Health Care Human Resources Research Articles

Importance of Balanced Attention Toward Coronavirus Disease 2019 and Neglected Tropical Diseases.

Coronavirus disease 2019 (COVID-19), caused by SARS-CoV-2, has been spreading since 2019, causing a worldwide pandemic. Amid the COVID-19 pandemic, tuberculosis, AIDS, and malaria have adversely affected the quality of life of patients and killed millions of people. In addition, COVID-19 continues to impede the delivery of health services, including those for the control of neglected tropical diseases (NTDs). Furthermore, NTDs have been reported as possible co-pathogens among patients infected with COVID-19. However, studies regarding parasitic co-infection among these patients have been limited. This review aimed to explore and describe the cases and reports of parasitic infections in the backdrop of COVID-19 to provide comprehensive knowledge regarding this aspect. We reviewed seven cases of patients who had parasitic co-infection and tested positive for COVID-19, and summarized the literature on the importance of controlling parasitic diseases. In addition, we identified recommendations for the control of parasitic diseases under possible difficulties, such as declining funding for parasitic diseases in 2020. This review highlights the growing burden of NTDs under COVID-19 that may be caused by the deficiency of healthcare infrastructure and human resources as the main reasons. Clinicians should remain vigilant for possible co-infections with parasites in COVID-19 patients, while policymakers are urged to reinforce a balanced and long-term health strategy that addresses both NTDs and COVID-19.

Leadership in Interprofessional Healthcare Practice (Iphp): Preparedness, Responsibilities, and Proficiencies for Healthcare Managers and Human Resource Professionals

Leadership in Interprofessional Healthcare Practice (Iphp): Preparedness, Responsibilities, and Proficiencies for Healthcare Managers and Human Resource Professionals

INCOG 2.0 Guidelines for Cognitive Rehabilitation Following Traumatic Brain Injury: What's Changed From 2014 to Now?

INCOG 2.0 Guidelines for Cognitive Rehabilitation Following Traumatic Brain Injury: What's Changed From 2014 to Now?

Nurse-led interventions for prevention and control of noncommunicable diseases in low- and middle-income countries

Background: Low- and middle-income countries (LMICs) face numerous challenges in the implementation of noncommunicable diseases (NCDs) prevention programs due to a shortage of health workforce. Task shifting to nurses is a viable and effective solution to address the healthcare human resource crisis. We, therefore, intend to assess the existing evidence on the effectiveness of interventions by nurses for the management of chronic NCDs in LMICs. Methods: We did a systematic review and meta-analysis of the trials that utilized nurses for the management of NCDs in LMICs. We searched PubMed, Embase, CINAHL, Cochrane Central Register of Controlled Trials, and clinical registries of different LMICs to search for relevant literature. Meta-analysis using an inverse-variance weighted random effect model was used to summarize the findings. The study protocol was registered in the PROSPERO database (CRD42019118430). Results: We found 2097 studies from the literature search, out of which 39 studies with 15,672 participants were eligible for narrative synthesis. Result of the meta-analysis showed that nurse-led interventions were effective in the reduction of systolic blood pressure (SBP) (average pooled mean difference was −4.32 [95% (confidence interval) CI − 7.07–−1.57]), diastolic blood pressure (DBP) (−3.11 mmHg; 95% CI −4.96–−1.26), glycated hemoglobin (HbA1c) (−0.73; 95% CI − 1.08–−0.38), fasting blood sugar (FBS) (−0.8; 95% CI −13.42–−2.58), total cholesterol (TC) (−1.18; 95% CI −20.06–−3.57), and triglycerides (TG) (−12.20; 95% CI − 23.52–−0.87). However, there was no major significant difference in low-density lipoprotein (LDL) and high-density lipoprotein (HDL). The overall quality of evidence based on the Grading of Recommendations Assessment, Development, and Evaluations was moderate for FBS, low for SBP, DBP, HbA1c, HDL, TC, and TG, and very low for LDL. Interpretation: Nurse-led interventions as compared to usual care are effective for the management of diabetes and hypertension and can be effectively used for national NCD programs in LMICs.

