Mozambique has been battered by years of conflict, colonial rule and famine. More than half the population of Mozambique still lives in absolute poverty and the country is one of the poorest in the world. The disease pattern in the country is strongly related to poverty issues and malnutrition, with life expectancy at 51 years in 2015. Currently, 1.7 million of Mozambique’s 20 million people are living with HIV.
PSI/Mozambique was established in 1994 to assist the Ministry of Health scale up HIV prevention. PSI/Mozambique added malaria prevention to its portfolio in 2000, introduced a safe water program in 2004 and launched its family planning franchise in 2014.
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 priority populations , 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/Mozambique has promoted and sold the Jeito condom in the Mozambican market since 1994. As the first condom brand in Mozambique, Jeito quickly became 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 the Jeito brand in 2012. The new Jeito family is composed of: J1, J2, J3, J4, and J5. Learn about the savvy approach they took to regain market share and increase condom use. Jeito’s popularity, volumes, and positioning as a ‘cool’ brand continues to play a vital role in ensuring condom access and reinforcing correct, consistent usage messages to compliment the public sector efforts.
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 five. To date, the program has sold or distributed more than 9 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 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 distribute Certeza and provide PSI’s water, sanitation and hygiene (WASH) messaging.
In 2015, PSI began a partnership with GAIN and Save the Children to make this product available through the commercial network, Troca Aki, for mothers of children under five who participated in a peer outreach session or went to the health facility.
Given the low use of family planning methods in Mozambique and high maternal mortality rates, social franchising offers a cost-effective opportunity to increase access to affordable health and family planning services. PSI/Mozambique manages Tem Mais (which means ‘we have more’), a network of nurses and community health promoters that offer family planning counseling and products beyond the public sector. Each Tem Mais clinic is staffed with a family planning nurse who provides a range of basic health services, including a comprehensive overview of family planning options. To generate demand for the services that the social franchises offer, PSI deploys community health promoters who are affiliated with specific Tem Mais clinics. The promoters are health agents who have been selected, trained, and working in the communities from which they come. They are the backbone of health programs at the community level, and work to generate demand and provide basic, essential information, services, and referrals to higher-level health providers. The promoters visit communities and provide introductory family planning information and, for those interested, a voucher for a counseling session with a Tem Mais nurse.
- 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 Interior
- International and local NGOs
- Strengthening Mozambique’s Family Planning Market: A Way Forward
Total Market Approach report on family planning
- 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.
- Total Market Assessment for Family Planning in Mozambique
- 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.