Project Background and Overview

With a population of 4.9 million and an adult HIV prevalence of 12.6 percent, Zambézia is Mozambique’s second most populous province. It is home to just over 40 percent of all people living with HIV in Mozambique. In 2013, Mozambique launched the National HIV/AIDS Acceleration Plan, which aimed to increase coverage of antiretroviral therapy (ART) to 80 percent of eligible patients, reduce mother-to-child transmission of HIV to less than five percent, and halve the number of new HIV infections.

Between October 2010 and September 2016, ICAP at Columbia University supported the decentralization of HIV services in Zambézia Province, with PEPFAR funding through the Centers for Disease Control and Prevention. ICAP worked alongside the Provincial Directorate of Health (DPS) and seven District Services for Health, Women, and Social Action (SDSMAS) to plan, implement, and monitor HIV programs, while building the capacity of DPS, SDSMAS, and health facility teams to achieve National Acceleration Plan goals.