An Evidence and Consensus-Based Definition of Second Victim: A Strategic Topic in Healthcare Quality, Patient Safety, Person-Centeredness and Human Resource Management

The concept of second victims (SV) was introduced 20 years ago to draw attention to healthcare professionals involved in patient safety incidents. The objective of this paper is to advance the theoretical conceptualization and to develop a common definition. A literature search was performed in Medline, EMBASE and CINAHL (October 2010 to November 2020). The description of SV was extracted regarding three concepts: (1) involved persons, (2) content of action and (3) impact. Based on these concepts, a definition was proposed and discussed within the ERNST-COST consortium in 2021 and 2022. An international group of experts finalized the definition. In total, 83 publications were reviewed. Based on expert consensus, a second victim was defined as: "Any health care worker, directly or indirectly involved in an unanticipated adverse patient event, unintentional healthcare error, or patient injury and who becomes victimized in the sense that they are also negatively impacted". The proposed definition can be used to help to reduce the impact of incidents on both healthcare professionals and organizations, thereby indirectly improve healthcare quality, patient safety, person-centeredness and human resource management.

Tuberculosis in Ukraine during the COVID-­19 pandemic

Objective — to study the situation with tuberculosis in Ukraine in 2020—2021 compared to 2019.
 Materials and methods. Searched and statistically analyzed data from official statistical reports and analytical collections on tuberculosis for 2019—2021 in Ukraine.
 Results and discussion. The COVID-19 epidemic, to eliminate which the main material and human resources in health care were directed, aggravated the epidemiological situation with tuberculosis in Ukraine; there was a reduction in anti-tuberculosis activities, human resources and infrastructure of anti-tuberculosis institutions. This has led to a decrease in TB incidence, prevalence and mortality, while in other parts of the world, TB incidence and mortality rates and the effectiveness of treatment have increased significantly.
 Conclusions. During the COVID-19 pandemic, the majority of health resources have been devoted to fighting it. Anti-tuberculosis measures were secondary and were being phased out. This led to a decrease in statistical indicators of the incidence of all clinical forms of tuberculosis and mortality from it, including multi-resistant, and its relapses, as well as co-infection — tuberculosis/HIV/AIDS. The incidence of tuberculosis among medical workers decreased. The prevalence of all forms of active tuberculosis among Ukrainians had the same trend as the incidence.

Personal Support Worker Socio-Demographic Differences Across Care Sectors in Canada.

With the growing reliance on Personal Support Workers (PSWs) in health care delivery for older adults across hospital, nursing and long-term care home, and home and community (HC) sectors, understanding the PSW labor market is critical for healthcare human resource capacity to care for an aging population. This study utilizes a longitudinal, cross-provincial, individual-level dataset of PSWs in Canada from 1996-2010 to provide socio-demographic characteristics of PSWs by sector. Means, proportions, and multivariate tests of significance showed that PSWs differed significantly by care sector across many factors-including sex, health, family, and education characteristics. That HC PSWs were more likely to be older with lower health and higher disability status is important to consider when examining labor policies. Evidence of sector heterogeneity can lead to important differential effects on PSW labor supply behaviors and this research highlights the importance of tailoring initiatives aimed at recruitment and retention by sector.

Local Government Policy In Distribution Of Healthcare Workforce During The Covid-19 Pandemic (Kebumen Regency)

The main responsibility of the Indonesian government is to protect its citizens, including in the healthcare sector. However, the Government of Kebumen Regency has not fully implemented the responsibility. The research questions are (1) what were the policies of the local government of Kebumen Regency concerning the distribution of healthcare workforce during the COVID-19 Pandemic? (2) How do legal theories address any issues related to the local government policies concerning the distribution of healthcare workforce during the COVID-19 Pandemic? This was a qualitative descriptive study which used a sociological or empirical non-doctrinal method. The study was carried out in Kebumen Regency and the sources consisted of the Head of the Healthcare Agency, one human resource analyst, and one healthcare worker. This study operated under various theories, including Aristotelian political ethics and the will to power by Friedrich Wilhelm Nietzsche. This study found that the regent of Kebumen Regency had not demonstrated concern in distributing healthcare workforce to healthcare facilities during the COVID-19 Pandemic. The policy issued by the government of Kebumen Regency concerning the distribution of healthcare workforce is considered inappropriate. The political ethics theory shows that local government could issue policies concerning the distribution of healthcare workforce regardless of the existing needs for healthcare human resources. The will to power theory shows that local government policies can be considered as either appropriate or inappropriate policy.

