HIV/AIDS Assets and Strategic Focus
Since 2000, CDC has supported Mozambique’s Ministry of Health (MoH) in delivering HIV prevention, care, and treatment services; strengthening laboratory, surveillance, infrastructure, and workforce capacity; developing operational research in all 11 provinces; and providing and overseeing the clinical support for seven provinces that comprise 75% of the country’s total HIV burden.
Building Integrated Care and Treatment Services
CDC supports the delivery of antiretroviral therapy (ART) to more than 300,000 adults and children and is helping to introduce viral load and drug resistance assessment for patients. CDC also supports prevention of mother-to-child HIV transmission (PMTCT) services at 858 health sites, malaria prophylaxis and treatment, the Field Epidemiology and Laboratory Training Program, and strengthening central and provincial partnerships.
Increased Country Ownership: National Policy Development
CDC’s focus on increasing the MoH’s leadership and ownership of the HIV epidemic has led to technical collaborations that have produced the following in the past two years: the National Accelerated Response HIV/AIDS plan, rapid policy adoption of option B+, a nationally led voluntary medical male circumcision strategy, national adoption of Community Adherence and Support Groups (GAAC), and an updated and standardized national peer-to-peer education program.
In collaboration with the MoH, CDC has facilitated the rapid roll-out and adoption of Option B+ into national policies, which has increased the number of PMTCT clients receiving ART from 15% in (fiscal year) FY12 to 41% in FY13. In addition, the official policy now emphasizes partner testing and treatment as prevention (initiation of ART with no clinical or immunologic criteria) for serodiscordant couples with an HIV-infected male partner of a pregnant woman.
Over the past few years, CDC-supported provinces have managed to significantly increase treatment access, nearly doubling the number of people on treatment. This is due to the national accelerated response to HIV/AIDS from 2012-2013, which is a MoH-led strategy that CDC staff had a pivotal role in conceptualizing, designing, implementing, and monitoring. In 2014 the MoH implemented a national strategy for GAAC, based on the preliminary data from CDC’s pilot program that shows a very significant increase in long term patient retention on treatment.