cmdtla.org - Saúde Tropical

Research Group Information (RG-LVT-Lisboa-750018-3138)

Designation:

Public Health

Principal Investigator:

Gilles Dussault

Location of Group:

Instituto de Higiene e Medicina Tropical - Universidade Nova de Lisboa

Keywords:

Global Health Initiatives, Health workforce, Satisfaction of health workers, Family health services

Funding

European Commission, FCT, WHO, DANIDA, DFID, International Council of Nurses, Ministry of Health of Portugal

Group Team

List of Researchers in the Group:

001. Gilles Dussault ( Cat.: Professor Catedrático Gr. Acad.: Doutoramento )

002. Paulo de Lyz Girou Martins Ferrinho ( Cat.: Professor Associado Gr. Acad.: Agregação )

003. Sónia Maria Ferreira Dias ( Cat.: Professor Auxiliar Gr. Acad.: Doutoramento )

List of Collaborators (w/PhD):

001. Luzia Augusta Pires Gonçalves ( Cat.: Professor Auxiliar Gr. Acad.: Doutoramento )

List of Collaborators (w/o PhD):

001. Ines Santos Estevinho Fronteira Goncalves ( Cat.: Assistente Convidado

Gr. Acad.: Mestrado )

002. Andre Rosa Biscaia ( Cat.: Não aplicável (bolseiro) Gr. Acad.: Licenciatura )

003. Isabel Maria Rodrigues Craveiro ( Cat.: Não aplicável (bolseiro) Gr. Acad.: Mestrado )

Objectives & Achievements

Objectives:

The Public health group focuses on 4 areas of research:

1. health workforce policies and management
2. the implementation of family health in Portugal
3. the health status and behaviors of migrants
4. modelization in epidemiology of infectious diseases

Specific projects aimed:

• To assess the impact of Global Health Initiatives on policy, planning, management and organization of health services in 3 Southern Africa countries (Angola, Mozambique, South Africa)
• To identify health workforce deficiencies and their impact on the performance of health services in Angola, Guinea Bissau, and Mozambique. To identify the dimensions of the process of scaling-up the production of health workers in low-income countries.
• To measure the satisfaction of users and health workers in health centers in Portugal
• To analyze the process of implementation of family health Units in Portugal
• To characterize the behavior of adolescents in relation to reproductive health and to identify implications for health education and promotion

Main Achievements:

1- Literature reviews on national health planning processes and practices in Angola and Mozambique. Design of field study protocols.

2- “Situation analysis” of the health workforce situation in 3 countries.

3- Report on “Scaling-up the production of health workers in low-income countries” ( in print by ICN).

4- Country case study – Rwanda- (in Leadership in Health Services, in print).

Satisfaction study of users and health workers in health centers in Portugal Completed; Report and 1 article published.

First phase of research on the family health services reform completed; 2 articles and 1 book published (Biscaia A, Nunes M, Carreira M, Fronteira I, Antunes A, Ferrinho P. (2006), Cuidados de Saúde Primários em Portugal -Reformar para Novos Sucessos. Lisboa, Padrões Culturais Editora). The book received the Grand Prize of AstraZeneca Foundation.

3 articles published on reproductive health behaviour of adolescents.

4 articles published on statistical models of analysis of infectious diseases

Group Productivity

Publications in peer review Journals

1- Green, A., Collins, C., Stefanini, A., Ferrinho, P., Chapman, G., Hagos, B., Adams, Y., Omat, M. (2007). The role of strategic health planning processes in the development of health care reform policies: a comparative study of Eriteia, Mozambique and Zimbabwe. Int J Health Plan Mgmt; 22: 113-131

2- Maia C., Rolão N., Nunes M., Gonçalves L., Campino L. (2007). Infectivity of five different types of macrophages by Leishmania infantum. Acta Tropica, 103: p150-155. (IF= 2.000; nº C= 1)

3- Ferrinho, P., Biscaia, A. Fronteira, I., Hipólito, F., Dussault, G., (2007). Multiple Employment in the Health Sector in Portugal, Cahiers de Sociologie et Démographie médicales, vol.47 (3): 329-344.

