Forcas Armadas de Defesa de Mocambique Treatment Program Support

Abstract

Jhpiego, a nonprofit affiliate of the Johns Hopkins University, is pleased to offer the U.S. Department of Defense (DOD) a seven-month proposal for $1,541,839 to provide support to the DOD’s Military Specific HIV/AIDS Prevention, Care and Treatment Program for the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR)-funded countries. Through this award, Jhpiego will work with the Forças Armadas de Defesa de Moçambique (FADM) to implement a comprehensive HIV prevention program targeting military personnel, their families and civilians who live in communities near FADM bases. Currently, Jhpiego implements the DOD-funded prevention project, “Supporting Acceleration of HIV Prevention within the FADM,” in close collaboration with the FADM. While HIV prevalence is 11.5% in the general population, Mozambique faces a higher prevalence rate among its 11,000 active-duty military personnel, , likely due to the mobile nature of their work assignments, which is associated with risky behaviors such as inconsistent condom use, sexual relationships with multiple partners, and alcohol abuse. In high-prevalence countries like Mozambique, a comprehensive package for HIV prevention should include voluntary medical male circumcision (VMMC), as recommended in 2007 by the World Health Organization and the Joint United Nations Program on HIV/AIDS. The goal of the project is to contribute to the reduction of new HIV infections and other sexually transmitted infections among members of the FADM, their families and the civilian communities served by the FADM. Specific project objectives are to: 1) support the FADM to conduct 3,650 VMMCs for the military population and 7,650 for civilians; 2) support the FADM to provide HIV testing services to 9,410 military and 12,545 civilians; and 3) implement nonclinical HIV prevention activities. This project will also serve to ensure program continuity and maintain momentum of the current DOD-funded prevention project. In Year 1 of implementation, Jhpiego successfully expanded prevention services to more than 30 sites (fixed and temporary) across the country and conducted 13,397 VMMCs. This corresponds to roughly 90% of the project’s Year 1 target, with high coverage (58%) among clients aged 15–29 and the military population (14% of all VMMCs were among military, of which 87% were aged 18–29). In the first nine months of Year 2 of implementation (July 1, 2016 to March 31, 2017), Jhpiego has already conducted a total of 20,078 VMMCs, corresponding to 100.4% of its annual VMMC target of 20,000. Program activities will be unified under a single HIV prevention program brand and slogan specifically by and for the FADM. Activities will be supported by a marketing and communications campaign that promotes the adoption of effective HIV prevention practices and behaviors and raises awareness of available VMMC and HIV testing services for military personnel, their families and civilians in surrounding communities. Strategies have been identified to contribute to program sustainability, including ensuring direct participation of military staff, engaging military leadership to build their capacity and institutionalize the HIV prevention program in the FADM, and achieving an affordable unit cost for VMMC

Document Details

Document Type
DoD Grant Award
Publication Date
Sep 28, 2017
Source ID
N002441710039

Entities

People

  • Leonardo Chavane

Organizations

  • United States Navy

Tags

Fields of Study

  • Medicine

Readers

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