Tel.: +258 84 301 3341

Os voluntários de Saúde do Corpo da Paz são totalmente financiados pelo PEPFAR (Plano de Emergência do Presidente dos Estados Unidos para o Alivio da Sida), trabalhando directamente com organizações parceiras e implementadoras do PEPFAR. Estes voluntários trabalham com as comunidades na área de prevenção, cuidados e tratamento na área do HIV. Eles trabalham, através dos parceiros, directamente nas Unidades Sanitárias bem como com os parceiros locais comos as Organizações Comunitárias de base.

Read more ...

The CCS has partnered with Community Based Organizations (CBOs), in order to meet the needs of PLWHA and other vulnerable groups in the communities.
The main objective is to:

Promote services that complement the tasks of health workers in HFs and communities, ensuring the connection of multiple services within the HF and continuity of care and treatment at the HF as well as in communities.

Adherence and Retention of Patients

To ensure good adherence and retention of patients in care and treatment, some community involvement strategies have been implemented such as: working with peer educators in Maputo and Inhambane respectively; the involvement of traditional midwives in the province of Maputo and working with community activists affiliated with various community-based organizations (CBO's).

Other supported community stakeholders are: medical practitioners, traditional community leaders, elementary multipurpose agents (APE's) and volunteers, the direct observation treatment (DOT) community who engages in community education activities for health in disease prevention and adoption of healthy behaviors, active searches for missing patients, home visits and activities in HF's as lecturers, hosts and references from the HF’s and the active search activities for missing patients to take them to consultations and make sure they are on ARVs.

Key activities undertaken

Lectures in communities and in the HFs, spreading messages centered on (Prevention, Mitigation, Advocacy and importance of home visits); Improve adherence to antiretroviral therapy and hospital care, by conducting home visits for missing patients and those who have abandoned treatment; Promote educational and retention activities in the HFs; sensitizing patients to adhere to GAAC's; Promote the strengthening of relations between communities and health services through conducting coordination meetings between community leaders, HFs and civil society; Sensitize and mobilize communities to create more supportive climates for PLWHA; Increase access to services and hospital care through referrals and counter referrals.

Joanina has several success stories in the neighboring community: Lucia, a very sick patient was already in bed, knowing from the beginning that it The Tsembeka Wassate association (Confident Woman) is led by strong and active women, in Mabote district, Inhambane province.

Read more ...

The ACOMUZA Association (Community Association of Women Zavala - Inhambane) is a Community Based Organization located in Zavala district, which primarily aims to defend the rights and interests of women. This association arises from the need to respond to the problems faced by the community, thus joining efforts to find solutions.

In 2005, Acomuza started its activities in the area of HIV, specifically in integrated home care, supporting patients with difficulties in reaching the health facility.

With the support of 33 activists spread across 12 communities, this association carries out awareness-raising talks to communities about Gender Based Violence, HIV, Groups Training Support Community membership (GAAC), Tuberculosis, making community mobilization and connection at HFs.

Taking advantage of the events held in the communities, and with the support of community leaders, representing a very important role in communities, talk sessions and message transmission are more easily accepted by community members.

Moreover, the importance of activists is crucial, taking into account that they belong to communities, with a proximity and ease of connection to the beneficiaries of the lectures. Activists assist female victims of domestic or sexual violence, and help them to file their complaints in health facilities in order to denounce perpetrators. Activists mobilize people to go to the talks and to do the HIV testing in health facilities.

The Acomuza Association covers three districts: Inharrime, Pande and Quissico. Regarding patient retention activities, they are a part of the creation of GAAC groups with a total of 41 groups also working with peer educators, conducting  the positive teas and making telephone calls to patients for the purpose of retaining the patients under treatment. They work with parent groups of mothers, which are groups that gather to exchange ideas, cooking recipes for their children bearing HIV and issues related to the topic.

