floods in Buzi, Mozambique

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Kienberger, S.

2010-01-01

Within this thesis a conceptual model is presented which allows for the definition of a vulnerability assessment according to its time and spatial scale and within a multi-dimensional framework, which should help to design and develop appropriate methodologies and adaptation of concepts for the required scale of implementation. Building on past experiences with participatory approaches in community mapping in the District of Buzi in Mozambique, the relevance of such approaches for a community-based disaster risk reduction framework is analysed. Finally, methodologies are introduced which allow the assessment of vulnerability and the prioritisation of vulnerability factors at the community level. At the district level, homogenous vulnerability regions are identified through the application of integrated modelling approaches which build on expert knowledge and weightings. A set of indicators is proposed, which allow the modelling of vulnerability in a data-scarce environment. In developing these different methodologies for the community and district levels, it has been identified that the monitoring of vulnerability and the identification of trends is essential to addressing the objective of a continuous and improved disaster risk management. In addition to the technical and methodological challenges discussed in this thesis, the commitment from different stakeholders and the availability of capacity in different domains is essential for the successful, practical implementation of the developed approaches. (author)

Age-specific mortality patterns in Central Mozambique during and after the end of the Civil War

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Pearson R John C

2011-05-01

Full Text Available Abstract Background In recent years, vigorous debate has developed concerning how conflicts contribute to the spread of infectious diseases, and in particular, the role of post-conflict situations in the epidemiology of HIV/AIDS. This study details the age-specific mortality patterns among the population in the central provincial capital of Beira, Mozambique, during and after the Mozambican civil war which ended in 1992. Methods Data was collected from the death register at Beira's Central Hospital between 1985 and 2003 and descriptively analyzed. Results The data show two distinct periods: before and after the peace agreements in 1992. Before 1992 (during the civil war, the main impact of mortality was on children below 5 years of age, including still births, accounting for 58% of all deaths. After the war ended in 1992, the pattern shifted dramatically and rapidly to the 15-49 year old age group which accounted for 49% of all deaths by 2003. Conclusions As under-5 mortality rates were decreasing at the end of the conflict, rates for 24-49 year old adults began to dramatically increase due to AIDS. This study demonstrates that strategies can be implemented during conflicts to decrease mortality rates in one vulnerable population but post-conflict dynamics can bring together other factors which contribute to the rapid spread of other infectious diseases in other vulnerable populations.

Age-specific mortality patterns in Central Mozambique during and after the end of the Civil War.

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Noden, Bruce H; Pearson, R John C; Gomes, Aurelio

2011-05-26

In recent years, vigorous debate has developed concerning how conflicts contribute to the spread of infectious diseases, and in particular, the role of post-conflict situations in the epidemiology of HIV/AIDS. This study details the age-specific mortality patterns among the population in the central provincial capital of Beira, Mozambique, during and after the Mozambican civil war which ended in 1992. Data was collected from the death register at Beira's Central Hospital between 1985 and 2003 and descriptively analyzed. The data show two distinct periods: before and after the peace agreements in 1992. Before 1992 (during the civil war), the main impact of mortality was on children below 5 years of age, including still births, accounting for 58% of all deaths. After the war ended in 1992, the pattern shifted dramatically and rapidly to the 15-49 year old age group which accounted for 49% of all deaths by 2003. As under-5 mortality rates were decreasing at the end of the conflict, rates for 24-49 year old adults began to dramatically increase due to AIDS. This study demonstrates that strategies can be implemented during conflicts to decrease mortality rates in one vulnerable population but post-conflict dynamics can bring together other factors which contribute to the rapid spread of other infectious diseases in other vulnerable populations.

Data uncertainties in material flow analysis: Municipal solid waste management system in Maputo City, Mozambique.

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Dos Muchangos, Leticia Sarmento; Tokai, Akihiro; Hanashima, Atsuko

2017-01-01

Material flow analysis can effectively trace and quantify the flows and stocks of materials such as solid wastes in urban environments. However, the integrity of material flow analysis results is compromised by data uncertainties, an occurrence that is particularly acute in low-and-middle-income study contexts. This article investigates the uncertainties in the input data and their effects in a material flow analysis study of municipal solid waste management in Maputo City, the capital of Mozambique. The analysis is based on data collected in 2007 and 2014. Initially, the uncertainties and their ranges were identified by the data classification model of Hedbrant and Sörme, followed by the application of sensitivity analysis. The average lower and upper bounds were 29% and 71%, respectively, in 2007, increasing to 41% and 96%, respectively, in 2014. This indicates higher data quality in 2007 than in 2014. Results also show that not only data are partially missing from the established flows such as waste generation to final disposal, but also that they are limited and inconsistent in emerging flows and processes such as waste generation to material recovery (hence the wider variation in the 2014 parameters). The sensitivity analysis further clarified the most influencing parameter and the degree of influence of each parameter on the waste flows and the interrelations among the parameters. The findings highlight the need for an integrated municipal solid waste management approach to avoid transferring or worsening the negative impacts among the parameters and flows.

The World Commission on Dams: A fundamental step towards integrated water resources management and poverty reduction? A pilot case in the Lower Zambezi, Mozambique

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Scodanibbio, Lucia; Mañez, Gustavo

The Cahora Bassa dam in the Lower Zambezi has undoubtedly brought varied economic benefits (such as hydroelectricity) to Mozambique. There is also, however, evidence of certain negative impacts that have increased the vulnerability of downstream populations. Specifically, current water management practices in the Zambezi have affected people’s livelihoods by the frequent unpredictable releases of water that wash away riverbank crops, impoverish fish stocks and fish habitat, and threaten the valuable shrimp exports. These releases have also worsened the effects of large floods, for example the floods of 2001. The ecosystem of the Zambezi delta, which is a Ramsar site, has also suffered since Cahora Bassa’s regulation. The Mozambican government is proposing to construct a new dam downstream of Cahora Bassa at Mphanda Nkuwa. In the feasibility study, there was no due consideration of rural downstream communities and their livelihoods. This has left many potentially affected people uninformed and vulnerable to the risks associated with the new development. The new dam is likely to worsen the already severe impacts of Cahora Bassa. The World Commission on Dams (WCD) developed seven strategic priorities, designed to inform all decisions related to future dam developments. These priorities follow principles of public participation, social equity, environmental sustainability, economic efficiency and accountability. The WCD proposed best-practice guidelines for both addressing existing dams and for any future ones which are planned. According to the WCD, affected communities have a right to participate in the decision to build a dam, they should be the first to benefit from the project, and the rivers on which their livelihoods are based should be protected. Stakeholder participation is one of the fundamental components of integrated water resources management (IWRM). For effective participation in dam projects, affected people need to be empowered, have access to

Comparison of Two Independent Mapping Exercises in the Primeiras and Segundas Archipelago, Mozambique

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Luisa Teixeira

2016-01-01

Full Text Available Production of coral reef habitat maps from high spatial resolution multispectral imagery is common practice and benefits from standardized accuracy assessment methods and many informative studies on the merits of different processing algorithms. However, few studies consider the full production workflow, including factors such as operator influence, visual interpretation and a-priori knowledge. An end-user might justifiably ask: Given the same imagery and field data, how consistent would two independent production efforts be? This paper is a post-study analysis of a project in which two teams of researchers independently produced maps of six coral reef systems of the archipelago of the Primeiras and Segundas Environmental Protected Area (PSEPA, Mozambique. Both teams used the same imagery and field data, but applied different approaches—pixel based vs. object based image analysis—and used independently developed classification schemes. The results offer a unique perspective on the map production process. Both efforts resulted in similar merged classes accuracies, averaging at 63% and 64%, but the maps were distinct in terms of scale of spatial patterns, classification disparities, and in other aspects where the mapping process is reliant on visual interpretation. Despite the difficulty in aligning the classification schemes clear patterns of correspondence and discrepancy were identified. The maps were consistent with respect to geomorphological level mapping (17 out of 30 paired comparisons at more than 75% agreement, and also agreed in the extent of coral containing areas within a difference of 16% across the archipelago. However, more detailed benthic habitat level classes were inconsistent. Mapping of deep benthic cover was the most subjective result and dependent on operator visual interpretation, yet this was one of the results of highest interest for the PSEPA management since it revealed a continuity of benthos between the islands

A qualitative assessment of a community antiretroviral therapy group model in Tete, Mozambique.

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Freya Rasschaert

Full Text Available BACKGROUND: To improve retention on ART, Médecins Sans Frontières, the Ministry of Health and patients piloted a community-based antiretroviral distribution and adherence monitoring model through Community ART Groups (CAG in Tete, Mozambique. By December 2012, almost 6000 patients on ART had formed groups of whom 95.7% were retained in care. We conducted a qualitative study to evaluate the relevance, dynamic and impact of the CAG model on patients, their communities and the healthcare system. METHODS: Between October 2011 and May 2012, we conducted 16 focus group discussions and 24 in-depth interviews with the major stakeholders involved in the CAG model. Audio-recorded data were transcribed verbatim and analysed using a grounded theory approach. RESULTS: Six key themes emerged from the data: 1 Barriers to access HIV care, 2 CAG functioning and actors involved, 3 Benefits for CAG members, 4 Impacts of CAG beyond the group members, 5 Setbacks, and 6 Acceptance and future expectations of the CAG model. The model provides cost and time savings, certainty of ART access and mutual peer support resulting in better adherence to treatment. Through the active role of patients, HIV information could be conveyed to the broader community, leading to an increased uptake of services and positive transformation of the identity of people living with HIV. Potential pitfalls included limited access to CAG for those most vulnerable to defaulting, some inequity to patients in individual ART care and a high dependency on counsellors. CONCLUSION: The CAG model resulted in active patient involvement and empowerment, and the creation of a supportive environment improving the ART retention. It also sparked a reorientation of healthcare services towards the community and strengthened community actions. Successful implementation and scalability requires (a the acceptance of patients as partners in health, (b adequate resources, and (c a well-functioning monitoring and

A controlled, before-and-after trial of an urban sanitation intervention to reduce enteric infections in children: research protocol for the Maputo Sanitation (MapSan) study, Mozambique.

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Brown, Joe; Cumming, Oliver; Bartram, Jamie; Cairncross, Sandy; Ensink, Jeroen; Holcomb, David; Knee, Jackie; Kolsky, Peter; Liang, Kaida; Liang, Song; Nala, Rassul; Norman, Guy; Rheingans, Richard; Stewart, Jill; Zavale, Olimpio; Zuin, Valentina; Schmidt, Wolf-Peter

2015-06-18

Access to safe sanitation in low-income, informal settlements of Sub-Saharan Africa has not significantly improved since 1990. The combination of a high faecal-related disease burden and inadequate infrastructure suggests that investment in expanding sanitation access in densely populated urban slums can yield important public health gains. No rigorous, controlled intervention studies have evaluated the health effects of decentralised (non-sewerage) sanitation in an informal urban setting, despite the role that such technologies will likely play in scaling up access. We have designed a controlled, before-and-after (CBA) trial to estimate the health impacts of an urban sanitation intervention in informal neighbourhoods of Maputo, Mozambique, including an assessment of whether exposures and health outcomes vary by localised population density. The intervention consists of private pour-flush latrines (to septic tank) shared by multiple households in compounds or household clusters. We will measure objective health outcomes in approximately 760 children (380 children with household access to interventions, 380 matched controls using existing shared private latrines in poor sanitary conditions), at 2 time points: immediately before the intervention and at follow-up after 12 months. The primary outcome is combined prevalence of selected enteric infections among children under 5 years of age. Secondary outcome measures include soil-transmitted helminth (STH) reinfection in children following baseline deworming and prevalence of reported diarrhoeal disease. We will use exposure assessment, faecal source tracking, and microbial transmission modelling to examine whether and how routes of exposure for diarrhoeagenic pathogens and STHs change following introduction of effective sanitation. Study protocols have been reviewed and approved by human subjects review boards at the London School of Hygiene and Tropical Medicine, the Georgia Institute of Technology, the University of

High rates of HIV seroconversion in pregnant women and low reported levels of HIV testing among male partners in Southern Mozambique: results from a mixed methods study.

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Caroline De Schacht

Full Text Available INTRODUCTION: Prevention of acute HIV infections in pregnancy is required to achieve elimination of pediatric HIV. Identification and support for HIV negative pregnant women and their partners, particularly serodiscordant couples, are critical. A mixed method study done in Southern Mozambique estimated HIV incidence during pregnancy, associated risk factors and factors influencing partner's HIV testing. METHODS: Between April 2008 and November 2011, a prospective cohort of 1230 HIV negative pregnant women was followed during pregnancy. A structured questionnaire, HIV testing, and collection of dried blood spots were done at 2-3 scheduled visits. HIV incidence rates were calculated by repeat HIV testing and risk factors assessed by Poisson regression. A qualitative study including 37 individual interviews with men, women, and nurses and 11 focus group discussions (n = 94 with men, women and grandmothers explored motivators and barriers to uptake of male HIV testing. RESULTS: HIV incidence rate was estimated at 4.28/100 women-years (95%CI: 2.33-7.16. Significant risk factors for HIV acquisition were early sexual debut (RR 3.79, 95%CI: 1.04-13.78, p = 0.04 and living in Maputo Province (RR 4.35, 95%CI: 0.97-19.45, p = 0.05. Nineteen percent of women reported that their partner had tested for HIV (93% knew the result with 8/213 indicating an HIV positive partner, 56% said their partner had not tested and 19% did not know their partner test status. Of the 14 seroconversions, only one reported being in a serodiscordant relationship. Fear of discrimination or stigma was reported as a key barrier to male HIV testing, while knowing the importance of getting tested and receiving care was the main motivator. CONCLUSIONS: HIV incidence during pregnancy is high in Southern Mozambique, but knowledge of partners' HIV status remains low. Knowledge of both partners' HIV status is critical for maximal effectiveness of prevention and treatment services to reach

Working toward a sustainable laboratory quality improvement programme through country ownership: Mozambique's SLMTA story.

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Masamha, Jessina; Skaggs, Beth; Pinto, Isabel; Mandlaze, Ana Paula; Simbine, Carolina; Chongo, Patrina; de Sousa, Leonardo; Kidane, Solon; Yao, Katy; Luman, Elizabeth T; Samogudo, Eduardo

2014-01-01

Launched in 2009, the Strengthening Laboratory Management Toward Accreditation (SLMTA) programme has emerged as an innovative approach for the improvement of laboratory quality. In order to ensure sustainability, Mozambique embedded the SLMTA programme within the existing Ministry of Health (MOH) laboratory structure. This article outlines the steps followed to establish a national framework for quality improvement and embedding the SLMTA programme within existing MOH laboratory systems. The MOH adopted SLMTA as the national laboratory quality improvement strategy, hired a dedicated coordinator and established a national laboratory quality technical working group comprising mostly personnel from key MOH departments. The working group developed an implementation framework for advocacy, training, mentorship, supervision and audits. Emphasis was placed on building local capacity for programme activities. After receiving training, a team of 25 implementers (18 from the MOH and seven from partner organisations) conducted baseline audits (using the Stepwise Laboratory Quality Improvement Process Towards Accreditation [SLIPTA] checklist), workshops and site visits in six reference and two central hospital laboratories. Exit audits were conducted in six of the eight laboratories and their results are presented. The six laboratories demonstrated substantial improvement in audit scores; median scores increased from 35% at baseline to 57% at exit. It has been recommended that the National Tuberculosis Reference Laboratory apply for international accreditation. Successful implementation of SLMTA requires partnership between programme implementers, whilst effectiveness and long-term viability depend on country leadership, ownership and commitment. Integration of SLMTA into the existing MOH laboratory system will ensure durability beyond initial investments. The Mozambican model holds great promise that country leadership, ownership and institutionalisation can set the stage for

Determinants of antibiotic prescription in paediatric patients: The case of two hospitals in Maputo, Mozambique

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L G S Monteiro

2017-10-01

Full Text Available Background. The need for healthcare in paediatric patients is often due to respiratory diseases, acute diarrhoea and viral fever, which suggests a limited need for the use of antibiotics. Objectives. To identify the determinants of antibiotic prescription in hospitalised paediatric patients in Mozambique. Methods. A cross-sectional study was conducted between January and June 2015. A total of 454 medical prescriptions and clinical records of children aged 0 - 14 years from Hospital Central de Maputo (HCM and Hospital Geral de Mavalane (HGM were analysed. Results. Antibiotics were used in 97.6% of the patients, with no significant differences (p>0.05 in the prescription rates of the hospitals. The most commonly used antibiotics were beta-lactams (57.3%, aminoglycosides (28.3% and co-trimoxazole (9.4%. Antibiotics were prescribed in all cases of bronchopneumonia, fever, sepsis and acute gastroenteritis. For malaria and undefined diagnoses, antibiotics were prescribed 97.8% and 99.3% of cases, respectively. It was clear that most severe clinical conditions (odds ratio (OR 9.06; 1.13 - 12.14 and age <5 years (OR 5.47;1.54 - 7.60 were treated with antibiotics. Conclusion. The prescription of antibiotics for paediatric patients at both HCM and HGM was largely influenced by patients’ clinical condition and age. It showed that physicians used an empirical approach, in the absence of laboratory tests, often leading to unnecessary antibiotic treatments with negative causative effects. Physicians should be encouraged to use an evidence-based approach for managing the cases correctly.

Modelling non-stationary annual maximum flood heights in the lower Limpopo River basin of Mozambique

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Daniel Maposa

2016-05-01

Full Text Available In this article we fit a time-dependent generalised extreme value (GEV distribution to annual maximum flood heights at three sites: Chokwe, Sicacate and Combomune in the lower Limpopo River basin of Mozambique. A GEV distribution is fitted to six annual maximum time series models at each site, namely: annual daily maximum (AM1, annual 2-day maximum (AM2, annual 5-day maximum (AM5, annual 7-day maximum (AM7, annual 10-day maximum (AM10 and annual 30-day maximum (AM30. Non-stationary time-dependent GEV models with a linear trend in location and scale parameters are considered in this study. The results show lack of sufficient evidence to indicate a linear trend in the location parameter at all three sites. On the other hand, the findings in this study reveal strong evidence of the existence of a linear trend in the scale parameter at Combomune and Sicacate, whilst the scale parameter had no significant linear trend at Chokwe. Further investigation in this study also reveals that the location parameter at Sicacate can be modelled by a nonlinear quadratic trend; however, the complexity of the overall model is not worthwhile in fit over a time-homogeneous model. This study shows the importance of extending the time-homogeneous GEV model to incorporate climate change factors such as trend in the lower Limpopo River basin, particularly in this era of global warming and a changing climate. Keywords: nonstationary extremes; annual maxima; lower Limpopo River; generalised extreme value

Relationship between HIV risk perception and condom use: Evidence from a population-based survey in Mozambique.

