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Transforming Healthcare: Mozambique’s Pioneering Integrative Medicine Course Cover

Figures & Tables

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Figure 1

Overview of the course structure: in‑person and online editions.

Table 1

Demographic and academic characteristics of participants in the Integrative Medicine Course (first and second editions).

CATEGORYFIRST EDITION (N = 29)SECOND EDITION (N = 105)TOTAL (N = 134)
Gender
 Male7 (24%)19 (18%)26 (19%)
 Female22 (76%)86 (82%)108 (81%)
Age (average ± SD)23 ± 3.923 ± 3.623 ± 3.7
Race
 Black29 (100%)102 (97%)131 (98%)
 Indian0 (0%)3 (3%)3 (2%)
Civil status
 Single27 (93%)99 (94%)126 (94%)
 Stable union1 (3%)1 (1%)2 (1%)
 Married1 (3%)5 (5%)6 (5%)
Religion
 Evangelical Christian9 (31%)43 (41%)52 (39%)
 Catholic Christian11 (38%)34 (32%)45 (34%)
 Islamic4 (14%)13 (12%)17 (13%)
 Other Christians5 (17%)11 (11%)16 (12%)
 No religion0 (0%)4 (4%)4 (3%)
Main higher education institutions
 UEM21 (72%)43 (41%)64 (48%)
 ISCTEM5 (17%)40 (38%)45 (34%)
 ISCISA2 (7%)10 (10%)12 (9%)
 USTM0 (0%)5 (5%)5 (4%)
 Others1 (4%)7 (7%)8 (6%)
Enrolled academic program
 Medicine degree24 (83%)58 (55%)82 (61%)
 BSc in Biology and Health2 (7%)20 (19%)22 (16%)
 BSc in Public Health0 (0%)5 (5%)5 (4%)
 BSc in Psychology1 (3%)4 (4%)5 (4%)
 BSc in Biomedical Laboratory Technology0 (0%)5 (5%)5 (4%)
 BSc in Nutrition1 (3%)3 (3%)4 (3%)
 Others1 (3%)10 (10%)11 (8%)
Year of study
 1–217 (59%)18 (17%)35 (26%)
 3–48 (28%)63 (60%)71 (53%)
 5–64 (14%)24 (23%)28 (21%)
Previous experience in healthcare
 No15 (52%)56 (53%)71 (53%)
 Yes14 (48%)49 (47%)63 (47%)
Previous training in CAM
 No26 (90%)68 (65%)94 (70%)
 Yes3 (10%)37 (35%)40 (30%)
Previous use of CAM
 No17 (59%)73 (70%)90 (67%)
 Yes12 (41%)32 (30%)44 (33%)
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Figure 2

Course satisfaction ratings: an overview of overall scores and a detailed comparison by the first and second editions.

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Figure 3

Student ratings on relevance, importance, and recommendation of the course.

Table 2

Pre‑ and post‑course self‑perceived integrative medicine‑related attitudes, perceptions, interest, and skills (scores range from 1 to 5).

FIRST EDITION (N = 29)SECOND EDITION (N = 105)TOTAL (N = 134)P VALUE
Attitudes, perceptions, and interest in integrative medicine
  • 1. Will this course be useful in your future professional practice in healthcare?

Pre: 4.83 ± 0.38
Post: 4.93 ± 0.26
Pre: 4.30 ± 0.66
Post: 4.60 ± 0.55
Pre: 4.41 ± 0.65
Post: 4.67 ± 0.52
P1 = 0.2986
P2 = 0.0002228
P3 = 0.0001138
  • 2. How well do you think you know integrative medicine?

Pre: 1.97 ± 1.32
Post: 3.59 ± 0.57
Pre: 1.87 ± 0.81
Post: 3.61 ± 0.61
Pre: 1.89 ± 0.94
Post: 3.60 ± 0.60
P1 < 0.0001
P2 < 0.0001
P3 < 0.0001
  • 3. What is your interest in integrative medicine?

Pre: 4.62 ± 0.68
Post: 4.83 ± 0.38
Pre: 4.45 ± 0.66
Post: 4.72 ± 0.53
Pre: 4.49 ± 0.67
Post: 4.75 ± 0.50
P1 = 0.1446
P2 = 0.00161
P3 = 0.00045
Attitudes towards integrative medicine
  • 4. Do you believe integrative medicine can significantly improve patient medical conditions?

Pre: 4.66 ± 0.55
Post: 4.86 ± 0.35
Pre: 4.46 ± 0.56
Post: 4.65 ± 0.54
Pre: 4.5 ± 0.56
Post: 4.69 ± 0.51
P1 = 0.09534
P2 = 0.008336
P3 = 0.001809
  • 5. Do you believe integrative medicine could harm patients?

