mapMozambique, with a population of more than 20 million people, has one of the highest poverty rates in the world. Per capita income averages less than $340 US, among the lowest in Africa. A former Portuguese colony, Mozambique became independent in 1975 and later suffered a decade-long civil war that ended in 1992 with the establishment of a multi-party democracy. In recent years, the country has enjoyed rapid economic growth up 10 percent annually. Despite this progress, more than 75 percent of the population engages in small-scale agriculture and the country continues to lack adequate infrastructure, commercial networks, and investment.

Health Care System
The health system consists of four levels of care: health centers, rural hospitals, general or provincial hospitals, and central hospitals used as national reference centers. Primary care services are generally delivered at the health center level, while hospitals deliver more specialized services. The health system suffers from significant human resource shortages, with approximately 700 doctors and 4,000 nurses working in the entire country. High prevalence of infectious diseases, such as HIV, tuberculosis (TB), and malaria, combined with poor healthcare limits life expectancy in Mozambique to 47 years of age.

HIV/AIDS in Mozambique
With an estimated 1.6 million HIV-infected people, Mozambique has a national seroprevalence rate of 16 percent.

ICAP in Mozambique
In February 2004, ICAP began supporting family-focused HIV/AIDS prevention, care, and treatment activities in Mozambique. ICAP works with the Ministry of Health, Ministry of Defense, and Ministry of the Interior to provide a full continuum of HIV/AIDS services at HIV/antiretroviral therapy clinics associated with regional Integrated Health Networks throughout the country. In addition to clinical mentoring and training as well as infrastructure support, a major focus of ICAP in Mozambique is support for the decentralization of HIV services from overcrowded hospitals to health centers, which are generally more accessible to people, especially in rural communities.

Support for Programmatic Activities
In partnership with the MOH, governmental, and non-governmental organizations, ICAP works at all levels of the healthcare system to build capacity for the full range of comprehensive HIV services. ICAP supports:

  • Prevention of mother-to-child transmission (PMTCT) of HIV
  • Pediatric and adult HIV care and treatment
  • Integrated PMTCT centers that provide healthcare for women and children, including malaria prevention
  • Integrated TB/HIV services
  • Palliative care for opportunistic infections
  • Training programs for all cadres of healthcare and psychosocial providers
  • Training programs for medical technicians to deliver HIV care and treatment
  • Infrastructure development, as well as laboratory and facility renovations
  • Clinical mentoring
  • Enhanced medical and psychosocial records systems
  • Peer educator programs to promote HIV testing, treatment adherence, and prevention in positives
  • Enhanced linkages between HIV/AIDS services and community-based organizations
  • Distribution of bed nets for malaria prevention
  • Technical support to the Ministry of Health at the central and provincial levels

View Map of ICAP-Supported Sites