A Survey of Oral Assessment and Healthcare Education at Nursing Schools in Japan

ObjectivesThis study aimed to investigate the performance of oral assessment and health care education at nursing schools across Japan to identify problems and the need for oral health professional support. MethodsThe participants were the academic staff in charge of oral health care education in the basic, adult, gerontological, and home nursing fields of 295 schools in Japan that offered a bachelor's degree in nursing. A questionnaire was sent to 1180 heads of the nursing fields of these schools. They were requested to have oral health care educators complete the survey; data on the performance of oral assessment and health care education and human resources allocated were collected through a questionnaire. ResultsA total of 311 (26%) questionnaires were returned, 196 (63%) of which were completed by oral health care educators. Regarding the performance of oral assessment education, the majority (71%) of them spent less than 2 hours in teaching, and only 24.5% taught the usage of oral assessment tools. Regarding the performance of oral health care education, more than 90% spent less than 2 hours in lecture-based and practical oral health care education, respectively. Less than half taught the association of periodontal diseases with diabetes and cardiovascular diseases and use of fluoride for caries prevention in the lectures, and only approximately 30% taught the usage of an interspace brush or dental floss. Moreover, less than 10% of oral health professionals taught oral health care in lectures or practical oral health care. ConclusionsThis study revealed problems associated with oral assessment and health care education in Japanese nursing schools. To address these, support from oral health care professionals is required. Further studies are also required to reveal problems in oral assessment and health care education in other nursing schools that do not offer a bachelor's degree programme in Japan and other countries.

The Impact of Workload on Workers’ Traumatic Stress and Mental Health Mediated by Career Adaptability during COVID-19

Building on career construction theory and the conservation of resources theory, this study investigated the impact of workload on healthcare workers’ mental health and secondary traumatic stress mediated by career adaptability during the COVID-19 pandemic. Data collected from 549 healthcare workers working in Lebanese private hospitals in a two-wave survey were utilized to evaluate the proposed conceptual model, using confirmatory factor analysis and structural equation modeling. Contrary to our propositions, the workload had a significant positive effect on career adaptability and mental health and a negative effect on secondary traumatic stress. Similarly, career adaptability had a significant positive impact on mental health whereas it had a negative significant impact on secondary traumatic stress. Moreover, the results indicated that career adaptability links workload to secondary traumatic stress; however, the sign of the mediating effect is contrary to the hypotheses of this study. Our unexpected results indicate that workload might be considered a challenging demand that enhances healthcare workers’ career adaptability and mental health and reduces secondary traumatic stress. Healthcare management and human resource managers should develop employees’ abilities to face subsequent large-scale pandemics and should create a positive working atmosphere by providing support and training to healthcare workers.

Workforce strategies and challenges faced to mitigate risk for employees during COVID 19 in a 2000 plus bedded tertiary care teaching hospital in south India

Background- Many countries have devised formulas to protect their healthcare workers and also to increase number of staff available for primary care. In present study, the strategies employed in managing healthcare human resource during COVID-19, to understand the opportunities and challenges faced during the crisis and to initiate a health policy towards handling of workforce during a pandemic were studied. Methodology: The strategies employed by the HR department for manpower deployment during the pandemic were studied. Results: There were 393 doctors, 348 post graduates and 239 interns. Doctors’ morning shift was from8 am to 2 pm, evening shift from 2 pm to 8 pm and night shift from 8 pm to 2 am. Nurses morning shift was from 7:30 am to 1:30 pm, evening shift was from 1:30pm to 7:30pm and night shift for 1st batch: Covid patient care was from 7:30 pm to 1:30 am and for file work was from 1:30 am to 7:30 am and for 2nd batch: Covid patient care was from 1:30 am to 7:30am and for file work was from 7:30 pm to 1:30 am.