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Prata, Ndola; Morris, Leo; Mazive, Elizio; Vahidnia, Farnaz; Stehr, Mark

2006-12-01

The relationship between individuals' perception of their risk for acquiring HIV and their use of condoms is poorly understood. Understanding this relationship is crucial to the development of effective strategies to fight HIV and AIDS. Data from the Mozambique 2001 Adolescent and Young Adult Reproductive Health and Behavior Risk Survey are used to compare 15-24-year-olds' assessments of their HIV risk with assessments based on current and past sexual behavior. In bivariate and probit regression analyses, the relationship between correct risk assessment and the likelihood of condom use at last intercourse is examined. Twenty-seven percent of women and 80% of men who considered themselves to have no risk or a small risk of contracting HIV were actually at moderate or high risk. For both men and women, the prevalence of condom use at last sex was more than twice as high among those who assessed their risk correctly (30% and 16%, respectively) as among those who did not (14% and 6%). Multivariate analysis showed that correct assessment was positively associated with condom use; the association was driven by use among never-married individuals. Never-married males who assessed their risk correctly were 18% more likely than other males to report condom use; never-married females, 17% more likely than other females. Educational messages should aim at enabling individuals to correctly assess their own HIV risk and encouraging behavior change based on self-assessment of risk.

The triple threat of pregnancy, HIV infection and malaria: reported causes of maternal mortality in two nationwide health facility assessments in Mozambique, 2007 and 2012.

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Bailey, Patricia E; Keyes, Emily; Moran, Allisyn C; Singh, Kavita; Chavane, Leonardo; Chilundo, Baltazar

2015-11-09

The paper's primary purpose is to determine changes in magnitude and causes of institutional maternal mortality in Mozambique. We also describe shifts in the location of institutional deaths and changes in availability of prevention and treatment measures for malaria and HIV infection. Two national cross-sectional assessments of health facilities with childbirth services were conducted in 2007 and 2012. Each collected retrospective data on deliveries and maternal deaths and their causes. In 2007, 2,199 cases of maternal deaths were documented over a 12 month period; in 2012, 459 cases were identified over a three month period. In 2007, data collection also included reviews of maternal deaths when records were available (n = 712). Institutional maternal mortality declined from 541 to 284/100,000 births from 2007 to 2012. The rate of decline among women dying of direct causes was 66% compared to 26% among women dying of indirect causes. Cause-specific mortality ratios fell for all direct causes. Patterns among indirect causes were less conclusive given differences in cause-of-death recording. In absolute numbers, the combination of antepartum and postpartum hemorrhage was the leading direct cause of death each year and HIV and malaria the main non-obstetric causes. Based on maternal death reviews, evidence of HIV infection, malaria or anemia was found in more than 40% of maternal deaths due to abortion, ectopic pregnancy and sepsis. Almost half (49%) of all institutional maternal deaths took place in the largest hospitals in 2007 while in 2012, only 24% occurred in these hospitals. The availability of antiretrovirals and antimalarials increased in all types of facilities, but increases were most dramatic in health centers. The rate at which women died of direct causes in Mozambique's health facilities appears to have declined significantly. Despite a clear improvement in access to antiretrovirals and antimalarials, especially at lower levels of health care

Rapid increase of Plasmodium falciparum dhfr/dhps resistant haplotypes, after the adoption of sulphadoxine-pyrimethamine as first line treatment in 2002, in southern Mozambique

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Enosse, Sonia; Magnussen, Pascal; Abacassamo, Fatima

2008-01-01

BACKGROUND: In late 2002, the health authorities of Mozambique implemented sulphadoxine-pyrimethamine (SP)/amodiaquine (AQ) as first-line treatment against uncomplicated falciparum malaria. In 2004, this has been altered to SP/artesunate in line with WHO recommendations of using Artemisinin...... Combination Therapies (ACTs), despite the fact that all the neighbouring countries have abandoned SP-drug combinations due to high levels of SP drug resistance. In the study area, one year prior to the change to SP/AQ, SP alone was used to treat uncomplicated malaria cases. The study described here...... haplotype (CIRNI) remained high and only changed marginally from 46% to 53% (P = 0.405) after one year with SP as first-line treatment in the study area. Conversely, the combined Pfdhfr/Pfdhps quintuple mutant haplotype increased from 8% to 26% (P = 0.005). The frequency of the chloroquine resistance...

Patient and health system delay among patients with pulmonary tuberculosis in Beira city, Mozambique.

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Saifodine, Abuchahama; Gudo, Paula Samo; Sidat, Mohsin; Black, James

2013-06-07

TB control is based on the rapid identification of cases and their effective treatment. However, many studies have shown that there are important delays in diagnosis and treatment of patients with TB. The purpose of this study was to assess the prevalence of and identify risk factors associated with patient delay and health system delay among newly diagnosed patients with pulmonary TB. A cross sectional study was carried out in Beira city, Mozambique between September 2009 and February 2010. Patients in the first month of treatment were consecutively selected to this study if they had a diagnosis of pulmonary TB, had no history of previous TB treatment, and were 18 years or older and provided informed consent. Data was obtained through a questionnaire administered to the patients and from patients' files. Among the 622 patients included in the study the median age was 32 years (interquartile range, 26-40) and 272 (43.7%) were females. The median total delay, patient delay and health system delay was 150 days (interquartile range, 91-240), 61 days (28-113) and 62 days (37-120), respectively. The contribution of patient delay and health system delay to total delay was similar. Farming, visiting first a traditional healer, low TB knowledge and coexistence of a chronic disease were associated with increased patient delay. More than two visits to a health facility, farming and coexistence of a chronic disease were associated with increased health system delay. This study revealed a long total delay with a similar contribution of patient delay and health system delay. To reduce the total delay in this setting we need a combination of interventions to encourage patients to seek appropriate health care earlier and to expedite TB diagnosis within the health care system.

Determinants of household demand for bed nets in a rural area of southern Mozambique.

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Chase, Claire; Sicuri, Elisa; Sacoor, Charfudin; Nhalungo, Delino; Nhacolo, Ariel; Alonso, Pedro L; Menéndez, Clara

2009-06-15

A key to making insecticide-treated nets (ITNs) a long-term, sustainable solution to the spread of malaria is understanding what drives their purchase and use. Few studies have analysed the determinants of demand for bed nets for malaria prevention at the household level, and in particular, how demand for nets compares with demand for other mosquito prevention methods. This study uses a household survey to assess the determinants of demand for bed nets in an area of endemic malaria transmission in rural, southern Mozambique. The study looks at willingness to pay (WTP) for bed nets, net ownership, usage, and past purchase behaviour, alongside expenditure and frequency of use of alternate methods for malaria prevention. While overall net ownership in the sample is low, the evidence fails to suggest that poorer households are less likely to own bed nets, when controlling for covariates, nor does the likelihood of receiving a free net depend on socioeconomic status (SES). Formal schooling and market knowledge seem to indicate higher average willingness to pay, while use of alternate methods for malaria prevention, and receipt of Indoor Residual Spraying (IRS) are found to decrease demand for bed nets. For long-term sustainability of ITNs to be realized, results suggest that either full or partial subsidies may be necessary in some contexts to encourage households to obtain and use nets. Given the possible substitution effects of combined malaria control interventions, and the danger of not taking into consideration household preferences for malaria prevention, successful malaria control campaigns should invest a portion of their funds towards educating recipients of IRS and users of other preventive methods on the importance of net use even in the absence of mosquitoes.

Determinants of household demand for bed nets in a rural area of southern Mozambique

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Nhacolo Ariel

2009-06-01

Full Text Available Abstract Background A key to making insecticide-treated nets (ITNs a long-term, sustainable solution to the spread of malaria is understanding what drives their purchase and use. Few studies have analysed the determinants of demand for bed nets for malaria prevention at the household level, and in particular, how demand for nets compares with demand for other mosquito prevention methods. Methods This study uses a household survey to assess the determinants of demand for bed nets in an area of endemic malaria transmission in rural, southern Mozambique. The study looks at willingness to pay (WTP for bed nets, net ownership, usage, and past purchase behaviour, alongside expenditure and frequency of use of alternate methods for malaria prevention. Results While overall net ownership in the sample is low, the evidence fails to suggest that poorer households are less likely to own bed nets, when controlling for covariates, nor does the likelihood of receiving a free net depend on socioeconomic status (SES. Formal schooling and market knowledge seem to indicate higher average willingness to pay, while use of alternate methods for malaria prevention, and receipt of Indoor Residual Spraying (IRS are found to decrease demand for bed nets. Conclusion For long-term sustainability of ITNs to be realized, results suggest that either full or partial subsidies may be necessary in some contexts to encourage households to obtain and use nets. Given the possible substitution effects of combined malaria control interventions, and the danger of not taking into consideration household preferences for malaria prevention, successful malaria control campaigns should invest a portion of their funds towards educating recipients of IRS and users of other preventive methods on the importance of net use even in the absence of mosquitoes.

Portuguese expatriates' health in Angola and Mozambique-a cross-sectional study: increasing awareness and need for more surveillance.

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Fonseca, Ana Glória; Dias, Sara S; Baptista, João Luis; Torgal, Jorge

2017-07-01

Increasing numbers of expatriates are working in sub-Saharan Africa. There is little published data on the complex population and this survey aimed at understanding expatriate morbidity by accessing self-reported health problems and malaria preventive practices. A cross-sectional web-based survey was conducted targeting Portuguese expatriates in Angola and Mozambique. Logistic regression analysis explored factors associated with self-reported health problems and psychological symptoms in the previous 3 months. A total sample of 352 adult Portuguese urban civil occupational expatriates was obtained. Median length of expatriation was 3 years. Considering a 3-month timeframe, one in five expatriates reported new health problems and need of medical assistance, 5% were hospitalized and 64% reported general psychological symptoms. Less than 2% of subjects were on malaria chemoprophylaxis. Having chronic health conditions doubled the reporting of new health problems. Increasing length of expatriation was associated with decreasing reporting of general psychological symptoms. Directors and executive managers and expatriates living alone tended to report more general psychological symptoms. Expatriate communities deserve enhanced surveillance for the health issues that affect them. This will improve evidence-based preparation and intervention by public and travel health practitioners. © International Society of Travel Medicine, 2017. Published by Oxford University Press. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com

Regulation of gill claudin paralogs by salinity, cortisol and prolactin in Mozambique tilapia (Oreochromis mossambicus).

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Tipsmark, Christian K; Breves, Jason P; Rabeneck, D Brett; Trubitt, Rebecca T; Lerner, Darren T; Grau, E Gordon

2016-09-01

In euryhaline teleosts, reorganization of gill tight junctions during salinity acclimation involves dynamic expression of specific claudin (Cldn) paralogs. We identified four transcripts encoding Cldn tight junction proteins in the tilapia gill transcriptome: cldn10c, cldn10e, cldn28a and cldn30. A tissue distribution experiment found cldn10c and cldn10e expression levels in the gill to be 100-fold higher than any other tissues examined. cldn28a and cldn30 levels in the gill were 10-fold greater than levels in other tissues. Expression of these genes in Mozambique tilapia was examined during acclimation to fresh water (FW), seawater (SW), and in response to hormone treatments. Transfer of tilapia from FW to SW elevated cldn10c and cldn10e, while cldn28a and cldn30 were stimulated following transfer from SW to FW. In hypophysectomized tilapia transferred to FW, pituitary extirpation induced reduced expression of cldn10c, cldn10e and cldn28a; these effects were mitigated equally by either prolactin or cortisol replacement. In vitro experiments with gill filaments showed that cortisol stimulated expression of all four cldns examined, suggesting a direct action of cortisol in situ. Our data indicate that elevated cldn10c and cldn10e expression is important during acclimation of tilapia to SW possibly by conferring ion specific paracellular permeability. On the other hand, expression of cldn28a and cldn30 appears to contribute to reorganization of branchial epithelium during FW acclimation. Hormone treatment experiments showed that particular FW- and SW-induced cldns are controlled by cortisol and prolactin. Copyright © 2016 Elsevier Inc. All rights reserved.

Economic and Social Sustainability Performance of Jatropha Projects: Results from Field Surveys in Mozambique, Tanzania and Mali

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Henny Romijn

2014-09-01

Full Text Available This paper presents results from comprehensive field surveys of jatropha projects in Mozambique, Tanzania and Mali in 2012. The article singles out the salient economic and social impact results and derives lessons. The results clearly demonstrate the weak business case for jatropha biofuel production at this time. Plantations were found to be unviable because of insurmountable up-front capital requirements in combination with slow and unreliable crop maturation, inefficient oil pressing owing to a lack of scale and experience, inadequate utilization of by-products, and competitively-priced fossil diesel and palm oil. For smallholders, jatropha only has limited value as a hedge crop in environmentally and economically disadvantaged areas. Better prospects have to wait for the advent of improved jatropha varieties. Social impacts from the perspective of project managers were rather mixed: overall, food security perceptions were positive and no massive forced human displacements were noted so far, though some disputes over land access and compensation were reported. Labor legislation was apparently respected on plantations, and positive gender effects, regional income/employment effects and better public facilities were also reported. The projects generated considerable employment, albeit mostly of a temporary nature, as lack of economic viability had caused many projects to close down again. When introducing next-generation biofuel projects, better monitoring by various actor groups is recommended, as well as long-term investment plans that include integral exit strategies.

Association between HIV infection and socio-economic status: evidence from a semirural area of southern Mozambique.

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Pons-Duran, Clara; González, Raquel; Quintó, Llorenç; Munguambe, Khatia; Tallada, Joan; Naniche, Denise; Sacoor, Charfudin; Sicuri, Elisa

2016-12-01

To analyse the association between socio-economic status (SES) and HIV in Manhiça, a district of Southern Mozambique with one of the highest HIV prevalences in the world. Data were gathered from two cross-sectional surveys performed in 2010 and 2012 among 1511 adults and from the household census of the district's population. Fractional polynomial logit models were used to analyse the association between HIV and SES, controlling for age and sex and taking into account the nonlinearity of covariates. The inequality of the distribution of HIV infection with regard to SES was computed through a concentration index. Fourth and fifth wealth quintiles, the least poor, were associated with a reduced probability of HIV infection compared to the first quintile (OR = 0.595, P-value = 0.009 and OR = 0.474, P-value < 0.001, respectively). Probability of HIV infection peaked at 36 years and then fell, and was always higher for women regardless of age and SES. HIV infection was unequally distributed across the SES strata. Despite the high HIV prevalence across the entire population of Manhiça, the poorest are at greatest risk of being HIV infected. While women have a higher probability of being HIV positive than men, both sexes showed the same infection reduction at higher levels of SES. HIV interventions in the area should particularly focus on the poorest and on women without neglecting anyone else, as the HIV risk is high for everyone. © 2016 John Wiley & Sons Ltd.

Former Military Networks a Threat to Peace? The Demobilisation and Remobilization of Renamo in Central Mozambique

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Nikkie Wiegink

2015-11-01

Full Text Available Renamo’s recent upsurge against the Mozambican Frelimo-led government after 22 years of relative stability has challenged the country’s often celebrated disarmament, demobilization and reintegration process (1992 to 1994. Drawing on ethnographic fieldwork conducted in Maringue (Sofala province, the location of the rebels’ wartime headquarters and a post-war Renamo stronghold, this paper shows that while the DDR program supposedly ended Renamo’s command and control structure, the former rebel network continued to be a central feature of ex-combatants’ social worlds. Former Renamo combatants spend most of their time in the company of their ‘colleagues of the trenches’ and engaged in relationships of dependency with political Renamo leaders and former commanders. These relationships were not only shaped by the former military structure, but also by friendship, marriage, and patronage dynamics, providing ex-Renamo combatants with physical and economic safety, a sense of belonging and economic possibilities. Recent events in Mozambique suggest that the post-conflict continuation of informal wartime networks is a threat to peace and a failure of demobilization. Nevertheless, the fieldwork conducted in Maringue reveals that the dismantling of the command and control structure is often in vain, as it may be worthwhile for ex-combatants to maintain ties with their former military group for various reasons. Therefore, I argue that it may be useful to consider these networks based on the former armed group in processes of violence reduction, also in the development of DDR programs, as these may offer possibilities for the re-positioning and transformation of (former armed actors.

All projects related to | Page 653 | IDRC - International Development ...

International Development Research Centre (IDRC) Digital Library (Canada)

Topic: INFORMATION TECHNOLOGY, TELECOMMUNICATIONS, Internet, INFORMATION CENTRES, COMMUNITY FACILITIES. Region: Mozambique, North of Sahara, South of Sahara. Total Funding: CA$ 228,027.00. Building a Community ICT Network in Mozambique. Project. The Government of Mozambique aims to ...

Intrahousehold resource allocation and child growth in Mozambique: an ethnographic case-control study.

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Pfeiffer, J; Gloyd, S; Ramirez Li, L

2001-07-01

This study examines the effect of intrahousehold cash income control and decision-making patterns on child growth in the rural town of Sussundenga in Manica Province, Mozambique. A case-control study design was used to examine the influence of men's and women's disaggregated cash incomes on child growth. The research tested whether greater maternal share of household cash income was associated with (1) increased maternal decision-making and bargaining power in the household, and (2) better child growth. Fifty case households, with children 1-4 years old exhibiting poor growth, were matched with 50 control households of similar socioeconomic status in which all children under five demonstrated healthy growth. Data were gathered on gender-specific income generation and expenditure, specific intrahousehold allocation processes, diet, and sociodemographic variables using a formal survey. Key informant interviews, focus groups, and observation over one year provided ethnographic context for the case-control findings. Case-control differences were analyzed using McNemar's test, paired t-test, and conditional logistic regression. In spite of matching households for socioeconomic status, control household incomes were still slightly greater than cases. Male spouse income was also higher among controls while maternal income, and maternal proportion of household income, were not significantly different. Household meat, fish and poultry consumption, and maternal education were significantly greater among control households than cases. Greater maternal share of household income was not associated with greater maternal decision-making around cash. However, mothers must spend what little cash they earn on daily food supplies and usually request additional cash from spouses to cover these costs. There is evidence that if mothers earn enough to cover these socially prescribed costs, they can spend cash for other needs. Above this threshold, women's earnings may confer more

Borehole Logging and Slug Tests for Evaluating the Applicability of Electrical Resistivity Tomography for Groundwater Exploration in Nampula Complex, Mozambique

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Farisse Chirindja

2017-02-01

Full Text Available In Nampula province, Mozambique, there is a high number of water wells considered as having failed for having too low a pumping yield. Two Electrical Resistivity Tomography (ERT measurement campaigns were conducted in the area for evaluating the reasons of failures. However, in some cases it was difficult to verify and interpret the ERT results by only using the inadequate lithological description presented in drilling reports. In this paper the integration of borehole logging and slug testing is presented as a solution to add more information and to enhance the interpretation of ERT models. The borehole logging tool measured resistivity, magnetic susceptibility and natural gamma. The logging results proved that the ERT models are accurate in estimating the resistivity for basement (>1400 Ωm, fractured layer (220–1400 Ωm, semi-weathered layer with clay accumulation (10–220 Ωm, and weathered and leached layer (220–2700 Ωm. The slug testing gave results of high hydraulic conductivity (K values where the ERT indicates well-developed weathered and fractured layers, and low K values where these are less developed. The borehole interpretation can be extrapolated using the ERT model to give a geometric characterization of the aquifer. Therefore, the implementation of the ERT method in groundwater exploration is encouraged.

