Why are we here?
Doctors Without Borders (MSF) provides specialised care in Mozambique, where the frail health system is struggling to curb a dual epidemic of HIV and tuberculosis (TB).
In early March a storm cell brought heavy rains to Zimbabwe and Malawi before heading out to sea off the coast of Mozambique and intensifying into Cyclone Idai. In the late night of 14 March, Idai returned to land wreaking havoc in the city of Beira, home to some 500,000 people, as well as in the surrounding districts of Manica and Sofala where it has destroyed the lives and livelihoods of hundreds of thousands more people.
Cyclone Idai wiped out buildings and infrastructure, including the water supply system, leaving thousands in urgent need of assistance and at risk of water-borne diseases such as cholera.
Our permanent teams in Mozambique work in Maputo and Beira, providing care to patients with advanced HIV and with, or at risk, of developing co-infections such as Kaposi’s sarcoma, drug-resistant TB and hepatitis.
In Maputo, MSF cares for HIV patients needing second- or third-line antiretroviral (ARV) treatment and for those with co-infections such as Kaposi’s sarcoma, drug-resistant TB and hepatitis.
In Tete, MSF works with community treatment groups, whose members meet regularly to collect medication and support each other, and deploys a mobile mentoring team to 13 health centres.
In Tete and Beira, the team provides sexual and reproductive health services, including HIV testing and treatment for vulnerable and stigmatised groups, such as sex workers and men who have sex with men (MSM), as part of MSF’s transnational ‘corridor’ project along transport routes between Malawi and Mozambique.
In the last quarter of 2017, 1,270 sex workers and 218 MSM were followed up in both towns. Sexual, reproductive and maternal health services were also reinforced in Morrumbula district, Zambezia province.
In Manica province, where political tensions have limited access to healthcare, mobile teams conducted more than 14,000 consultations in 2017, mainly for malaria, diarrhoea, respiratory and skin infections, and sexual and reproductive health.
Teams in Maputo and Beira are working to reduce sickness and mortality in patients with advanced HIV by improving diagnosis, treatment and continuity of care, and supporting the laboratory and pharmacy.
MSF is also running a pilot project in Maputo for people who use drugs, focusing on developing a model of care that includes comprehensive harm reduction.
A third of the almost 150 patients in this pilot project are HIV positive and 20% tested positive for hepatitis C. Ten of the 27 patients with hepatitis C who started treatment were cured, the first in the country, as treatment was previously unavailable.
Responding to cholera outbreaks
MSF set up cholera treatment units in Nampula, Maputo and Tete provinces, and supported a vaccination campaign led by the national health department that reached 297,598 people in Tete.
 Inquérito de Indicadores de Imunização, Malária e HIV/SIDA em Moçambique (IMASIDA), March 2017
No. staff in 2017: 466 | Expenditure: €10.4 million | Year MSF first worked in the country: 1984