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

Mozambique has a 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 root 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 3 year prevention program, which works in an area of 100,000 people with the objective to change people’s behavior 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. By the end 2010  TCE reached 1.300.000 people with TCE in 13 areas which all be completed before April / May 2011 where the TCE program will start in 8 areas in Gaza province, reaching 800.000 people under the Global Fund Round 9 Funding.

TCE started in Mozambique in the year 2000.

HOPE is another ADPP’s  HIV/AIDS prevention and care program. HOPE provides testing, counseling, 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.