Scaling Up Community ART Groups in Mozambique
Journal Title: International STD Research & Reviews - Year 2013, Vol 1, Issue 2
Abstract
Aims: To describe the stepwise implementation and roll out of Community ART Groups (CAG) in Mozambique. Study Design: Descriptive study Place and Duration of Study: Mozambique, between February 2008 and December 2011. Methodology: Description of the stepwise implementation of a model for Anti-Retroviral Therapy (ART) delivery based on the principles of peer support and self-management. The program data on CAG were obtained through a chart review and routine data-collection. Results: To overcome patient reported barriers to monthly drug refills for ART the Tete Provincial Directorate of Health and Médecins Sans Frontières developed a community-based ART model or patient-centered model, through peer support groups named CAG. The first CAG commenced in 2008, in rural health facility catchment areas, where members of CAG shared transport costs to overcome distances to the ART clinics. In 2009, lessons learnt were exported in Tete province and CAG model was launched in semi-urban contexts to decrease time spent in the clinics. In 2011, retention rates as high as 97,5 % convinced a joint task force that included Ministry of Health and major partners to pilot the CAG strategy on a national scale. Conclusion: To respond to staggering attrition rates Ministry of Health in Mozambique and partners piloted an innovative patient-centered model for HIV care and exported good practices from local to provincial and national level. Success of scale up will depend on the collaboration and interaction between policymakers, donors, health-managers, caregivers, communities, and patients.
Authors and Affiliations
T. Decroo, J. Lara, F. Rasschaert, EH. Bermudez-Aza, A. Couto, B. Candrinho, M. Biot, K Jobarteh
Keywords
Related Articles
- EP ID EP242726
- DOI 10.9734/ISRR/2013/5867
- Views 136
- Downloads 0
Knowledge of HIV/AIDS Transmission and Risk Perception among Antenatal Care Attendees in Abakaliki, Southeast Nigeria
Background: Human immunodeficiency virus (HIV) has become a major public health problem and has affected Sub-Saharan Africa heavily. Despite aware¬ness campaigns, preventive measures, and more recently promotion of antir...
Near-fatal Fellatio: A Case of Necrotizing Fasciitis after Oral Sex
A 35-year-old man was admitted to hospital 2 weeks after rough oral sex with Streptococcus pyogenes bacteremia, toxic shock syndrome and extensive necrotizing fasciitis of the abdominal and pelvic walls requiring debride...
Perception of Dysmenorrhea and Its Relationship to School Activities among Senior Secondary School Students in Nnewi, Nigeria
Introduction: Dysmenorrhea is one of the commonest disorders of menstruation afflicting women of reproductive age. It is a cause of lost time from school and work among such women. Objectives: This study was carried out...
Prevalence of Diabetes Mellitus, Hypertension and Lipodystrophy in HAART Receiving HIV Patients in Southern Ethiopia
Aims: In Ethiopia, AIDS has become the leading cause of mortality in the 15-49 years age group, accounting for an estimated 43% of all young adult deaths. Though the introduction of highly active antiretroviral therapy (...
The Prevalence of Trichomonas vaginalis infection and Associated Risk Factors among Undergraduate Female Students of Babcock University, Ilishan-Remo, Ogun State, Nigeria
Background: Trichomonas vaginalis infection is the most common curable sexually transmissible disease (STD) among women of reproductive age worldwide. Aims: To determine the prevalence rate and associated risk factors o...