Oceanic and atmospheric influences on the variability of phytoplankton bloom in the southwestern Indian Ocean

Digital Repository Service at National Institute of Oceanography (India)

Raj, R.P.; Peter, B.N.; Pushpadas, D.

in the Mozambique Basin and inside the Mozambique Channel (MC). For a detailed inspection, we characterized the entire process of the development of this large dendritic bloom into two stages, early stage... period was in March. During 2001 and 2003, traces of the bloom (low concentration of chl-a) are observed in the MC and Mozambique Basin but not in the Madagascar basin. A weak bloom developed in the Madagascar Basin, Mozambique Basin and inside the MC...

Costing the scaling-up of human resources for health: lessons from Mozambique and Guinea Bissau.

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Tyrrell, Amanda K; Russo, Giuliano; Dussault, Gilles; Ferrinho, Paulo

2010-06-25

In the context of the current human resources for health (HRH) crisis, the need for comprehensive Human Resources Development Plans (HRDP) is acute, especially in resource-scarce sub-Saharan African countries. However, the financial implications of such plans rarely receive due consideration, despite the availability of much advice and examples in the literature on how to conduct HRDP costing. Global initiatives have also been launched recently to standardise costing methodologies and respective tools. This paper reports on two separate experiences of HRDP costing in Mozambique and Guinea Bissau, with the objective to provide an insight into the practice of costing exercises in information-poor settings, as well as to contribute to the existing debate on HRH costing methodologies. The study adopts a case-study approach to analyse the methodologies developed in the two countries, their contexts, policy processes and actors involved. From the analysis of the two cases, it emerged that the costing exercises represented an important driver of the HRDP elaboration, which lent credibility to the process, and provided a financial framework within which HRH policies could be discussed. In both cases, bottom-up and country-specific methods were designed to overcome the countries' lack of cost and financing data, as well as to interpret their financial systems. Such an approach also allowed the costing exercises to feed directly into the national planning and budgeting process. The authors conclude that bottom-up and country-specific costing methodologies have the potential to serve adequately the multi-faceted purpose of the exercise. It is recognised that standardised tools and methodologies may help reduce local governments' dependency on foreign expertise to conduct the HRDP costing and facilitate regional and international comparisons. However, adopting pre-defined and insufficiently flexible tools may undermine the credibility of the costing exercise, and reduce the

Bovine Tuberculosis and Brucellosis in Cattle and African Buffalo in the Limpopo National Park, Mozambique.

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Tanner, M; Inlameia, O; Michel, A; Maxlhuza, G; Pondja, A; Fafetine, J; Macucule, B; Zacarias, M; Manguele, J; Moiane, I C; Marranangumbe, A S; Mulandane, F; Schönfeld, C; Moser, I; van Helden, P; Machado, A

2015-12-01

Bovine tuberculosis (BTB) and brucellosis are prevalent in buffaloes of the Kruger National Park (KNP, South Africa). Both diseases were considered to have no or a very low prevalence in wildlife and livestock in and around the Limpopo National Park (LNP, Mozambique). The same applies for tuberculosis in Gonarezhou National Park (GNP, Zimbabwe), but just recently, BTB was detected in buffaloes in the GNP and fears arose that the disease might also spread to the LNP as a result of the partial removal of the fences between the three parks to form the Great Limpopo Transfrontier Park. To assess the status of both diseases in and around LNP, 62 buffaloes were tested for bovine tuberculosis (BTB) and bovine brucellosis. The percentage of positive BTB reactors in buffalo was 8.06% using BovidTB Stat-Pak® and 0% with BOVIGAM® IFN-γ test and IDEXX ELISA. The brucellosis seroprevalence in buffalo was found to be 17.72% and 27.42% using Rose Bengal Test (RBT) and ELISA, respectively. In addition, 2445 cattle in and around the LNP were examined for BTB using the single intradermal cervical comparative tuberculin test (SICCT), and an apparent prevalence of 0.98% was found with no significant difference inside (0.5%) and outside (1.3%) the park. This is the first published report on the presence of positive reactors to BTB and bovine brucellosis in buffalo and cattle in and outside the LNP. Monitoring the wildlife-livestock-human interface of zoonotic high-impact diseases such as BTB and brucellosis is of outmost importance for the successful implementation and management of any transfrontier park that aims to improve the livelihoods of the local communities. © 2014 Blackwell Verlag GmbH.

A Chronostratigraphic and Environment Magnetic Study of Drill Cores Collected in the Mozambique Channel on Cruise MD13

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Ray, D. J.; DeBone, K. N.; Smesny, J.; Chadinha, C.; Mitchell, B.; Acton, G. D.; Kulhanek, D. K.

2017-12-01

The South Atlantic Petroleum Company donated drill cores from 18 sites cored in October 2013 in the Mozambique Channel off Madagascar by the RV Marion Dufresne. Up to 30.11 m of sediment was recovered from cores collected at two localities, referred to as Juan de Nova ( 16.5°S, 42.9°E) and Belo Profound ( 19.5°S, 42.2°E), in water depths of 2,157-2,795 m. The cores are composed mostly of mixtures of fairly homogenous biogenic ooze and clay that is highly bioturbated, with turbidites occurring relatively commonly (about every meter or two) in most of the cores, although rarely in others (e.g., Core MD13-3506). The core color varies between light tan, olive gray, light brown, and light reddish brown. The darker colors probably reflect higher proportion of terrigenous input and the lighter intervals more biogenic input. We collected rock magnetic and paleomagnetic data along the cores and conducted initial calcareous nannofossil biostratigraphic analyses in order to provide stratigraphic and chronologic constraints and to investigate paleoenvironment changes. Records of magnetic susceptibility are used to correlate stratigraphy between sites and then are correlated to well-dated global records of climate change, such as the marine oxygen isotope record. The correlation to oxygen isotope records, which is constrained by biostratigraphic and paleomagnetic observations, helps refine the chronostratigraphy and allows us to interpret the variations in lithology and magnetic properties in the context of global climate change.

Informing a Behavior Change Communication Strategy: Formative Research Findings From the Scaling Up Nutrition Movement in Mozambique.

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Kodish, Stephen; Aburto, Nancy; Dibari, Filippo; Brieger, William; Agostinho, Saozinha P; Gittelsohn, Joel

2015-09-01

Nutrition interventions targeting the first 1000 days show promise to improve nutritional status, but they require effective implementation. Formative research is thus invaluable for developing such interventions, but there have been few detailed studies that describe this phase of work within the Scaling Up Nutrition (SUN) movement. To inform a stunting prevention intervention in Cabo Delgado, Mozambique, by describing the sociocultural landscape and elucidating characteristics related to young child food, illness, and health. This formative research utilized a rapid assessment procedures (RAP) approach with 3 iterative phases that explored local perceptions and behaviors around food and illness among the Macua, Mwani, and Maconde ethnic groups. Ethnographic methods, including in-depth interviews, direct observations, free lists, and pile sorts, were used to collect data from community leaders, caregivers, and children 6 to 23 months. Data were analyzed drawing from grounded theory and cultural domain analysis. Geographic differences drive sociocultural characteristics amid 3 ethnic groups that allow for segmentation of the population into 2 distinct audiences for behavior change communications. These 2 communities have similar classification systems for children's foods but different adult dietary patterns. Small-quantity lipid-based nutrient supplement did not fall into the existing food classification systems of either community, and participants preferred its promotion through community leader channels. Community members in both groups have little recognition of and perceived severity toward nutrition-related illnesses. Within Cabo Delgado, the cultural heterogeneity yields substantial differences related to food, illness, and health that are necessary to consider for developing an effective nutrition intervention. © The Author(s) 2015.

The challenge of global water access monitoring: evaluating straight-line distance versus self-reported travel time among rural households in Mozambique.

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Ho, Jeff C; Russel, Kory C; Davis, Jennifer

2014-03-01

Support is growing for the incorporation of fetching time and/or distance considerations in the definition of access to improved water supply used for global monitoring. Current efforts typically rely on self-reported distance and/or travel time data that have been shown to be unreliable. To date, however, there has been no head-to-head comparison of such indicators with other possible distance/time metrics. This study provides such a comparison. We examine the association between both straight-line distance and self-reported one-way travel time with measured route distances to water sources for 1,103 households in Nampula province, Mozambique. We find straight-line, or Euclidean, distance to be a good proxy for route distance (R(2) = 0.98), while self-reported travel time is a poor proxy (R(2) = 0.12). We also apply a variety of time- and distance-based indicators proposed in the literature to our sample data, finding that the share of households classified as having versus lacking access would differ by more than 70 percentage points depending on the particular indicator employed. This work highlights the importance of the ongoing debate regarding valid, reliable, and feasible strategies for monitoring progress in the provision of improved water supply services.

Sexual dimorphism of gonadotropin-releasing hormone type-III (GnRH3) neurons and hormonal sex reversal of male reproductive behavior in Mozambique tilapia.

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Kuramochi, Asami; Tsutiya, Atsuhiro; Kaneko, Toyoji; Ohtani-Kaneko, Ritsuko

2011-10-01

In tilapia, hormone treatment during the period of sexual differentiation can alter the phenotype of the gonads, indicating that endocrine factors can cause gonadal sex reversal. However, the endocrine mechanism underlying sex reversal of reproductive behaviors remains unsolved. In the present study, we detected sexual dimorphism of gonadotropin-releasing hormone type III (GnRH3) neurons in Mozambique tilapia Oreochromis mossambicus. Our immunohistochemical observations showed sex differences in the number of GnRH3 immunoreactive neurons in mature tilapia; males had a greater number of GnRH3 neurons in the terminal ganglion than females. Treatment with androgen (11-ketotestosterone (11-KT) or methyltestosterone), but not that with 17β-estradiol, increased the number of GnRH3 neurons in females to a level similar to that in males. Furthermore, male-specific nest-building behavior was induced in 70% of females treated with 11-KT within two weeks after the onset of the treatment. These results indicate androgen-dependent regulation of GnRH3 neurons and nest-building behavior, suggesting that GnRH3 is importantly involved in sex reversal of male-specific reproductive behavior.

Results-Based Financing in Mozambique's Central Medical Store: A Review After 1 Year.

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Spisak, Cary; Morgan, Lindsay; Eichler, Rena; Rosen, James; Serumaga, Brian; Wang, Angela

2016-03-01

Public health commodity supply chains are typically weak in low-income countries, partly because they have many disparate yet interdependent functions and components. Approaches to strengthening supply chains in such settings have often fallen short-they address technical weaknesses, but not the incentives that motivate staff to perform better. We reviewed the first year of a results-based financing (RBF) program in Mozambique, which began in January 2013. The program aimed to improve the performance of the central medical store-Central de Medicamentos e Artigos Medicos (CMAM)-by realigning incentives. We completed in-depth interviews and focus group discussions with 33 key informants, including representatives from CMAM and donor agencies, and collected quantitative data on performance measures and use of funds. The RBF agreement linked CMAM performance payments to quarterly results on 5 performance indicators related to supply planning, distribution planning, and warehouse management. RBF is predicated on the theory that a combination of carrot and stick-i.e., shared financial incentives, plus increased accountability for results-will spur changes in behavior. Important design elements: (1) indicators were measured against quarterly targets, and payments were made only for indicators that met those targets; (2) targets were set based on documented performance, at levels that could be reasonably attained, yet pushed for improvement; (3) payment was shared with and dependent on all staff, encouraging teamwork and collaboration; (4) results were validated by verifiable data sources; and (5) CMAM had discretion over how to use the funds. We found that CMAM's performance continually improved over baseline and that CMAM achieved many of its performance targets, for example, timely submission of quarterly supply and distribution planning reports. Warehouse indicators, such as inventory management and order fulfillment, proved more challenging but were nonetheless

Preliminary report of HIV and Toxoplasma gondii occurrence in pregnant women from Mozambique

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Sonia Paula Benedito Luis Sitoe

2010-12-01

Full Text Available Toxoplasmosis, a protozoan disease, causes severe disease in fetuses during pregnancy and deadly encephalitis in HIV patients. There are several studies on its seroprevalence around the world, but studies focusing on African countries are limited in number and mostly anecdotal. We studied two groups of samples from Mozambique by ELISA, using serum samples from 150 pregnant women and six Cerebrospinal fluid (CSF samples from AIDS patients with encephalitis. HIV status was confirmed, and CD4 blood counts were obtained from HIV-positive pregnant women. IgG seroprevalence of the group as a whole was 18.7% (28/150, with a higher prevalence in HIV-positive individuals compared to those who were HIV-negative (31.3%, [18/58] vs. 10.9%, [10/92] patients. These data may be biased due to cumulative effects of exposition affecting disease prevalence. If corrected, this data may indicate an interaction of HIV and T. gondii. Prevalence of both diseases increases with age, but this is more clearly seen for toxoplasmosis (p < 0.005 than HIV infection, possibly explained by higher transmission of HIV after childhood. In HIV patients suffering from encephalitis, CSF serology showed that 33% of specific IgG CSF had a high avidity, which was in accordance with the data from the group of pregnant women. Lower prevalence rates of both infections in older groups could be explained by more deaths in the infected groups, resulting in an artificially lower prevalence. Using CD4 counts as a marker of time of HIV infection, and correcting for age, patients with contact with T. gondii had fewer CD4 cells, suggesting prolonged HIV disease or other causes. Toxoplasma IgG prevalence is higher in HIV+ groups, which could be ascribed to HIV- and T. gondii-associated risk factors, such as exposure to higher and more diverse social contacts. The low incidence of Toxoplasma IgG in younger age groups shows that transmission could be related to better access to cyst-containing meat

Purported use and self-awareness of cognitive and metacognitive foreign language reading strategies in tertiary education in Mozambique

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Manuel Cabinda

2016-02-01

Full Text Available This paper explores the results of a Survey of Reading Strategies (SORS-based questionnaire administered to 28 university student participants. The study is carried out in a post-colonial multilingual context, Mozambique. The main aims of the paper are to assess the degree of purported use and awareness of participants own use of reading comprehension skills and strategies in a foreign language (English. The participants were tested for their reading text comprehension using an IELTS comprehension test (Cabinda, 2013. The results revealed low reading comprehension levels. Results contrast with results from the SORS-based questionnaire (Cabinda, 2013 which revealed claims of use of a wide range of cognitive, metacognitive and supply strategies – aspects of high level reading ability and text comprehension. Conclusions show that the participants used or claimed to chiefly use metacognitive and cognitive reading strategies equally, matching the behaviour of good readers, but they also reported a high degree of supply strate- gies to construe meaning from text, mainly code-switching, translation and cognates. The latter cofirms results from studies by Jimenez et al. (1995, 1996 and Zhang & Wu (2009, yet do not conclusively show a correlation between the participants’ degree of text comprehension and their effective use of reading skills and strategies to construe meaning. Further conclusions show that the reported high use of these L1 (Portuguese or other related supply strategies (not used by English L1 readers does not aid their reading comprehension. Key words : EFL, reading strategies, cognition, metacognition, awareness

Using Behaviour Change and Food-based Approach, Positive Deviance/Hearth (PDH), to Rehabilitate Malnourished U5 Children in Inteta, Mozambique

International Nuclear Information System (INIS)

Dias, Antonio; Baik, Diane

2014-01-01

Full text: Background: Globally, 52 million children under 5 are wasted. In Africa, due to historic high food insecurity, Supplementary Feeding Program (SFP) has been most commonly used to address moderate acute malnutrition (MAM) where food rations are distributed to families with MAM children. However, recently, there has been an increase in food security, with consistently high rates of wasting. Thus, there is a need to explore sustainable approaches to address MAM. World Vision (WV) is using PDH as a behaviour change approach to rehabilitate, sustain and prevent malnutrition in both MAM (low weight-for-height) and underweight children in the context of their own homes. Based on a process of discovery of existing resources, including locally available and affordable nutrient dense foods, local knowledge and practices that allow children to be healthy even from low-income households, the findings are developed into 6 key messages that can teach mothers local solutions to rehabilitate and prevent child malnutrition. WV has been implementing PDH since 1999 and has now expanded to more than 40 countries. PDH has shown to be an effective sustainable rehabilitation program that requires minimal financial resources in comparison Community-based Management of Acute Malnutrition (CMAM). Mozambique has wasting levels of 5.9% and no real treatment for acute malnutrition at the health centre-level. WV Mozambique has been using PDH to rehabilitate malnourished children U5. METHOD: 8-10 underweight or acutely malnourished children and their primary caregivers were admitted into a PDH session for 12-consecutive days. A key message was shared each day, along with sub-messages throughout the 2-3 hour session. A Hearth meal was cooked by the primary caregivers and fed to the child everyday. After the 12-days, there was 2-weeks of home-visits conducted by the community volunteers to help caregivers overcome any barriers at home. Weights of the children were collected at Days 1, 12

Rajella paucispinosa n. sp., a new deep-water skate (Elasmobranchii, Rajidae) from the western Indian Ocean off South Mozambique, and a revised generic diagnosis.

Science.gov (United States)

Weigmann, Simon; Stehmann, Matthias F W; Thiel, Ralf

2014-08-08

A new species of the widely in temperate and tropical latitudes distributed skate genus Rajella is described based on an almost adult male specimen from the western Indian Ocean off South Mozambique. The holotype of R. paucispinosa n. sp. was caught during cruise 17 of RV 'Vityaz' along the deep western Indian Ocean in 1988/89. It is the northernmost record of a Rajella specimen in the western Indian Ocean. The new species is the 18th valid species of the genus and the fifth species in the western Indian Ocean. It differs from its congeners in the small maximal total length of about 50 cm and only few thorns on the dorsal surface. The new species has only two thorns on each orbit, one nuchal thorn, one right scapular thorn (left one not detectable, abraded), and one median row of tail thorns. Other species of Rajella typically have half rings of thorns on orbital rims, a triangle of thorns on nape-shoulder region, and at least three rows of tail thorns. Another conspicuous feature of the new species is the almost completely white dorsal and ventral coloration. 

Assessing the Importance of Woodland Landscape Locations for Both Local Communities and Conservation in Gorongosa and Muanza Districts, Sofala Province, Mozambique

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Timothy Lynam

2004-12-01

Full Text Available In collaboration with two communities living in, and on the edge of, Gorongosa National Park (GNP, Mozambique, we researched the importance of different landscape units to these communities and used the information to develop a management plan for GNP. We conceived the importance of a landscape to local people as a ratio of the benefits they derive from it and the costs of accessing or using those benefits. To test this expectation, we developed Bayesian belief models, for which the parameters were the relative preference weightings derived from community members (the relative preferences for benefits and relative expectations of costs. We then collected field data to confront the models for each of the two sites. In a parallel process, we conducted a vegetation survey to generate a map of the vegetation types, as well as an index of biodiversity importance for each vegetation type of the two 20-km2 sites. For each site, we simplified and converted the benefit:cost model into a local community importance surface, or map, and then overlaid a conservation importance surface on it in order to identify locations that were of high importance to both conservation groups and the local community. Such areas would require careful management attention. This paper discusses the implications of the research for the planning of GNP, as well as the strengths and weaknesses of the approach.

