One of the areas where the poverty in Mozambique is felt and has most serious consequences is within the area of health. At present, life expectancy in Mozambique is only 47.9 years; 92 children out of 1 000 born will not reach their 5^th birthday. Mozambique has an HIV prevalence of 11.3%.

In the next ten-year period the epidemic can be expected to decrease but still leave the prevalence at an unacceptable level.

As a national NGO operating at grass roots level, ADPP has been engaged in many communities to promote improved basic health and promoted an integrated approach to development. ADPP Mozambique became involved in HIV prevention and care through the development and implementation of its two programs – TCE and HOPE.

ADPP started to work with TB prevention and care in 2007 by implementing CB DOT (Community Based Direct Observation and Treatment) in Sofala province where the accumulated experiences from TCE and HOPE have been used to manage an effective CB DOT programme.

TCE – Total Control of Epidemic, is a highly systematic prevention program, which works in an area of 100,000 people with the objective to change people’s behaviour in order to reduce the risk of exposure to HIV and to mobilize all individuals and communities to become involved in the fight against this epidemic. The program encourages people to overcome fear, rejection and stigma and to strengthen them to live in a healthy manner according to their status. At present, TCE reaches 1.300.000 people. TCE started in Mozambique in the year 2000.

HOPE is ADPP’s second HIV/AIDS program. HOPE provides testing, counselling, training and outreach services from a clinical centre with satellites based in the community. The idea is to increase the number of HOPE projects in operation and provide a wider range of services with full integration in the MoH’s community-testing program, clinical health services and supporting TCE areas, which have been completed. HOPE started in Mozambique in 2002.

CB DOT - ADPP integrated into the Child Aid programme In Sofala province in 3 districts reaching 40 communities.

The CB DOT programme works to improve the level of early diagnosis and increase accessibility and the quality of treatment available to patients with TB. ADPP works to ensure that every TB patient in the implementation areas around the health units will be provided with daily DOTS, treatment support and referrals to in-patient services.

ADPP Mozambique has the vision in the next 10 years to:

• Contribute significantly to the reduction of new HIV infection in Mozambique through expansion of TCE and HOPE to reach approximately 30% of the Mozambican population.
• Continue strengthening the health of the people and support the building up of the health system in the target area together with the Ministry of Health (MoH) and other stakeholders, by increasing the up-take of mainstream services by implementation of After TCE programs.
• Contribute significantly to the reduction of TB by expansion of CB DOT and TB care programmes also combined with the HIV prevention activities.
• Develop and implement a larger scale Malaria program in collaboration with other partners to achieve significant reduction of malaria in the country.

• Develop and implement a Health Worker program as part of the National Strategy of Health to provide sustainable and integrated services.