Despite ambitious plans to roll out ‘test and start’ to provide immediate treatment to everyone diagnosed with HIV, Mozambique is struggling to respond to an epidemic now affecting 11.5 per cent of adults.
A low-level conflict in the centre of the country has displaced communities along border areas, reducing access to healthcare. General healthcare provision has been affected by a reduced health budget, resulting in shortages of health staff and drug supplies.
In Maputo, MSF provides care for HIV patients who need second- or third-line antiretroviral (ARV) treatment and treatment for co-morbidities like Kaposi’s sarcoma or viral hepatitis. Comprehensive care is also available for multidrug-resistant tuberculosis (MDR-TB) and extensively drug-resistant TB. A viral hepatitis C treatment programme began in 2016, with three patients starting treatment in the national health system.
MSF continues to support the health ministry in Changara and Marara districts in expanding access to HIV and TB care using innovative models based on community participation.
MSF continued to develop models of care for key groups, including sex workers and men who have sex with men. The project covers 180 locations along the commercial ‘corridor’ route linking Beira harbour to the mining area of Tete province. Over 4,000 sex workers have been seen by MSF, and between 33 and 50 per cent of them are still actively followed up.
MSF started two new projects in Morrumbala and Mossurize districts, providing obstetric care in rural areas and improving access to health services for communities affected by conflict.
No. staff in 2016: 411 | Expenditure: €9.0 million | Year MSF first worked in the country: 1984 | msf.org/mozambique