During the first quarter of 2016, the Mobile Clinic continued to implement the strategy presented in January 2012. The main activities of the Mobile Clinic included provision of:
Since the end of the last quarter, with the aim to improve the retention and adherence of patients on ART in the program, the team has been promoting a Rapid Flow strategy: for those patients in good clinical condition, with good adherence and with more than 6 months’ history of taking ARVs, they receive an ARV prescription for three months. During this period, the patient comes every month just to receive the ARV at the pharmacy service; during the third month the patient has a clinical consultation and, if everything is going well, they receive a new 3-month ARV prescription. FGH community health staff continued to provide information, education, and communication on HIV prevention and testing, GBV, treatment adherence, diarrhea, malaria, etc. among the community and patients waiting for consultations at Furquia and Mbawa Health Facilities.
220 new HIV patients were enrolled in clinical care during this quarter.
To improve adherence, Health Facilities supported by the Mobile Clinic continued counting on Mothers to
Mothers support groups. Currently, women meet once per month to share their experiences and receive
orientation from MCH nurses and trained TBAs. After the meeting, HIV positive women join the larger group to
3 FILA: Ficha Individual de Levantamento de ARV participate in the demonstration of nutritional food preparation for children. During this quarter, the subjects discussed included:
During the reporting period, 798 pregnant women were registered for ANC services in the two health units. 718 pregnant women received HIV counseling and testing; of these, 50 had positive results. Partner testing continues to be reinforced through “palestras” (lectures) and with the “Male Champion Strategy” in the HFs and communities to motivate men to accompany their pregnant partners. During this reporting period, 407 partners of pregnant women were tested. 25 were diagnosed HIV positive and referred for ART care and treatment.
Since November 15, 2015, the Zambézia Provincial Laboratory discontinued the processing of PCR samples due to out-of-stock DNA PCR reagents and a change in the manufacturer of the PCR platform. This has created long delays and a large number of back-logged samples waiting to be processed for viral load and Early Infant Diagnosis testing. Consequently:
In order to improve adherence to the HIV care and treatment program, patients with low HIV care adherence, HIV exposed children without PCR tests, patients initiating ART, and post-partum HIV positive women were referred for visits. A total of 105 patients were referred for visits, and an attempt was made to visit all of them (57 in Furquia and 48 in Mbawa). Of the total attempts, 93 (45 in Furquia and 48 in Mbawa) were found (89% of total referred for visits). As in previous reporting periods, other groups like Traditional Birth Attendants, Traditional Healers, and Home-Based Care volunteers continue to provide information and health promotion in their communities and to refer pregnant women and other patients to the health units.
RMF’s Mobile Clinic in Mozambique is a new model of healthcare provision for our organization, conceptualized to reach remote and rural communities with no prior access to health care. Since its inception in 2008, our Mobile Clinic has been hugely successful and remains the only mobile clinic in all of Mozambique. The clinic, a collaboration between RMF, Vanderbilt University’s Friends in Global Health, and Medical Mission International, is currently deployed in one of the most populous provinces of Mozambique, Zambézia Province, located in the central coastal region with a population of almost 4 million.
12,137 people had a clinical consultation at the health facilities in Furquia and Mbawa without the presence of the Mobile Clinic. These are indirect beneficiaries, since they benefited from the increased capacity of health facility staff, due to mentoring activities by Mobile Clinic staff.