One of the areas in which poverty in Mozambique is most felt and has the most serious multiplier effects is the area of health. This is reflected in the low life expectancy in the country (52,5 years), ranking it among the 10 countries with the highest mortality rate in the world (World Health Organization, 2013).
One of the main underlying reasons for this is HIV/AIDS. The HIV prevalence rate in Mozambique is estimated at 11,5% (INSIDA, 2009), with significant regional and gender disparities ranging from 4% to 25%. The HIV/AIDS epidemic has serious consequences for the overall socio-economic development of the country, affecting all areas of the society and hindering or outright compromising many of the positive development results achieved in other areas.
As a Mozambican Association having worked on the grassroots level for over 30 years, ADPP Mozambique has long and solid experience in engaging and working with communities and in developing on-the-ground approaches to community health and HIV/AIDS prevention and care. Today, it boasts with one of the largest networks of staff and volunteers working in the field, reaching nearly 1,000,000 Mozambicans annually.
The ADPP approach is based on a comprehensive and systematic HIV/AIDS prevention and care model which combines individual counseling, field testing services, communication for behavior change and community mobilization: the Total Control of the Epidemic (TCE).
Thanks to the positive experiences gained through the TCE Program, the same approach is applied in a similar program focusing on tuberculosis (TB) prevention and care, the TC-TB, which in 2013 was implemented in the provinces of Sofala, Manica and Zambezia.
The other community-based HIV prevention and care project implemented by ADPP is called HOPE. It targets special high-risk groups such as truck drivers, HIV-positive pregnant women and orphan and vulnerable children, and includes various activities designed to best reach them, including workplace reach-out activities, field testing, and mobilization for male circumcision and PMTCT (Prevention of Mother-to-Child Transmission of HIV).