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The DREAM Programme, lessons learnt from 20 years of experience.
Anna Maria Doro Altan1, Paola Germano2, Julien Neze-Sebakunzi3
1Department of Life Science, Health, and Health Professions, Link Campus University, Rome, Italy.
Frontiers in Public Health
|December 8, 2025
Summary
The DREAM Program provides free HIV/AIDS services in Sub-Saharan Africa, achieving success in prevention and patient support. Challenges include limited treatment options for those with treatment failure and restricted access to resistance testing.
Area of Science:
- Public Health
- Infectious Diseases
- HIV/AIDS Research
Background:
- The DREAM Program, established in Mozambique in 2002, addresses HIV/AIDS and other chronic diseases in Sub-Saharan Africa.
- It operates in 10 countries, offering free services to over 110,000 patients.
Purpose of the Study:
- To describe the characteristics and outcomes of the DREAM Program.
- To highlight successes and challenges in managing HIV/AIDS in resource-limited settings.
Main Methods:
- Public health program implementation and monitoring.
- Analysis of patient data related to prevention, adherence, retention, and viral load.
Main Results:
- Remarkable success in preventing mother-to-child HIV transmission.
- Effective support for patient adherence and retention in care.
- Successful viral load monitoring strategies implemented.
Conclusions:
- The DREAM Program demonstrates significant achievements in HIV/AIDS care in Sub-Saharan Africa.
- Limited therapeutic options and access to resistance testing for individuals with virological failure remain key challenges.
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