Mozambique: Mozambique Mobile Clinic Project
Mobile Clinic Year End Report 2013
March 26, 2014
Tito Jequicene, MD

Results &
ACCOMPLISHMENTS

On-the-job Training
Technical and Logistical Strengthening
In order respond to the new challenges of universal ART, the teams have been reinforced by placement of a Health Counselor in Mbawa and a dedicated Field Data Manager (funded by PEPFAR) to facilitate input of the Clinic and laboratory registers into the electronic patient tracking system for HIV-positive patients while the Mobile Clinic is located at the health facility.

Improved Monitoring
New TB and HIV Services
To improve the monitoring of patients seeking HIV counseling and testing services, a “Revive” card was introduced in all places that offer these services, which contains information about the individual’s last date of testing. This allows better control of HIV negative cases, thereby facilitating retesting after three months.

Supporting Prenatal Care
New Services for Pregnant and Lactating Women
Technical support provided this quarter resulted in the design of a flowchart for following pregnant and lactating women in the absence of the Mobile Clinic. Creation of mobile file storage for clinical processes and files of pregnant women, mothers and children on ART has strengthened monitoring of these patients and facilitated identification of non-adherent patients that have fallen out of care.

Background
& Objectives
Background
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.
Objectives
- To improve the quality of life and provide access to health services, particularly access to maternal-child healthcare and anti-retroviral therapy (ART) for people living with HIV and AIDS, Tuberculosis and other diseases.
- To provide access to healthcare in remote areas of Zambézia Province, Mozambique.
- To reinforce the expansion of HIV care and treatment services initiated by the Zambézia Provincial Health Directorate (DPS), by providing temporary reinforcement in terms of staff, training, and space for peripheral health units initiating implementation of ART until such time as the DPS can organize the infrastructure and resources necessary for these sites to function independently.

Numbers
Served
Year End Report, 2013
1,126 beneficiaries
- 442 pregnant women treated
- 431 pregnant women received HIV counseling and testing (14% HIV+)
- 62 HIV-positive pregnant women as well as 33 lactating women were enrolled in ART
- 39 children were enrolled in the Child-At-Risk Clinic (CCR)
- 7 pediatric patients had virological testing
- 56 children counseled and tested (27% HIV+)
- 13 patients initiated ART
- 8 patients were enrolled into TB care and treatment


More Reports on: Mozambique Mobile Clinic Project Archive
Country Page: Mozambique
Initiative Page: Mozambique Mobile Clinic Project