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Introduction
Paulo Ferrinho full professor at the Global Public Health Teaching and Research Unit of Institute of Hygiene and Tropical Medicine, Universidade Nova de Lisboa, in Lisbon, Portugal. Paulo does research in strategic health planning, human resources for health, health professionals education in developing countries and fragile health systems.
Current institution
Additional affiliations
January 2010 - January 2023
Position
- Member of the Research Groups on Populations Policies and Services
Editor roles
Education
January 1991 - April 1996
January 1986 - December 1991
January 1976 - December 1980
Publications
Publications (307)
The paper presents the most comprehensive and large-scale global study to date on how higher education students perceived the use of ChatGPT in early 2024. With a sample of 23,218 students from 109 countries and territories, the study reveals that students primarily used ChatGPT for brainstorming, summarizing texts, and finding research articles, w...
Background: African research capacity is challenged by insufficient infrastructure to solicit and manage grants from local and international funding agencies.
Objective: The manuscript provides an overview and discusses lessons learned about the pioneering role of the Mozambique Institute for Health Education and Research (MIHER) as the first resea...
Background
The occurrence of strikes in the health sector has been an increasing concern around the world, given their negative impact on the provision of services and care to patients. The Mozambican doctors' strike in 2013 2013 is considered by many to be the largest of a kind in the country's history, and marked the changes which are still a mat...
Background:
We tested whether providing BCG vaccine to healthcare workers (HCWs) could reduce non-planned absenteeism and thereby reduce the potential impact of the COVID-19 pandemic on healthcare systems in Africa.
Methods:
We conducted a multicenter, single-blinded, placebo-controlled randomized trial in Guinea-Bissau and Mozambique between De...
Background
Achieving the SDG Sustainable Development goals represents a major global challenge. The Community of Portuguese Speaking Countries (CPLP) is made up of countries: Angola, Cape Verde, Guinea-Bissau, Equatorial Guinea, Mozambique, São Tomé and Príncipe, Brazil, Portugal, and East Timor. Studies on SDG indicators are little studied among t...
Introduction: The COVID-19 pandemic challenged the scientific community to find and develop a vaccine to fight the disease. However, problems with achieving high vaccine coverage have emerged, even among high-risk groups such as healthcare workers (HCWs). Objective: The objective of this study is to examine factors that influence HCW’s and the gene...
RESUMO
Objetivo
Calcular o indicador de consumo de álcool per capita (APC) para o Brasil utilizando dados nacionais (APC Brasil), com vistas a estabelecê-lo como padrão ouro para o país em substituição ao indicador anteriormente calculado pela Organização Mundial da Saúde (OMS) com base em dados internacionais.
Métodos
Foram selecionadas, no Bras...
Background
Public health emergencies of international concern (PHEICs) as the COVID-19 pandemic and others that have occurred since the early 2000s put enormous pressure on health and care systems. This is being a context for protests by health and care workers (HCWs) because of additional workload, working conditions and effects on mental and phys...
Introduction
Strikes in the health sector have been of growing concern, given their disruptive nature, negatively impacting the provision of health care and jeopardizing the well-being of patients. This study aims to identify the main actors, the reasons behind industrial actions protests, strikes and lockouts (IAPSL) in sub-Saharan African countri...
Este livro compõe a Série Linha Editorial Internacional de Apoio aos Sistemas
de Saúde (Leiass), fruto de um esforço conjunto do Instituto de Higiene e Medicina
Tropical da Universidade Nova de Lisboa – IHMT (Portugal) e do Conselho Nacional
de Secretários de Saúde – Conass (Brasil). As duas instituições têm buscado
ampliar seus intercâmbios e coop...
Background
The Bacillus Calmette-Guérin vaccine (BCG) against tuberculosis (TB) shows beneficial nonspecific effects, which are likely related to innate immune training. Until 2016, a single BCG dose was administered to all newborns in Portugal. In July 2016, a clinical guideline established that only children under 6 years belonging to high-risk g...
Background
Health and care workers (HCW) faced the double burden of the SARS-CoV-2 pandemic: as members of a society affected by a public health emergency and as HWC who experienced fear of becoming infected and of infecting others, stigma, violence, increased workloads, changes in scope of practice, among others. To understand the short and long-t...
