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Lessons learned while implementing an HIV/AIDS care and treatment program in rural Mozambique
Troy D Moon1, Janeen R Burlison1, Mohsin Sidat2
1Vanderbilt University Institute for Global Health, Tennessee, USA ; Friends in Global Health, LLC, Maputo, Mozambique.
Retrovirology : Research and Treatment
|August 7, 2014
Summary
Mozambique provides antiretroviral therapy (ART) to over 145,000 individuals despite resource limits. Achieving sustainable HIV care requires addressing human resource and infrastructure challenges, alongside community development.
Area of Science:
- Global Health
- Public Health
- Infectious Disease Management
Background:
- Mozambique faces significant resource constraints in healthcare delivery.
- Over 145,000 individuals with HIV were on antiretroviral therapy (ART) by May 2009 through international partnerships.
- HIV clinical services are distributed across 215 venues in all 11 provinces.
Purpose of the Study:
- To outline the approach to clinical capacity building for HIV services in rural Mozambique.
- To identify key challenges hindering sustainable HIV care in resource-limited settings.
- To propose strategies for transitioning from emergency response to chronic disease management.
Main Methods:
- Providing technical assistance to national health facilities for district-level ART implementation.
- Focusing on human capacity development and health system strengthening.
- Implementing 'wrap-around' programs for economic and educational development.
Main Results:
- Significant progress in ART provision despite severe resource and infrastructure limitations.
- Identification of six key challenges: human resources, infrastructure, centralized care, social stigma, and limited livelihood/educational opportunities.
- Recognition of the need for transitioning services to local authorities for sustainability.
Conclusions:
- Sustainability of rural HIV services in Mozambique hinges on local capacity building and continued funding.
- Addressing multifaceted challenges, including economic and educational development, is crucial for long-term success.
- The evolution from an emergency HIV response to a sustainable chronic disease management program is essential.
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