Scaling Up Positive Prevention in the Republic of Mozambique

Investigator: Carol Dawson-Rose, RN, PhD, FAAN
Sponsor: PHS Centers for Disease Control and Prevention (CDC)

Location(s): Mozambique


Continued high HIV prevalence rates in Mozambique demonstrate the need for new prevention strategies that effectively reduce HIV transmission. PP is an approach that prioritizes people living with HIV and AIDS (PLHIV) in order to promote their well-being and prevent onward transmission of HIV. The PP package in Mozambique consists of the following components:

Risk Assessment: Conduct risk assessment and provide condoms and risk reduction counselling

Partner Testing: Assessment of partner status and partner testing provision or referral

Antiretroviral therapy (ART) Adherence: Assessment of adherence and (if indicated) support or referral for adherence counselling

Sexually Transmitted Infections (STIs): Assessment for STIs and (if indicated) offer treatment and refer partner for testing

Family Planning (FP) and Prevention of Mother to Child Transmission (PMTCT): Assessment of FP and PMTCT needs and (if indicated) services provision or referral

Community Support Services: Assess need for additional support and (if indicated) refer to community support groups

Alcohol Use Assessment and Counseling: Alcohol use is associated with both increased risky sexual behavior and

reduced adherence to ART.

The Government of Mozambique has recognized the need for national scale-up of HIV prevention including PP efforts. The National Strategy for Acceleration of Prevention approved by the Council of Ministers and the PEN III both call for increased PP activity over the next five years.