MEPI External advisory board meeting

Health care and medical education in Brazil; opportunities for collaboration with UEM, UCSDMaputo, Mozambique , March 14 -15, 2011

Health care and medical education in Brazil; opportunities for

collaboration with UEM, UCSD Data about Brazil

Population : ~194 million (5th)

Territory: 8.5 millions sq. Km (5th)

GDP: US$ 1.6 trillion (8th)

Urbanization: 40% metropolitan

Life expectancy at birth (2006): 72.35 yrs

Infant Mortality Rate (2007): 19.3‰

Total Health Expenditures (2006): US$ 87.3 billion

Health Expenditure as % of GDP (2006): 7.48%

NETWORK OF HEALTH SERVICES in

Brazil31 thousand Family Health Teams

(P/N/D/CHW) distributed in 30,382 Primary Health Care Units

Supported by 2,476 Specialized Outpatient Centers (NASF) and Specialized Centers for Drug Addiction and Psychiatric Care

Network of 12,531 Pharmacies 2,138 Urgency and Emergency Rescue Units (land, water and

air) linked to 371 24 h/7d UPAs 2,999 public hospitals 192 University Hospitals and 6 State‐of‐the‐Art Reference

Medical doctors needs

Brazil total number of MD 330.825.

Ratios 1/300 Brazil ( Urban areas concentration)_

North Brazil 1/10,000

Nigeria 1/50,000

Mozambique 1/26,700

Training opportunity for Mozambicans In Brazil

Basic laboratory level ( partnership with Federal University of Bahia , UFBA)

Institute of health Science/Instituto de Ciencias da Saude/ UFBa ( provide Service on PCR for the city of Salvador, Bahia

Molecular biology

Immunology

Entomology

Parasitology

Microbiology

Medical Students

Health Care Family Physician community Program

Internal medicine hospital and ambulatory teaching program for specifics specialties.

Research beginning program.

Laboratory surgical basic training

Complexo Hospitalar Universitário Professor Edgard Santos – COM-HUPES (HUPES -

CPPHO - AMN)Residence Program Internal Medicine: General Family Physician, Infectious Diseases, Geriatric

Specialists: Ophthalmology, ENT, Cardiology, Gastroenterology , Endoscopy, Neurology, Nefrology Endocrinology, Pneumology Gynecologist and Obstetrician, Radiology/Image

Anesthesiology

Surgery: ,General Surgery , Plastic Surgery

Subspecialties , Head and neck, Thorax, Urology, orthopedics , Cardiovascular , Angiology

Pediatrician ( same concept)

Areas of immediate collaboration between

Bahia/ Mozambique

Partnership for Nephrology training.

1-Oriented short course training and initiate on going dialysis program set up in Maputo

2-Endocrinology: Basic public health control program for diabetes .

3-Medical writing basic learning course.

Post graduation inter-institution program

Master degree and PhD program

Modular Basic Program:

Epidemiology

Biostatistic

Informatics

Research project development

Medical writing.

Bioethics

Institutions

UCSD

UFBA

INS Mozambique

South Africa

Many other already collaborating with Mozambique

Mentors, teachers, research collaborators.