Improving AfriPop dataset with settlement extents extracted from RapidEye for the border region comprising South-Africa, Swaziland and Mozambique

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Julie Deleu

2015-11-01

Full Text Available For modelling the spatial distribution of malaria incidence, accurate and detailed information on population size and distribution are of significant importance. Different, global, spatial, standard datasets of population distribution have been developed and are widely used. However, most of them are not up-to-date and the low spatial resolution of the input census data has limitations for contemporary, national- scale analyses. The AfriPop project, launched in July 2009, was initiated with the aim of producing detailed, contemporary and easily updatable population distribution datasets for the whole of Africa. High-resolution satellite sensors can help to further improve this dataset through the generation of high-resolution settlement layers at greater spatial details. In the present study, the settlement extents included in the MALAREO land use classification were used to generate an enhanced and updated version of the AfriPop dataset for the study area covering southern Mozambique, eastern Swaziland and the malarious part of KwaZulu-Natal in South Africa. Results show that it is possible to easily produce a detailed and updated population distribution dataset applying the AfriPop modelling approach with the use of high-resolution settlement layers and population growth rates. The 2007 and 2011 population datasets are freely available as a product of the MALAREO project and can be downloaded from the project website.

An assessment of routine primary care health information system data quality in Sofala Province, Mozambique

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Cuembelo Fatima

2011-05-01

Full Text Available Abstract Background Primary health care is recognized as a main driver of equitable health service delivery. For it to function optimally, routine health information systems (HIS are necessary to ensure adequate provision of health care and the development of appropriate health policies. Concerns about the quality of routine administrative data have undermined their use in resource-limited settings. This evaluation was designed to describe the availability, reliability, and validity of a sample of primary health care HIS data from nine health facilities across three districts in Sofala Province, Mozambique. HIS data were also compared with results from large community-based surveys. Methodology We used a methodology similar to the Global Fund to Fight AIDS, Tuberculosis and Malaria data verification bottom-up audit to assess primary health care HIS data availability and reliability. The quality of HIS data was validated by comparing three key indicators (antenatal care, institutional birth, and third diptheria, pertussis, and tetanus [DPT] immunization with population-level surveys over time. Results and discussion The data concordance from facility clinical registries to monthly facility reports on five key indicators--the number of first antenatal care visits, institutional births, third DPT immunization, HIV testing, and outpatient consults--was good (80%. When two sites were excluded from the analysis, the concordance was markedly better (92%. Of monthly facility reports for immunization and maternity services, 98% were available in paper form at district health departments and 98% of immunization and maternity services monthly facility reports matched the Ministry of Health electronic database. Population-level health survey and HIS data were strongly correlated (R = 0.73, for institutional birth, first antenatal care visit, and third DPT immunization. Conclusions Our results suggest that in this setting, HIS data are both reliable and

Costing the scaling-up of human resources for health: lessons from Mozambique and Guinea Bissau

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Dussault Gilles

2010-06-01

Full Text Available Abstract Introduction In the context of the current human resources for health (HRH crisis, the need for comprehensive Human Resources Development Plans (HRDP is acute, especially in resource-scarce sub-Saharan African countries. However, the financial implications of such plans rarely receive due consideration, despite the availability of much advice and examples in the literature on how to conduct HRDP costing. Global initiatives have also been launched recently to standardise costing methodologies and respective tools. Methods This paper reports on two separate experiences of HRDP costing in Mozambique and Guinea Bissau, with the objective to provide an insight into the practice of costing exercises in information-poor settings, as well as to contribute to the existing debate on HRH costing methodologies. The study adopts a case-study approach to analyse the methodologies developed in the two countries, their contexts, policy processes and actors involved. Results From the analysis of the two cases, it emerged that the costing exercises represented an important driver of the HRDP elaboration, which lent credibility to the process, and provided a financial framework within which HRH policies could be discussed. In both cases, bottom-up and country-specific methods were designed to overcome the countries' lack of cost and financing data, as well as to interpret their financial systems. Such an approach also allowed the costing exercises to feed directly into the national planning and budgeting process. Conclusions The authors conclude that bottom-up and country-specific costing methodologies have the potential to serve adequately the multi-faceted purpose of the exercise. It is recognised that standardised tools and methodologies may help reduce local governments' dependency on foreign expertise to conduct the HRDP costing and facilitate regional and international comparisons. However, adopting pre-defined and insufficiently flexible tools may

Rapid selection of Plasmodium falciparum chloroquine resistance transporter gene and multidrug resistance gene-1 haplotypes associated with past chloroquine and present artemether-lumefantrine use in Inhambane District, southern Mozambique

DEFF Research Database (Denmark)

Thomsen, Thomas T; Madsen, Laura B; Hansson, Helle H

2013-01-01

Chloroquine (CQ) use in Mozambique was stopped in 2002 and artemether-lumefantrine (AL) was implemented in 2008. In light of no use of CQ and extensive use of AL, we determined the frequency of molecular markers of Plasmodium falciparum drug resistance/tolerance to CQ and AL in persons living...... in Linga-Linga, an isolated peninsula and in Furvela village, which is located 8 km inland. The P. falciparum chloroquine resistance transporter gene CVMNK wild type increased in frequency from 43.9% in 2009 to 66.4% in 2010 (P = 0.001), and combined P. falciparum multidrug resistance gene 1 N86-184F-D1246...... haplotype increased significantly between years (P = 0.039). The combination of P. falciparum chloroquine resistance transporter gene CVMNK and P. falciparum multidrug resistance gene NFD increased from 24.3% (2009) to 45.3% in (2010, P = 0.017). The rapid changes observed may largely be caused by decreased...

Metasomatized granulites of the Mozambique belt: consequences for lithospheric U, Th, REE fertilisation and metallogenesis in the ancient Gondwanaland supercontinent

International Nuclear Information System (INIS)

Andreoli, M.A.G.; Hart, R.J.

1988-02-01

The 1,0 Ga old Lurio belt extends for ca. 1 000 km from Nsanje (S Malawi) through NE Mozambique to the Indian ocean. Lower crustal levels are locally exposed along its southern tectonic front. In this article mineralogical and geochemical data for an andesinite-mafic-ultramafic suite from Nsanje were reported.The results indicate that this complex terrane equilibrated first at P ∼ 13 kbr and T ∼ 900 0 C and subsequently cooled under an eclogite-garnet granulite georem. During a later event (P ∼ 7-10 kbar, T ∼ 650 - 800 0 C) distinctive metasomatic mica, amphibole, scapolite, apatite, diopsidic pyroxene (MASAD)-bearing assemblages and pegmatoids were formed by CO 2 , Cl, H 2 O, S and F rich fluids with higher REE, U, Th and Zr concentrations than the high-grade precursors. MASAD and older high-pressure granulite parageneses underwent subsequent dehydratation and reequilibration under medium-pressure granulite facies conditions perhaps during the Lurio orogenic event. MASAD-like assemblages are relatively common within the late Proterozoic medium- and high-pressure granulite terranes of Central Gondwana, especially in the newly defined Lurio-Zambezi Eclogite Province. The data provide indicate that the metasomatizing, MASAD-forming fluids had crypto-carbonatitic affinities and were introduced into the crust from the upper mantle during protorifting episodes between ca. 1,1 and 0,5 Ga ago. The MASAD assemblages may therefore represent the crustal equivalent of the metasomatic and MARID suites discovered in mantle xenoliths

The training and professional expectations of medical students in Angola, Guinea-Bissau and Mozambique

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Fronteira Inês

2011-04-01

Full Text Available Abstract Background The purpose of this paper is to describe and analyze the professional expectations of medical students during the 2007-2008 academic year at the public medical schools of Angola, Guinea-Bissau and Mozambique, and to identify their social and geographical origins, their professional expectations and difficulties relating to their education and professional future. Methods Data were collected through a standardised questionnaire applied to all medical students registered during the 2007-2008 academic year. Results Students decide to study medicine at an early age. Relatives and friends seem to have an especially important influence in encouraging, reinforcing and promoting the desire to be a doctor. The degree of feminization of the student population differs among the different countries. Although most medical students are from outside the capital cities, expectations of getting into medical school are already associated with migration from the periphery to the capital city, even before entering medical education. Academic performance is poor. This seems to be related to difficulties in accessing materials, finances and insufficient high school preparation. Medical students recognize the public sector demand but their expectations are to combine public sector practice with private work, in order to improve their earnings. Salary expectations of students vary between the three countries. Approximately 75% want to train as hospital specialists and to follow a hospital-based career. A significant proportion is unsure about their future area of specialization, which for many students is equated with migration to study abroad. Conclusions Medical education is an important national investment, but the returns obtained are not as efficient as expected. Investments in high-school preparation, tutoring, and infrastructure are likely to have a significant impact on the success rate of medical schools. Special attention should be given

Description of a Mass Poisoning in a Rural District in Mozambique: The First Documented Bongkrekic Acid Poisoning in Africa.

Science.gov (United States)

Gudo, Eduardo Samo; Cook, Kyla; Kasper, Amelia M; Vergara, Alfredo; Salomão, Cristolde; Oliveira, Fernanda; Ismael, Hamida; Saeze, Cristovão; Mosse, Carla; Fernandes, Quinhas; Viegas, Sofia Omar; Baltazar, Cynthia S; Doyle, Timothy J; Yard, Ellen; Steck, Alaina; Serret, Mayda; Falconer, Travis M; Kern, Sara E; Brzezinski, Jennifer L; Turner, James A; Boyd, Brian L; Jani, Ilesh V

2018-04-17

On 9 January 2015, in a rural town in Mozambique, >230 persons became sick and 75 died of an illness linked to drinking pombe, a traditional alcoholic beverage. An investigation was conducted to identify case patients and determine the cause of the outbreak. A case patient was defined as any resident of Chitima who developed any new or unexplained neurologic, gastrointestinal, or cardiovascular symptom from 9 January at 6:00 am through 12 January at 11:59 pm. We conducted medical record reviews, healthcare worker and community surveys, anthropologic and toxicologic investigations of local medicinal plants and commercial pesticides, and laboratory testing of the suspect and control pombe. We identified 234 case patients; 75 (32%) died and 159 recovered. Overall, 61% of case patients were female (n = 142), and ages ranged from 1 to 87 years (median, 30 years). Signs and symptoms included abdominal pain, diarrhea, vomiting, and generalized malaise. Death was preceded by psychomotor agitation and abnormal posturing. The median interval from pombe consumption to symptom onset was 16 hours. Toxic levels of bongkrekic acid (BA) were detected in the suspect pombe but not the control pombe. Burkholderia gladioli pathovar cocovenenans, the bacteria that produces BA, was detected in the flour used to make the pombe. We report for the first time an outbreak of a highly lethal illness linked to BA, a deadly food-borne toxin in Africa. Given that no previous outbreaks have been recognized outside Asia, our investigation suggests that BA might be an unrecognized cause of toxic outbreaks globally.

Comprehensive knowledge of HIV among women in rural Mozambique: development and validation of the HIV knowledge 27 scale.

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Philip J Ciampa

Full Text Available The relationship between HIV knowledge and HIV-related behaviors in settings like Mozambique has been limited by a lack of rigorously validated measures.A convenience sample of women seeking prenatal care at two clinics were administered an adapted, orally-administered, 27 item HIV-knowledge scale, the HK-27. Validation analyses were stratified by survey language (Portuguese and Echuabo. Kuder-Richardson (KR-20 coefficients estimated internal reliability. Construct validity was assessed with bivariate associations between HK-27 scores (% correct and selected participant characteristics. The association between knowledge, self-reported HIV testing, and HIV infection were evaluated with multivariable logistic regression.Participants (N = 348 had a median age of 24; 188 spoke Portuguese, and 160 spoke Echuabo. Mean HK-27 scores were higher for Portuguese-speaking participants than Echuabo-speaking participants (68% correct vs. 42%, p0.8 for scales in both languages. Higher HK-27 scores were significantly (p≤0.05 correlated with more education, more media items in the home, a history of HIV testing, and participant work outside of the home for women of both languages. HK-27 scores were independently associated with completion of HIV testing in multivariable analysis (per 1% correct: aOR:1.02, 95%CI:0.01-0.03, p = 0.01, but not with HIV infection.HK-27 is a reliable and valid measure of HIV knowledge among Portuguese and Echuabo-speaking Mozambican women. The HK-27 demonstrated significant knowledge deficits among women in the study, and higher scores were associated with higher HIV testing probability. Future studies should evaluate the role of the HK-27 in longitudinal studies and in other populations.

Comprehensive knowledge of HIV among women in rural Mozambique: development and validation of the HIV knowledge 27 scale.

Science.gov (United States)

Ciampa, Philip J; Skinner, Shannon L; Patricio, Sérgio R; Rothman, Russell L; Vermund, Sten H; Audet, Carolyn M

2012-01-01

The relationship between HIV knowledge and HIV-related behaviors in settings like Mozambique has been limited by a lack of rigorously validated measures. A convenience sample of women seeking prenatal care at two clinics were administered an adapted, orally-administered, 27 item HIV-knowledge scale, the HK-27. Validation analyses were stratified by survey language (Portuguese and Echuabo). Kuder-Richardson (KR-20) coefficients estimated internal reliability. Construct validity was assessed with bivariate associations between HK-27 scores (% correct) and selected participant characteristics. The association between knowledge, self-reported HIV testing, and HIV infection were evaluated with multivariable logistic regression. Participants (N = 348) had a median age of 24; 188 spoke Portuguese, and 160 spoke Echuabo. Mean HK-27 scores were higher for Portuguese-speaking participants than Echuabo-speaking participants (68% correct vs. 42%, p0.8) for scales in both languages. Higher HK-27 scores were significantly (p≤0.05) correlated with more education, more media items in the home, a history of HIV testing, and participant work outside of the home for women of both languages. HK-27 scores were independently associated with completion of HIV testing in multivariable analysis (per 1% correct: aOR:1.02, 95%CI:0.01-0.03, p = 0.01), but not with HIV infection. HK-27 is a reliable and valid measure of HIV knowledge among Portuguese and Echuabo-speaking Mozambican women. The HK-27 demonstrated significant knowledge deficits among women in the study, and higher scores were associated with higher HIV testing probability. Future studies should evaluate the role of the HK-27 in longitudinal studies and in other populations.

Mantakassa: an epidemic of spastic paraparesis associated with chronic cyanide intoxication in a cassava staple area of Mozambique. 2. Nutritional factors and hydrocyanic acid content of cassava products*

Science.gov (United States)

1984-01-01

An outbreak of spastic paraparesis which mostly affected women and children occurred in a northern province of Mozambique in 1981. The epidemic was related to chronic cyanide intoxication associated with a diet consisting almost exclusively of cassava. A prolonged drought in the area had exhausted all food resources except cassava, especially the bitter varieties. A nutritional, toxicological and botanical investigation was carried out in two of the five districts affected. The main findings were that cyanide levels were unusually high in the cassava plant as a consequence of the drought with daily intakes estimated at 15-31.5 mg HCN. Detoxification of the bitter varieties by sun-drying was inadequate because of the general food shortage, and metabolic detoxification was probably reduced owing to the absence of sulfur-containing amino acids in the diet. The raw and dried uncooked cassava was eaten mostly by women and children. The nutritional status of the population, however, was not very poor and symptoms of advanced under-nutrition were rarely seen. PMID:6088100

Empowering primary care workers to improve health services: results from Mozambique's leadership and management development program.

Science.gov (United States)

Perry, Cary

2008-07-23

This article is the third article in the Human Resources for Health journal's feature on the theme of leadership and management in public health. The series of six articles has been contributed by Management Sciences for Health (MSH) and will be published article-by-article over the next few weeks. The third article presents a successful application in Mozambique of a leadership development program created by Management Sciences for Health (MSH). Through this program, managers from 40 countries have learned to work in teams to identify their priority challenges and act to implement effective responses. From 2003 to 2004, 11 health units in Nampula Province, participated in a leadership and management development program called the Challenges Program. This was following an assessment which found that the quality of health services was poor, and senior officials determined that the underlying cause was the lack of human resource capacity in leadership and management in a rapidly decentralizing health care system. The program was funded by the US Agency for International Development (USAID) and implemented in partnership between the Mozambican Ministry of Health (MOH) Provincial Directorate in Nampula and Management Sciences for Health (MSH). The Challenges Program used simple management and leadership tools to assist the health units and their communities to address health service challenges. An evaluation of the program in 2005 showed that 10 of 11 health centers improved health services over the year of the program. The Challenges Program used several strategies that contributed to successful outcomes. It integrated leadership strengthening into the day-to-day challenges that staff were facing in the health units. The second success factor in the Challenges Program was the creation of participatory teams. After the program, people no longer waited passively to be trained but instead proactively requested training in needed areas. MOH workers in Nampula reported

Empowering primary care workers to improve health services: results from Mozambique's leadership and management development program

Directory of Open Access Journals (Sweden)

Perry Cary

2008-07-01

Full Text Available Abstract This article is the third article in the Human Resources for Health journal's feature on the theme of leadership and management in public health. The series of six articles has been contributed by Management Sciences for Health (MSH and will be published article-by-article over the next few weeks. The third article presents a successful application in Mozambique of a leadership development program created by Management Sciences for Health (MSH. Through this program, managers from 40 countries have learned to work in teams to identify their priority challenges and act to implement effective responses. From 2003 to 2004, 11 health units in Nampula Province, participated in a leadership and management development program called the Challenges Program. This was following an assessment which found that the quality of health services was poor, and senior officials determined that the underlying cause was the lack of human resource capacity in leadership and management in a rapidly decentralizing health care system. The program was funded by the US Agency for International Development (USAID and implemented in partnership between the Mozambican Ministry of Health (MOH Provincial Directorate in Nampula and Management Sciences for Health (MSH. The Challenges Program used simple management and leadership tools to assist the health units and their communities to address health service challenges. An evaluation of the program in 2005 showed that 10 of 11 health centers improved health services over the year of the program. The Challenges Program used several strategies that contributed to successful outcomes. It integrated leadership strengthening into the day-to-day challenges that staff were facing in the health units. The second success factor in the Challenges Program was the creation of participatory teams. After the program, people no longer waited passively to be trained but instead proactively requested training in needed areas. MOH workers

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African Journals Online (AJOL)

Items 251 - 300 of 1050 ... ... in the Wouri River estuary mangrove, Douala, Cameroon, Abstract ... morphological, phylogenetic and ecotoxicological aspects, Abstract PDF ... eddies in the Mozambique Basin and Mozambique Channel, Abstract.