O Conselho Nacional de Secretários de Saúde (Conass) e o Instituto de Higiene e Medicina Tropical da Universidade Nova de Lisboa (IHMT), de Portugal, lançaram hoje, durante a Assembleia do Conselho, o mais recente volume da Série Linha Editorial Internacional de Apoio aos Sistemas de Saúde (Leiass). Esta obra, resultado de uma colaboração sem prece...
O Conselho Nacional de Secretários de Saúde (Conass) e o Instituto de Higiene e Medicina Tropical da Universidade Nova de Lisboa (IHMT), de Portugal, lançaram hoje, durante a Assembleia do Conselho, o mais recente volume da Série Linha Editorial Internacional de Apoio aos Sistemas de Saúde (Leiass). Esta obra, resultado de uma colaboração sem prece...
O Conselho Nacional de Secretários de Saúde (Conass) e o Instituto de Higiene e Medicina Tropical da Universidade Nova de Lisboa (IHMT), de Portugal, lançaram hoje, durante a Assembleia do Conselho, o mais recente volume da Série Linha Editorial Internacional de Apoio aos Sistemas de Saúde (Leiass). Esta obra, resultado de uma colaboração sem prece...
In this article we argue that the Member States of the European Union (EU) have consistently, since its inception, developed a shared framework to measure, monitor and intervene to improve the health status of its population, while invoking the subsidiarity principle for the health sector. As a result, a European Health Union (EHU) has been emergin...
Background
Africa’s weaknesses in responding to public health emergencies triggered the University of Cabo Verde’s EDCTP/Africa CDC supported b-learning Field Epidemiology Program (2022–2024), after Mozambique´s and Angola’s experiences. The Program targets 15 students from Cabo Verde (CV)(6), Guiné-Bissau (GB)(6) and São Tomé e Príncipe (3). Group...
Background
A consortium of African and European Universities, National Institutes of Public Health and Research Centers proposed a project to implement a Master’s in Field Epidemiology via blended-learning platforms based at University of Cape Verde. The field training is implemented with the National Institutes of Public Health of each country whe...
Background
Health Care Workers (HCW) faced a high risk of exposure to SARS-CoV-2. In the present study, we described the presence and duration of anti-S and anti-N IgG antibodies against SARS-CoV-2 among HCW to evaluate the immunity response induced by either SARS-CoV-2 infection or COVID-19 vaccination.
Methods
Case-cohort study of 465 HCW from h...
BACKGROUND
In observational studies and randomized trials from low-income countries, the Bacillus Calmette-Guérin (BCG) vaccine against tuberculosis has been associated with protection against non-TB infections. In other words, BCG has beneficial non-specific effects. The likely mechanism behind these effects is innate immune training. Until 2016,...
Background
The COVID-19 pandemic highlighted pre-existing weaknesses in health and care systems and services and shortages of health and care workers (HCWs). As a result, policymakers needed to adopt measures to improve the health and care workforce (HCWF) capacity. This review aims to identify countries’ range of policies and management interventi...
div>The uncertainties caused by the COVID-19 pandemic have stimulated biomedical research worldwide to support evidence-based public health policies aimed at reducing the impact of COVID-19 on populations. the resulting urgency of decision-making in a pandemic context faced by Research Ethics Committees created new challenges leading to new reflect...
div>The uncertainties caused by the COVID-19 pandemic have stimulated biomedical research worldwide to support evidence-based public health policies aimed at reducing the impact of COVID-19 on populations. the resulting urgency of decision-making in a pandemic context faced by Research Ethics Committees created new challenges leading to new reflect...
Notwithstanding the understandable rationale of the logical, expected and natural evolution of human behaviour towards an anthropocentric view of its relationship with other animals and the environment, a shift from this predatory “Ego-centric” behaviour towards an “Eco” conduct, with regard to their view of the world and of the global health, has...
BACKGROUND
The COVID-19 pandemic highlighted pre-existing weaknesses in health and care systems and services and shortages of health and care workers (HCWs). As a result, policymakers needed to adopt measures to improve the health and care workforce (HCWF) capacity. This review aims to identify countries’ range of policies and management interventi...
Introduction: The COVID-19 pandemic challenged the scientific community to find and develop a vaccine to fight the disease. However, and despite the vaccines developed thus far, problems with achieving high vaccine coverages have emerged, even among high-risk groups such as health and care workers (HCW). The lack of experience with such extensive v...
