The Mozambique HIV Testing and Care (HTC) Linkages study, funded by USAID under the HIVCore Task Order, was conducted in central Mozambique from April 2012 – March 2013. The study objectives were to better understand the landscape of HIV testing and enrollment in care in six districts of Sofala and Manica Provinces and to explore the linkages between enrollment and retention in HIV care in eight key health facilities offering ART in those six districts.
The linkages were defined as:
- the proportion of those who tested positive for HIV who are registered in HIVcare;
- the proportion of those registered in HIV care who have evidence of initiating HIV care (both antiretroviral therapy (ART) and pre-ART); and
- the proportion of those with evidence of initiating ART who remain in active treatment at stipulated time periods.
The study was also designed to provide recommendations for the MOH and USAID in Mozambique to improve these linkages. Specific study objectives were to:
- Identify and describe the universe of HIV testing and linkages to enrollment and retention in HIV
care in the target districts.
- Identify the major community, household, individual, and health system factors that were perceived to affect linkages to enrollment and retention in HIV care and treatment.
- Examine how HIV-positive clients describe their experiences and perceptions of their sero-status and their health-seeking trajectory in the context of HIV, including how social and structural factors affect their utilization of health care services.
- Assess how client perceptions of HIV testing and HIV care affect behaviors regarding enrollment and utilization of HIV care, including delayed enrollment (>1 month after testing) and loss to follow-up (LTFU) within HIV care.
- With participation from community and health care worker representatives, identify points of intervention to improve outreach and care for HIV-positive clients.
The final report, available here for download, reports on the study findings and provides recommendations for improvement.
Gloyd, Stephen, Celso Inguane, João l. Manuel, Lúcia Vieira, Pires M. Afonso, Mehol Jamnadás,
Wisal Mustafa Hassan, Orvalho Augusto, Jama Joy Bernard, James Cowan, Samuel Kalibala, and James Pfeiffer. 2016.“Assessing linkages between HIV testing and HIV care enrollment and retention in central Mozambique,” HIVCore Final Report. Washington, DC: USAID | Project Search:HIVCore.