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3. Assessment of critical resource gaps in pediatric injury care in Mozambique's four largest Hospitals.

Author

Amado, Vanda, Couto, Maria Tereza, Filipe, Manuel, Möller, Jette, Wallis, Lee, and Laflamme, Lucie

Subjects
*CHILDREN'S injuries, *MEDICAL personnel, *PEDIATRIC therapy, *CHILDREN'S hospitals, *TRAUMA centers, *SURVIVAL & emergency equipment, *HOSPITALS, *CHILD patients
Abstract

Background: Hospitals from resource-scarce countries encounter significant barriers to the provision of injury care, particularly for children. Shortages in material and human resources are seldom documented, not least in African settings. This study analyzed pediatric injury care resources in Mozambique hospital settings. Methods: We undertook a cross-sectional study, encompassing the country's four largest hospitals. Data was collected in November 2020 at the pediatric emergency units. Assessment of the resources available was made with standardized WHO emergency equipment and medication checklists, and direct observation of premises and procedures. The potential impact of unavailable equipment and medications in pediatric wards was assessed considering the provisions of injury care. Results: There were significant amounts of not available equipment and medications in all hospitals (ranging from 20% to 49%) and two central hospitals stood out in that regard. The top categories of not available equipment pertained to diagnosis and monitoring, safety for health care personnel, and airway management. Medications to treat infections and poisonings were those most frequently not available. There were several noteworthy and life-threatening shortcomings in how well the facilities were equipped for treating pediatric patients. The staff regarded lack of equipment and skills as the main obstacles to delivering quality injury care. Further, they prioritized the implementation of trauma courses and the establishment of trauma centers to strengthen pediatric injury care. Conclusion: The country's four largest hospitals had substantial quality-care threatening shortages due to lack of equipment and medications for pediatric injury care. All four hospitals face issues that put at risk staff safety and impede the implementation of essential care interventions for injured children. Staff wishes for better training, working environments adequately equipped and well-organized. The room for improvement is considerable, the study results may help to set priorities, to benefit better outcomes in child injuries. [ABSTRACT FROM AUTHOR]

Published
2023
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5. Workplace violence in the road passenger transport sector in Maputo City, Mozambique : extent, causes, consequences and prevention

Author

Couto, Maria Tereza and Couto, Maria Tereza

Abstract

Background: Every year millions of workers around the world are victims of workplace violence (WPV). Globally, WPV is a major occupational health and safety hazard, and it has been regarded as a public health problem. There is no WPV preventive program specifically designed for low-income countries (LICs). WPV preventive intervention models usually come from highincome countries (HICs), and they may not be sustainable, feasible or effective in other settings. With regard to WPV, there is a need better to understand its extent, nature, risk factors, causes, consequences and means of prevention, especially in LICs. The overall aim of this thesis is to study WPV in the road passenger transport sector in Maputo City, Mozambique. Methods: Four studies were conducted. In studies I-III the design was cross-sectional. A random sample of 504 participants was selected from a register of 2,618 transport workers in the road passenger transport sector. Data were collected using a structured questionnaire covering socio-demographic characteristics, access to information, literacy level, occupational experience, organizational changes, work environment, work conditions, health conditions, quality of life, and WPV and its consequences. Data were analyzed using Chi-square test, Student’s t-test, linear logistic regression, and multivariate logistic regression. In Study IV the design was qualitative. Participants were purposefully selected among drivers and conductors identified in the quantitative investigation, reported in Study I, as victims of WPV, all with six or more years of experience in the road transport sector. Data were collected in semi-structured interviews. The open questions covered individual views on causes of WPV and suggestions for its prevention, based on the interviewees’ experiences of WPV while on duty. Thirty-two transport workers were interviewed. The data were analyzed using qualitative content analysis. Results: Study I showed a life-time prevalence of phy

Published
2011

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