{"id":33890,"date":"2015-04-14T11:08:44","date_gmt":"2015-04-14T10:08:44","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=33890"},"modified":"2015-04-14T11:08:44","modified_gmt":"2015-04-14T10:08:44","slug":"rui-tato-marinho-travelling-learning-and-futuring-in-mozambique","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2015\/04\/14\/rui-tato-marinho-travelling-learning-and-futuring-in-mozambique\/","title":{"rendered":"Rui Tato Marinho: Travelling, learning, and futuring in Mozambique"},"content":{"rendered":"<p><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/04\/Rui-Tato-Marinho.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft  wp-image-33899\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/04\/Rui-Tato-Marinho-232x300.png\" alt=\"Rui Tato Marinho\" width=\"129\" height=\"167\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/04\/Rui-Tato-Marinho-232x300.png 232w, https:\/\/blogs.bmj.com\/bmj\/files\/2015\/04\/Rui-Tato-Marinho.png 529w\" sizes=\"auto, (max-width: 129px) 100vw, 129px\" \/><\/a>Last September I was in <a href=\"http:\/\/en.wikipedia.org\/wiki\/Mozambique\">Mozambique<\/a>, trying to find my grandparents\u2019 house in the city of Beira. The house is there, still alive. They left Mozambique 50 years ago. Mozambique is a Portuguese speaking country, in the southeast of Africa with 27 million inhabitants.<\/p>\n<p>Besides the curiosity to know a little bit about my family history, I had finished reading the important book\u00a0<a href=\"http:\/\/www.amazon.co.uk\/Turning-World-Upside-Down-Century\/dp\/1853159336\/ref=sr_1_1?ie=UTF8&amp;qid=1428397193&amp;sr=8-1&amp;keywords=nigel+crisp\"><em>Turning the World Upside Down <\/em><\/a>by Nigel Crisp, in which he talks several times about innovation in Mozambique&#8217;s healthcare. The \u201ct\u00e9cnicos de cirurgia\u201d are healthcare workers recruited from various rural settings, who undergo a two year course enabling them to carry out obstetric surgery. Mortality rates for obstetric surgery are very low in the country, for example, only 0.1% in elective surgery.<!--more--><\/p>\n<p>In the department of gastroenterology at Maputo\u2019s Central Hospital (Maputo is the capital of Mozambique), there is only one gastroenterologist teaching and preparing six trainees, and he seems to be doing well. On the walls I saw an advertisement inviting nominations for the worker of the year, along with a\u00a0chart about the \u201crights and duties of\u00a0patients,\u201d which consisted of 12 rights and 10 duties. In Portugal, where I work, the proportion is 12 to 1.5.<\/p>\n<p><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/04\/mozambique_pic.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft  wp-image-33895\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/04\/mozambique_pic-233x300.jpg\" alt=\"mozambique_pic\" width=\"97\" height=\"125\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/04\/mozambique_pic-233x300.jpg 233w, https:\/\/blogs.bmj.com\/bmj\/files\/2015\/04\/mozambique_pic-795x1024.jpg 795w\" sizes=\"auto, (max-width: 97px) 100vw, 97px\" \/><\/a><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/04\/mozambique_2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright  wp-image-33896\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/04\/mozambique_2-225x300.jpg\" alt=\"mozambique_2\" width=\"93\" height=\"125\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/04\/mozambique_2-225x300.jpg 225w, https:\/\/blogs.bmj.com\/bmj\/files\/2015\/04\/mozambique_2-768x1024.jpg 768w\" sizes=\"auto, (max-width: 93px) 100vw, 93px\" \/><\/a>In the same hospital we visited one of the best departments, the department of pathology, headed by Dr Carla Carrilho. On one side of the department you could see the telemedicine infrastructure, and on the opposite side is the terrific wax museum, exhibiting\u00a0diseases from the past (see pictures). One\u00a0nice fact is that the medical school has published 54 papers in international journals.<\/p>\n<p>But outside the hospital, you could easily find some risk factors for morbidity and mortality: sweet drinks are everywhere, their strong colours and affordable prices making their presence ubiquitous. The current prevalence of obesity is just around 4-7%, but how will this change in the future? The other risk factor is road accidents: economic growth fuels new roads, new cars, new and young drivers, and public transportation filled with people like sardines in cans. While there, I witnessed a road accident, which left seven people dead. I had a vision of my own country 30 years ago.<\/p>\n<p><em><strong>Rui Tato Marinho<\/strong> is a specialist in gastroenterology and hepatology, working at the University of Lisbon. He is also editor in chief of <\/em>Acta M\u00e9dica Portuguesa<em>, the scientific journal of the Portuguese Medical Association.<\/em><\/p>\n<p>Competing interests: None declared.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Last September I was in Mozambique, trying to find my grandparents\u2019 house in the city of Beira. The house is there, still alive. They left Mozambique 50 years ago. Mozambique [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2015\/04\/14\/rui-tato-marinho-travelling-learning-and-futuring-in-mozambique\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[263],"tags":[],"class_list":["post-33890","post","type-post","status-publish","format-standard","hentry","category-global-health"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Rui Tato Marinho: Travelling, learning, and futuring in Mozambique - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2015\/04\/14\/rui-tato-marinho-travelling-learning-and-futuring-in-mozambique\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Rui Tato Marinho: Travelling, learning, and futuring in Mozambique - The BMJ\" \/>\n<meta property=\"og:description\" content=\"Last September I was in Mozambique, trying to find my grandparents\u2019 house in the city of Beira. 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