Improving prevention and treatment adherence for HIV-AIDS and malaria in rural communities in southern Mozambique

In Maputo province, Fundación Mozambique Sur cooperating with Fundaçao Encontro (a local organisation) is implementing a project with the goal of reducing HIV/AIDS and malaria and improving access to quality health care through consolidating a team of health activists in charge of prevention and supporting patients.

Mozambique ranks 181st out of the 188 countries reviewed by the Human Development Report 2016. The rural districts of Boane and Namaacha, to the south of the country, have a high incidence of HIV/AIDS, given their location on the border, amog other factors. Likewise, several factors contribute to making malaria endemic in Mozambique: climatic and environmental conditions, the population's social and economic deprivation, inadequate housing and limited access to means of prevention.

The project is aimed at reducing endemic infectious diseases, especially HIV-AIDS and malaria, affecting the population of the rural regions of Boane and Namaacha. In order to do this, it is intended to consolidate the Khumbuka group, a team of health activists based in the region's villages, under the leadership of Fundaçao Encontro. Through the project it is hoped to deploy more effective measures for their prevention and health care work.

The project's strategy is based on four supplementary lines of action:
  1. Increase the number and improve the training of the staff belonging to the Khumbuka Group (health activists).
  2. Strengthen home care service provision for people with HIV-AIDS and malaria, placing particular emphasis on adherence, for the health services provided in the villages of Massaca, Mahanhane, Mahelane and Changalane.
  3. Provide food and nutritional support to people with HIV or malaria. This is for two reasons: to help people in a state of deprivation who do not have the resources to feed themselves, and, on the other hand, according to the experience of our team, a lack of nutrition is one of the most important factors when it comes to discontinuing treatment.
  4. To enable the population to access a good state of health in a situation of increased vulnerability, thanks to the prevention and awareness activities carried out by the Khumbuka Group.
The total number of beneficiaries is 6,706 people. Given the relationship between poverty and health indicators, the most vulnerable people, from the socio-economic point of view, especially women, due to the feminization of HIV in Mozambique, are this project's main target.