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 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.


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 thumbnail

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

December 2014

Change Starts Here: Pathfinder International 2014 Annual Report

We believe change starts with expertly trained providers and pharmacies that never run out of supplies. It starts with open conversations among women, young people, men, religious leaders, mothers-in-law, policymakers, and others, joining to discuss their beliefs and remove barriers to their health and well-being. Our 2014 Annual Report shows a few highlights of how Pathfinder has served as a catalyst for change over the past year.

July 2014

mCenas! Reaching Youth with Information and Stories about Sexual Health

mCenas! - a comprehensive text message-based program that targeted youth aged 15-24 - has increased knowledge about contraceptive methods and dispel common myths around contraceptive methods.

Scale-up of Adolescent Contraceptive Services
June 2014

Scale-up of Adolescent Contraceptive Services: Lessons from a 5-Country Comparative Analysis

This article retrospectively analyzes the scale up of adolescent-friendly contraceptive services in five countries and draws lessons learned to inform implementation and sustainable scale up of HIV and other services for adolescents.

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.

Related News

Family planning drive reaches millions of women and girls

The Family Planning 2020 (FP2020) report, the group’s first set of annual data since its formation two years ago, warns population growth could outpace family planning programmes in some countries despite range of contraception initiatives.

In Kenya, health clinics are using text messages to combat empty shelves. As part of one project, nurses send inventory reports via text to a central data management centre and the contraceptives are sent out immediately. Other innovations included the mCenas! project in Mozambique, which educates young people about contraception via text, and a television and online series in India that highlights family planning through drama programmes.

What’s Youth Got to Do With It? Investing in Youth Sexual and Reproductive Health a Development Bargain

Rita Badiani, Mozambique Country Representative for Pathfinder, speaks at the Wilson Center's Sept. 24 event on youth sexual and reproductive health.

Rita Badiani, Mozambique country representative for Pathfinder International, pointed out that in Pathfinder’s Geração Biz program, government data made it difficult to target the youth they wanted to reach. “The health information system actually made adolescents and youth invisible due to the lack of disaggregation for this age group in the system,” she said.

Scroll to top