Tissue distribution of perfluoroalkyl acids and health status in wild Mozambique tilapia (Oreochromis mossambicus) from Loskop Dam, Mpumalanga, South Africa

Institute of Scientific and Technical Information of China (English)

Jacqueline T.Bangma; Olivia Rynders; Joseph R.Sara; Willem J.Smit; John A.Bowden; Jessica L.Reiner; Hannes Botha; Theresa M.Cantu; Marco A.Gouws; Matthew P.Guillette; Jererny P.Koelmel; Wilmien J.Luus-Powell; Jan Myburgh

2017-01-01

This study examined concentrations of 15 perfiuoroalkyl acids (PFAAs) in tissues from male Mozambique dlapia (Oreochromis mossambicus) collected at Loskop Dam,Mpumalanga,South Africa in 2014 and 2016.Nine of the 15 PFAAs were detected frequently and were included in statistical analysis and included two of the most commonly known PFAAs,perfluorooctanesulfonic acid (PFOS) (median,41.6 ng/g) and perfluorooctanoic acid (PFOA) (median,0.0825 ng/g).Of the tissues measured,plasma (2016 and 2014 median,22.2 ng/g) contained the highest PFAA burden followed by (in descending order):liver (median,11.6 ng/g),kidney (median,9.04 ng/g),spleen (median,5.92 ng/g),adipose (median,2.54 ng/g),and muscle (median,1.11 ng/g).Loskop Dam tilapia have been affected by an inflammatory disease of the adipose tissue known as pansteatitis,so this study also aimed to investigate relationships between PFAA tissue concentrations and incidence of pansteatitis or fish health status.Results revealed that healthy tilapia exhibited an overall higher (p-value ＜ 0.05) PFAA burden than pansteatitis-affected tilapia across all tissues.Further analysis showed that organs previously noted in the literature to contain the highest PFAA concentrations,such as kidney,liver,and plasma,were the organs driving the difference in PFAA burden between the two tilapia groups.Care must be taken in the interpretations we draw from not only the results of our study,but also other PFAA measurements made on populations (human and wildhfe ahke) under differing health status.

Tissue distribution of perfluoroalkyl acids and health status in wild Mozambique tilapia (Oreochromis mossambicus) from Loskop Dam, Mpumalanga, South Africa.

Science.gov (United States)

Bangma, Jacqueline T; Reiner, Jessica L; Botha, Hannes; Cantu, Theresa M; Gouws, Marco A; Guillette, Matthew P; Koelmel, Jeremy P; Luus-Powell, Wilmien J; Myburgh, Jan; Rynders, Olivia; Sara, Joseph R; Smit, Willem J; Bowden, John A

2017-11-01

This study examined concentrations of 15 perfluoroalkyl acids (PFAAs) in tissues from male Mozambique tilapia (Oreochromis mossambicus) collected at Loskop Dam, Mpumalanga, South Africa in 2014 and 2016. Nine of the 15 PFAAs were detected frequently and were included in statistical analysis and included two of the most commonly known PFAAs, perfluorooctanesulfonic acid (PFOS) (median, 41.6ng/g) and perfluorooctanoic acid (PFOA) (median, 0.0825ng/g). Of the tissues measured, plasma (2016 and 2014 median, 22.2ng/g) contained the highest PFAA burden followed by (in descending order): liver (median, 11.6ng/g), kidney (median, 9.04ng/g), spleen (median, 5.92ng/g), adipose (median, 2.54ng/g), and muscle (median, 1.11ng/g). Loskop Dam tilapia have been affected by an inflammatory disease of the adipose tissue known as pansteatitis, so this study also aimed to investigate relationships between PFAA tissue concentrations and incidence of pansteatitis or fish health status. Results revealed that healthy tilapia exhibited an overall higher (p-valuetilapia across all tissues. Further analysis showed that organs previously noted in the literature to contain the highest PFAA concentrations, such as kidney, liver, and plasma, were the organs driving the difference in PFAA burden between the two tilapia groups. Care must be taken in the interpretations we draw from not only the results of our study, but also other PFAA measurements made on populations (human and wildlife alike) under differing health status. Copyright © 2017. Published by Elsevier B.V.

Estimating the Above-Ground Biomass in Miombo Savanna Woodlands (Mozambique, East Africa Using L-Band Synthetic Aperture Radar Data

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Maria J. Vasconcelos

2013-03-01

Full Text Available The quantification of forest above-ground biomass (AGB is important for such broader applications as decision making, forest management, carbon (C stock change assessment and scientific applications, such as C cycle modeling. However, there is a great uncertainty related to the estimation of forest AGB, especially in the tropics. The main goal of this study was to test a combination of field data and Advanced Land Observing Satellite (ALOS Phased Array L-band Synthetic Aperture Radar (PALSAR backscatter intensity data to reduce the uncertainty in the estimation of forest AGB in the Miombo savanna woodlands of Mozambique (East Africa. A machine learning algorithm, based on bagging stochastic gradient boosting (BagSGB, was used to model forest AGB as a function of ALOS PALSAR Fine Beam Dual (FBD backscatter intensity metrics. The application of this method resulted in a coefficient of correlation (R between observed and predicted (10-fold cross-validation forest AGB values of 0.95 and a root mean square error of 5.03 Mg·ha−1. However, as a consequence of using bootstrap samples in combination with a cross validation procedure, some bias may have been introduced, and the reported cross validation statistics could be overoptimistic. Therefore and as a consequence of the BagSGB model, a measure of prediction variability (coefficient of variation on a pixel-by-pixel basis was also produced, with values ranging from 10 to 119% (mean = 25% across the study area. It provides additional and complementary information regarding the spatial distribution of the error resulting from the application of the fitted model to new observations.

Participatory innovation process for testing new practices for soil fertility management in Chókwè Irrigation Scheme (Mozambique)

Science.gov (United States)

Sánchez Reparaz, Maite; de Vente, Joris; Famba, Sebastiao; Rougier, Jean-Emmanuel; Ángel Sánchez-Monedero, Miguel; Barberá, Gonzalo G.

2015-04-01

Integrated water and nutrient management are key factors to increase productivity and to reduce the yield gap in irrigated systems in Sub-Saharan Africa. These two elements are affected by an ensemble of abiotic, biotic, management and socio-economic factors that need to be taken into account to reduce the yield gap, as well as farmers' perceptions and knowledge. In the framework of the project European Union and African Union cooperative research to increase Food production in irrigated farming systems in Africa (EAU4Food project) we are carrying out a participatory innovation process in Chókwè irrigation scheme (Mozambique) based on stakeholders engagement, to test new practices for soil fertility management that can increase yields reducing costs. Through a method combining interviews with three farmers' associations and other relevant stakeholders and soil sampling from the interviewed farmers' plots with the organization of Communities of Practices, we tried to capture how soil fertility is managed by farmers, the constraints they find as well as their perceptions about soil resources. This information was the basis to design and conduct a participatory innovation process where compost made with rice straw and manure is being tested by a farmers' association. Most important limitations of the method are also evaluated. Our results show that socio-economic characteristics of farmers condition how they manage soil fertility and their perceptions. The difficulties they face to adopt new practices for soil fertility management, mainly related to economic resources limitations, labour availability, knowledge time or farm structure, require a systemic understanding that takes into account abiotic, biotic, management and socio-economic factors and their implication as active stakeholders in all phases of the innovation process.

Early Response of Protein Quality Control in Gills Is Associated with Survival of Hypertonic Shock in Mozambique tilapia

Science.gov (United States)

Tang, Cheng-Hao; Lee, Tsung-Han

2013-01-01

The protein quality control (PQC) mechanism is essential for cell function and viability. PQC with proper biological function depends on molecular chaperones and proteases. The hypertonicity-induced protein damage and responses of PQC mechanism in aquatic organisms, however, are poorly understood. In this study, we examine the short-term effects of different hypertonic shocks on the levels of heat shock proteins (HSPs, e.g., HSP70 and HSP90), ubiquitin-conjugated proteins and protein aggregation in gills of the Mozambique tilapia (Oreochromis mossambicus). Following transfer from fresh water (FW) to 20‰ hypertonicity, all examined individuals survived to the end of experiment. Moreover, the levels of branchial HSPs and ubiquitin-conjugated proteins significantly increased at 3 and 24 h post-transfer, respectively. Up-regulation of HSPs and ubiquitin-conjugated proteins was sufficient to prevent the accumulation of aggregated proteins. However, the survival rate of tilapia dramatically declined at 5 h and all fish died within 7 h after direct transfer to 30‰ hypertonicity. We presumed that this result was due to the failed activation of gill PQC system, which resulted in elevating the levels of aggregated proteins at 3 and 4 h. Furthermore, in aggregated protein fractions, the amounts of gill Na+/K+-ATPase (NKA) remained relatively low when fish were transferred to 20‰ hypertonicity, whereas abundant NKA was found at 4 h post-transfer to 30‰ hypertonicity. This study demonstrated that the response of PQC in gills is earlier than observable changes in localization of ion-secreting transport proteins upon hypertonic challenge. To our knowledge, this is the first study to investigate the regulation of PQC mechanism in fish and characterize its important role in euryhaline teleost survival in response to hypertonic stress. PMID:23690986

Spatio-temporal patterns of coral recruitment at Vamizi Island ...

African Journals Online (AJOL)

Spatio-temporal patterns of coral recruitment at Vamizi Island, Quirimbas Archipelago, Mozambique. ... Spatial and temporal patterns of recruitment of reef corals were assessed for the first time in Mozambique ... AJOL African Journals Online.

Western Indian Ocean Journal of Marine Science - Vol 13, No 1 (2014)

African Journals Online (AJOL)

View or download the full issue, Untitled () PDF. Table of Contents. Articles. Morphology of the Zambezi River plume in the Sofala Bank, Mozambique · EMAIL ... (Iles Eparses, France) in the Mozambique Channel, South Western Indian Ocean.

The Maputo Development

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ANBR

southern Mozambique. The SDI concept grew to encompass a range of targeted ... improvement of rail and port operations in Mozambique to re-establish ... businesses of significance stand out: a Portuguese style restaurant and a fish import.

Tie points for Gondwana reconstructions from a structural interpretation of the Mozambique Basin, East Africa and the Riiser-Larsen Sea, Antarctica

Directory of Open Access Journals (Sweden)

J. Klimke

2018-01-01

Full Text Available Movements within early East Gondwana dispersal are poorly constrained, and there is debate about conjugate geologic structures and the timing and directions of the rifting and earliest seafloor spreading phases. We present a combined structural interpretation of multichannel reflection seismic profiles from offshore of northern Mozambique (East Africa and the conjugate Riiser-Larsen Sea (Antarctica. We find similar structural styles at the margins of both basins. At certain positions at the foot of the continental slope close to the continent–ocean transition, the basement is intensely deformed and fractured, a structural style very untypical for rifted continental margins. Sediments overlying the fractured basement are deformed and reveal toplap and onlap geometries, indicating a post-breakup deformation phase. We propose this unique deformation zone as a tie point for Gondwana reconstructions. Accordingly, we interpret the western flank of Gunnerus Ridge, Antarctica as a transform margin similar to the Davie Ridge offshore of Madagascar, implying that they are conjugate features. As the continental slope deformation is post-rift, we propose a two-phase opening scenario. A first phase of rifting and early seafloor spreading, likely in NW–SE direction, was subsequently replaced by a N–S-directed transform deformation phase overprinting the continent–ocean transition. From previously identified magnetic chrons and the sediment stratigraphy, this change in the spreading directions from NW–SE to N–S is suggested to have occurred by the late Middle Jurassic. We suggest that the second phase of deformation corresponds to the strike-slip movement of Madagascar and Antarctica and discuss implications for Gondwana breakup.

An ecological economic assessment of flow regimes in a hydropower dominated river basin: the case of the lower Zambezi River, Mozambique.

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Fanaian, Safa; Graas, Susan; Jiang, Yong; van der Zaag, Pieter

2015-02-01

The flow regime of rivers, being an integral part of aquatic ecosystems, provides many important services benefiting humans in catchments. Past water resource developments characterized by river embankments and dams, however, were often dominated by one (or few) economic use(s) of water. This results in a dramatically changed flow regime negatively affecting the provision of other ecosystem services sustained by the river flow. This study is intended to demonstrate the value of alternative flow regimes in a river that is highly modified by the presence of large hydropower dams and reservoirs, explicitly accounting for a broad range of flow-dependent ecosystem services. In this study, we propose a holistic approach for conducting an ecological economic assessment of a river's flow regime. This integrates recent advances in the conceptualization and classification of ecosystem services (UK NEA, 2011) with the flow regime evaluation technique developed by Korsgaard (2006). This integrated approach allows for a systematic comparison of the economic values of alternative flow regimes, including those that are considered beneficial for aquatic ecosystems. As an illustration, we applied this combined approach to the Lower Zambezi Basin, Mozambique. Empirical analysis shows that even though re-operating dams to create environmentally friendly flow regimes reduces hydropower benefits, the gains to goods derived from the aquatic ecosystem may offset the forgone hydropower benefits, thereby increasing the total economic value of river flow to society. The proposed integrated flow assessment approach can be a useful tool for welfare-improving decision-making in managing river basins. Copyright © 2014 Elsevier B.V. All rights reserved.

A single dose of live-attenuated 638 Vibrio cholerae oral vaccine is safe and immunogenic in adult volunteers in Mozambique

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Hilda María García

2011-12-01

Full Text Available A placebo-controlled randomized, double-blind, clinical trial was carried out to assess the safety, reactogenicity, and immunogenicity of the lyophilized vaccine candidate against cholera derived from the live attenuated 638 Vibrio cholerae O1 El Tor Ogawa strain. One hundred and twenty presumably healthy female and male adult volunteers aged between 18 and 50 years were included. They were from Maputo, Mozambique a cholera endemic area, where, in addition, human immunodeficiency virus (HIV seroprevalence is from 20 to 30%. A dose of 2 x 10 9 colony forming units (CFU was given to 80 subjects and other 40 received only vaccine lyoprotectors as a placebo control. Out-patient follow-up of adverse events was carried out during the following 30 days after vaccination. The immune response was evaluated by the estimation of seroconversion rate and the geometric mean titer (GMT of vibriocidal antibodies in the sera from volunteers that was collected previously, and at days 14 and 21 after immunization. No serious adverse events were reported. The adverse events found in the vaccine group were similar to those of the placebo groups. They were independent from the detection of antibodies against HIV-1, HIV-2, hepatitis (H A; HC and hepatitis B surface antigen. The presence of helminthes did not modify the incidence of adverse events. The 638 vaccine strain was isolated in 37 (46.25% vaccinated volunteer's feces. The peak of the GMT of vibriocidal antibodies in the vaccine group was 9056 versus 39 in the placebo group at 14 days with a total seroconversion of 97.4% at 21 days. The 638 vaccine candidate is safe and immunogenic in a cholera endemic region.

Effect of sub-acute exposure to nickel nanoparticles on oxidative stress and histopathological changes in Mozambique tilapia, Oreochromis mossambicus.

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Jayaseelan, Chidambaram; Abdul Rahuman, Abdul; Ramkumar, Rajendiran; Perumal, Pachiappan; Rajakumar, Govindasamy; Vishnu Kirthi, Arivarasan; Santhoshkumar, Thirunavukkarasu; Marimuthu, Sampath

2014-09-01

The aim of the present study was to assess the oxidative stress, antioxidant response and histopathological changes of nickel nanoparticles (Ni NPs) exposure (14 days) in Mozambique tilapia, Oreochromis mossambicus. Ni NPs were synthesized by metal salt reduction method and characterized by X-ray diffraction (XRD) and Transmission electron microscopy (TEM). The XRD peaks at 44°, 51° and 76° were indexed to the (111), (200) and (220) Bragg's reflections of cubic structure of Nickel, respectively. The crystallite sizes were calculated using Scherrer's formula applied to the major intense peaks and found to be the size of 56nm. TEM images showed that the synthesized Ni NPs are spherical in shape. Biochemical analysis indicated that the superoxide dismutase (SOD), catalase (CAT) and peroxidase (POD) activity was significantly affected by Ni NPs treated O. mossambicus. Reduced antioxidant enzymes and the contents of antioxidants were lowered in the liver and gills of fishes treated with Ni NPs. After 14 days of exposure, a significant accumulation of Ni in the Ni NPs in experimental group was observed in the gill and skin tissues, with the highest levels found in the liver. Ni NPs exposed fish showed nuclear hypertrophy (NH), nuclear degeneration (ND), necrosis (NC) and irregular-shaped nuclei were observed in liver tissue. The hyperplasia of the gill epithelium (GE), lamellar fusion of secondary lamellae (LF), dilated marginal channel (MC), epithelial lifting (EL) and epithelial rupture were observed in gill tissue. Degeneration in muscle bundles (DM), focal area of necrosis (NC) vacuolar degeneration in muscle bundles (VD), edema between muscle bundles (ED) and splitting of muscle fibers were noticed in skin tissue. Further ecotoxicological evaluation will be made concerning the risk of Ni NPs on aquatic environment. Copyright © 2014 Elsevier Inc. All rights reserved.

Drivers of health system strengthening: learning from implementation of maternal and child health programmes in Mozambique, Nepal and Rwanda.

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Samuels, Fiona; Amaya, Ana B; Balabanova, Dina

2017-09-01

There is a growing understanding that strong health systems are crucial to sustain progress. Health systems, however, are complex and much of their success depends on factors operating at different levels and outside the health system, including broader governance and political commitment to health and social development priorities. Recognizing these complexities, this article offers a pragmatic approach to exploring the drivers of progress in maternal and child health in Mozambique, Nepal and Rwanda. To do this, the article builds on a semi-systematic literature review and case study findings, designed and analysed using a multi-level framework. At the macro level, governance with effective and committed leaders was found to be vital for achieving positive health outcomes. This was underpinned by clear commitment from donors coupled by a significant increase in funding to the health sector. At the meso level, where policies are operationalized, inter-sectoral partnerships as well as decentralization and task-shifting emerged as critical. At micro (service interface) level, community-centred models and accessible and appropriately trained and incentivized local health providers play a central role in all study countries. The key drivers of progress are multiple, interrelated and transversal in terms of their operation; they are also in a constant state of flux as health systems and contexts develop. Without seeking to offer a blueprint, the study demonstrates that a 'whole-system' approach can help elicit the key drivers of change and potential pathways towards desirable outcomes. Furthermore, understanding the challenges and opportunities that are instrumental to progress at each particular level of a health system can help policy-makers and implementers to navigate this complexity and take action to strengthen health systems. © The Author 2017. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. All rights

Pentecostalismo brasileiro em Moçambique: produção de conhecimento espiritual e cultural em um espaço transnacional

NARCIS (Netherlands)

van de Kamp, L.

2015-01-01

Based on ethnographic research carried out in Maputo, the capital of Mozambique, this contribution argues that transnational Pentecostalism and especially its South-South or Brazil-Mozambique links are crucial to understanding upwardly mobile women's Pentecostal involvement. In line with a history

Preliminary studies on the concentration of Na+,K(+)-ATPase in skeletal muscle of draught cattle in Mozambique: effect of sex, age and training.

