Dr. Khatia Munguambe, PhD - Manhiça Heath Research Centre and University Eduardo Mondlane - Assistant Lecturer and Associate Senior Researcher

Dr. Khatia Munguambe

PhD

Manhiça Heath Research Centre and University Eduardo Mondlane

Assistant Lecturer and Associate Senior Researcher

Maputo | Mozambique

Main Specialties: Infectious Disease, Medical Humanities, Public Health

Additional Specialties: Social Behavioural Research Methodology

ORCID logohttps://orcid.org/0000-0003-3888-5126


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Dr. Khatia Munguambe, PhD - Manhiça Heath Research Centre and University Eduardo Mondlane - Assistant Lecturer and Associate Senior Researcher

Dr. Khatia Munguambe

PhD

Introduction

I am an Associate Senior Researcher at the Manhiça Research Center (CISM), Mozambique. I also hold the position of Assistant Lecturer, with Eduardo Mondlane University (UEM), Faculty of Medicine.
I have been involved in community-based research for 14 years. My research has included a broad range of topics including HIV, TB, Malaria, NTDs, NCDs, maternal health, and causes of mortality. My specific focus is on factors determining the feasibility of complex interventions. Examples of my work in these areas include the assessment of current interventions such as Antiretroviral Therapy and Indoor Residual Spraying, as well as innovative, not yet available products or technologies (e.g. vaginal Microbicides, HIV vaccines, and Minimally Invasive Autopsies) and interventions (such as delivery of HPV vaccine through schools, or managing pre-eclampsia and eclampsia through community health workers in remote areas). Within UEM, I coordinate two post-graduate level modules, namely “Health Systems Research” for the distance-learning Masters of Public Health and “Research Methodology for Public Health” for the Masters of Public Health. I also coordinate the discipline “Fundamentals of Community Health” targeted at first-year undergraduate medical students, with a core activity of mentoring and guiding students into their firsthand experience with the health system and communities whom they will eventually serve. Additionally, I head the Reproductive Health and HIV/AIDS Research and Extension Unit, which resulted from a collaboration between Flemish Universities and UEM to train Mozambicans at Masters and PhD level and facilitate the translation of knowledge into policy, practice and further research. My current research interest is to create appropriate conceptual models to reliably predict and measure the feasibility (acceptability, practicality, costs, implementation) of public health interventions, building from the contribution of multicentric studies that I lead on the feasibility of cause of death determination in over 9 low and middle-income countries in Africa and Asia, as well as previous studies that I conducted assessing the interface between clinical research and health care delivery to poor- underserved populations in different settings of sub-Saharan Africa.

Primary Affiliation: Manhiça Heath Research Centre and University Eduardo Mondlane - Maputo , Mozambique

Specialties:

Additional Specialties:

Research Interests:


View Dr. Khatia Munguambe’s Resume / CV

Education

Feb 2006
London School of Hygiene and Tropical Medicine
PhD
Social Behavioural Sciences applied to Biomedicine
Feb 2002
London School of Hygiene and Tropical Medicine
MSc
Control of Infectious Diseases
Feb 2002
London School of Hygiene and Tropical Medicine
MSc
Control of Infectious Diseases
Jun 1998
University of East Anglia
BSc (Honours)
Biological Sciences

Publications

35Publications

1723Reads

50Profile Views

Costs associated with delivering HPV vaccination in the context of the first year demonstration programme in southern Mozambique.

BMC Public Health 2019 Aug 1;19(1):1031. Epub 2019 Aug 1.

CISM (Centro de Investigação em Saúde de Manhiça), Bairro Cambeve, Rua 12, Distrito da Manhiça, Maputo, CP 1929, Mozambique.

Background: In Mozambique cervical cancer is a public health threat, due to its high incidence and limited access to early diagnosis of precancerous lesions. International organisations are supporting the introduction of human papillomavirus (HPV) vaccines in low- and middle-income countries. Some of these countries recently conducted demonstration programmes, which included evaluation of acceptability, coverage, and practicality of implementation and of integration in existing programmes. Information on costs of delivering the vaccine is needed to overcome the challenges of reaching vaccine potential recipients in rural and remote areas.

Methods: We estimated the financial and economic costs of delivering HPV vaccination to ten-year-old girls at schools for the first vaccination cycle of the demonstration programme in the Manhiça district (southern Mozambique), delivered throughout 2014. We also estimated costs of an alternative scenario with a reduced number of doses and personnel, which was analogous to the second vaccination cycle delivered throughout 2015. Cost estimates followed a micro-costing approach and included interviews with key informants at different administrative levels through the administration of standard questionnaires developed by the World Health Organisation.

