Mozambique

Mozambique has one of the fastest growing economies in sub-Saharan Africa. Since the end of a 17-year civil war in 1992, leaders have worked to leverage country resources to build infrastructure and improve the quality of life for Mozambican citizens. Despite this promising growth, many public-sector programs are under-resourced, and much of the population still has limited access to quality health care.

With a population of 24 million, Mozambique has fewer than four physicians for every 100,000 inhabitants. More than 1.4 million people are estimated to be infected with HIV. The population also has high rates of tuberculosis and other respiratory diseases, malaria, and diarrheal diseases such as endemic cholera, all of which worsen the impact of HIV and AIDS when there is co-infection.

Drawing on expertise from its global network, including the University of Washington and the University of California, San Francisco, I-TECH began working in Mozambique in 2005. Since then, its technical support to the Ministry of Health (MISAU) has been focused on addressing the shortage of health care providers in the country through clinical training and curriculum revision and development. I-TECH also works to improve the quality of HIV prevention, care and treatment services, including antiretroviral treatment (ART) and voluntary medical male circumcision (VMMC). Ongoing monitoring and evaluation (M&E) activities, including technical assistance to MISAU, measure the effectiveness of health care programs and provide quality data for decision-making and program improvement.

Program Highlights

Case Finding and Retention in Care in Mozambique
I-TECH works with MISAU to expand a pilot project to provide an assisted partner services intervention. The project is aimed at encouraging patients newly diagnosed with HIV infection to disclose their status to their partners, and bring them to the clinic for testing ...
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Human Resources for Health in Mozambique
I-TECH’s long engagement with clinician education in Mozambique includes support for improvements to the national undergraduate (“pre-service”) curriculum for laboratory technicians (Técnicos Medio de Laboratório) to make the content more current and reflect the health care priorities of the country, including advances in HIV diagnostics and treatment monitoring. The curriculum ...
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Quality Improvement (QI) of HIV Care and Treatment, and Expanded Clinical Mentoring
I-TECH provides assistance to MISAU in implementation of the national Quality Improvement for HIV Services (QIHS) Strategy, with the goal of improving HIV clinical care through the training of clinicians in QI cycles (Plan-Do-Study-Act) and mentoring to improve weak performance indicators. To expand the impact of its programming, ART Committees ...
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Tuberculosis Control in Mozambique
I-TECH recently began to support MISAU’s National TB Program to update its national guidelines for TB, as well as the development of standard operating procedures so that clinical sites can integrate TB diagnosis, care and treatment (including of drug-resistant TB) into HIV services ...
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