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  MOZAMBIQUE - Country Profile Updated: Feb 2005  

AIDS Programmes

National Strategic Framework
Status

Completed for 2001-2003 (and may be updated in 2003)

National policies

  • Policy on ARV treatment, (currently being finalised)
  • PMTCT (currently being finalised)
  • Home-based care (currently being finalised)
  • Law on discrimination in the workplace passed in November 2001.

Ministry of Health
National STD/AIDS Control Programme (PNC DTS/SIDA)
Contact person: Mouzinho Saide
Tel: +258 1 421 095 / +258 1 431 305 / +258 1 430 970
Fax: +258 1 430 970 / +258 1 431 305

  • Statutory programme; prevention; advice; support; information.
  • National Council for AIDS
    Mrs Joana Mangueira, Executive Secretary ()
    Mr Diogo Milagre, Deputy Executive Secretary ()
    C.P. 106/114, Maputo, Mozambique
    Tel: +258 1 495 396 / 495 604 / 495 605
    Fax: +258 1 495 395

  • Coordinates and monitors an expanded national multisectoral response to HIV/AIDS.
  • HIV/AIDS Organisations:

    1. ACÇÃO SIDA AIDS Action
      Contact person: Ana Novoa / Ricardo Barradas
      P.O. Box 1253, Maputo, Mozambique
      Tel: +258 1 497 252
      Cel: +258 82 470 481
      Email:
      - Preferable
      · Publishes newsletter "Acção SIDA" in Portuguese, for health professionals and distributed in all Portuguese-speaking African countries (Angola, Cape Verde, Guinea-Bissau, Mozambique and São Tomé and Principe).

  • ACTIONAID - Mozambique
    Comandate Joao Belo road 208,
    Maputo, Mozambique
    Tel: +258-21-314342
    Fax: +258-21-498751
    Email:
    Website: www.actionaid.org
    · Technical and financial support to help national NGOs and communities to develop their capacities to respond to HIV/AIDS; promoting the participation and the leadership of HIV+ people.
  • Associação Moçambicana para o Desenvolvimento da Família (AMODEFA)
    Contact person: Maria dos Anjos Machonisse
    Caixa postal n° 1535, Maputo, Mozambique
    Tel: +258 1 405 109
    Fax: +258 1 405 149
    Email:
    Website: www.amodefa.org.mz
    · Development of family planning projects; prevention of STD/HIV; sexual education for young people; works in the provinces of Maputo, Gaza and Zambezia.
  • Direção de Saude da Cidade de Maputo
    Contact person: Amelia Cunha
    Av. Maguiguana 1240, 3o Maputo, Mozambique
    Tel: +258 1 420 033
    · Education project for HIV/STD prevention aimed at sex workers and their clients; medical treatment of STDs; education activities in prevention; promotion and distribution of condoms; development of prevention projects in the community.
  • Journalist Association Against AIDS (AJAIDS)
    Tel: +258 1 405 107 / +258 1 402 167
    Fax: +258 1 430 951
    · Advocacy; information; training programmes; conferences for HIV/AIDS and media.
  • Kindlimuka - Network of People Living with HIV/AIDS
    Contact person: Arlindo Fernandes / Mr Julio Mujojo
    Rua Resistencia 630 Maputo, Mozambique
    Tel: +258 1 422 651 / +258 1 322 651
    Fax: +258 1 322 651
    Email:
    · Support groups; information; training programmes; conferences, networking.
  • Kubatsirana
    Contact person: Faustino Manuel
    C.P. 45 Chimoio, Manica Province, Mozambique
    Tel: +258 5 124 738
    Email:
    · Care and support, development of counselling activities; advocacy and income raising activities.
  • Mozambican Network of AIDS Services Organization (MONASO)
    Contact person: Ana David
    Comandante Augusto Cardoso, 345
    Maputo
    Tel: +258 1 325 260
    Fax: +258 1 325 256
    Email: / /
    Website: www.sanaso.org.zw
    · National network facilitating research, exchange of information, access to resources, policy influence and advocacy, capacity building and providing technical assistance to its members, thus enhancing their capacities to mitigate the spread of HIV.
  • Muluede (Associação Mulher.Lei. Desenvolvimento)
    Contact person: Guithermida Milice
    Av Paulo Samuel Kankmba 2150
    Maputo, Mozambique
    Tel: +258 1 425 580
    Fax: +258 1 425 580
    · Prevention programmes against STD/HIV/AIDS; works in 10 districts of Maputo.
  • Population Services International (PSI)
    Avenida Lucas Elias Kumalo, #33
    Maputo, Mozambique
    Tel: +258 1 485 025/ 026/ 027/ and 028
    Fax: +258 1 485 029
    Email:
    Website: www.psi.org
    · Uses social marketing to deliver health products, services and information that enable low-income and other vulnerable people to lead healthier lives.
  • Southern African AIDS Training Programme (SAT)
    Contact person: Gabriel de Barros, Country Programme Officer
    Av. Agostinho Neto, No. 1112, R / C Dto, C. P. 1593
    Maputo, Mozambique
    Tel: +258 1 306 163 / +258 1 306 304
    Fax: +258 1 302 976
    Email: /
    Website: www.satregional.org
    · Programme for communities living with the double stigma of AIDS and poverty; gives financial support to project developing, technical assistance in project management and institutional support through sustainable local mechanisms; it also includes local and community support against AIDS.
  • University Group of Activists on HIV/AIDS (GASD)
    Tel: +258 1 423 061/3
    Fax: +258 1 300 318
    Email:
    · Research; development of counselling activities; advocacy.
  • UN Theme Group on HIV/AIDS, Chair
    Contact person: Mr Bokar Toure
    WHO Representative
    P.O. Box 377, Maputo, Mozambique
    Tel: +258 1 491 991 / +258 1 492 732
    Email:
    · Supports an expanded response and policy advice on preventing transmission of HIV, providing care and support, reducing the vulnerability of individuals and communities to HIV/AIDS.
  • UNAIDS Country Programme Coordinator
    Contact person: Ms Telva Barros
    P.O. Box 4595
    Maputo, Mozambique
    Tel: +258 1 491775
    Fax: +258 1 492345
    Mobile: +258 82 314 559
    Email:
    Website: www.unaids.org
    · UNAIDS leads, strengthens and supports an expanded response aimed at preventing transmission of HIV, providing care and support, reducing the vulnerability of individuals and communities to HIV/AIDS.
Country Indicators
Demographic data Year Estimate Source
Total population (thousands) 2004 19,182 UN population division database
Female population aged 15-24 (thousands) 2004 1946 UN population division database
Population aged 15-49 (thousands) 2004 8844 UN population division database
Annual population growth rate (%) 1992-2002 2.6 UN population division database
% of urban population 2003 35 UN population division database
Average annual growth rate of urban population 2000-2005 5.09 UN population division database
Crude birth rate (births per 1,000 pop.) 2004 40.5 UN population division database
Crude death rate (deaths per 1,000 pop.) 23.8 UN population division database
Maternal mortality rate (per 100,000 live births) 2000 1000 WHO (WHR2004)/UNICEF
Life expectancy at birth (years) 2002 42.6 World Health Report 2004, WHO
Total fertility rate 2002 5.7 World Health Report 2004, WHO
Infant mortality rate (per 1,000 live births) 2000 146 World Health Report 2004, WHO
Under 5 mortality rate (per 1,000 live births) 2000 206 World Health Report 2004, WHO
For consistency reasons the data used in the above table are taken from official UN publications
Socio-economic data Year Estimate Source
Gross national income, ppp, per capita (Int.$) UN population division database
Gross domestic product, per capita % growth 2001-2002 7.7 World Bank
Per capita total expenditure on health (Int.$) 2001 47 World Health Report 2004, WHO
General government expenditure on health as % of total expenditure on health 2001 67.4 World Health Report 2004, WHO
Total adult illiteracy rate 2000 56 UNESCO
Adult male illiteracy rate 2000 40 UNESCO
Adult female illiteracy rate 2000 71.3 UNESCO
Gross primary school enrolment ratio, male 2000/2001 104 UNESCO
Gross primary school enrolment ratio, female 1995 79 UNESCO
Gross secondary school enrolment ratio, male 1995 14 UNESCO
Gross secondary school enrolment ratio, female 1995 9 UNESCO
For consistency reasons the data used in the above table are taken from official UN publications