Results: Considering only data from the first vaccination cycle (2014), which consisted in the administration of three doses, the average economic cost was US$17.59 per dose and US$52.29 per fully-immunised girl (FIG). Financial cost per dose (US$6.07) and per FIG (US$17.95) were substantially lower. The economic cost was US$15.53 per dose and US$31.14 per FIG when estimating an alternative cost scenario with reduced number of doses and personnel.

Conclusions: The average economic cost per dose was lower than the ones recently reported for low- and middle-income countries. However, our estimation of the financial cost per FIG was higher than the ones observed elsewhere (ranging from US$2.49 in India to US$20.36 in Vietnam) due to the high percentage of out-of-school girls which, reduced vaccine coverage and, therefore, reduced the denominator. Due to budget constraints, if Mozambique is to implement nation-wide HPV vaccination targeted to ten-year-old girls at schools, a reduction in personnel costs should be operated either by restricting the outreach vaccinator team or the number of supervision visits.

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http://dx.doi.org/10.1186/s12889-019-7338-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6676560PMC
August 2019
2.264 Impact Factor

Awareness of cervical cancer and willingness to be vaccinated against human papillomavirus in Mozambican adolescent girls.

Papillomavirus Res 2018 06 14;5:156-162. Epub 2018 Apr 14.

Centro de Investigação em Saúde de Manhiça (CISM), Rua 12, Cambeve CP 1929, Maputo, Mozambique; Faculdade de Medicina, Universidade Eduardo Mondlane, AV. Salvador Allende, 702 Maputo, Mozambique.

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http://dx.doi.org/10.1016/j.pvr.2018.04.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6046684PMC
June 2018
19 Reads

Adherence to Childhood Tuberculosis Treatment in Mozambique.

J Trop Pediatr 2017 04;63(2):87-97

ISGlobal, Barcelona Ctr. Int. Health Res. (CRESIB), Hospital Clínic - Universitat De Barcelona, Barcelona, Spain c/ Rosselló, 132, 5° 2 (08036).

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http://dx.doi.org/10.1093/tropej/fmw048DOI Listing
April 2017
29 Reads
0.857 Impact Factor

Knowledge, attitudes and practices regarding tuberculosis care among health workers in Southern Mozambique.

BMC Pulm Med 2017 01 5;17(1). Epub 2017 Jan 5.

Centro de Investigação em Saúde de Manhiça (CISM), CP 1929, Maputo, Mozambique.

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http://dx.doi.org/10.1186/s12890-016-0344-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5217625PMC
January 2017
25 Reads
2.489 Impact Factor

Association between HIV infection and socio-economic status: evidence from a semirural area of southern Mozambique.

Trop Med Int Health 2016 12 24;21(12):1513-1521. Epub 2016 Oct 24.

ISGlobal, Barcelona Ctr. Int. Health Res. (CRESIB), Hospital Clínic-Universitat de Barcelona, Barcelona, Spain.

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http://dx.doi.org/10.1111/tmi.12789DOI Listing
December 2016
33 Reads
2.329 Impact Factor

Community health worker knowledge and management of pre-eclampsia in southern Mozambique.

Reprod Health 2016 Sep 30;13(Suppl 2):105. Epub 2016 Sep 30.

Centro de Investigação em Saúde da Manhiça (CISM), Rua 12, Vila da Manhiça, CP 1929, Moçambique.

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http://dx.doi.org/10.1186/s12978-016-0220-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5056526PMC
September 2016
56 Reads
1.616 Impact Factor

Community perspectives on the determinants of maternal health in rural southern Mozambique: a qualitative study.

Reprod Health 2016 Sep 30;13(Suppl 2):112. Epub 2016 Sep 30.

Centro de Investigação em Saúde da Manhiça (CISM), Bairro Cambeve, Rua 12, Distrito da Manhiça, CP 1929, Manhiça, Mozambique.

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http://dx.doi.org/10.1186/s12978-016-0217-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5056498PMC
September 2016
44 Reads
1.616 Impact Factor

Male partners' involvement in prevention of mother-to-child HIV transmission in sub-Saharan Africa: A systematic review.

SAHARA J 2015 ;12:87-105

k MD, PhD, is an Associate Professor at the Faculty of Medicine , University Eduardo Mondlane , Maputo , Mozambique.

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http://dx.doi.org/10.1080/17290376.2015.1123643DOI Listing
August 2016
63 Reads

HIV Incidence and Spatial Clustering in a Rural Area of Southern Mozambique.

PLoS One 2015 6;10(7):e0132053. Epub 2015 Jul 6.