4- Teodósio, R., Gonçalves, L., Atouguia, J., Imperatori, E. (2006). Pharmacists and Travel Advice for Tropics in Lisbon (Portugal). Journal of Travel Medicine, 13, p. 281–287. (IF=1.048; nº C= 0)

5- Teodósio, R., Gonçalves, L., Atouguia, J., Imperatori, E. (2006). Quality Assessment in a Travel Clinic: A Study of Travelers’ Knowledge About Malaria. Journal of Travel Medicine, 13, p 288–293. (IF=1.048; nº C= 0)

6- Dias, S., Matos, M.G., Gonçalves, A. (2005). Preventing HIV transmission in adolescents: an analysis of the Portuguese Data from health Behaviour School-aged Children Study and focus groups. European Journal of Public Health, 15 (3), 300-304. (IF=1.910; nº C= 1)

7- Gonçalves, L.; Zé-Zé, L.; Pinheiro, H.P.; Amaral-Turkman, M.A. (2005). Statistical Aspects in Physical Mapping - Application to the genome of O. oeni strain GM. Biometrics, 61, p.481-487. (IF=1.714; nº C= 0)

8- Dias, S., Matos G.M., Gonçalves A. (2005). Familial influences on sexual behaviour of adolescent: Implications for health promotion. Psychology & Health, 20 (1), 65. (IF=1.621; nº C= 0)

Sousa F Jr, Schwalbach J, Adam Y, Gonçalves L, Ferrinho P. (2007). The training and expectations of medical students in Mozambique. Human Resources for Health, 5:11. (unofficial IF= 1.43)

Dussault, G., Franceschini, M.C., (2006). “Not enough there, too many here: understanding geographical imbalances in the distribution of the health workforce” Human Resources for Health, 4:12. (unofficial IF= 1.43)

Other publications National

1- Fronteira I, Ferrinho P. (2007). O ensino da Epidemiologia nos cursos de licenciatura em Enfermagem da Região de Lisboa e Vale do Tejo. Revista Portuguesa de Saúde Pública; 25 (2): 23-30

2- Fronteira, I.; Conceição, C.; Biscaia, A. (2008). Políticas de saúde e enfermagem em Portugal: perspectivas evolucionistas para um futuro (in)certo. in Lima, J.A.; Pereira, H.R. (org) (2008). Políticas Públicas e conhecimento profissional: a educação e a enfermagem em reestruturação. 1ª Edição. Porto: Lipsic

3- Santos O, Biscaia A, Antunes AR, Craveiro I, Júnior A, Caldeira R; Charondière P. (2007). Os centros de saúde em Portugal – a satisfação dos utentes e dos profissionais. Lisboa: Missão para os Cuidados de Saúde Primários: 2007.

4- Biscaia A, Nunes M, Carreira M, Fronteira I, Antunes A, Ferrinho P. (2006), Cuidados de Saúde Primários em Portugal -Reformar para Novos Sucessos. Lisboa, Padrões Culturais Editora - Grande Prémio Fundação AstraZeneca.

5- Dias, S., Matos, M.G., Gonçalves, A. (2007) “Percepção dos adolescentes acerca da influência dos pais e pares nos seus comportamentos sexuais”. Análise Psicológica, Série XXIV (4).

6- Dias, S. & Gonçalves, A. (2007). Migração e Saúde. Migrações, 1, 15-26.