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Veeneklaas, R J; Verkleij, C B; van Schie, B; Harun, M A S; Everts, M E

2002-09-01

The effect of training on the potential for work in draught cattle was assessed by measuring the Na+,K(+)-ATPase in the muscle cell membrane and the elevation in the concentration of K+ in plasma during exercise. Biopsies of the semitendinosus muscle and venous blood samples were taken from the cattle used for draught work in Mozambique. No differences were found in the plasma ion or Na+,K(+)-ATPase concentrations in samples taken from Nguni, Africander and Angoni breeds. There were no significant differences in plasma ions (Na+,K+ and Cl-) or muscle Na+,K(+)-ATPase concentrations between the Angoni males and females, although the males showed an increase in Na+,K(+)-ATPase with age, while the females showed a decrease. The increase in males might be attributed to their higher level of activity in the herds than that of females. After a training period of 15 days, a significant increase in Na+,K(+)-ATPase concentration in semitendinosus muscle was found in Angoni cattle. In females, this was significant after 8 days of training (about 30%); in males after 15 days of training (about 16%). On day 15, there was a reduction in the elevation of plasma K+ during the 2 h of draught work, indicating an increased capacity of the Na+,K+ pumps to maintain the extracellular K+ concentration in working muscles and a possible delay in the moment of fatigue.

Assessing the implementation and influence of policies that support research and innovation systems for health: the cases of Mozambique, Senegal, and Tanzania.

Science.gov (United States)

Mugwagwa, Julius; Edwards, Daniel; de Haan, Sylvia

2015-04-18

Without good policies it will be difficult to provide guidance to research and innovation systems. However, policies need to be followed through and implemented to have the desired effect. We studied the policies and strategies in place to support research and innovation systems for health in Mozambique, Senegal, and Tanzania, and looked at the extent to which these policies and strategies have been implemented. We reviewed documents and reports and conducted in-depth interviews with 16 key informants representing various actors of the national research for health systems. The results illustrate that there are various policies and strategies governing research and innovation for health in the three countries. However, implementation of these policies and strategies is generally rated as being poor. The reasons highlighted for this include lack of policy coherence, lack of enforcement and accountability mechanisms, and a lack of financing for implementing the policies. These contextual factors seem to be of such importance that even the increased stakeholder involvement and political leadership, as mentioned by the interviewees, cannot guarantee policy implementation. We conclude that due to the contextual realities of the study countries, there is need for greater focus on policy implementation than on developing additional policies. Government institutions should play a central role in all stages of the policy process, and should ensure implementation of defined policies. Strong mechanisms, including financing, that strengthen the position and role of government in policy coordination and the oversight of the policy process will help increase efficient and impactful implementation of research and innovation for health policies.

: tous les projets | Page 589 | CRDI - Centre de recherches pour le ...

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Sujet: HEALTH SURVEYS, HEALTH STATISTICS, INFORMATION NETWORKS, TELECOMMUNICATIONS, TELEPHONE, PRIMARY HEALTH CARE. Région: Mozambique, North of Sahara, South of Sahara. Financement total : CA$ 1,596,842.00. Réseau d'information sur la santé du Mozambique. Projet. Il est vital, afin ...

Access to care for patients with insulin-requiring diabetes in developing countries

DEFF Research Database (Denmark)

Beran, David; Yudkin, John S; de Courten, Maximilian

2005-01-01

The objective of this study was to assess the barriers to care for patients with insulin-requiring diabetes in Mozambique and Zambia.......The objective of this study was to assess the barriers to care for patients with insulin-requiring diabetes in Mozambique and Zambia....

The association among literacy, numeracy, HIV knowledge and health-seeking behavior: a population-based survey of women in rural Mozambique.

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Philip J Ciampa

Full Text Available BACKGROUND: Limited literacy skills are common in the United States (US and are related to lower HIV knowledge and worse health behaviors and outcomes. The extent of these associations is unknown in countries like Mozambique, where no rigorously validated literacy and numeracy measures exist. METHODS: A validated measure of literacy and numeracy, the Wide Range Achievement Test, version 3 (WRAT-3 was translated into Portuguese, adapted for a Mozambican context, and administered to a cross-section of female heads-of-household during a provincially representative survey conducted from August 8 to September 25, 2010. Construct validity of each subscale was examined by testing associations with education, income, and possession of socioeconomic assets, stratified by Portuguese speaking ability. Multivariable regression models estimated the association among literacy/numeracy and HIV knowledge, self-reported HIV testing, and utilization of prenatal care. RESULTS: Data from 3,557 women were analyzed; 1,110 (37.9% reported speaking Portuguese. Respondents' mean age was 31.2; 44.6% lacked formal education, and 34.3% reported no income. Illiteracy was common (50.4% of Portuguese speakers, 93.7% of non-Portuguese speakers and the mean numeracy score (10.4 corresponded to US kindergarten-level skills. Literacy or numeracy was associated (p<0.01 with education, income, age, and other socioeconomic assets. Literacy and numeracy skills were associated with HIV knowledge in adjusted models, but not with HIV testing or receipt of clinic-based prenatal care. CONCLUSION: The adapted literacy and numeracy subscales are valid for use with rural Mozambican women. Limited literacy and numeracy skills were common and associated with lower HIV knowledge. Further study is needed to determine the extent to which addressing literacy/numeracy will lead to improved health outcomes.

Spatially explicit Schistosoma infection risk in eastern Africa using Bayesian geostatistical modelling

DEFF Research Database (Denmark)

Schur, Nadine; Hürlimann, Eveline; Stensgaard, Anna-Sofie

2013-01-01

are currently infected with either S. mansoni, or S. haematobium, or both species concurrently. Country-specific population-adjusted prevalence estimates range between 12.9% (Uganda) and 34.5% (Mozambique) for S. mansoni and between 11.9% (Djibouti) and 40.9% (Mozambique) for S. haematobium. Our models revealed...

Effect of farming practices and farm history on incidence of coconut ...

African Journals Online (AJOL)

Management of coconut (Cocos nucifera) lethal yellowing disease (CLYD), which has killed about eight million coconut trees in Mozambique, has proved challenging. The objective of this study was to investigate the impact of farming practices and related history, on the CLYD incidence in Mozambique. The methodology ...

Prevalence of diabetes mellitus in newly diagnosed pulmonary ...

African Journals Online (AJOL)

Introduction: Data regarding the association between diabetes mellitus (DM) and tuberculosis (TB) in Africa are scarce. DM screening among TB patients in Mozambique was carried out. Methods: The study was implemented from January to August 2016 in three Urban Health Centers in Beira, Mozambique and recruited ...

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Étape de planification : Renforcement de la communauté du continuum de soins hospitaliers à Marrere, au Mozambique. Le Mozambique s'était fixé l'objectif de réduire son taux de mortalité des mères et son taux de grossesse chez les adolescentes.

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Étape de planification : Renforcement de la communauté du continuum de soins hospitaliers à Marrere, au Mozambique. Le Mozambique s'était fixé l'objectif de réduire son taux de mortalité des mères et son taux de grossesse chez les adolescentes. Projet.

Contribution of household environment factors to urban Childhood ...

African Journals Online (AJOL)

Contribution of household environment factors to urban Childhood mortality in Mozambique. ... Conclusion: Type of toilet facility and source of drinking water play an important role in the risk of childhood mortality in urban areas of Mozambique and the relationship seems to be mediated partly by demographic and ...

Threatened bird species on two little-known mountains (Chiperone ...

African Journals Online (AJOL)

The montane forests of northern Mozambique and southern Malawi support several bird species of global conservation concern, and particularly in Malawi are seriously threatened by deforestation. However, the status of these in northern Mozambique remains poorly known. We report that some 1 600 ha of mid-altitude and ...

A reappraaisal of the geology, geochemistry, structures and ...

African Journals Online (AJOL)

The largest segment of the Neoproterozoic Mozambique belt in Kenya occurs east of the north-south oriented Rift system. Geological works carried out in the country during the last few decades have progressively revealed the complexity of the geology, structures and tectonics of the Mozambique belt in the region.

The taxonomic status of giant sengis ( genus Rhynchocyon ) in ...

African Journals Online (AJOL)

The sengis (elephant-shrews) of Mozambique are poorly known, especially the taxonomic status of the giant sengis, genus Rhynchocyon. Currently, Rhynchocyon from Mozambique are thought to be chequered sengis, R. cirnei with specimens from the central coastal areas being placed in the subspecies R. c. cirnei, while ...

Taxonomy of the ant genus Nesomyrmex Wheeler (Formicidae, Myrmicinae in the Afrotropical region, with a review of current species groups and description of a new species of the N. angulatus group from Mozambique

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Francisco Hita Garcia

2017-01-01

Full Text Available This study reviews the taxonomy of the ant genus Nesomyrmex Wheeler, 1910 in the Afrotropical region. Previous revisionary studies are discussed and four species groups are proposed on the basis of external morphology. The N. angulatus group contains seven species that are widely distributed throughout the whole Afrotropical region, with one species also occurring in the Palaearctic and Malagasy regions. The N. cataulacoides group is monotypic, with one morphologically bizarre species found in Equatorial rain forests. The N. humerosus group is also monotypic and occurs in East Africa. The last and by far most species-rich group is the N. simoni group that contains 17 species, all of which are endemic to South Africa. The four groups are defined for the first time for the region, and an illustrated identification key is provided. Furthermore, the N. angulatus group is more thoroughly reviewed. One new species from Mozambique is described, N. inhaca sp. nov., and species accounts for the other six are provided. Also, an illustrated identification key to the species of the N. angulatus group is presented.

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Étape de planification : Renforcement de la communauté du continuum de soins hospitaliers à Marrere, au Mozambique. Le Mozambique s'était fixé l'objectif de réduire son taux de mortalité des mères et son taux de grossesse chez les adolescentes. Projet ...

Traditional uses of plants in a rural community of Mozambique and possible links with Miombo degradation and harvesting sustainability.

Science.gov (United States)

Bruschi, Piero; Mancini, Matteo; Mattioli, Elisabetta; Morganti, Michela; Signorini, Maria Adele

2014-07-23

Miombo woodlands play an important role in the livelihood of people living in sub-equatorial African countries, contributing to satisfy basic human needs such as food, medicine, fuelwood and building materials. However, over-exploitation of plant resources and unsustainable harvest practices can potentially degrade forests. The aim of this study was to document the use of Miombo plant products, other than medicinal plants, in local communities, within a wider framework in which we discussed possible links between traditional uses and conservation status of the used species and of the whole Miombo environment. Fieldwork took place in four communities of Muda-Serração, central Mozambique. We conducted semi-structured interviews with 52 informants about their knowledge, use and harvesting practices of useful plants. A survey on local Miombo vegetation was also carried out in order to assess abundance and distribution of useful woody plants cited in the interviews in areas exposed to different exploitation rates. A Conservation Priority index was also applied to rank conservation values of each used woody species. Ninety-eight plants cited by the informants were botanically identified. The most relevant general category was represented by food plants (45 species), followed by handicraft plants (38 species) and domestic plants (37 species). Among the 54 woody species observed in vegetation plots, 52% were cited as useful in the interviews. Twenty-six woody species found in 'natural' Miombo areas were not found in 'degraded' ones: of these, 46% were cited in the interviews (58% in the food category, 50% in the handicraft category, 25% in the domestic category and 8% in the fishing category). Results of conservation ranking showed that 7 woody species deserve conservation priority in the investigated area. This study shows that the communities investigated rely heavily on local forest products for their daily subsistence requirements in food, firewood/charcoal and

Factors associated with loss to clinic among HIV patients not yet known to be eligible for antiretroviral therapy (ART) in Mozambique

Science.gov (United States)

Pati, Rituparna; Lahuerta, Maria; Elul, Batya; Okamura, Mie; Alvim, Maria Fernanda; Schackman, Bruce; Bang, Heejung; Fernandes, Rufino; Assan, Americo; Lima, Josue; Nash, Denis

2013-01-01

Introduction Retention in HIV care prior to ART initiation is generally felt to be suboptimal, but has not been well-characterized. Methods We examined data on 37,352 adult pre-ART patients (ART ineligible or unknown eligibility) who enrolled in care during 2005–2008 with >1 clinical visit at 23 clinics in Mozambique. We defined loss to clinic (LTC) as >12 months since the last visit among those not known to have died/transferred. Cox proportional-hazards models were used to examine factors associated with LTC, accounting for clustering within sites. Results Of 37,352 pre-ART patients, 61% had a CD4 count within three months of enrolment (median CD4: 452, IQR: 345–611). 17,598 (47.1%) were ART ineligible and 19,754 (52.9%) were of unknown eligibility status at enrolment because of missing information on CD4 count and/or WHO stage. Kaplan-Meier estimates for LTC at 12 months were 41% (95% CI: 40.2–41.8) and 48% (95% CI: 47.2–48.8), respectively. Factors associated with LTC among ART ineligible patients included male sex (AHRmen_vs_non-pregnant women: 1.5; 95% CI: 1.4–1.6) and being pregnant at enrolment (AHRpregnant_vs_non-pregnant women: 1.3; 95% CI: 1.1–1.5). Older age, more education, higher weight and more advanced WHO stage at enrolment were independently associated with lower risks of LTC. Similar findings were observed among patients whose ART eligibility status was unknown at enrolment. Conclusions Substantial LTC occurred prior to ART initiation among patients not yet known to be eligible for ART, including nearly half of patients without documented ART eligibility assessment. Interventions are needed to target pre-ART patients who may be at higher risk for LTC, including pregnant women and patients with less advanced HIV disease. PMID:23755857

Trends and Implications of Climate Change for National and International Security

Science.gov (United States)

2011-10-01

Land cover (including vegetation type), Fraction of absorbed photosynthetically active radiation (fAPAR), Leaf area index (LAI), Above- ground ... biomass , Soil carbon, Fire disturbance, Soil moisture Note: Bold font indicates ECVs primarily provided by satellite observations. Source: Committee on...Cambodia Vietnam Tunisia Mali Mozambique Mozambique Moldova Indonesia Zambia Niger Laos Mongolia Mauritania Morocco Mauritania Pakistan Haiti China

Standardization of cassava mahewu fermentation and assessment ...

African Journals Online (AJOL)

Cassava root is the main staple for 70% of the population in Mozambique, particularly in inaccessible rural areas, but is known to be low in iron. Anaemia is a public health problem in mothers and preschool children in Mozambique and up to 40% of these cases are probably due to dietary iron deficiency. The World Health ...

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Results 61 - 70 of 162 ... Remove Mozambique filter Mozambique; Kenya 635 Apply Kenya filter · South Africa 596 Apply South Africa filter · Uganda 421 Apply Uganda filter · Tanzania 292 Apply Tanzania filter · Ghana 290 Apply Ghana filter · Senegal 277 Apply Senegal filter · Ethiopia 189 Apply Ethiopia filter · Nigeria 173 ...

Partido fuerte, ¿Estado débil?: Frelimo y la supervivencia estatal a través de la guerra civil en Mozambique.

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Jason Sumich.

2010-12-01

Full Text Available Much of the research on Africa in the postcolonial period places the government in a central role-or as a cause- of many crises that have afflicted the continent since its independence. The State or government has been described in different ways: as severe and mild, authoritarian and underdeveloped, corrupt, patrimonial, or as a motor of development. While some warn of the drawbacks of an excessively interventionist State, others warn of the dangers that ‘failed States’ or collapsed States would bring. Despite the different approaches under which we study, the government is often associated with equally nebulous concepts such as civil society-is almost always the concept under which we examine the political culture of the African continent as a whole. This article questions the meanings of the term ‘State’ and asks if it is possible to separate the analysis of the State from the leaders of different parties in power, in specifc instances and at certain moments in time. This study is based in Mozambique and argues that, in many ways, with the exception of the symbolic, that the State collapsed in large parts of the country during the civil war (1977-1992. It describes the social formation of the elite that eventually led the Frelimo party, and demonstrates how these elite were able to maintain unity within the party and survive the challenges brought about by the post-independence period. However, the unity of the party’s social base is exclusive. It is therefore argued that instead of focusing on the types of African States, we must focus on the vision of statehood as a long and complex process of negotiation and confrontation between different social groups.

Publications | Page 112 | CRDI - Centre de recherches pour le ...

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Le sans fil, un outil de gestion des ressources au Mozambique. Au Mozambique, il faut aimer la solitude pour être garde forestier ou garde-chasse, un métier parfois dangereux. L'année dernière, par exemple, un garde-chasse a essuyé le feu d'un braconnier dans une nouvelle réserve naturelle de la.

Effects of food price shocks on child malnutrition

DEFF Research Database (Denmark)

Arndt, Thomas Channing; Hussain, M. Azhar; Salvucci, Vincenzo

2016-01-01

A propitiously timed household survey carried out in Mozambique over the period 2008/2009 permits us to study the relationship between shifts in food prices and child nutrition status in a low income setting. We focus on weight-for-height and weight-for-age in different survey quarters characteri...... production year, as substantially increasing malnutrition amongst under-five children in Mozambique....

Genetic characterization of human T-cell lymphotropic virus type 1 in Mozambique: transcontinental lineages drive the HTLV-1 endemic.

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Ana Carolina P Vicente

2011-04-01

Full Text Available Human T-Cell Lymphotropic Virus Type 1 (HTLV-1 is the etiological agent of adult T-cell leukemia (ATL and HTLV-1-associated myelopathy/tropical spastic paraparesis (HAM/TSP. It has been estimated that 10-20 million people are infected worldwide, but no successful treatment is available. Recently, the epidemiology of this virus was addressed in blood donors from Maputo, showing rates from 0.9 to 1.2%. However, the origin and impact of HTLV endemic in this population is unknown.To assess the HTLV-1 molecular epidemiology in Mozambique and to investigate their relationship with HTLV-1 lineages circulating worldwide.Blood donors and HIV patients were screened for HTLV antibodies by using enzyme immunoassay, followed by Western Blot. PCR and sequencing of HTLV-1 LTR region were applied and genetic HTLV-1 subtypes were assigned by the neighbor-joining method. The mean genetic distance of Mozambican HTLV-1 lineages among the genetic clusters were determined. Human mitochondrial (mt DNA analysis was performed and individuals classified in mtDNA haplogroups.LTR HTLV-1 analysis demonstrated that all isolates belong to the Transcontinental subgroup of the Cosmopolitan subtype. Mozambican HTLV-1 sequences had a high inter-strain genetic distance, reflecting in three major clusters. One cluster is associated with the South Africa sequences, one is related with Middle East and India strains and the third is a specific Mozambican cluster. Interestingly, 83.3% of HIV/HTLV-1 co-infection was observed in the Mozambican cluster. The human mtDNA haplotypes revealed that all belong to the African macrohaplogroup L with frequencies representatives of the country.The Mozambican HTLV-1 genetic diversity detected in this study reveals that although the strains belong to the most prevalent and worldwide distributed Transcontinental subgroup of the Cosmopolitan subtype, there is a high HTLV diversity that could be correlated with at least 3 different HTLV-1 introductions

Implementation strategies to increase access and demand of long-lasting insecticidal nets: a before-and-after study and scale-up process in Mozambique.