Assessment of Delivery of Routine Immunization in Kashmir: A Qualitative Study

Introduction:Immunization is one of the splendid public health interventions that remarkably reduced child morbidity, mortality, and disability. Despite attaining substantial immunization coverage in Kashmir, assessment of the immunization system is quintessential for sustaining the gains and exploring the gaps. Objective: To assess the gaps in the delivery of routine immunization services in Kashmir Valley. Method: In-depth face-to-face interviews were conducted with thirty-two (32) important stakeholders, who were purposively selected as they play an active role in the planning and implementation of the Immunization Program and devise strategies at different levels of healthcare delivery. At the state level, SEPIO and SMO were interviewed at the District level, DIO/Deputy CMO was interviewed in all ten (10) districts of Kashmir Valley. From all ten Districts, two Medical-Blocks were selected from each District, and one Block Medical Officer and one Medical Officer were interviewed alternatively from each Medical-Block. Results: The thematic qualitative analysis approach was used and the analysis process generated five themes. Each of these themes included many sub-themes. 1. Factors facilitating the implementation of Routine Immunization (RI), 2. Limitations and deficits related to knowledge, attitude, monitoring, 3. Constraints encountered in the implementation of (RI) program, 4. Difficulties in the implementation of RI revealed by respondents, 5. Transformational steps to bridge gaps in the delivery of Immunization (RI) Conclusion: There were visible deficits related to knowledge, attitude, and monitoring among health professionals. Certain constraints encountered in the implementation of the program were financial constraints in the training of health care professionals and human resources constraints. The study showed the need for transformational steps to bridge gaps in the delivery of the Immunization (RI), which included regular monitoring and review meetings, teamwork and peer learning, training, and improvement in cold chain maintenance.

Trải nghiệm của người bệnh điều trị ngoại trú tại Khoa Khám Bệnh Đa Khoa, Viện Y Dược Học Dân Tộc năm 2021 và một số yếu tố ảnh hưởng

Objective: Describe the experience of outpatients at the Department of General Examination, Traditional Medicine Institute, Ho Chi Minh City in 2021 and analyze some factors affecting their experience. Methods: Applying cross-sectional design with quantitative and qualitative methods. Quantitative data were collected on 460 patients using self-completed questionnaires. There were 03 interview and 03 discussion meetings conducted after the preliminary quantitative results were available. Result: The percentage of patients with a positive overall experience is high with 84.79%, in which the rate of positive experiences is sorted from high to low according to the following groups of factors: medical examination and treatment services, health worker communication, utility service provision, hospital fees, waiting times, and procedures. 6 main factors are affecting the experience of outpatients: medical finance, human resources, information systems, pharmacy/drugs and equipment, and system administration. Conclusions: Outpatients have a positive experience at the Department of General Examination. Healthcare finance, human resources, information systems, pharmacy/drugs and equipment, and system administration were identified as factors affecting the experience. Keywords: outpatient, experience, outpatient experience

Current issues of staffing in healthcare in Russia and in the world

Introduction. The problem of the necessary number of highly qualified medical personnel does not allow providing the population with affordable and high-quality medical care and making possible to widely use innovative technologies in practical healthcare. The purpose of this study is to analyze the availability of human resources in healthcare in Russia and in the world, and events and positive experience of personnel planning in modern conditions. Material and methods. In the course of this study, statistical data, information materials of domestic and foreign literature sources in the Pubmed, Scopus, CyberLeninka, RSCI, eLibrary databases, periodicals, including electronic resources in the Internet, were analyzed. We used such methods as: statistical, study and generalization of experience, content analysis. Results. The analysis of the availability of medical personnel in the world and in Russia revealed the gain of provision with medical staff in China, New Zealand, Norway, Germany, Hungary, Mexico, Korea. The level of provision of doctors in the Russian Federation for the period from 2000 to 2019 increased by 4%, and the provision of secondary medical personnel - by 5.6%, the number of doctors working in non-governmental institutions has almost doubled. Limitations. Based on the results of this study, it is possible to establish only statistical, but not causal relationships; the restriction turned out to be important in comparative analysis with the indicators of similar studies. Discussion. The relevance of the problem of personnel planning in healthcare is characteristic of both developed and developing countries. It is necessary to study the foreign experience of personnel planning, regulatory and legal support of this area, pay attention to the professional training of medical personnel. Conclusion. To improve the provision of medical personnel, it is necessary to adequately change approaches to remuneration, training and advanced training of personnel; to maintain the number and staffing at the level of medical institutions in the subjects.

