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.
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.
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.
Pathfinder’s mHealth project in Mozambique seeks to identify and address the educational barriers that youth face in accessing and using family planning.
Iniciativa: Strengthening the Capacity of Youth Civil Society in Sexual and Reproductive Health Rights
Through this project, Pathfinder empowers youth organizations to become strong advocates for adolescent and youth sexual and reproductive health and rights.
Funded by the Centers for Disease Control, this project promotes HIV prevention among students, faculty, and staff of training institutes throughout Mozambique.
This program worked to reduce the incidence of HIV infection and the number of unplanned pregnancies among the sexually active population; empower women and sexual minorities in Mozambique through advocacy and health promotion activities.
Pathfinder works to support the Government of Mozambique to increase use of family planning and reproductive health services in 16 districts of Maputo, Gaza, Inhambane, and Cabo Delgado provinces.
Expanding and Sustaining Safe Abortion Services in Ghana, Mozambique and South Africa through the Safe Abortion Action Fund
Pathfinder built upon existing efforts to expand and create sustainable safe abortion services in Ghana, Mozambique, and South Africa. The overarching goal of this project was to reduce maternal morbidity and mortality due to unsafe abortion.
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.
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.
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.
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.
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.
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.”