Mozambique: Mozambique Mobile Clinic Project
Mozambique Mobile Clinic Q1 2014 Report
April 30, 2014
Jose Vallejo and Jonathan White
Summary of Activities
During the first quarter of 2014, the Mobile Clinic continued implementation of the strategy presented in January 2012. The main activities of the Mobile Clinic include provision of:
- Primary health care to the populations of Furquia and Mbawa;
- HIV diagnostic, care and treatment services including integrated TB / HIV services for co-infected patients;
- Antenatal health services and universal ART as well as PMTCT to pregnant and lactating women;
- Health care services and early diagnosis of HIV in infants born to HIV positive women;
- Diagnostic services, treatment and care of TB.

Results &
ACCOMPLISHMENTS

Stengthening Technical and Logistical Capacities
Furquia & Mbawa Communities Receive Primary Healthcare
Provision of primary health services to Furquia & Mbawa communities:
The MC team continues to strengthen the technical and logistical capacities of local personnel through on-the-job training. In order to respond to the new challenges of universal ART, the teams have been reinforced by the addition of a Health Counselor in Furquia (funded by PEPFAR).

Health Facility Reinforced by Additional Staff
Arrival of New Team Allows Proper Treatment
During the quarter, the Furquia Health Facility was reinforced by the allocation of additional staff, resulting in a current team comprised of:
- 1 General Medical Technician
- 1 Maternal Child Health Nurse (mid level)
- 1 General Nurse (mid level)
- 1 Preventive Medicine Technician
- 1 Lab Technician
- 1 Elementary Nurse
- 2 Health Counselors
With the arrival of this team, conditions are finally created to provide proper care and treatment of HIV positive patients in Furquia in the absence of the mobile clinic.

Mother-to-mother Support Groups Improve Adherence
Mothers Share Experiences During Monthly Meetings
Health Facilities supported by the mobile clinic now count on mother to mother support groups to improve adherence. Currently 83 women (Mbawa – 56 and Furquia – 27) meet once per month to share experiences and receive orientation from the MCH nurse and trained TBAs. After the meeting, HIV positive women join the larger group to participate in the demonstration of nutritional food preparation for children.
Healthcare Provision During Emergency Situation
Team Looks to Contingency Plan
After severe rains in February, some areas within Namacurra district became isolated and displaced people moved to temporary resettlement areas. A contingency plan for this type of situation was developed late in 2013 with a view to providing continuous health care and treatment to HIV+ displaced people. Prevention of gender-based violence (GBV) and provision of related health care was also made a priority.

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.

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Photos
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Numbers
Served
Q1 Report, 2014
1,212 direct beneficiaries
up to 5,736 people indirectly benefited from clinical activities
- 509 pregnant women were treated
- 287 pregnant women received HIV counseling and testing
- 83 women meet once/month to share experiences
- 41 children received HIV counseling and testing
- 13 patients enrolled in TB care


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