Mozambique

Photo by Sarah Day

In 1997, Pathfinder began our work in Mozambique. Today, we are implementing 14 projects. They are diverse, yet share a common goal: to improve and uphold the sexual and reproductive health and rights of Mozambicans.

Photo by Pathfinder Mozambique

Through one project, we are working to prevent gender-based violence. Through another, integrating contraception into primary health services.

Photo by Benjamin Kahrl

A key component of our HIV and AIDS work in Mozambique is to support key populations—like female sex workers and men who have sex with men—those at higher risk for HIV infection, who also experience the most stigma in seeking services.

Photo by Elizabeth Oliveras

Across every project, we strive to build the capacity of local communities, NGOs, and government agencies. Our goal is to scale up approaches that work and leave sustainable, government-owned health programs.

Photo by Sarah Day

The central theme that we uphold through all of our programming in Mozambique is the right to health—providing women with information and access that empowers them to make positive decisions related to their sexual and reproductive health.

Pathfinder International is currently implementing a diverse portfolio of projects in Mozambique using an approach to sexual and reproductive health that is centered on the strengthening and integration of community and health systems.

Why Pathfinder Works in Mozambique

Pathfinder International has been working in Mozambique since 1997. Today, fifteen years after our first office opened in Maputo and twenty years after the end of the post-independence civil war, the country has made great strides related to the health and development of its people. However, use of contraceptives, HIV prevalence, and maternal mortality due to unsafe abortion remain persistent problems for the country; prevalence of modern contraceptive use among married women has remained at only 11 percent, 13.1 percent of women and 9.2 percent of men between the ages of 15-29 test positive for HIV, and in the southern African region an estimated 18 percent of maternal deaths are attributable to complications from unsafe abortion.

Our work here ranges from prevention of gender-based violence, with support from UN Women and PEPFAR, to reproductive health, family planning and maternal health at the community and facility levels, encompassing areas such as HIV and malaria with funding from USAID. Contributing to this, Mozambique is currently implementing the USAID-funded Family Planning Initiative, integrating contraception into primary health services, and the Strengthening Communities through Integrated Programming (SCIP) project in Nampula province. The SCIP project combines innovative, community-based activities addressing sexual and reproductive health, with maternal health, HIV and AIDS, conservation farming, sanitation, and access to safe water. And finally, a key component of Pathfinder Mozambique's work in HIV and AIDS includes support for key populations, including men who have sex with men and female sex workers—as these groups are not only at higher risk for HIV infection, but also experience the most stigma in seeking services. All Pathfinder projects are developed with the goal of scale-up and government ownership.

34 percent of the population in Mozambique is between the ages of 10-24, and HIV prevalence amongst this group is 7.9 percent

Evidence for Decision-Making

A key aspect of Pathfinder's approach to systems' strengthening is collecting evidence that enables public, private and community partners to make informed health-related decisions across a range of areas in which we work. To achieve this, Pathfinder has put in place monitoring systems that regularly flow into its Key Indicators Tables (or KITs). In Mozambique, examples of the kinds of evidence we collect range from "Total number of post-secondary students who received VCT services and received their test results" and "the percentage of households practicing sustained use of water treatment technology" to the "Total number of clients who accept a family planning method at the time of an abortion or at the time of treatment for complications of an abortion." To illustrate the kind of results Pathfinder achieves, over a three year period:

  • 2,759 students received voluntary HIV counseling and testing services and received their test results
  • 17,902 latrines were built with project support
  • In Nampula, 5,328,485 condoms were distributed

Building Capacity, Strengthening Systems

Mozambique faces critical challenges in the technical and organizational capacity of its health system and in the capacity of communities to successfully advocate for their rights, leading to lack of universal access to high-quality health services. As with our work in other countries, a fundamental component of Pathfinder's work in Mozambique is to build this capacity in local communities, NGOs, and government agencies—helping communities to better understand their needs and engage in healthy behaviors, supporting NGOs to advance sexual rights, and helping government agencies to better respond to the sexual and reproductive health needs of their people. Pathfinder Mozambique's approach to capacity building is systems-oriented, combining implementation of tailored programs that are responsive to the stage of development of each of our implementing partners, support for organizational systems strengthening, and training and mentorship to enhance the technical competence of local organizations. The operationalization of this approach is driven by a reliance on structures and initiatives that already exist in communities, and an emphasis on fostering an environment in which all partners have ownership of programming.

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Your gift of $25 or $50 can help our work in Mozambique to prevent gender-based violence and improve access to contraception for vulnerable groups.

Our Projects

Group of woman at a SCIP gathering

Strengthening Communities through Integrated Programming (SCIP)

Systems Strengthening Adolescent and Youth Sexual and Reproductive Health Gender Behavior Change Maternal & Newborn Health Advocacy HIV & AIDS Contraception & Family Planning

SCIP is designed to increase quality of life at the household and community levels by improving health and nutritional status and advancing household economic viability.

mCenas! SMS Client Education to Improve Family Planning Uptake Among Youth

Sexual and Reproductive Health and Rights Adolescent and Youth Sexual and Reproductive Health Behavior Change Contraception & Family Planning

Pathfinder’s mHealth project in Mozambique seeks to identify and address the educational barriers that youth face in accessing and using family planning.

Related Publications

March 2014

Integrating Family Planning in Primary Health Care and HIV Care and Treatment Services in Mozambique

This technical update discusses how Pathfinder’s Extending Service Delivery–Family Planning Initiative has begun to integrate family planning into existing services, including primary health care and HIV care and treatment in Mozambique.

March 2014

A Holistic and Coordinated Approach to Community-based Family Planning across Projects in Mozambique

This technical highlight provides a brief overview of shared, salient project components employed by the SCIP and ESD-FPI projects for generating demand and improving supply of contraceptives.

December 2013

The Way We Live: Advancing Health & Rights Through Integration

In a year of remarkable achievement, including Pathfinder’s landmark victory at the US Supreme Court and our return to Bangladesh with a $53.8 million project, what was most exciting? The answer—integration—is the theme of Pathfinder’s 2013 Annual Report.

November 2013

Evaluating the Coverage and Cost of Community Health Worker Programs in Nampula Province in Mozambique

In 2012, Pathfinder conducted a study in Mozambique to explore whether community health workers who provide an integrated package of services communicate with beneficiaries about family planning, and what actions women take based on these messages.

Related News

The return of the female condom?

Pathfinder's "Female Condoms Are Power, Protection, Pleasure" is featured in a BBC News story about the return of the female condom, a method of contraception empowering women around the world.

The Female Condom 2 is far more successful than many in the West realise. It is available in 138 countries, sales have more than doubled since 2007, and the Female Health Company has been turning a profit for eight years.

The vast majority of sales are to four customers - the US aid agency (USAID), the UN and the ministries of health in Brazil and South Africa. Donors and public health officials are keen on anything that gives women the upper hand in what they call "condom negotiation" with men.

Mobiles to Give Reproductive Health Info to Young People

Pathfinder International is bringing sexual and reproductive health information to young people in Mozambique and Ethiopia, recognizing their unique needs and respecting their rights.

Yesterday, at the International Conference on Family Planning, which is being held in Addis Ababa from 12-15 November, Pathfinder International’s technical advisor Cllie Simon said young people themselves helped identify the major barriers they face in accessing contraception. The organisation then designed two distinct mCeans! messages: one for those who are parenting and one for those who are not. Simon said: “We did it with the youth, by the youth, and for the youth.”

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