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 Wednesday 16 June 2010
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Country Profile: Mozambique
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AIDS Programmes

National Strategic Framework: 2005-2009

The current framework, as well as concurrent the final Ministry of Energy’s Strategic Plan for HIV/AIDS are some of the first high-level national policy documents to include actual prevalence estimates and impact projections.

Epidemiological Assessment (UNAIDS)
Mozambique is ranked as having the 10th highest HIV prevalence in the world. Latest data show a dramatically worsening epidemic overall, with rising infection levels in all regions: HIV prevalence among adults (15–49 years) has steadily increased over the years from 8.2% in 1998 to 16.2% in 2004. There were approximately 1.5 million Mozambicans living with HIV in 2003 (about 8% of the total population), of whom the majority were women (58%). The gender disparity is more striking among the age groups 15–19 years and 20–24 years where prevalence among women is three times higher than that of men. Every year, around 30 000 children are born with HIV. More than 50% die within the first year. AIDS has created an orphan crisis and increased vulnerability. By December 2005, of 200 000 people in need, 19 000 people were on antiretroviral treatment.

The National Aids Council was created in 2000 by a Ministerial Decree, with the responsibility to coordinate a national multisectoral response. It is chaired by the Prime Minister, with the Ministry of Health as vice-chair. The second generation National Strategic Plan (2005–2009) was approved in December 2004, and the National AIDS Council is currently developing a plan to operationalise the framework. Major non-health related activities being implemented by the NAC are financed by a Common Fund, supported by five external donors, World Bank and the Global Fund. The Mozambican AIDS response is characterized by unequal universal access to prevention, treatment, care and support; increasing external resources, multiple partners, chronic shortage and poor management of human resources, weak institutional capacity, limited and fragmented financial management systems leading to a poor budget execution and deficient monitoring and evaluation system.

Definition of a clear road map towards universal access, including revision of national prevention of mother-to-child transmission and antiretroviral treatment targets for 2010; supporting the inclusion and empowerment of civil society in all decision- making mechanisms; developing more culturally appropriate prevention messaging; strengthening and putting the necessary health systems and financial and technical resources in place to scale up; and scaling up in terms of scope and coverage of programmes—moving programmes to provincial and district levels. For example, antiretroviral treatment coverage is still only about 4%, and as little as 2% for paediatric treatment. Although treatment targets for 2004 and 2005 have largely been met, this represents less than 5% of the current need.

HIV/AIDS Organisations

  Ministry of Health
National STD/AIDS Control Programme (PNC DTS/SIDA)
Contact person: Dr Mac Arthur Junior Tel: +258 21 431 305
Location: Fax: +258 21 430 970
What we do: Statutory programme; prevention; advice; support; information.

  National Council for AIDS
Contact person: Mrs Joana Mangueira, executive secretary
Mr Diogo Milagre, deputy executive secretary
Tel: +258 21 495 396
+258 21 495 604
Location: C.P. 106/114, Maputo, Mozambique Fax: +258 21 485 001
What we do: Coordinates and monitors an expanded national multisectoral response to HIV/AIDS.

  ACTIONAID – Mozambique
Contact person: Fernanda Bernardo Tel: +258 21 314 342/5
Location: Rua Comandate Joao Belo, 208
Maputo, Mozambique
Fax: +258 21 314 346
What we do: 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: Marcelo Kantu Tel: +258 21 405 107/9
Location: Caixa postal n° 1535, Maputo, Mozambique Fax: +258 21 405 149
What we do: Development of family planning projects; prevention of STD/HIV; sexual education for young people.

 Kindlimuka - Network of People Living with HIV/AIDS
Contact person: Irene Cossa Tel: +258 21 407 180
Location: Rua Eng. Vasconcelos de Sa, 82 Maputo, Mozambique Fax: +258 21 407 180
What we do: Support groups; information; training programmes; conferences, of counselling activities; advocacy and income raising activities.