Staff shortages and inappropriate work conditions as a challenge geriatrics and contemporary healthcare service at large faces

Deficit of human resources in health care is a widespread problem occurring not only in Polish system. Demanding work, emotional stresses and insufficient support are often associated with the doctor's shift mode of work and an excess of duties combined with a shortage of time allocated to their performance. It can be assumed that most of the doctors intend to continue their work so far, but its negative features may in the future affect their decisions about choosing a different career path, especially if the shortage of medical personnel increases. This may further overburden doctors (especially young doctors) with excess working hours, reduce the quality of their activities, increase the chances of committing an unintended medical error related to exhaustion, and lead to functional burnout. This situation may lead to a renewed intensification of economic emigration to other countries, both in the EU and outside the EU, which create more favourable working conditions for working life. The scale of the problem is exacerbated by the increasing health needs of the aging population, causing an increasing burden on the health care sector, both in the near and distant future. This can create a vicious cycle where increasing burdens will drain physicians out of public health system, and increase the burden put on remaining physicians. The resulting restriction of access to medical services will lead to the deterioration of the health condition of the Polish population. In order to prevent such a situation, it would be necessary to increase the motivation to remain both in the medical profession and at work in Poland through actions aimed at improving working conditions and strengthening the sense of occupational safety of doctors. These activities should be especially aimed at group of medics starting their professional lives.

Human Resources in Primary Health-Care Institutions before and after the New Health-Care Reform in China from 2003 to 2019: An Interrupted Time Series Analysis.

At the end of March 2009, the Chinese government put forward the new health-care reform with its long-term goal to achieve universal access to basic medical and health services. Primary health-care institutions and adequate health human resources are the basic and specific guarantee to achieve the above goals. We aimed to explore the differences in the trends of human resources before and after the new health-care reform from 2003 to 2019, based on Chinese Health Statistics Yearbook, an using interrupted time series analysis. The number of primary health workers serving for every 1000 people in China gradually rose from 1.98 in 2003 to 3.07 in 2020, with an immediate sharp rise from 2008 to 2009. Subsequently, the number of primary health workers increased at a significant speed, but it still failed to meet people’s basic medical needs (3.5/1000). There was an increase of 51,301 primary health staff in 2010, and 6007 more primary health workers per year were added after the reform compared to the basic increasing number before 2009, but both were not statistically significant (p > 0.05). The annual increased number of health workers in township health centers was 2.63 times greater than that before the reform, with a total annual increase of 34,192 people (p < 0.05). The growth trend changed the most in western China (p < 0.001), while the human resources of primary health-care institutions in the eastern region were relatively richer than those in the central and western regions. Numerous registered nurses and pharmacists have been devoted to the construction of the primary health-care service since 2010, while the increase in the number of doctors per year was not statistically significant (p = 0.066). In total, the primary health-care human resource in China is constantly expanding, but the primary health-care needs are still not fully met, especially for doctors, and the problem of unbalanced allocation urgently needs to be solved. Reasonably formulating regional policies to strengthen the construction of primary health personnel and expand the accessibility of primary health services is the top priority in the development of primary medical and health undertakings.

Regional Impact of COVID-19 on Acute Case Management Practice.

Nadine M. Carter, MBA, BSN, RN, CDMS, CCM, has acquired cumulative health care experience in the areas of case management, utilization management, transitional management, nursing leadership, and personnel performance. Nadine has 30 years of case management experience. Nadine's passion is evident in her work with the Case Management Societ of America (CMSA), where she has served as president and board member to CMSA NJ, various national committees, and currently serves on the CMSA Board in Georgia and is the Secretary of the CMSA and a member of the Editorial Review Board for the Professional Case Management Journal. Marianne DiMola has more than 25 years of experience in health care human resources management and career development. Her experience includes branch directorships with two of the country's leading home health care organizations, Bayada Nurses and Nursefinders. She is a founding member of CMSA's TriChapter New York Conferences and served as the Executive Director of the New York City Chapter of CMSA for 20 years. Ms. DiMola is active with CMSA on national committees. Ms. DiMola is currently President and founder of Global Care Management, specialist in care management staffing and consulting. In addition, Marianne is one of the founders of Pathway Medical Staffing, a nationally recognized leader providing case management recruitment and retention advisory services, HEDIS staffing, and project management. Address correspondence to Nadine M. Carter, MBA, BSN, RN, CDMS, CCM, 3345 Hunting Creek Pass, Douglasville, GA 30135 ([email protected]; [email protected]) Disclaimer: The information contained in this department is for educational purposes only. It is not legal advice, which can only be given by an attorney admitted to practice in the jurisdiction/state(s) in which you practice. Do you have a question or issue you would like to be addressed here? Questions are always welcome. We encourage ALL readers to submit questions and/or manuscripts, as well as topics you would like to see addressed in this department. Questions and other inquiries are accepted by email at: [email protected]. If you have an idea you would like to discuss, send your contact information by email and you will be contacted via your preferred method. The authors report no conflicts of interest.

