A profile of surgical burden and anaesthesia services at Mozambique's Central Hospital: A review

Kynes, J. Matthew; Walters, Camila B; Pinto, Emilia; Jeque, Emilia; McQueen, Kelly

doi:10.1016/j.ijsu.2018.04.055

Cited by 3 publications

(2 citation statements)

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“…The initial multidisciplinary team consisted of 2 anesthesiologists, 1 neurologist, 1 psychologist, 1 social worker, 2 nurses and 1 administrative officer. [10][11][12] In September 2019, the PC Service opened at the Pain Unit. Itarised in response to the progressive increase of the oncologic patients who needed total pain and suffering relief in our Pain Unit.…”

Section: The Pain Unit´s Historymentioning

confidence: 99%

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2021

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In 1996, the World Health Organization established four necessary measures for the development of PC (you have already put short name) focusing on public health: 1) a government policy that ensures the integration of PC into the structure and financing of the National Health System; 2) an educational policy that responds to the training of volunteer, family caregiver, media, healthcare providers, trainees, palliative care experts, health professionals and the publiccurricula and courses; 3) a drug policy that ensures the availability of essential drugs for the management of pain and other psychological symptoms and disorders, in particular opioid analgesics and 4) a policy for research into assessing the needs for palliative care and identifying standards and models of service that work, particularly in limited resource settings. 1 Access to health care is a major challenge in low-and middleincome countries. According to the World Hospice and Palliative Care Alliance (WHPCA), the majority of people living with HIV/AIDS who need palliative care are in Africa with 78% of adult patients. 2 PC is limited in Africa, however countries such as Uganda, South Africa and Kenya top the list with the largest number of hospice specialistsand hospices. 3

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Section: The Pain Unit´s Historymentioning

confidence: 99%

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2021

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“…Cancer is a growing concern in Mozambique [1]. However, the provision of care to cancer patients is conditioned by the country limitations on facilities and specialized oncologists [2]. Patients with advanced stages poses huge challenges in terms of adequate and effective treatment [3, 4].…”

Section: Introductionmentioning

confidence: 99%

Understanding the bricks to build better surgical oncology unit at Maputo Central Hospital: prevalent surgical cancers and residents knowledge

et al. 2019

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Introduction Cancer is a growing concern in Mozambique. However, the country has limited facilities and few oncologists. Surgical oncologists are an unmet need. The aim of this study was to assess residents' knowledge in prevalent cancer domains and to identify and characterize prevalent cancers treated by surgery at Maputo Central Hospital, the largest hospital in Mozambique. The expectations were that the findings shall inform the development of a comprehensive curriculum in surgical oncology fellowship fit for the Hospital. Methods To identify and characterize prevalent cancers, we performed a retrospective analysis of individual cancer patient registries of Maputo Central Hospital (MCH), Mozambique. Information was recorded into data collection sheets and analyzed with SPSS ® 21. To assess MCH residents oncologic knowledge, we invited Twenty-six junior residents (49% of all residents) of different specialties to take a 30 item multiple choice written test used elsewhere in previous studies. The test focused on the domains of Basis of oncology, Radiotherapy, Pathology, Chemotherapy, Pain management, Surgical oncology and Clinical Pathway. The test was administered anonymously and without prior notice. We analyzed the overall test and topic performance of residents. Results The study covered a period of 3 years and 203 patients. The most prevalent malignant tumors treated by general and thoracic surgery in MCH cancer registry were esophageal (7%), female breast (6.5%) and colorectal cancer (2.8%). Globally these malignancies were diagnosed at an advanced stage of the disease and required a multimodal treatment. The mean percent correct score of residents was 37.3%. The dimension with the highest percent correct score were clinical management (46%) and surgical oncology (28%) showed the lowest correct score. Conclusion In Maputo, Mozambique esophageal, breast and colorectal cancer were the most prevalent malignancies treated, with surgery, by thoracic or general surgery in MCH. The test scores suggest that, among residents, the knowledge in oncology needs to be improved, rendering support to the need of a surgical oncology training tailored to suit the local needs. Specific training should take into account local cancer prevalence, resources, their quality and the support of surgical oncology services with volume and experience.

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