Source: WHO/UNAIDS epidemiological fact sheets on HIV/AIDS and Sexually Transmitted Infections, 2004 Update.
Email:
Epidemiological Fact Sheet
Estimated number of adults and children living with HIV/AIDS, end of 2003
These estimates include all people with HIV infection, whether or not they have developed symptoms of AIDS, alive at the end of 2003:
Adults and children 1,300,000  
Adults (15-49) 1,200,000 Adult rate(%) 12.2
Women (15-49) 670,000  
Children (0-15) 99,000  
Estimated number of deaths due to AIDS
Estimated number of adults and children who died of AIDS during 2003:
Deaths in 2003 110,000  
Estimated number of orphans
Estimated number of children who have lost their mother or father or both parents to AIDS and who were alive and under age 17 at the end of 2003:
Current living orphans 470,000  

Assessment of the epidemiological situation (2004)

HIV sentinel surveillance of antenatal clinic attendees began in Maputo, the capital and major urban area, in 1988. In 1992 it was established in 5 sites in provincial towns and then was expanded in 2001-2002 to include 36 sites distributed throught all of the 11 provinces. HIV prevalence increased from less than 1 percent in 1988 to 18 percent in 2002 among antenatal clinic attendees tested in Maputo City. Outside of Maputo City, 12.3 percent of antenatal clinic attendees tested were HIV positive. Among women aged 15-24 years attending antenatal clinics, 15 percent in Maputo City were HIV positive and 12 percent in the other sites were HIV positive. There is no information available on HIV prevalence among sex workers in Mozambique.

Between 1987 and 1997, HIV prevalence among male STD clinic patients tested in Maputo increased from 3 to 19 percent. Among female STD clinic patients tested in Maputo, HIV prevalence increased from 5 percent in 1993 to 8 percent in 1997. In 1999, 15 percent of STD clinic patients tested in Maputo were HIV positive. Outside of Maputo, in 1997, HIV prevalence among both male and female STD clinic patients tested was similar, around 26 to 27 percent. In 1999, HIV prevalence among STD clinic patients ranged from 22 percent in Beira to 50 percent in Chimoio.

In 1987, 4 percent of military personnel tested in Tete were infected. Testing three years later, in 1990, found 4 percent of military personnel infected in Pemba.



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