ISGlobal, Barcelona Ctr. Int. Heath Res. (CRESIB), Hospital Clínic-Universitat de Barcelona, Barcelona, Spain; Centro de Investigação em Saúde da Manhiça (CISM), Maputo, Mozambique.

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0132053PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4493140PMC
May 2016
79 Reads
3.234 Impact Factor

Post-ART Symptoms Were Not the Problem: A Qualitative Study on Adherence to ART in HIV-Infected Patients in a Mozambican Rural Hospital.

PLoS One 2015 2;10(9):e0137336. Epub 2015 Sep 2.

Centro de Investigação em Saúde de Manhiça (CISM), Manhiça, Mozambique; Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique.

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0137336PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4558039PMC
May 2016
79 Reads
3.234 Impact Factor

Ebola crisis: the unequal impact on women and children's health.

Lancet Glob Health 2015 Mar 22;3(3):e130. Epub 2015 Jan 22.

Women and Health Initiative, Maternal Health Task Force, Harvard School of Public Health, Boston, MA, USA.

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http://dx.doi.org/10.1016/S2214-109X(15)70009-4DOI Listing
March 2015
84 Reads

Profile: Manhiça Health Research Centre (Manhiça HDSS).

Int J Epidemiol 2013 Oct;42(5):1309-18

Manhiça Health Research Centre, Manhiça District, Mozambique, Barcelona Centre for International Health Research, Hospital Clínic/Universitat de Barcelona, Spain, National Directorate of Health, Ministry of Health, Maputo, Mozambique, National Institute of Health, Ministry of Health, Maputo Mozambique and Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique.

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http://dx.doi.org/10.1093/ije/dyt148DOI Listing
October 2013
178 Reads
9.176 Impact Factor

Development of a post-mortem procedure to reduce the uncertainty regarding causes of death in developing countries.

Lancet Glob Health 2013 Sep 29;1(3):e125-6. Epub 2013 Jul 29.

Centro de Investigação em Saúde de Manhiça, Maputo, Mozambique; Barcelona Centre for International Health Research, Hospital Clínic-Universitat de Barcelona, Barcelona, Spain.

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http://dx.doi.org/10.1016/S2214-109X(13)70037-8DOI Listing
September 2013
75 Reads

Inherent illnesses and attacks: an ethnographic study of interpretations of childhood Acute Respiratory Infections (ARIs) in Manhiça, southern Mozambique.

BMC Public Health 2011 Jul 13;11:556. Epub 2011 Jul 13.

Barcelona Centre for International Health Research, Hospital Clinic/Institut d'Investigacions Biomediques, University of Barcelona, Rosselló 132, 08036 Barcelona, Spain.

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http://bmcpublichealth.biomedcentral.com/articles/10.1186/14
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http://dx.doi.org/10.1186/1471-2458-11-556DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3223733PMC
July 2011
57 Reads
2.264 Impact Factor

Group-based citizenship in the acceptance of indoor residual spraying (IRS) for malaria control in Mozambique.

Soc Sci Med 2010 May 12;70(10):1648-55. Epub 2010 Feb 12.

London School of Hygiene & Tropical Medicine, Keppel Street, London WC1E 7HT, United Kingdom.

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http://dx.doi.org/10.1016/j.socscimed.2010.01.020DOI Listing
May 2010
47 Reads
2.890 Impact Factor

Community response to intermittent preventive treatment delivered to infants (IPTi) through the EPI system in Manhiça, Mozambique.

Trop Med Int Health 2006 Nov;11(11):1670-8

London School of Hygiene and Tropical Medicine, London, UK, and Center for International Health, Hospital Clinic, IDIBAPS, Barcelona, Spain.

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http://dx.doi.org/10.1111/j.1365-3156.2006.01725.xDOI Listing
November 2006
89 Reads
2.329 Impact Factor

Top co-authors

Clara Menendez
Clara Menendez

Hospital Clinic

15
Eusebio Macete
Eusebio Macete

Manhiça Health Research Center (CISM)

13
Esperanca Sevene
Esperanca Sevene

Manhiça Health Research Center (CISM)

11
Quique Bassat
Quique Bassat

Universitat de Barcelona

11
Charfudin Sacoor
Charfudin Sacoor

Centro de Investigação em Saúde da Manhiça

9
Pedro Alonso
Pedro Alonso

Universitat de Barcelona

9
Peter von Dadelszen
Peter von Dadelszen

University of British Columbia

9
Helena Boene
Helena Boene

Centro de Investigação em Saúde da Manhiça (CISM)

8
Marianne Vidler
Marianne Vidler

University of British Columbia

8