Partners for Pediatric Progress established its first partnership in 2008 in in the capital city of Maputo, Mozambique. Since then we have been working closely with our friends and colleagues at the country’s main medical school, the Faculdade de Medicina, Universidade Eduardo Mondlane, and its adjacent 1500 bed teaching hospital, the Hospital Central de Maputo.
Mozambique is among the world’s 20 poorest countries, ranking 165 out of 169 countries on the United Nations Development Programme’s 2010 Human Development Index. Currently 75% of Mozambique’s population of 21 million lives on less than $1.25 US per day.
With approximately 10 million citizens under the age of 15 and extremely high neonatal and childhood morbidity and mortality rates, the needs in Mozambique are immense. There are fewer than 50 pediatricians in the entire country, few pediatric subspecialists and only two pediatric surgeons.
Based upon ongoing needs assessments, Partners for Pediatric Progress is sending pediatricians, neonatologists, neonatal nurses, critical care experts, infectious diseases experts, transfusion medicine experts, and both general pediatric surgeons and subspecialty surgeons to Maputo, to train and work closely with our colleagues there.
In the current year, Partners for Pediatric Progress’ projects include:
- Training and support of care in the newborn nursery
- Training and support of care in Urgencia, or Pediatric Intensive Care Unit
- Support of the graduate medical education program for Mozambican Pediatric residents.
- Hospital Infection Control Project to decrease the risk of hospital-acquired infections
- Ongoing training and support of pediatric surgical and pediatric surgical subspecialty programs.
- Partnering with the hospital leadership, Ministry of Health and Centers for Disease Control to establish protocols for blood transfusions, to decrease transfusion-associated infections.
We’re proud to have an In-Country Program Director, Dr. Emily Hartford, overseeing all of the activities of Partners for Pediatric Progress in Mozambique.
We’re also proud of the partnership and support that we have received for our work in Mozambique from the President’s Emergency Plan for AIDS Relief (PEPFAR), the Centers for Disease Control, the United States Health Resources and Services Administration (HRSA), the Mozambique Ministry of Natural Resources and Andarko.
Iquitos is the largest city in the Peruvian Amazon rainforest, and is generally considered the most populous city in the world that cannot be reached by road. The government’s “Regional Hospital” serves over a million residents in the city and surrounding rural communities of the Amazon basin. Based upon needs assessments, Partners for Pediatric Progress is sending pediatricians, neonatologists, pediatric critical care experts and pediatric nurses to the Amazon region to train and work closely with our colleagues there.
In addition to our partnership at the Regional Hospital, our clinician-educators are also working with their Peruvian counterparts in the primary care clinics of Iquitos’ impoverished community of Belen, and in other more isolated community clinics in the Amazon basin. For a portion of the year Belen is flooded by the Amazon waters, and the community is connected by an intricate network of planks above the water, with a teaming clinic
Partners for Pediatric Progress is providing training experiences for U.S. medical students and residents in these settings. There’s great evidence in the literature that such experiences promote more humanism, cultural sensitivity and a greater commitment to working with underserved populations here at home (i.e., dramatic benefits are felt here at home as well).