Pre: 1.62 ± 0.98
Post: 2.10 ± 1.21
Pre: 1.44 ± 0.78
Post: 1.80 ± 0.81
Pre: 1.48 ± 0.83
Post: 1.87 ± 0.92
P1 = 0.03917
P2 = 0.0005403
P3 < 0.0001
  • 6. Do you believe there is a strong scientific evidence base for the clinical benefits of integrative medicine?

Pre: 3.93 ± 1.03
Post: 3.24 ± 1.18
Pre: 3.72 ± 0.89
Post: 3.56 ± 1.02
Pre: 3.77 ± 0.93
Post: 3.49 ± 1.06
P1 = 0.006936
P2 = 0.1739
P3 = 0.009705
  • 7. Would you recommend integrative medicine practices to your future patients?

Pre: 4.34 ± 0.86
Post: 4.59 ± 0.63
Pre: 4.21 ± 0.66
Post: 4.46 ± 0.67
Pre: 4.24 ± 0.71
Post: 4.49 ± 0.66
P1 = 0.1778
P2 = 0.00249
P3 = 0.001002
  • 8. Should integrative medicine be an option available in hospitals and clinics?

Pre: 4.52 ± 0.74
Post: 4.76 ± 0.51
Pre: 4.36 ± 0.70
Post: 4.52 ± 0.65
Pre: 4.40 ± 0.70
Post: 4.57 ± 0.63
P1 = 0.0593
P2 = 0.04747
P3 = 0.009757
Integrative medicine skills
  • 9. Ability to discuss the use of integrative medicine with others

Pre: 2.69 ± 1.34
Post: 4.07 ± 0.53
Pre: 2.57 ± 1.02
Post: 3.85 ± 0.68
Pre: 2.60 ± 1.09
Post: 3.90 ± 0.65
P1 = 0.0001853
P2 < 0.0001
P3 < 0.0001
  • 10. Ability to communicate effectively with individuals who express an “alternative” health belief model

Pre: 3.45 ± 1.21
Post: 4.21 ± 0.56
Pre: 3.08 ± 0.87
Post: 3.87 ± 0.65
Pre: 3.16 ± 0.96
Post: 3.94 ± 0.65
P1 = 0.009804
P2 < 0.0001
P3 < 0.0001
  • 11. Ability to refer individuals for an informed integrative medicine consultation

Pre: 3.34 ± 1.52
Post: 4.38 ± 0.68
Pre: 3.00 ± 1.07
Post: 3.99 ± 0.73
Pre: 3.08 ± 1.19
Post: 4.07 ± 0.73
P1 = 0.003014
P2 < 0.0001
P3 < 0.0001
  • 12. Evaluation of the effectiveness of integrative medicine treatments

Pre: 3.41 ± 1.05
Post: 3.79 ± 0.82
Pre: 2.97 ± 0.99
Post: 3.59 ± 0.76
Pre: 3.07 ± 1.01
Post: 3.63 ± 0.77
P1 = 0.09031
P2 < 0.0001
P3 < 0.0001
  • 13. Evaluation of the safety and/or risks of integrative medicine treatments

Pre: 3.10 ± 1.21
Post: 3.69 ± 0.97
Pre: 2.77 ± 1.07
Post:3.42 ± 0.79
Pre: 2.84 ± 1.10
Post: 3.48 ± 0.77
P1 = 0.05813
P2 < 0.0001
P3 < 0.0001

[i] P1 = p‑value for pre‑ and post‑comparison for the first edition.

[ii] P2 = p‑value for pre‑ and post‑comparison for the second edition.

[iii] P3 = p‑value for pre‑ and post‑comparison for both editions combined.

Table 3

Final assessment scores for the Integrative Medicine Course by edition.

EDITIONAVERAGE ± SDMINMAXMEDIAN
First edition (n = 29)17.1 ± 1.78132017
Second edition (n = 105)18.45 ± 1.78122019
Total (n = 134)18.16 ± 1.86122019
DOI: https://doi.org/10.5334/aogh.4785 | Journal eISSN: 2214-9996
Language: English
Submitted on: Apr 28, 2025
|
Accepted on: Jan 24, 2026
|
Published on: Feb 12, 2026
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2026 Delfina Hlashwayo, Filomena Barbosa, Angelina Martins, Tufária Mussá, Amélia Furvela, Telma Magaia, Felda Langa, Natércia Madeira, Esperança Rafael, Eliette Munezero, Nurah Virahsawmy, Marta Maculuve, Alice Massingue, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.