Community Health Workers’ Role in Preventing and Controlling the COVID-19 Pandemic

Background. The outbreak of COVID-19 in Iran in February 2019 prompted the Iran’s health system to plan for pandemic prevention and control. The national mobilization program (NMP) against COVID-19 was devised to support the sick and vulnerable and promote community awareness and skills regarding the crisis. This study aimed to investigate the role of community health workers (CHWs) in preventing and controlling the COVID-19 pandemic. Methods. The present study is a descriptive cross-sectional study. The census method was used to study 30,034 rural health workers (RHW) and 22,573 urban health workers (UHW) working in medical universities. The required data were extracted using the integrated health system and the portal of the Ministry of Health and Medical Education's Primary Health Network Management Center and were analyzed using descriptive and analytical statistical methods. Results. More than 78 million people were screened during the first phase of the NMP , more than 42 million during the second phase, and more than 59 million during the third phase. In addition, by the end of the fourth phase of the NMP, 4,278,899 highly vulnerable individuals were screened. According to the health system's report, CHWs administered 28,073,777 vaccines since the implementation of the fifth step (until 04.09.2021) Conclusion. Considering the facilities and capabilities of primary health care networks in providing prevention, diagnostic, and treatment services, the activity of the primary health network management center and all affiliated units in the implementation of the NMP has been significant since the beginning of this pandemic. Inadequacies in human resources, financial resources, and training planning should all be considered.

Report from the Ready for the Next Round Thought-Leadership Roundtables on Building Resilience in Cancer Care and Control in Canada-Colorectal Cancer Canada; 2021.

(1) Background: The COVID-19 pandemic illuminated vulnerabilities in the Canadian health care system and exposed gaps and challenges across the cancer care continuum. Canada is experiencing significant disruptions to cancer-related services, and the impact these disruptions (delays/deferrals/cancellations) have on the health care system and patients are yet to be determined. Given the potential adverse ramifications, how can Canada’s health care systems build resilience for future threats? (2) Methods: To answer this question, CCC facilitated a series of four thought-leadership roundtables, each representing the views of four different stakeholder groups: patients, physicians, health care system leaders, and researchers. (3) Results: Six themes of strength were identified to serve as a springboard for building resilience including, (1) advancing virtual care and digital health technologies to prevent future interruptions in cancer care delivery. (2) developing real-time data metrics, data sharing, and evidence-based decision-making. (3) enhancing public–private-non-profit partnerships to advance research and strengthen connections across the system. (4) advancing patient-centricity in cancer research to drive and encourage precision medicine approaches to care. (5) investing in training and hiring a robust supply of health care human resources. (6) implementing a national strategy and infrastructure to ensure inter-provincial collaborative data sharing (4). Conclusions: A resilient health care system that can respond to shocks and threats is not an emergency system; it is a robust everyday system that can respond to emergencies.

One swallow does not a summer make: Twenty years of challenges and achievements of family medicine in Mozambique.

After 20 years of hard work, family medicine (FM) is flourishing in Mozambique, but the challenges are immense in a context of multiple health needs. This study aimed to describe strengths, opportunities, weaknesses and threats of the current scenario that can influence the development of FM and primary health care (PHC) in Mozambique. Case study of a series of virtual world-café meetings using the World Health Organization’s Operational Framework for primary health care as a theoretical model. There is a young generation of Family Physicians (FPs) eager to improve PHC in Mozambique – a result of the reactivation of the Maputo Residency Programme and the creation of the Mozambican College of FP in 2010. The current Ministry of Health has taken this agenda forward, inviting medical societies (including FM) to jointly design plans to expand training of human resources for healthcare. This plan aims to create new training sites in five different provinces hoping that it will increase the number of FP in remote areas, fixing the unequal distribution of specialists in the country. The small number of FP practicing today and the limited financial resources of the National Government are important threats to this plan. We have many strengths already conquered and the current situation opens an opportunity for the expansion of FM in Mozambique. Hopefully, it will help PHC in our country move from verticalised and selective health programmes towards a more comprehensive, efficient and person-centred care.