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About PEPFAR

Mozambique and U.S. Government Partnership Working Toward an AIDS-Free Generation

Ambassador Pittman deposits his marble to indicate that he knows his HIV status in the context of the US Mission Maputo 90-90 Campaign designed to have 90% of employees who know their status within 90 days.

Military women and doctors discuss how to prevent gender-based violence (GBV) and HIV within Mozambique's armed forces, at the Military Hospital in Maputo.

It is a top U.S. Government priority to combat HIV/AIDS in Mozambique and around the world in order to achieve President Obama’s goal of an AIDS-free generation.

Through our signature program, the U.S. President's Emergency Plan for AIDS Relief (PEPFAR), the United States works in partnership with local governments to help save the lives of those suffering from HIV/AIDS around the world. This high impact, comprehensive program is guided by a shared responsibility among donor and partner nations and others to make smart investments to save lives. This historic commitment is the largest by any nation to combat a single disease internationally, and these investments also help alleviate suffering from other diseases across the global health spectrum.

The U.S. government’s HIV work in Mozambique, through the PEPFAR program, began in 2004, and Mozambique is one of 22 countries in Africa receiving PEFPAR support.  Mozambique is also one of three countries in Africa that participates in the Gender Based Violence (GBV) Initiative with additional funding to support GBV prevention and availability and quality of GBV services.  In 2009, the Government of Mozambique and the Government of the United States signed the Partnership Framework (2009-2013) which provides a five-year joint strategic plan for cooperation between the two countries to respond to the HIV epidemic. The strategic framework outlines joint priorities and key policy issues to address the epidemic in Mozambique and describes Mozambican and American commitments to achieve these strategic priorities. The Partnership Framework represents a new era of collaboration and greater alignment of USG programs with the Mozambican HIV response.

This Partnership Framework to support the national response, led by Mozambique and coordinated by the National AIDS Council (NAC), under the leadership of the Prime Minister, promotes the principles of the “Three Ones”: One National Strategic Plan, One National Authority, and One National Monitoring and Evaluation Framework. Under Mozambican leadership, the United States continues to align its priorities and support with national efforts coordinated by the NAC to ensure harmonization and synergy of efforts by the government, USG, civil society, bilateral and multilateral partners, national and international non-governmental organizations (NGOs), and the private sector.

Our joint partnership strives to achieve the Mozambique National HIV Strategic Plan Goals and global priorities set forth in the U.S. AIDS-free generation policy:

  • Provide antiretroviral treatment (ART) for 6 million people; perform 4.7 million voluntary medical male circumcision (VMMC) procedures, and; provide antiretroviral (ARV) prophylaxis to 1.5 million HIV-infected pregnant women to prevent mother-to-child transmission (PMTCT) by 2013
  • Support the Government of Mozambique’s (GRM) national “HIV/AIDS Acceleration Plan 2013-2015” to increase the percentage of eligible adults and children with advanced HIV infection who receive antiretroviral therapy to 80%; increase the percentage of HIV-positive pregnant women who receive ARVs to 90%; and increase the percentage of adult males circumcised in target provinces to 75% by 2015

Throughout implementation, we aim to foster sustainability by building local capacity, supporting country ownership and leadership, and strengthening health systems to deliver and monitor health services for people living with HIV.

The PEPFAR program is the cornerstone and largest component of the U.S. President’s Global Health Initiative. With a special focus on improving the health of women, newborns and children, the Global Health Initiative’s goal is to save the greatest number of lives by increasing and building upon what works and, then, supporting countries as they strive to improve the health of their own people.  Mozambique’s 2011-2015 Global Health Strategy focus was devised on the same premise and directly responds to the central problems facing the health sector, such as a lack of access to basic health services and the difficulty in distributing resources to those who need them most.

Together, we are confident that we can turn the tide of the HIV/AIDS scourge and realize the dream of an AIDS-free generation, not only in Mozambique, but around the globe.

Implementing Agencies

The U.S. President's Emergency Plan for AIDS Relief (PEPFAR) is a bold call for action abroad and an equally bold call for a "new way of doing business" in the United States. Under the leadership of the U.S. Global AIDS Coordinator, new structures and systems have been established at every level of the U.S. Government working in international HIV/AIDS to ensure a unified strategic approach to combating the epidemic abroad.

The implementing agencies of the U.S. Government have heeded the Coordinator's call to "leave their uniforms at the door" and come together in the common cause of turning the tide against the HIV/AIDS pandemic.

The primary PEPFAR implementing departments and agencies in Mozambique are:

  1. Department of State (DOS)
  2. Department of Defense (DOD)
  3. U.S. Agency for International Development (USAID)
  4. Department of Health and Human Services (HHS)
  5. Peace Corps

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