Mozambique has been battered by years of conflict, colonial rule and famine. Yet, malaria is the biggest killer and accounts for almost 30 percent of deaths recorded in hospitals. The disease pattern in the country is strongly related to poverty issues and malnutrition. However, 1.7 million of Mozambique’s 20 million people are living with HIV. Without effective health behavior change interventions, life expectancy is expected to fall to 35.9 by 2010.
PSI/Mozambique was established in 1994 to assist the Ministry of Health scale up HIV prevention. For example, PSI/Mozambique offers technical and managerial support to the MOH in voluntary counseling testing and preventing mother to child transmission services, PSI/Mozambique added malaria prevention to its portfolio in 2000 and a safe water program in 2004.
PSI/Mozambique’s memorandum of understanding with the Ministry of Interior and with many other NGOs help to expand the reach of communications campaigns and product distribution to those most vulnerable, particularly in rural areas with weak commercial infrastructure.
PSI/Mozambique estimates that in 2015, its products and services helped avert 485,727 DALYs, including, by health area:
- 32,048 Malaria DALYs
- 349,105 HIV DALYs
- 97,591 FP DALYs
- 6,982 WASH DALYs
PSI/Mozambique’s family planning programs also provided 228,180 couple-years of protection.
PSI promotes healthy behaviors and seeks to change harmful cultural norms such as cross-generational sex. PSI/Mozambique uses mass media and a network of ten theater groups and 120 community communications agents to deliver targeted messages in local languages. Theater and community agents reach roughly 500,000 people per year.
PSI/Mozambique has also worked with partners to develop a network peer educators who work with military personnel, police and commercial sex workers. PSI/Mozambique also supports the MOH and the Ministry of National Defense (MND) in delivering VCT in 27 government health facilities and in workplaces, communities and schools. These sites counsel and test more than 13,000 clients per month, making PSI/Mozambique the MOH’s largest partner in VCT service provision.
PSI/Mozambique has promoted and sold the Jeito condom in the Mozambican market since 1994. As the first condom brand in Mozambique, Jeito quickly become synonymous with “condom.” Over time, the condom market in Mozambique matured considerably, and Jeito now faces competition from several other brands.
In response to these changes and based on consumer research findings, PSI/Mozambique repositioned Jeito in 2012. The new Jeito family is composed of: J1-J2-J3-J4. Learn about the savvy approach they took to regain market share and increase condom use.
PSI/Mozambique launched a safe water program with its own funding in 2004 to help reduce the incidence of diarrheal diseases, particularly in children under 5. To date, the program has sold or distributed more than 1 million bottles of Certeza, each of which treats enough water for a family of five for one month. PSI worked with a local bleach manufacturer to improve its quality control sufficiently and produce Certeza locally.
Certeza is promoted through mass media and community theater, sold at a subsidized price in markets and distributed in emergency situations (e.g., cholera outbreaks and floods). PSI/Mozambique also partners with local and international NGOs to train home-based care workers in diarrheal disease prevention. More than 8,000 workers have been trained to date.
PSI/Mozambique is studying the potential of the commercial market to reduce the burden on the MOH in providing oral contraceptives. The goal is to introduce a high-quality oral contraceptive to the commercial market that is cost-effective.
- U.S. Agency for International Development
- President’s Emergency Plan for AIDS Relief
- Presidential Malaria Initiative
- Ministry of Foreign Affairs of the Netherlands
- United Kingdom Department for International Development
- Mozambique Ministry of Health through the National Directorate for Disease Control and Health Promotion and the Provincial and District Health Directorates
- National AIDS Council
- Mozambique Ministry of National Defense
- Mozambique Ministry of Interior
- Shaping the Family Planning Market by Strengthening the Public Sector
PSI considers total market approaches to be critical for achieving universal health coverage, especially when it comes to contraception. This program brief presents cases, supported by several different donors, which take into consideration the total family planning market.
- Expanding Access to HIV Self-Testing: A Market Development Approach
PSI envisions a healthy market for HIVST to be one that is supported by multiple buyers and suppliers and that delivers on the 5As (Availability, Assured Quality, Appropriate Design, Awareness, and Affordability) to achieve public health goals. Realizing this vision for the HIVST market will require consideration of two key markets- public and private sectors. While HIV testing has traditionally been driven by the public sector, HIVST opens up the possibility of utilizing private sector pharmacies to expand and extend the reach of testing.
- What Facilitates Uptake of Referrals for Family Planning? Results of a Study in Mozambique
As part of its commitment to the FP2020 initiative, PSI works with the Government of Mozambique to engage health agents and others in sharing information about family planning, and referring community members to sites that offer a wide range of family planning methods.
- Simplified Asset Indices to Measure Wealth and Equity in Health Programs: a Reliability and Validity Analysis Using Survey Data from 16 Countries
Many program implementers have difficulty collecting and analyzing data on program beneficiaries' wealth because a large number of survey questions are required to construct the standard wealth index. We created country-specific measures of household wealth with as few as 6 questions that are highly reliable and valid in both urban and rural contexts.
- Comparative Cost Analysis of Surgical and PrePex Device Male Circumcision in Zimbabwe and Mozambique
Cost-analysis studies were conducted in Zimbabwe and Mozambique to calculate the unit cost per male circumcision.
- Safety and Efficacy of the PrePex Male Circumcision Device: Results From Pilot Implementation Studies in Mozambique, South Africa, and Zambia
This paper describes the results of pilot implementation studies conducted in Mozambique, South Africa, and Zambia to assess the safety of male circumcision procedures conducted by nurses and clinical officers using the PrePex device.
- Rebranding of Jeito Condoms in Mozambique
In putting our beneficiary – or consumer – at the center of what we do, we create brands that inspire people to use the health products or services we promote. This is a dynamic process that needs to continuously respond to the ever-changing needs and desires of the people that we serve and the markets in which we work. To see it in action, watch the videos below that show how we rebranded our Jeito condoms in Mozambique.
- Men Who Have Sex with Men in Mozambique: Identifying a Hidden Population at High Risk for HIV
The population of men who have sex with men (MSM) has been largely ignored in HIV-related policies and programming in Mozambique and there is little information about the contribution of MSM to the HIV epidemic. An integrated biological and behavioral study among MSM using respondent-driven sampling was conducted in Maputo, Beira and Nampula/Nacala.
- Factors Associated with HIV Testing and Condom Use in Mozambique: Implications for Programs
This study analyzes nationally representative survey data collected to identify predictors of HIV testing and condom use in Mozambique.
- 2012 Mid Year Region and Country Dashboards, East Africa
Mid-year East Africa region and country impact dashboards for 2012