 Mozambican Network of AIDS Services Organization (MONASO)
Contact person: Ana David Tel: +258 21 325 260
Location: Comandante Augusto Cardoso, 345, Maputo-Mozambique Fax: +258 1 325 256
What we do: 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.

 Muleide (Associação Mulher Lei e Desenvolvimento)
Contact person: Rafa Machava Tel: +258 21 325 580
+258 82 30 55 900
Location: Av Paulo Samuel Kankomba, 2150
Maputo, Mozambique
Fax: +258 21 325 831
What we do: Prevention programmes against STD/HIV/AIDS.

 Population Services International (PSI)
Contact person: Brian Smith Tel: +258 21 485 025/8
Location: Avenida Lucas Elias Kumato, 33, Maputo, Mozambique Fax: +258 21 485 029
What we do: 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:  Lucrecia Wamba Tel: +258 21 306 163
+258 30 79 590
Location: Av. Agostinho Neto, No. 1112, R / C Dto, C. P. 1593
Maputo, Mozambique
Fax: +258 21 302 976
What we do: Programming 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.

 UNAIDS Country Co-ordinator
Contact person: Eva Kiwango Tel: +258 21 49 23 45
Location: UNAIDS, Rua Pereira Marinho 247
Maputo, Mozambique
Fax: +258 21 48 45 10/11
What we do:

 UN Theme Group on HIV/AIDS, Chair
Contact person: Mr El Hadi Benzerroug Tel: +258 21 492 732
Location: WHO Representative
Rua Pereira Marinho No 280
P.O. Box 377
Maputo, Mozambique
+258 21 492 165
  Fax: +258 21 491 990
What we do: 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.

Sources: - The Presidents Emergency Plan for AIDS Relief (PEPFAR)
- The World Bank
- World Health Organization
- United Nations Educational, Scientific and Cultural Organization (UNESCO) Country Profiles
- United Nations Population Division, Department of Economic and Social Affairs. 2005. “World Population Prospects: The 2004 Revision.” New York.
- The Joint United Nations Programme on HIV/AIDS (UNAIDS)

Treatment Map

Adult HIV Prevalence Rate (%): 16.1%
No. Of People living with HIV/AIDS: 1.6 million
No. Of HIV Testing & Counseling Sites: 155
No. Of People in need of ART (Aug. 2006): 230,000
No. Of People On ART (Aug. 2006): 31,000
No. Of Sites Reportedly Distributing ARTs: n/a
No. Of People on ART Public Sector: ARV distribution in Mozambique is part of a government partnership with NGOS.
No. Of People on ART Private Sector (Aug. 2006): n/a
No. Of People Expected to be on ART (2006 End) (Aug. 2006): Government’s target was 55, 000 however only 34,000 people will receive ARVs by the end of 2006.
Front Line Drug Regimen:
*PMTCT Regimen: nevirapine

HIV/AIDS Fund Disbursements:
Total Funds Disbursed By The Global Fund as of Sept. 2006: US$32,457,797 (Mozambique also receives additional funding from the Global Fund in the form of an allocation for a cross-border area comprising parts of Mozambique, South Africa and Swaziland.)
Total Funds Disbursed By The World Bank Multi-Country HIV/AIDS Programme (MAP) as of Sept. 2006: US$55 million
Total Funds Disbursed By PEPFAR During 2005 Fiscal Year: US$60,217,090

Sources: Government of Mozambique


Demographics (United Nations Population Fund):
Population: 19,792,000
Population aged 15-59: 10,062,000
Urban population: 7,511,000

Under 5 mortality per 1000 births: 182
Male life expectancy: 44 years
Female life expectancy: 46 years
Combined average life expectancy: 45 years
Combined average life expectancy 1975-1980: 42.7 years

Education (UNESCO, 2004):
Males with secondary education as percentage of secondary school-age youths: 13 percent
Females with secondary education as percentage of secondary school-age youths: 9 percent

Literacy rates (UNESCO, 2004):
Percentage of literate males aged 15 or older: 62.3 percent
Percentage of literate females aged 15 or older: 31.4 percent
Combined literacy rate for aged 15 or older: 46.5 percent
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