Background
Health and care workers (HCW) faced the double burden of the SARS-CoV-2 pandemic: as members of a society affected by a public health emergency and as HWC who experienced fear of becoming infected and of infecting others, stigma, violence, increased workloads, changes in scope of practice, among others. To understand the short and long-t...
Prior to the COVID-19 pandemic, adolescents in most countries experienced a syndemic of malnutrition, obesity, deprivation, mental health problems, inequalities, and the effects of climate change. Today, other factors have added to this burden during the pandemic, and it is important to have an updated reflection. We aimed to assess the risk and pr...
BACKGROUND
States and health systems had to make challenging resource allocation and capacity-building decisions to promote proper patient care, ensure health and care workers safety and well-being so that they can effectively address the present pandemic as well as upcoming public health problems and natural catastrophes. As innovations are in pla...
Background
Countries and health systems have had to make challenging resource allocation and capacity-building decisions to promote proper patient care and ensure health and care workers’ safety and well-being, so that they can effectively address the present COVID-19 pandemic as well as upcoming public health problems and natural catastrophes. As...
Research for health and development (R4HD) acknowledges that many of the determinants of health lie outside the boundaries of the health system. The size and quality of the health and care workforce (HCWF) are key drivers towards the future trajectory of many of these factors. We consider researchers for health and development an abiding, pervasive...
Resumo Foram analisadas tendências da mortalidade prematura por doenças crônicas não transmissíveis (DCNT) entre 1990 e 2019, as projeções até 2030 e os fatores de risco atribuíveis a estas doenças na Comunidade dos Países de Língua Portuguesa (CPLP). Utilizou-se estimativas do estudo Carga Global de Doenças e análise da carga de mortalidade premat...
The present study analyzed trends in premature mortality from Noncommunicable diseases (NCDs) between 1990 and 2019, the projections up to 2030, and the risk factors (RFs) attributable to these diseases in the Community of Portuguese Language Countries (CPLP). Estimates from the Global Burden of Disease (GBD) study and the analysis of the burden of...
Non-Communicable Diseases (NCDs) are one of the main global health problems, being responsible for a large number of premature deaths, disabilities and loss of quality of life. There are still few studies on the performance of the Portuguese Language Community in the 2030 Agenda, making it an opportunity to advance in this diagnosis and thus contri...
Prior to the COVID-19 pandemic, adolescents in most countries experienced a syndemic of malnutrition, obesity, deprivation, mental health problems, inequalities, and the effects of climate change. Today, other factors have added to this burden during the pandemic, and it's important a reflection on their relationship with mortality and morbidity. T...
The health of people, wild and domesticated animals, and natural living systems is syndemically connected, and this interplay is a pillar of the concept of One Health [...]
•Multidimensionality of AMR determination argues in favour of considering it a glocal syndemic.•Lack of attention to syndemic nature of AMR limits the effectiveness of measures taken so far.•The syndemic approach provides policy makers with conceptual tools to design effective responses.
The Angolan State has been looking for a way to strengthen the health sector with a balanced workforce for which nursing is a cornerstone. This study reviews the evolution of nursing education in Angola, in order to better understand the contribution of the educational sector to nursing workforce development. Methods: Integrative review of unpublis...
A Saúde Mental é uma área que requer atenção especial, em vista da sua complexidade e pelo impacto que causa na sociedade, sendo de grande relevância para a saúde pública. Ter saúde mental não se resume apenas à ausência de transtornos mentais. Sabe-se que há uma diversidade de fatores que contribuem o bem-estar ou mal-estar mental, como os fatores...
Background
Inadequate leadership capacity compounds the world's workforce lack of preparedness for outbreaks of all sizes, as illustrated by the COVID-19 pandemic.
Traditional human resources for health (HRH) leadership has focused on determining the health workforce requirements, often failing to fully consider the unpredictability associated with...
This report revisits data used to describe the typology and the perceived impact of violence against health care workers (VHCW) at the health services of the City of Lichinga in Mozambique, based on an observational, descriptive, cross-sectional study, carried out from March to May 2019. In this report we attempt to understand if our reanalysis of...
Background
The COVID-19 revealed a vacuum of knowledge on health workforce requirements to conduct vaccination campaigns on the massive scale required by the pandemic. The health workforce represents both a priority target group for COVID-19 vaccination, and also a central element of health systems’ capacity to deliver it to the wider population. W...