Science.gov (United States)

Arroz, Jorge A H; Mendis, Chandana; Pinto, Liliana; Candrinho, Baltazar; Pinto, João; Martins, Maria do Rosário O

2017-10-25

The universal coverage bed nets campaign is a proven health intervention promoting increased access, ownership, and use of bed nets to reduce malaria burden. This article describes the intervention and implementation strategies that Mozambique carried out recently in order to improve access and increase demand for long-lasting insecticidal nets (LLINs). A before-and-after study with a control group was used during Stage I of the implementation process. The following strategies were tested in Stage I: (1) use of coupons during household registration; (2) use of stickers to identify the registered households; (3) new LLIN ascription formula (one LLIN for every two people). In Stage II, the following additional strategies were implemented: (4) mapping and micro-planning; (5) training; and (6) supervision. Odds ratio (OR) and 95% confidence interval (CI) were used to compare and establish differences between intervened and control districts in Stage I. Main outcomes were: percentage of LLINs distributed, percentage of target households benefited. In Stage I, 87.8% (302,648) of planned LLINs were distributed in the intervention districts compared to 77.1% (219,613) in the control districts [OR: 2.14 (95% CI 2.11-2.16)]. Stage I results also showed that 80.6% (110,453) of households received at least one LLIN in the intervention districts compared to 72.8% (87,636) in the control districts [OR: 1.56 (95% CI 1.53-1.59)]. In Stage II, 98.4% (3,536,839) of the allocated LLINs were delivered, covering 98.6% (1,353,827) of the registered households. Stage I results achieved better LLINs and household coverage in districts with the newly implemented strategies. The results of stage II were also encouraging. Additional strategies adaptation is required for a wide-country LLIN campaign.

On the Robustness of Poverty Predictors

DEFF Research Database (Denmark)

Arndt, Channing; Nhate, Virgulino; Silva, Patricia Castro Da

Monitoring of poverty requires timely household budget data. However, such data are not available as frequently as needed for policy purposes. Recently, statistical methods have emerged to predict poverty overtime by combining detailed household consumption and expenditure data with more frequent...... data collected from other surveys. In this paper we compare poverty predictions for Mozambique using different source data to test the robustness of the predicted poverty statistics. A critical element in this exercise of predicting poverty overtime is the stability of the parameters that determine...... household consumption. We find that the assumption of stable consumption determinants does not hold for Mozambique during the time period examined. We also examine what drives the resulting predicted poverty statistics. The paper then considers the policy implications of these findings for Mozambique...

Explaining Poverty Evolution

DEFF Research Database (Denmark)

Arndt, Channing; Hussain, Mohammad Azhar; Jones, Edward Samuel

Measuring poverty remains a complex and contentious issue. This is particularly true in sub-Saharan Africa where poverty rates are higher, information bases typically weaker, and the underlying determinants of welfare relatively volatile. This paper employs recently collected data on household...... consumption in Mozambique to examine the evolution of consumption poverty with focus on the period 2002/03 to 2008/09. The paper contributes in four areas. First, the period in question was characterized by major movements in international commodity prices. Mozambique provides an illuminating case study...... of the implications of these world commodity price changes for living standards of poor people. Second, a novel ‘backcasting’ approach using a computable general equilibrium model of Mozambique, linked to a poverty module is introduced. Third, the backcasting approach is also employed to rigorously examine...

Trophic scaling and occupancy analysis reveals a lion population limited by top-down anthropogenic pressure in the Limpopo National Park, Mozambique.

Science.gov (United States)

Everatt, Kristoffer T; Andresen, Leah; Somers, Michael J

2014-01-01

The African lion (Panthera Leo) has suffered drastic population and range declines over the last few decades and is listed by the IUCN as vulnerable to extinction. Conservation management requires reliable population estimates, however these data are lacking for many of the continent's remaining populations. It is possible to estimate lion abundance using a trophic scaling approach. However, such inferences assume that a predator population is subject only to bottom-up regulation, and are thus likely to produce biased estimates in systems experiencing top-down anthropogenic pressures. Here we provide baseline data on the status of lions in a developing National Park in Mozambique that is impacted by humans and livestock. We compare a direct density estimate with an estimate derived from trophic scaling. We then use replicated detection/non-detection surveys to estimate the proportion of area occupied by lions, and hierarchical ranking of covariates to provide inferences on the relative contribution of prey resources and anthropogenic factors influencing lion occurrence. The direct density estimate was less than 1/3 of the estimate derived from prey resources (0.99 lions/100 km² vs. 3.05 lions/100 km²). The proportion of area occupied by lions was Ψ = 0.439 (SE = 0.121), or approximately 44% of a 2,400 km2 sample of potential habitat. Although lions were strongly predicted by a greater probability of encountering prey resources, the greatest contributing factor to lion occurrence was a strong negative association with settlements. Finally, our empirical abundance estimate is approximately 1/3 of a published abundance estimate derived from opinion surveys. Altogether, our results describe a lion population held below resource-based carrying capacity by anthropogenic factors and highlight the limitations of trophic scaling and opinion surveys for estimating predator populations exposed to anthropogenic pressures. Our study provides the first empirical

Trophic scaling and occupancy analysis reveals a lion population limited by top-down anthropogenic pressure in the Limpopo National Park, Mozambique.

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Kristoffer T Everatt

Full Text Available The African lion (Panthera Leo has suffered drastic population and range declines over the last few decades and is listed by the IUCN as vulnerable to extinction. Conservation management requires reliable population estimates, however these data are lacking for many of the continent's remaining populations. It is possible to estimate lion abundance using a trophic scaling approach. However, such inferences assume that a predator population is subject only to bottom-up regulation, and are thus likely to produce biased estimates in systems experiencing top-down anthropogenic pressures. Here we provide baseline data on the status of lions in a developing National Park in Mozambique that is impacted by humans and livestock. We compare a direct density estimate with an estimate derived from trophic scaling. We then use replicated detection/non-detection surveys to estimate the proportion of area occupied by lions, and hierarchical ranking of covariates to provide inferences on the relative contribution of prey resources and anthropogenic factors influencing lion occurrence. The direct density estimate was less than 1/3 of the estimate derived from prey resources (0.99 lions/100 km² vs. 3.05 lions/100 km². The proportion of area occupied by lions was Ψ = 0.439 (SE = 0.121, or approximately 44% of a 2,400 km2 sample of potential habitat. Although lions were strongly predicted by a greater probability of encountering prey resources, the greatest contributing factor to lion occurrence was a strong negative association with settlements. Finally, our empirical abundance estimate is approximately 1/3 of a published abundance estimate derived from opinion surveys. Altogether, our results describe a lion population held below resource-based carrying capacity by anthropogenic factors and highlight the limitations of trophic scaling and opinion surveys for estimating predator populations exposed to anthropogenic pressures. Our study provides the first

Power, Conflict and Natural Resources

DEFF Research Database (Denmark)

Jaime Macuane, José; Buur, Lars; Monjane, Celso Marcos

2017-01-01

This article explores how the present socio-economic crisis in Mozambique is linked to the prospects of natural resource windfalls for the country. Drawing on the political settlement approach, it explores how the distribution of power both within and outside the ruling elite is structured...... and consequently how the underlying political processes have been shaped by the expectations of natural resource windfalls. The article argues that the present socio-economic crisis in Mozambique is not due to national resource assets in themselves. Instead, the political and economic downturn in Mozambique should...... be understood as a manifestation of how the political settlement has been organized and rent mobilization controlled by the ruling elite. To understand how the prospect of rents from natural resource sectors have influenced the political settlement, we have argued that one has to look at the dynamics of power...

Eastern Africa Coastal Forest Programme

OpenAIRE

Younge, A.

2002-01-01

The eastern African coastal forest ecoregion is recognised as one of Africa’s centres of species endemism, and is distributed over six countries (Somalia, Kenya, Tanzania, Mozambique, Zimbabwe and Malawi). Most is found in Kenya, Tanzania and Mozambique, which form our focal region. The coastal forests are fragmented, small and surrounded by poor communities that have a high demand for land and forest resources. Although coastal forests have significant cultural and traditional...

Prevalence of bovine tuberculosis and risk factor assessment in cattle in rural livestock areas of Govuro District in the Southeast of Mozambique.

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Ivânia Moiane

Full Text Available BACKGROUND: Bovine tuberculosis (bTB, caused by Mycobacterium bovis, is an infectious disease of cattle that also affects other domestic animals, free-ranging and farmed wildlife, and also humans. In Mozambique, scattered surveys have reported a wide variation of bTB prevalence rates in cattle from different regions. Due to direct economic repercussions on livestock and indirect consequences for human health and wildlife, knowing the prevalence rates of the disease is essential to define an effective control strategy. METHODOLOGY/PRINCIPAL FINDINGS: A cross-sectional study was conducted in Govuro district to determine bTB prevalence in cattle and identify associated risk factors. A representative sample of the cattle population was defined, stratified by livestock areas (n = 14. A total of 1136 cattle from 289 farmers were tested using the single comparative intradermal tuberculin test. The overall apparent prevalence was estimated at 39.6% (95% CI 36.8-42.5 using a diagnostic threshold cut-off according to the World Organization for Animal Health. bTB reactors were found in 13 livestock areas, with prevalence rates ranging from 8.1 to 65.8%. Age was the main risk factor; animals older than 4 years were more likely to be positive reactors (OR = 3.2, 95% CI: 2.2-4.7. Landim local breed showed a lower prevalence than crossbred animals (Landim × Brahman (OR = 0.6, 95% CI: 0.4-0.8. CONCLUSIONS/SIGNIFICANCE: The findings reveal an urgent need for intervention with effective, area-based, control measures in order to reduce bTB prevalence and prevent its spread to the human population. In addition to the high prevalence, population habits in Govuro, particularly the consumption of raw milk, clearly may potentiate the transmission to humans. Thus, further studies on human tuberculosis and the molecular characterization of the predominant strain lineages that cause bTB in cattle and humans are urgently required to evaluate the impact on human health in

The diversity and biogeography of Western Indian Ocean reef-building corals.

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David Obura

Full Text Available This study assesses the biogeographic classification of the Western Indian Ocean (WIO on the basis of the species diversity and distribution of reef-building corals. Twenty one locations were sampled between 2002 and 2011. Presence/absence of scleractinian corals was noted on SCUBA, with the aid of underwater digital photographs and reference publications for species identification. Sampling effort varied from 7 to 37 samples per location, with 15 to 45 minutes per dive allocated to species observations, depending on the logistics on each trip. Species presence/absence was analyzed using the Bray-Curtis similarity coefficient, followed by cluster analysis and multi-dimensional scaling. Total (asymptotic species number per location was estimated using the Michaelis-Menten equation. Three hundred and sixty nine coral species were named with stable identifications and used for analysis. At the location level, estimated maximum species richness ranged from 297 (Nacala, Mozambique to 174 (Farquhar, Seychelles. Locations in the northern Mozambique Channel had the highest diversity and similarity, forming a core region defined by its unique oceanography of variable meso-scale eddies that confer high connectivity within this region. A distinction between mainland and island fauna was not found; instead, diversity decreased radially from the northern Mozambique Channel. The Chagos archipelago was closely related to the northern Mozambique Channel region, and analysis of hard coral data in the IUCN Red List found Chagos to be more closely related to the WIO than to the Maldives, India and Sri Lanka. Diversity patterns were consistent with primary oceanographic drivers in the WIO, reflecting inflow of the South Equatorial Current, maintenance of high diversity in the northern Mozambique Channel, and export from this central region to the north and south, and to the Seychelles and Mascarene islands.

Epidemiology, clinical features and risk factors for human rabies and animal bites during an outbreak of rabies in Maputo and Matola cities, Mozambique, 2014: Implications for public health interventions for rabies control.

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Salomão, Cristolde; Nacima, Amílcar; Cuamba, Lutero; Gujral, Lorna; Amiel, Olga; Baltazar, Cynthia; Cliff, Julie; Gudo, Eduardo Samo

2017-07-01

In Mozambique, the majority of rabies outbreaks are unreported and data on the epidemiological features of human rabies and animal bites are scarce. An outbreak of human rabies in adjacent Maputo and Matola cities in 2014 prompted us to investigate the epidemiology, clinical features and risk factors of human rabies and animal bites in the two cities. We reviewed cases of human rabies and animal bites from April to July 2014, and carried out a community investigation in July and August in the neighborhoods where cases of human rabies resided. This investigation included collection of clinical, demographic and epidemiological information and a case control study to investigate the risk factors associated with human rabies. Fourteen cases of human rabies were detected in Maputo (n = 10) and Matola (n = 3) cities and neighbouring Boane district (n = 1) between April and August 2014, all of whom had been admitted to hospital. All had a recent history of dog bite. Of the 14 rabid dogs, only one had been immunized. 819 cases of animal bites were registered, of which 64.6% (529/819) were from Maputo City. Dogs were responsible for 97.8% (801/819) of all animal bites, but only 27.0% (126/467) were immunized. Factors significantly associated with human rabies were: age human rabies were strongly associated with bites by stray and unvaccinated dogs and irregular implementation of post-exposure measures.

High attrition among HIV-infected patients with advanced disease treated in an intermediary referral center in Maputo, Mozambique

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Lucas Molfino

2014-04-01

Full Text Available Background: In Mozambique, antiretroviral therapy (ART scale-up has been successfully implemented. However, attrition in care remains a major programmatic challenge. In 2009, an intermediary-level HIV referral center was created in Maputo to ensure access to specialized care for HIV-infected patients with complications (advanced clinical-immunological stage, Kaposi sarcoma, or suspected ART failure. Objective: To determine the attrition from care and to identify risk factors that lead to high attrition among patients referred to an intermediary-level HIV referral center. Design: This was a retrospective cohort study from 2009 to 2011. Results: A total of 1,657 patients were enrolled, 847 (51% were men, the mean age was 36 years (standard deviation: 11, the mean CD4 count was 27 cells/µl (interquartile range: 11–44, and one-third were severely malnourished. The main reasons for referral were advanced clinical stages (WHO stages 3 and 4, and CD4 count <50 cells/µl in 70% of the cases, and 19% had Kaposi sarcoma. The overall attrition rate was 28.7 per 100 person-years (PYs – the mortality rate was 5.0 (95% confidence interval [CI]: 4.2–5.9 per 100 PYs, and the loss-to-follow-up rate was 23.7 (95% CI: 21.9–25.6 per 100 PYs. There were 793 attritions – 137 deaths and 656 lost to follow-up (LTFU; 77% of all attrition happened within the first year. The factors independently associated with attrition were male sex (adjusted hazard ratio [aHR]: 1.15, 95% CI: 1.0–1.3, low body mass index (aHR: 1.51, 95% CI: 1.2–1.8, WHO clinical stage 3 or 4 (aHR: 1.30, 95% CI: 1.0–1.6; and aHR: 1.91, 95% CI: 1.4–2.5, later year of enrollment (aHR 1.61, 95% CI 1.3–1.9, and ‘being already on ART’ at enrollment (aHR 13.71, 95% CI 11.4–16.4. Conclusions: Attrition rates among HIV-infected patients enrolled in an intermediary referral center were high, mainly related to advanced stage of clinical disease. Measures are required to address this

The Spatial Reproduction in the Urban Green Areas in the Nampula City, Mozambique

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Reginaldo Rodrigues Moreno Muacuveia

2018-02-01

, transformaram-se em locais de prática de comércio formal realizado em bancas e barracas fixas sujeita ao pagamento de impostos e o informal praticado pelos vendedores ambulantes de bancas móveis que se evadem dos impostos. La Reproducción del Espacio en las Areas Verdes Urbanas de la Ciudad de Nampula, Mozambique Resumen: los elementos reflejados en las alteraciones de las espaciosas áreas verdes de la ciudad de Nampula son analizadas en este trabajo, en función de la actividad comercial desarrollada en estas. Argumentando como estas áreas verdes urbanas construidas con finalidades ecológicas, estéticas e incluso psicológicas para la sociedad, se convierten en locales de consumo exacerbado y al mismo tiempo, en el medio en donde se realizan actividades de comercio informal pero de naturaleza formal. El objetivo es analizar la (re producción del espacio de las áreas verdes urbanas de la ciudad de Nampula, así como la práctica comercio informal, como para percibir su dinámica espacial. Realizando un análisis a partir de revisiones bibliográficas, para comprender el significado conceptual, y posteriormente analizar la dinámica comercial practicada en estas áreas, partiendo de cómo se da esta espacialidad. Los resultados indican, que las áreas verdes de la ciudad, se transformaron en locales en donde se desarrolla el comercio, siendo practicado en puesto fijos sujetos al pago de obligaciones fiscales el formales y el informal, ejercida por vendedores ambulantes de quioscos que se evitan de los impuestos.

Rapid diagnostic test supply chain and consumption study in Cabo Delgado, Mozambique: estimating stock shortages and identifying drivers of stock-outs.

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Hasselback, Leah; Crawford, Jessica; Chaluco, Timoteo; Rajagopal, Sharanya; Prosser, Wendy; Watson, Noel

2014-08-02

Malaria rapid diagnostic tests (RDTs) are particularly useful in low-resource settings where follow-through on traditional laboratory diagnosis is challenging or lacking. The availability of these tests depends on supply chain processes within the distribution system. In Mozambique, stock-outs of malaria RDTs are fairly common at health facilities. A longitudinal cross-sectional study was conducted to evaluate drivers of stock shortages in the Cabo Delgado province. Data were collected from purposively sampled health facilities, using monthly cross-sectional surveys between October 2011 and May 2012. Estimates of lost consumption (consumption not met due to stock-outs) served as the primary quantitative indicator of stock shortages. This is a better measure of the magnitude of stock-outs than binary indicators that only measure frequency of stock-outs at a given facility. Using a case study based methodology, distribution system characteristics were qualitatively analysed to examine causes of stock-outs at the provincial, district and health centre levels. 15 health facilities were surveyed over 120 time points. Stock-out patterns varied by data source; average monthly proportions of 59%, 17% and 17% of health centres reported a stock-out on stock cards, laboratory and pharmacy forms, respectively. Estimates of lost consumption percentage were significantly high; ranging from 0% to 149%; with a weighted average of 78%. Each ten-unit increase in monthly-observed consumption was associated with a nine-unit increase in lost consumption percentage indicating that higher rates of stock-outs occurred at higher levels of observed consumption. Causes of stock-outs included inaccurate tracking of lost consumption, insufficient sophistication in inventory management and replenishment, and poor process compliance by facility workers, all arguably stemming from inadequate attention to the design and implementation of the distribution system. Substantially high levels of RDT

Diagnosing Polyparasitism in a High-Prevalence Setting in Beira, Mozambique: Detection of Intestinal Parasites in Fecal Samples by Microscopy and Real-Time PCR.