7- Dias, S., Matos, M. G., & Gonçalves, A. (2007). Estudo dos comportamentos sexuais em jovens escolarizados: Implicações para a Promoção da Saúde Sexual. Revista Lusófona de Ciências da Mente e do Comportamento -

8- Biscaia A. (2006) A reforma do pensamento em saúde (editorial). Rev Port Clin Geral 22:63-4. Disponível em: http://www.apmcg.pt/document/71479/878517.pdf

9- Sena, C., Ferrinho P., Miguel, JP. (2006). Planos e programas de saúde em Portugal: questões metodológicas e macroanálise dos programas nacionais. Revista Portuguesa de Saúde Pública; 24 (1): 5-19

10- Conceição C, Fronteira I, Hipólito F, Van Lerberghe W, Ferrinho P (2005). Os grupos Alfa e a adesão ao Regime Remuneratório Experimental. Revista Portuguesa de Clínica Geral; 21; 45-59.

Other publications International 

1- Varandas, L., Vandunem, J., Bechimol, C., Quinhentos, V., Ferrinho, P., Gonçalves, L., Bernardino, L. (2007). Tratamento efectivo na malária com moderada/alta parasitémia, em crianças, com uma toma diária de quinino em Luanda, Angola. Acta Med Angolana, 16, p.15-20.

2- Dias, S. (2007). Sexual Health Promotion and HIV/AIDS Prevention. In T. Rhodes (Eds), Focus on Adolescent Behavior Research. Hauppauge, NY: Nova Science Publishers Inc.

3- Fernandes, A., Backstrom, B., Padilla, B., Malheiros, J., Perelman, J. & Dias, S. (2007). Conceptual Framework. In A. Fernandes, M. Carballo, J. Malheiros, J. Pereira Miguel (Editors), Challenges for health in the age of migration (pp. 16-25). London: Pro-Brook Publishing.

4- Dussault, G., Letourmy, A, Fournier, P. (eds) (2006). L’Assurance maladie en Afrique francophone, Washington, World Bank (HNP Series) ISBN 10-8213-6617-3

5- Elzinga, G., Dussault, G., Figueroa, J.I., (2006). Workforce Constraints in Tuberculosis, in Raviglione, M: (ed.), Tuberculosis: A Comprehensive International Approach, Third Edition, London, Taylor and Francis CRC Press, pp. 1041-1058 (ISBN: 0849392713

6- Dussault, G., Dovlo, D., Habte. D. (2006). “The imperatives for research on the healthworkforce in Africa” in: Matlin, S. (ed.) Global Forum Update on Research for Health, vol.3, Pro-Book Publishing Ltd, London, pp.90-92

7- Zé-Zé, L., Gonçalves, L., Amaral-Turkman, M.A. (2006) Physical and Genetic Mapping in Whole Genome Sequencing Era: an Overview. In Statistics in Genomics and Proteomics (W. Urfer and M.A Amaral Turkman (Eds)), p. 35-45, CIM Editions. (http://www.aim.estt.ipt.pt= jmmp=CIM=Files=completo.pdf)

8- Encarnação, F., Gonçalves, L., Campino, L., Cristovão, J.M. and Oliveira, M.R. (2006) Latent Class Analysis to Evaluate the Accuracy of Diagnostic Tests for Leishmaniasis. In Statistical Models and Methods for Biomedical and Technical Systems (Vonta, F. (Eds.)). p. 281-286. European Seminar & University of Cyprus.

9- Amaral Turkman, M.A, Gonçalves, L., Zé-Zé, L. (2006) A Full Bayesian Approach to Physical Maps of Circular Genomes- Application to the Genome of O. oeni strain GM. In IWSM 2006, Proceedings of the 21st International Workshop on Statistical Modelling (edited by John Hinde, Jochen Einbeck and John Newell), p. 65-69.