Introduction:
Recognition of the relevance of violence against health workers in their work place has been growing around the world. In Mozambique, workplace violence in the health sector needs better documentation. Therefore, this article is part of a study that describes the typology and the perceived impact of violence against health care worke...
The interdependence of humans, animals, plants, and their social and abiotic environment is highlighted by past and recent pandemics. A good example to understand and tackle threats to ecosystems is the COVID-19 pandemic. A syndemic is a complex and multilevel phenomenon of epidemics interacting synergistically at individual, societal, and environm...
O momento em que se intensifica o debate mundial em torno da Agenda 2030 e os Objetivos do Desenvolvimento Sustentável (ODS) coincide com a ocorrência de pandemias que vêm causando graves danos em todo o mundo e desafiam a humanidade sobre o modo de como enfrentá-las, além de obrigar-nos a refletir e a agir rapidamente sobre suas causas e consequên...
West Africa experienced its first Ebola epidemic in 2014. Its magnitude in terms of morbidity and mortality was greater than any other epidemic. It has particularly affected Guinea, Liberia and Sierra Leone. Its impact, beyond the high mortality, is also economic. The Ebola virus disease spread to several other African countries with limited resour...
Abstract
The 2030 Agenda for Sustainable Development highlighted the growing attention to the adequacy of health planning models to sustainable development. A re-reading of the results of a round table debate on “sustainable planning”, which took place at the 5th National Congress of Tropical Medicine (Portugal, 2019) under a participant observati...
Background
Angola is among one of the most deprived countries in the world in terms of medical professionals. In the past decade, the Angolan Government has invested in the expansion of faculties of medicine in the country. We analysed the profiles of medical students in Angola according to four clusters of medical schools: older faculty in the cou...
Steering health systems towards universal health coverage requires research on themes that are of particular interest to health planning, management, policy and systems researchers. Some issues, such as strikes regarded as illegal and health sector corruption, because of their social and political sensitivity have, for too long, remained outside ad...
The SARS-CoV-2 pandemic has affected communities, populations, and countries throughout the world. As the SARS-CoV-2 pandemic developed, the extent to which the disease interacted with already existing endemic, non-communicable and infectious diseases became evident, hence deeply influencing health outcomes. Additionally, a synergistic effect has b...
Background
We describe the profile of Angolan final year allied health workers (AHW) students: where they come from, their experience of training and expectations regarding professional future.
Methods
It was a questionnaire based observational cross-sectional study applied to final year AHW students in 24 public and private sector , higher and mid...
The 69th World Health Assembly endorsed the Global Health Sector Strategy for Viral Hepatitis, embracing a goal to eliminate hepatitis infection as a public health threat by 2030. This was followed by the World Health Organization's (WHO) global targets for the care and management of hepatitis B virus (HBV) and hepatitis C virus (HCV) infections. T...
Background
In this article, we analyze data collected in the context of health workforce planning (HWFP) for Guiné-Bissau as part of the development of the third National Health Strategy, to study the relationship between educational achievement of parents and medical student characteristics and professional expectations.
Methods
Cross-sectional a...
Background: Angola is among one of the most deprived countries in the world in terms of medical professionals. In the past decade, the Angolan Government has invested in the expansion of faculties of medicine in the country. We analysed the profiles of medical students in Angola according to four clusters of medical schools: older faculty in the co...
Auxiliares de saúde são trabalhadores com funções de suporte a profissionais mais qualificados na prestação de cuidados. Constituem parte considerável e desconhecida dos recursos humanos da saúde em Portugal. Publicados em 2010, o perfil profissional e o referencial de formação de técnico auxiliar de saúde introduziram mudanças ainda por estudar. I...
Formação inicial em ciências da saúde em Angola: comparação dos perfis dos alunos de diferentes cursos (medicina, enfermagem e TDT), em diferentes níveis de ensino (básico, médio e superior) Initial training in health sciences in Angola: comparison of profiles of students from different courses (medicine, nursing and allied health workers), in diff...
Background
The COVID‐19 pandemic lead scientists and governmental authorities to issue clinical and public health recommendations based on progressively emerging evidence and expert opinions and many of these fast‐tracked to peer‐reviewed publications. Concerns were raised on scientific quality and generalizability of this emerging evidence.
Main...
Background:
Sustainable Development Goal (SDG) 17 focuses on North/South partnerships for sustainable development. Literature on research partnerships and capacity -building often neglects how these processes are carried out in practice, their social impacts and participants' subjective experiences. Recognizing the increasingly global dimensions o...