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Lynn Meurs

2017-01-01

Full Text Available Many different intestinal parasite species can co-occur in the same population. However, classic diagnostic tools can only frame a particular group of intestinal parasite species. Hence, one or two tests do not suffice to provide a complete picture of infecting parasite species in a given population. The present study investigated intestinal parasitic infections in Beira, Mozambique, i.e. in the informal settlement of Inhamudima. Diagnostic accuracy of five classical microscopy techniques and real-time PCR for the detection of a broad spectrum of parasites was compared.A cross-sectional population-based survey was performed. One stool sample per participant (n = 303 was examined by direct smear, formal-ether concentration (FEC, Kato smear, Baermann method, coproculture and real-time PCR. We found that virtually all people (96% harbored at least one helminth, and that almost half (49% harbored three helminths or more. Remarkably, Strongyloides stercoralis infections were widespread with a prevalence of 48%, and Ancylostoma spp. prevalence was higher than that of Necator americanus (25% versus 15%, the hookworm species that is often assumed to prevail in East-Africa. Among the microscopic techniques, FEC was able to detect the broadest spectrum of parasite species. However, FEC also missed a considerable number of infections, notably S. stercoralis, Schistosoma mansoni and G. intestinalis. PCR outperformed microscopy in terms of sensitivity and range of parasite species detected.We showed intestinal parasites-especially helminths-to be omnipresent in Inhamudima, Beira. However, it is a challenge to achieve high diagnostic sensitivity for all species. Classical techniques such as FEC are useful for the detection of some intestinal helminth species, but they lack sensitivity for other parasite species. PCR can detect intestinal parasites more accurately but is generally not feasible in resource-poor settings, at least not in peripheral labs. Hence

Diagnosing Polyparasitism in a High-Prevalence Setting in Beira, Mozambique: Detection of Intestinal Parasites in Fecal Samples by Microscopy and Real-Time PCR.

Science.gov (United States)

Meurs, Lynn; Polderman, Anton M; Vinkeles Melchers, Natalie V S; Brienen, Eric A T; Verweij, Jaco J; Groosjohan, Bernhard; Mendes, Felisberto; Mechendura, Manito; Hepp, Dagmar H; Langenberg, Marijke C C; Edelenbosch, Rosanne; Polman, Katja; van Lieshout, Lisette

2017-01-01

Many different intestinal parasite species can co-occur in the same population. However, classic diagnostic tools can only frame a particular group of intestinal parasite species. Hence, one or two tests do not suffice to provide a complete picture of infecting parasite species in a given population. The present study investigated intestinal parasitic infections in Beira, Mozambique, i.e. in the informal settlement of Inhamudima. Diagnostic accuracy of five classical microscopy techniques and real-time PCR for the detection of a broad spectrum of parasites was compared. A cross-sectional population-based survey was performed. One stool sample per participant (n = 303) was examined by direct smear, formal-ether concentration (FEC), Kato smear, Baermann method, coproculture and real-time PCR. We found that virtually all people (96%) harbored at least one helminth, and that almost half (49%) harbored three helminths or more. Remarkably, Strongyloides stercoralis infections were widespread with a prevalence of 48%, and Ancylostoma spp. prevalence was higher than that of Necator americanus (25% versus 15%), the hookworm species that is often assumed to prevail in East-Africa. Among the microscopic techniques, FEC was able to detect the broadest spectrum of parasite species. However, FEC also missed a considerable number of infections, notably S. stercoralis, Schistosoma mansoni and G. intestinalis. PCR outperformed microscopy in terms of sensitivity and range of parasite species detected. We showed intestinal parasites-especially helminths-to be omnipresent in Inhamudima, Beira. However, it is a challenge to achieve high diagnostic sensitivity for all species. Classical techniques such as FEC are useful for the detection of some intestinal helminth species, but they lack sensitivity for other parasite species. PCR can detect intestinal parasites more accurately but is generally not feasible in resource-poor settings, at least not in peripheral labs. Hence, there is a

Factors associated with chloroquine induced pruritus during malaria treatment in Mozambican University students Factores asociados a la aparición de prurito por cloroquina durante el tratamiento de la malaria en estudiantes universitarios de Mozambique

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Helena Gama

2009-08-01

Full Text Available Introduction: It has been suggested that reductions in chloroquine use may be followed by a resurgence of chloroquine-susceptible falciparum malaria, and chloroquine might once again be an effective treatment choice, which renews the importance of aspects related to its use and misuse. Therefore, we aimed to estimate the prevalence of chloroquine-induced pruritus and to identify risk factors for its occurrence in Mozambican University students. Methods: A cross-sectional study was conducted at a private University in Maputo. Students were approached in the classrooms to complete a self-administered questionnaire covering sociodemographic characteristics, number of previous malaria episodes, utilization of antimalarial drugs, and life prevalence of chloroquine induced pruritus. Results: Among 795 respondents, 77.4% (601/777 reported at least one malaria episode and 73.2% (542/740 had used chloroquine before. The life-prevalence of chloroquine-induced pruritus was 30.1% (158/525. Pruritus tended to be more frequent when chloroquine was used for treatment compared with prophylaxis only (31.2% vs. 10.3%, pIntroducción: Se ha sugerido que la reducción en el uso de la cloroquina puede derivar en el resurgimiento de la malaria falciparum sensible a la cloroquina, por lo que ésta puede volver a ser un tratamiento efectivo de elección, renovando la importancia de aspectos relacionados con su uso y su mal uso. Se pretende estimar la prevalencia de prurito inducido por cloroquina e identificar los factores de riesgo asociados a su ocurrencia en estudiantes universitarios de Mozambique. Métodos: Se realizó una encuesta transversal en una Universidad privada de Mozambique. Los estudiantes fueron abordados en las aulas para completar un cuestionario autoadministrado, que contenía datos sociodemográficos e información sobre el número de episodios previos de malaria, la utilización de fármacos antipalúdicos y la prevalencia de prurito inducido por

Molecular evidence for long-distance colonization in an Indo-Pacific seahorse lineage

Digital Repository Service at National Institute of Oceanography (India)

Teske, P.R.; Hamilton, H.; Palsboll, P.J.; Choo, C.K.; Gabr, H.; Lourie, S.A.; Santos, M.; Sreepada, R.A.; Cherry, M.I.; Matthee, C.A.

Island, Mozambique 2 Pemba, Tanzania* 1 H. kuda Tayabas Bay, Quezon, the Philippines 35(+3) (West Pacific lineage) Fiji 10 Taiwan* 1 H. fuscus Gulf of Suez, Red Sea, Egypt* 35 H. capensis Knysna Estuary, South Africa 35 Outgroup H. reidi Gulf of Mexico..., Mexico* 1 H. ingens East Pacific coast, Mexico* 1 H. hilonis Hawaii* 1 H. capensis (South Africa) H. kuda (South Africa) H. kuda (Mozambique) H. kuda (Tanzania) H. kuda (western India) H. kuda (southeastern India) H. kuda (Malaysia) H. kuda (Lombok) H...

Prolactin receptor, growth hormone receptor, and putative somatolactin receptor in Mozambique tilapia: tissue specific expression and differential regulation by salinity and fasting.

Science.gov (United States)

Pierce, A L; Fox, B K; Davis, L K; Visitacion, N; Kitahashi, T; Hirano, T; Grau, E G

2007-01-01

In fish, pituitary growth hormone family peptide hormones (growth hormone, GH; prolactin, PRL; somatolactin, SL) regulate essential physiological functions including osmoregulation, growth, and metabolism. Teleost GH family hormones have both differential and overlapping effects, which are mediated by plasma membrane receptors. A PRL receptor (PRLR) and two putative GH receptors (GHR1 and GHR2) have been identified in several teleost species. Recent phylogenetic analyses and binding studies suggest that GHR1 is a receptor for SL. However, no studies have compared the tissue distribution and physiological regulation of all three receptors. We sequenced GHR2 from the liver of the Mozambique tilapia (Oreochromis mossambicus), developed quantitative real-time PCR assays for the three receptors, and assessed their tissue distribution and regulation by salinity and fasting. PRLR was highly expressed in the gill, kidney, and intestine, consistent with the osmoregulatory functions of PRL. PRLR expression was very low in the liver. GHR2 was most highly expressed in the muscle, followed by heart, testis, and liver, consistent with this being a GH receptor with functions in growth and metabolism. GHR1 was most highly expressed in fat, liver, and muscle, suggesting a metabolic function. GHR1 expression was also high in skin, consistent with a function of SL in chromatophore regulation. These findings support the hypothesis that GHR1 is a receptor for SL. In a comparison of freshwater (FW)- and seawater (SW)-adapted tilapia, plasma PRL was strongly elevated in FW, whereas plasma GH was slightly elevated in SW. PRLR expression was reduced in the gill in SW, consistent with PRL's function in freshwater adaptation. GHR2 was elevated in the kidney in FW, and correlated negatively with plasma GH, whereas GHR1 was elevated in the gill in SW. Plasma IGF-I, but not GH, was reduced by 4 weeks of fasting. Transcript levels of GHR1 and GHR2 were elevated by fasting in the muscle. However

Reduction of maternal mortality with highly active antiretroviral therapy in a large cohort of HIV-infected pregnant women in Malawi and Mozambique.

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Giuseppe Liotta

Full Text Available BACKGROUND: HIV infection is a major contributor to maternal mortality in resource-limited settings. The Drug Resource Enhancement Against AIDS and Malnutrition Programme has been promoting HAART use during pregnancy and postpartum for Prevention-of-mother-to-child-HIV transmission (PMTCT irrespective of maternal CD4 cell counts since 2002. METHODS: Records for all HIV+ pregnancies followed in Mozambique and Malawi from 6/2002 to 6/2010 were reviewed. The cohort was comprised by pregnancies where women were referred for PMTCT and started HAART during prenatal care (n = 8172, group 1 and pregnancies where women were referred on established HAART (n = 1978, group 2. RESULTS: 10,150 pregnancies were followed. Median (IQR baseline values were age 26 years (IQR:23-30, CD4 count 392 cells/mm(3 (IQR:258-563, Viral Load log10 3.9 (IQR:3.2-4.4, BMI 23.4 (IQR:21.5-25.7, Hemoglobin 10.0 (IQR: 9.0-11.0. 101 maternal deaths (0.99% occurred during pregnancy to 6 weeks postpartum: 87 (1.1% in group 1 and 14 (0.7% in group 2. Mortality was 1.3% in women with

IDRC in Mozambique

International Development Research Centre (IDRC) Digital Library (Canada)

eled after a similar successful network in. Uganda, tested the use of ... devices to report cases of 11 epidemic- ... IDRC-supported research helped to spread access to computers and the Internet and ... are helping policymakers design social.

A combination intervention strategy to improve linkage to and retention in HIV care following diagnosis in Mozambique: A cluster-randomized study.

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Batya Elul

2017-11-01

Full Text Available Concerning gaps in the HIV care continuum compromise individual and population health. We evaluated a combination intervention strategy (CIS targeting prevalent barriers to timely linkage and sustained retention in HIV care in Mozambique.In this cluster-randomized trial, 10 primary health facilities in the city of Maputo and Inhambane Province were randomly assigned to provide the CIS or the standard of care (SOC. The CIS included point-of-care CD4 testing at the time of diagnosis, accelerated ART initiation, and short message service (SMS health messages and appointment reminders. A pre-post intervention 2-sample design was nested within the CIS arm to assess the effectiveness of CIS+, an enhanced version of the CIS that additionally included conditional non-cash financial incentives for linkage and retention. The primary outcome was a combined outcome of linkage to care within 1 month and retention at 12 months after diagnosis. From April 22, 2013, to June 30, 2015, we enrolled 2,004 out of 5,327 adults ≥18 years of age diagnosed with HIV in the voluntary counseling and testing clinics of participating health facilities: 744 (37% in the CIS group, 493 (25% in the CIS+ group, and 767 (38% in the SOC group. Fifty-seven percent of the CIS group achieved the primary outcome versus 35% in the SOC group (relative risk [RR]CIS vs SOC = 1.58, 95% CI 1.05-2.39. Eighty-nine percent of the CIS group linked to care on the day of diagnosis versus 16% of the SOC group (RRCIS vs SOC = 9.13, 95% CI 1.65-50.40. There was no significant benefit of adding financial incentives to the CIS in terms of the combined outcome (55% of the CIS+ group achieved the primary outcome, RRCIS+ vs CIS = 0.96, 95% CI 0.81-1.16. Key limitations include the use of existing medical records to assess outcomes, the inability to isolate the effect of each component of the CIS, non-concurrent enrollment of the CIS+ group, and exclusion of many patients newly diagnosed with HIV.The CIS

Nasopharyngeal carriage of Streptococcus pneumoniae among HIV-infected and -uninfected children <5 years of age before introduction of pneumococcal conjugate vaccine in Mozambique.

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Jennifer R Verani

Full Text Available Nasopharyngeal carriage is a precursor for pneumococcal disease and can be useful for evaluating pneumococcal conjugate vaccine (PCV impact. We studied pre-PCV pneumococcal carriage among HIV-infected and -uninfected children in Mozambique. Between October 2012 and March 2013, we enrolled HIV-infected children age <5 years presenting for routine care at seven HIV clinics in 3 sites, including Maputo (urban-south, Nampula (urban-north, and Manhiça (rural-south. We also enrolled a random sample of HIV-uninfected children <5 years old from a demographic surveillance site in Manhiça. A single nasopharyngeal swab was obtained and cultured following enrichment in Todd Hewitt broth with yeast extract and rabbit serum. Pneumococcal isolates were serotyped by Quellung reaction and multiplex polymerase chain reaction. Factors associated with pneumococcal carriage were examined using logistic regression. Overall pneumococcal carriage prevalence was 80.5% (585/727, with similar prevalences among HIV-infected (81.5%, 339/416 and HIV-uninfected (79.1%, 246/311 children, and across age strata. Among HIV-infected, after adjusting for recent antibiotic use and hospitalization, there was no significant association between study site and colonization: Maputo (74.8%, 92/123, Nampula (83.7%, 82/98, Manhiça (84.6%, 165/195. Among HIV-uninfected, report of having been born to an HIV-infected mother was not associated with colonization. Among 601 pneumococcal isolates from 585 children, serotypes 19F (13.5%, 23F (13.1%, 6A (9.2%, 6B (6.2% and 19A (5.2% were most common. The proportion of serotypes included in the 10- and 13-valent vaccines was 44.9% and 61.7%, respectively, with no significant differences by HIV status or age group. Overall 36.9% (n = 268 of children were colonized with a PCV10 serotype and 49.7% (n = 361 with a PCV13 serotype. Pneumococcal carriage was common, with little variation by geographic region, age, or HIV status. PCV10 was introduced in

Where Do Female Sex Workers Seek HIV and Reproductive Health Care and What Motivates These Choices? A Survey in 4 Cities in India, Kenya, Mozambique and South Africa.

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Yves Lafort

Full Text Available A baseline cross-sectional survey among female sex workers (FSWs was conducted in four cities within the context of an implementation research project aiming to improve FSWs' access to HIV, and sexual and reproductive health (SRH services. The survey measured where FSWs seek HIV/SRH care and what motivates their choice.Using respondent-driven sampling (RDS, FWSs were recruited in Durban, South Africa (n = 400, Tete, Mozambique (n = 308, Mombasa, Kenya (n = 400 and Mysore, India (n = 458 and interviewed. RDS-adjusted proportions were estimated by non-parametric bootstrapping, and compared across cities using post-hoc pairwise comparison tests.Across cities, FSWs most commonly sought care for the majority of HIV/SRH services at public health facilities, most especially in Durban (ranging from 65% for condoms to 97% for HIV care. Services specifically targeting FSWs only had a high coverage in Mysore for STI care (89% and HIV testing (79%. Private-for-profit clinics were important providers in Mombasa (ranging from 17% for STI care and HIV testing to 43% for HIV care, but not in the other cities. The most important reason for the choice of care provider in Durban and Mombasa was proximity, in Tete 'where they always go', and in Mysore cost of care. Where available, clinics specifically targeting FSWs were more often chosen because of shorter waiting times, perceived higher quality of care, more privacy and friendlier personnel.The place where care is sought for HIV/SRH services differs substantially between cities. Targeted services have limited coverage in the African cities compared to Mysore. Convenience appears more important for choosing the place of care than aspects of quality of care. The best model to improve access, linking targeted interventions with general health services, will need to be tailored to the specific context of each city.

MOÇAMBIQUE: compulsando as migrações internas e internacionais

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Gonçalves Patrício

2016-08-01

Los estudios sobre las migraciones se han llevado a cabo principalmente en el contexto Norte-Sur, como si se tratara de un movimiento unidireccional, cuando la realidad muestra que estos flujos se producen también en el plano horizontal, es decir, dentro de las regiones del Sur, como se puede observar en el continente africano. Mediante este artículo se pretende hacer una reflexión sobre las migraciones internas e internacionales, en lo cual hacemos hincapié la entrada de extranjeros sea en forma regular e principalmente irregular cada vez más pronunciada en Mozambique. El procedimiento de recolección y procesamiento de datos fueron basados principalmente en la investigación bibliográfica, revisión de documentos y el análisis de los datos estadísticos disponibles sobre la migración en Mozambique. Los resultados de la investigación sugieren que la migración y la movilidad en Mozambique varían según la ubicación, perfil histórico, económico y ambiental de las regiones. Continúa la tendencia de la migración a los países vecinos, especialmente a Sudáfrica, al mismo tiempo que se observa la entrada de inmigrantes de diversas partes del mundo, provenientes en su mayoría de países africanos, que atraídos por la relativa estabilidad socioeconómica y política del país, buscan seguridad y mejores condiciones de vida. Palabras clave: Mozambique; Inmigrantes; Migraciones Internas; Migraciones Internacionales.

Laser photogrammetry improves size and demographic estimates for whale sharks

Science.gov (United States)

Richardson, Anthony J.; Prebble, Clare E.M.; Marshall, Andrea D.; Bennett, Michael B.; Weeks, Scarla J.; Cliff, Geremy; Wintner, Sabine P.; Pierce, Simon J.

2015-01-01

Whale sharks Rhincodon typus are globally threatened, but a lack of biological and demographic information hampers an accurate assessment of their vulnerability to further decline or capacity to recover. We used laser photogrammetry at two aggregation sites to obtain more accurate size estimates of free-swimming whale sharks compared to visual estimates, allowing improved estimates of biological parameters. Individual whale sharks ranged from 432–917 cm total length (TL) (mean ± SD = 673 ± 118.8 cm, N = 122) in southern Mozambique and from 420–990 cm TL (mean ± SD = 641 ± 133 cm, N = 46) in Tanzania. By combining measurements of stranded individuals with photogrammetry measurements of free-swimming sharks, we calculated length at 50% maturity for males in Mozambique at 916 cm TL. Repeat measurements of individual whale sharks measured over periods from 347–1,068 days yielded implausible growth rates, suggesting that the growth increment over this period was not large enough to be detected using laser photogrammetry, and that the method is best applied to estimating growth rates over longer (decadal) time periods. The sex ratio of both populations was biased towards males (74% in Mozambique, 89% in Tanzania), the majority of which were immature (98% in Mozambique, 94% in Tanzania). The population structure for these two aggregations was similar to most other documented whale shark aggregations around the world. Information on small (sharks, mature individuals, and females in this region is lacking, but necessary to inform conservation initiatives for this globally threatened species. PMID:25870776