10- Elzinga G, Dieleman M, Dussault G, Chowdurhy M., (2005). Workers for Priorities in Health. KIT Publishers Amsterdam, ISBN 90-6832-641-4

Master and Ph.D. thesis completed

None (Master programme started in 2006, first graduates in 2008)

Organization of conferences

2007:

Scientific and Organising Commission of the “2nd Forum of Primary Health Care – The new Health Centre – Motivated Professionals, Satisfied Citizens”. Health Systems Unit of the IHMT and Missão para os Cuidados de Saúde Primários (Lisbon, 21 November)

Scientific and Organising Commission of the 5th Epidemiology Congress “The health of Men” (Lisbon, 13-16 November)

Scientific Commission of the “European Workshop on Health Inequalities”, promoted by the Portuguese Epidemiology Association (Lisbon, 16 November)

Organising Commission of the Symposium: ”National experiences in adressing adverse trends affecting the health workforce”. Health Systems Unit of the IHMT, AGO and Centre de Sociologie et de Démographie Médicales (Lisbon, 10-12 October)

Technical Coordination of the Round Table “Health Systems in the Support of Health Strategies”, inserted in the initiative Health Strategies in Europe, within the Portuguese Presidency of the EU Council (12, 13 de July, FIL.

Organising Commission of the Workshop “Primary Health Care at the Azores”. Partnership between Secretaria Regional dos Assuntos Sociais, Direcção Regional da Saúde dos Açores and a Health Systems Unit of the IHMT (Angra do Heroísmo, Terceira, 4-5 June)

Organising Commission of the Workshop “The Management of Health Information in Canada: elements for the development of Health Information Systems in Portugal”, Partnership between the IHMT and AstraZeneca Foundation (8 May)

Organising Commission of the International Conference “Information Systems in Health – from the politician to the manager, from the professional to the citizen”. Partnership between Alto Comissariado da Saúde, IHMT and AstraZeneca Foundation (7 May)

2006:

Organising Commission of the 4th Epidemiology Congress “Flu: on the way of pandemics” (Lisbon, 11-13 October)

Organising Commission of the Workshop “Developments in Primary Care Management”, associated to the Conference Cycle “Primary Health Care in Portugal and in the World”. Partnership between the IHMT and AstraZeneca Foundation (20 April)

2005:

Organising Commission of the Workshop about “Policy and Human Resources Development for Portuguese Speaking African Countries”. Sandton, South Africa (11-21 Outuber)

Organising Commission of the Seminar about “Maternal and Child Health and Safe Motherhood”. Partnership with WHO, all CPLP and Macau (4-5 July)

Scientific and Organising Commission of the VII International Garcia de Orta Conference: Sexually Transmitted Diseases in Women. Partnership with Associação para o Desenvolvimento e Cooperação Garcia de Orta, Sexually Transmitted Diseases Unit of the IHMT. Financed by Glaxo e British Council (8 March)

Organising Commission of the Workshop on Statistics in Genomic and Proteomics

Organising Commission (in collaboration with IST, UTL) of the day dedicated to “Statistics, Genetics and Medicine, within Ciência Viva Program.

Internationalization 

The Public Health group has established collaborations with a number of foreign institutions in Portuguese-speaking African countries and in Europe:

With the Department of Public Health Eduardo Mondlane University in Maputo (Mozambique): research on the impact of Global Health Initiatives on the national health sercices systems in Africa;. research on the profile and expectations of medical students; development of a post-graduate program in public health; research on human health resources policies.

With the Centre for Medical Education (CEDUMED), Faculty of Medicine, Agiostinho Neto University in Luanda (Angola): research on the impact of Global Health Initiatives on the national health services systems in Africa; ;. research on the profile and expectations of medical students; research on human health resources policies.

with the Ministry of Health of Guinea Bissau for the creation of an Institute of Public Health and in health policy development

with the School of Public Health, University of the Western Cape and the School of Health Systems and Public Health, University of Pretoria (South Africa): research on the impact of Global Health Initiatives on the national health services systems in Africa.

With the Institute of Tropical Medicine, Antwerp (Belgium) and the Royal College of Surgeons, Dublin (Ireland): research on the impact of Global Health Initiatives on the national health services systems in Africa.

Future collaborations include:

Participation in a European Network of research on the health of migrants.

multi-country study on health services delivery in islands in Europe

with the European Observatory on Health Systems and Policies : research on the health workforce

With Universities of Keele, Bocconi (Milan), Semmelweiss (Hungary), the Instituto de Salud Carlos III (Madrid): development of a multi-university program of research and training on health workforce policies and management.