Chikungunya virus is a re-emerging alphavirus, transmitted by mosquitoes from Aedes species. It is endemic in Africa, and recently it has spread throughout the Indian Ocean, Asia and the Americas, where it has caused several major outbreaks. Since 2007 small outbreaks with autochthone transmission happened in southern Europe, where Aedes albopictus...
Introduction: The weaknesses of Guinea-Bissau’s health system have long been highlighted. The purpose of this study is to contribute with evidence for decision-making on the reform of the country’s healthcare map, by analyzing the availability and readiness of services at the facilities that may become part of a Hospital Complex in Bissau, proposed...
Resumo Introdução: O contexto de formação dos médicos e as suas expetativas em relação à vida profissional são fundamentais para planear a distribui-ção, retenção e motivação da força de trabalho em saúde. Neste estudo, comparámos a evolução das expetativas profissionais dos alunos de medi-cina da Guiné-Bissau entre 2007 e 2016. Material e métodos:...
Propomos uma viagem pelas memórias daqueles que viveram a realidade de 25 anos de Política Nacional de Saúde num Estado que apesar de frágil tem claramente definidas uma visão da saúde: “um sistema de saúde cada vez mais eficiente, eficaz e financeiramente sustentável, com um crescente envolvimento de diferentes sectores e responsabilização pelo Go...
Objectives:
To investigate the quality of life (QoL) and to characterize patients with atopic dermatitis (AD) in Portugal.
Methods:
This was a cross-sectional study, including patients with AD and other eczemas. Skindex-29, Skindex-teen and Childhood Atopic Dermatitis Impact Scale (CADIS) were the instruments used to assess QoL in adults, teenag...
Background and aims
Eczema and urticaria are both inflammatory skin diseases. The prevalence of both diseases varies worldwide and the reasons are unknown. We aimed to investigate the eczema and urticaria prevalence in the Portuguese adult (≥ 16 years-old) population.
Materials and methods
A telephone interview survey was performed in the last qua...
This paper analyzes capacity building in practice, addressing the expectations, imaginaries and experiences of health researchers from Mozambique and Angola. The empirical data stems from the Erasmus+ funded project “Uni-versity Development and Innovation – Africa (UDI-A)”, a consortium established between European and African institutions to promo...
Resumen
Antecedentes y objetivos
Tanto el eccema como la urticaria son enfermedades inflamatorias de la piel. La prevalencia de ambas varía a lo largo de todo el mundo y se desconocen las razones de este hecho. Nuestro objetivo es investigar la prevalencia del eccema y la urticaria en la población portuguesa adulta (≥ 16 años).
Materiales y métod...
O projeto “University Development and Innovation – Africa (UDI-A)” é um consórcio liderado pela Universidade NOVA de Lisboa em parceria com instituições académicas europeias e africanas e que visa melhorar o currículo académico e científico de quatro Universidades – duas em Angola e duas em Moçambique - e capacitá-las para o empreendedorismo social...
Introduction:
In the context of fragility that characterizes the Republic of Guinea-Bissau, there is an absence of effective management of human resources for Health, which begs reflection regarding training that is provided. The purpose of this study was to analyse the training of human resources for Health in the Republic of Guinea-Bissau since...
Resumo Cabo Verde é um dos Pequenos Estados Insulares em Desenvolvimento do mundo, com especificidades e desafios próprios. Independente há 43 anos, com meio milhão de habitantes, a formação dos seus médicos tem sido feita no exterior, incrementando a força de trabalho do país, mas não o suficiente, em número e diferenciação, para sustentar os desa...
Cape Verde is a small island developing state (SIDS). The health sector is guided by strategic and programmatic documents of the Ministry of Health.
The objective of this paper is to understand the planning capacity and experience of its Public Health Officers.
A questionnaire was applied to 27 Cape Verdean public health officers in order to collec...
RESUMO Na República da Guiné-Bissau, um dos países mais pobres do mundo, o Plano Nacional de Desenvolvimento Sanitário (PNDS) pretende ser o documento de orientação nacional em saúde. O PNDS II (2008-2017) sucedeu ao PNDS I (1998-2002, revisto para 2003-2007). Ambos foram alvo de avaliações. Em 2017, completou-se um novo processo de planejamento, o...
