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MSF in Mozambique, 2012
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There has been progress in Mozambique’s response to HIV over recent years, but still only 45 per cent of patients who need antiretroviral (ARV) treatment have access to it.
All three Doctors Without Borders/Médecins Sans Frontières (MSF) programs in Mozambique provide HIV care. The teams are beginning to focus on the integration and simplification of care for specific groups of patients like children and adolescents, and gradually handing over responsibility for first-line ARV treatment in the Chamanculo and Mavalane districts of the capital Maputo to the Ministry of Health.
MSF is working with the Ministry of Health at one of these specialist facilities in Chamanculo, the Centro de Referencia de Alto Mae (CRAM). Here, patients suffering from the cancer Kaposi’s sarcoma (an opportunistic infection of advanced stage HIV) and those in need of second- or third-line treatment receive care. In Tete, MSF is helping local health staff to promote community and patient involvement in HIV treatment. Patients get together to offer mutual support and take turns to pick up drug refills from the health centre, and staff engage the community in improving the detection, diagnosis and treatment of TB.
Ivanilda, 15 years old
At the end of 2012 MSF had 410 staff in Mozambique. MSF started working in the country in 1984.