[Information accessed: 01-11-2008 10:59:48 on www.fct.mctes.pt]
[FCT - Avaliação de Laboratórios Associados 2008 | Form locked: False]

Future Research

Objectives:

The following new projects involve members of the group and are already funded or have submitted applications for funding:

“Models of Latent Classes in Tropical Health”, ref. PTDC/SAU-ESA/81240/2006”, under the responsibility of the Epidemiology and Biostatistics Unit of the IHMT, coordination by L. Gonçalves, in partnership with Instituto Superior Técnico – UTL – Applied Mathematical Centre and financed by Fundação para a Ciência e a Tecnologia

“Support in the Development of Sentinel Locations for the Surveillance of STD, including HIV and syphilis in pregnant women”, under the responsibility of the Health Systems Unit of the IHMT, coordination by P. Ferrinho, in partnership with the Republic of Guiné Bissau and CNLCS and financed by MSD, CNLCS.

The migration of health professionals in the European region, coordination by G. Dussault, funded by WHO

“European Network for the Promotion of Sexual and Reproductive Health of Refugees & Asylum Seekers in Europe and Beyond”, under the responsibility of the LA / IHMT, coordination by Sónia Dias, in partnership with Belgium, Ireland, Greece, Holland and financed by the EU.

“Difficulties and Expectations of Medicine Students form 3 Portuguese Speaking African Countries (Angola, Mozambique and Guiné Bissau), coordination by P. Ferrinho

6-“Statistical Modulation in Genetics and Environment – MEGA”, ref. PTDC/MAT/64353/2006, under the responsibility of the Centro de Estatística e Aplicações of the University of Lisbon, coordination by K.Turkman, FCUL and financed by FCT

“Sexually transmitted infections in the school population of the Great Lisbon area”, under the responsibility of the Sexually Transmitted Diseases Unit of the IHMT, coordination by F. Pereira.

“Attitudes and representations towards health and illness and healthcare access in immigrant populations: towards immigrant-friendly health services”, ref. IME/SAU-ESA/81760/2006, coordination by S. Dias and financed by FCT

European Network for the Promotion of Sexual and Reproductive Health of Refugees and Asylum Seekers in Europe and Beyond. (EN-HERA!). Coordenação: International Centre for Reproductive Health, Ghent University. Funding: EC/European Refugee Fund (2006-2008).

Development of a frame of reference in prevention of sexual and gender-based violence against and among young refugees, asylum seekers and unaccompanied minors in the European reception and asylum sector. Coordenação: International Centre for Reproductive Health, Ghent University. Associate Partner: IHMT/CMDT, coordination by Sónia Dias. Application for funds to European Commission, DAPHNE III.

Development of a training and resource package for improving the sexual and reproductive health of people living with HIV/AIDS (Eurosupport 6 (ES 6). Coordenação: Institute of Tropical Medicine, Antwerp. Associate Partner: IHMT/CMDT, coordination by Sónia Dias. Application for funds to European Commission, PHEA.

Extension of the study of the satisfaction of users and health workers in health centers in Portugal and to identify its determinants and time trends. Application for funds to Ministry of Health of Portugal-

For the next 3 years, the Public health group’s program of work includes.

To complete the study of the assessment of the impact of Global Health Initiatives on policy, planning, management and organization of health services in 3 Southern Africa countries (Angola, Mozambique, South Africa). Field work, data analysis, publications of country and comparative analysis.

To complete the Project “Epidemiology and Control of Leptospirosis in the Azores".

To launch and advance the projects listed above under Future Research

Funding

EU; MSD, CNLCS; ICN; Fundação para a Ciência e a Tecnologia

Special Requirements

The Public health team would benefit from the inclusion of a social epidemiologist and of a health economist in the group of researchers.

 

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