Country Spotlight: Mozambique

Country Overview

In Mozambique in 2015, there were approximately 1.5 million people living with HIV, including 110,000 children under the age of 14.

Our Work in Mozambique

In 2004, the Elizabeth Glaser Pediatric AIDS Foundation (EGPAF) began implementing a prevention of mother-to-child HIV transmission (PMTCT) program in the Nampula, Cabo Delgado, Maputo, and Gaza provinces in Mozambique. Currently, EGPAF-Mozambique supports the Ministry of Health to strengthen the implementation of PMTCT services at 128 health facilities and HIV care and treatment services at 105 health facilities in Gaza. EGPAF also supports performance-based financing efforts in Nampula.

EGPAF works in close partnership with the Ministry of Health to ensure that women, children, and families living with and affected by HIV and AIDS receive the care and treatment they need to lead healthy and active lives. EGPAF-Mozambique’s work includes increasing and expanding access to HIV-related services, strengthening existing PMTCT and HIV care and treatment services, and improving monitoring and evaluation systems. We also aim to improve the capacity of national, local and provincial health departments, health facilities, and communities and contribute to the development and implementation of national health policies and guidelines. We collaborate with community-based organizations to sensitize and mobilize local communities around HIV/AIDS issues.

We are dedicated to the advancement of operations research focused on the improvement of prevention, care and treatment of HIV and AIDS in Mozambique. Current research projects include evaluating the trend of HIV-positive results among children’s first dried blood spot test and examining the contribution of mobile clinics versus fixed clinics on district-level antiretroviral prophylaxis coverage. Past research projects have examined seroconversion in pregnant and lactating women and barriers to pediatric HIV care. EGPAF-Mozambique is also examining the impact of performance-based financing and total control of the epidemic on the number of HIV-positive individuals in care and treatment and mother-baby pair’s adherence and retention.

EGPAF promotes sustainability of HIV/AIDS programs in-country. In so doing, we developed and increased the capacity of our local affiliate organization, Fundação Ariel Glaser contra o SIDA Pediátrico. With funding from U.S. Centers for Disease Control and Prevention, Fundação Ariel Glaser has expanded HIV prevention, care and treatment services to 194 sites in Maputo and Cabo Delgado provinces. Fundação Ariel provides sub-grants and technical assistance to health authorities and community-based organizations, which strengthens national capacity to effectively scale-up and sustain HIV, TB, and maternal and child health services.



Key Projects in Mozambique

Fortalecer Project: Technical Assistance to the Ministry of Health for HIV Services and Program Transition

(2011 - 2016) Through the Fortalecer Project, EGPAF-Mozambique supports the Ministry of Health to strengthen implementation of PMTCT and care and treatment services at more than 128 PMTCT and 105 ART health facilities in the Gaza Province. Fortalecer works to increase access to and delivery of high-quality, cost-effective HIV prevention, care and treatment services, and builds capacity of the health system to provide high-quality, client-focused health services. In addition, the project aims to strengthen data analysis to inform and improve health management processes and to ensure sustainable HIV prevention, care and treatment service delivery through the Ministry of Health and local partners. Under this project, we also focus on strengthening human resources for health by providing trainings to health care workers; developing management systems to track staff trainings, salaries and retention; developing job aids and providing on-site supportive supervision to maintain staff worker capacity; and implementing innovative methods and incentives to retain quality health staff.

EGPAF-Mozambique has been at the forefront in the use of performance-based financing to improve the quantity and quality of HIV and other priority services. These efforts, which have been funded through Fortalecer, have resulted in improved quality of care, reinforced district-level accountability, and improved service management capacity.

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Program Brief: The Elizabeth Glaser Pediatric AIDS Foundation Affiliate Model (2014)

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Journal Article: HIV incidence and partner testing during pregnancy, Mozambique mixed-method study (2014)

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Journal Article: Access to HIV prevention and care for HIV-exposed and HIV-infected children: a qualitative study in rural and urban Mozambique (2014)

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Journal Article: Lessons learned from early implementation of B+: The Elizabeth Glaser Pediatric AIDS Foundation Experience (2014)

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Journal Article: High HIV incidence in the postpartum period sustains vertical transmission in settings with generalized epidemics: a cohort study in Southern Mozambique (2014)

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Country Fact Sheet: Mozambique

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Accelerating Children’s HIV/AIDS Treatment: Promising Practices and Lessons Learned from the ACT Initiative 


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