Evaluation of the AHD Project Component

HIV Project Beira 2018-2021
MSF restarts HIV-related activities in Beira after the Cyclone Idai
Pablo Garrigos/MSF

Patients – not all HIV positive – in the waiting area of Munhava health centre on 09 April, the first day of the full re-opening of MSF’s HIV program after Cyclone Idai. The MSF-supported Munhava health centre covers one of Beira’s broadest catchment areas where there are some 8,000 patients with HIV. The clinic saw an average of 125 HIV patients each day in the weeks before the cyclone hit.

Mozambique is one of the most severely affected countries by the HIV pandemic. The Médecins Sans Frontières (MSF) – Operational Centre Brussels (OCB) HIV project in Beira started in 2014 as a project for migrants and key populations (KPs). This led to insights into the magnitude of the Advanced HIV Disease (AHD) issue that needed to be addressed. In 2018, MSF introduced an AHD component in the Beira Central Hospital (BCH) and in two health centres (Munhava and to a lesser extent, Ponta Gea). The AHD component covered MSF-run laboratory diagnostics and in-facility case management circuits. During the evaluation period, Cyclone Idai and COVID-19 restrictions were important external factors.

Document Author(s)
Lenka Tucek and Dr Karoline Fonck
Publication date