Aurora Paz is an Acomuza Association activist and carries out various activities in the communities, including, lectures, home awareness, that are directed to health. According to the activist community, the community is relatively receptive to the idea that awareness activities will be conducted by activists and all testing or HIV treatment will occur in the HF. To Aurora, this easy acceptance is due to the fact that many have witnessed, in the community, the deaths of many people living with HIV, people who had difficulty accepting their status and therefore did not accept treatment. There are some challenges that the community faces; Aurora identifies a few, such as the long wait time that patients must endure at HFs. There is also the difficulty that sometimes exists in working with community leaders, important authority figures, as a way to collaborate, in the preparation of their work, for example, mobilization efforts, in order to raise awareness for members of the community. However, Aurora feels happy to help members of her community by looking after their health by making HIV testing and treatment accessible.

Groups to Support Community Accession (GAAC) emerged in Mozambique from the need to improve the barriers on access and retention of patients on ART, the shortage of human resources and the weak response to the demand of services.
In the view of the patient, the barriers are the long distances they have to go through to get to health facilities, the cost of transport, the long wait and the need to conduct other activities to support the family.
The main objective of this initiative is to monitor anti-retroviral treatment in patients with a view to retention in the care and treatment in health facilities, thus causing a decrease in abandonment of treatment.

In order also to reduce the workload of health facilities, this initiative also contributes to improving the quality of follow-up of HIV positive patients, promote the active participation of patients in the collection and distribution of drugs to each other and control ART adherence. GAAC also ensures psychosocial support among patients on ART and pre-HAART among themselves and improves the link between HFs and the community, thus establishing an early warning system to screen for various diseases and situations of abandonment to ART.
 According to Ana, the support of the Association AIPDC activists was crucial, and helped her to believe it was possible to live with HIV positive and has since remained in treatment.

The support of her family (mother and children) was crucial to meet this challenge, but unfortunately, her husband abandoned her: it was hard for him to accept the fact one needs to take the test and begin treatment. Instead of facing reality and following the advice of Ana Paula, he chose to leave his family.

Read more ...

The Tsinela Association is located in Massinga (Inhambane), initially working with the voluntary testing offices (VCT).

Upon completion of these testing offices, the association continued its work.

They began working with HIV positives patients, as well as children orphaned from HIV, reintegrating them into foster homes, and making visits with them.  Relief work to the families living with HIV has been important to the community, to the extent that it teaches families to farm for their own subsistence, taking into account the need for good nutrition and nutritional care to effectively balance HIV treatment.

The association's activists have an important role, working directly in communities they can more easily pass the messages they want, through lectures, awareness-raising, counseling testing and following up, creating a loop, a strong bond of trust towards the activists.

Activists make an important contribution to patient retention, with the help of the health facilities, the search actively, going house to house looking for patients who have abandoned treatment, with the aim to sensitize them to resume taking medication. However, according to activists, there are several constraints in relation to patients with HIV: unfortunately there are still many patients who do not accept the disease and others who prefer the traditional treatment, through the healers. To answer to these challenges, activists have meetings with traditional healers, sensitizing them to advise their patients not to abandon the treatment, and to consider both treatments.

According to the activist Tsinela Association, the Rosary Lelia, another challenge that causes many patients to desist from taking their medication has to do with the fact that they have to wait in long lines to receive medication. However, in order to combat this challenge, activists promote the formation of GAAC groups, taking into account the obvious advantages of these (avoiding the long lines,  rotating group members to collect the drugs and avoid the constant travelling and transportation costs. Moreover, positive teas also help patients with HIV since they act as support groups and clarify questions for them.

The Utomi Association is a community-based organization comprised of patients with HIV, based in Inhambane which aims to support orphans and vulnerable children, as well as, making home visits as a way to sensitize people to do testing and treatment.

Read more ...

A Associação Utomi é uma organização comunitária de base composta por pacientes com HIV sediada em Inhambane que tem como objectivo dar apoio ás crianças órfãs e vulneráveis bem como fazer visitas domiciliárias como forma de sensibilizar as pessoas a aderir á testagem como e ao tratamento.

Read more ...
That's all