HIV scale-up in Mozambique: Exceptionalism, normalisation and global health

Høg, Erling

doi:10.1080/17441692.2014.881522

Cited by 18 publications

(19 citation statements)

References 30 publications

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“…Many NTDs have a regional relevance but are not widely distributed [3]. Considering that low-income countries usually have restricted resources for health programs [2], the resilient epidemic of HIV/AIDS, tuberculosis and malaria in sub-Saharan Africa could overcome NTDs rank [87, 88], .In fact, it has been observed that these diseases dominate infectious diseases research whereas global NTDs research intensity is still low [88, 89].…”

Section: Discussionmentioning

confidence: 99%

Frequency and distribution of neglected tropical diseases in Mozambique: a systematic review

et al. 2019

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BackgroundNeglected tropical diseases (NTDs) affect more than one billion people living in vulnerable conditions. In spite of initiatives recently contributing to fill NTDs gaps on national and local prevalence and distribution, more epidemiological data are still needed for effective control and elimination interventions.Main textMozambique is considered one of the countries with highest NTDs burden although available data is scarce. This study aims to conduct a systematic review on published available data about the burden and distribution of the different NTDs across Mozambique since January 1950 until December 2018. We identified manuscripts from electronic databases (Pubmed, EmBase and Global Health) and paper publications and grey literature from Mozambique Ministry of Health. Manuscripts fulfilling inclusion criteria were: cross-sectional studies, ecological studies, cohorts, reports, systematic reviews, and narrative reviews capturing epidemiological information of endemic NTDs in Mozambique. Case-control studies, letters to editor, case reports and case series of imported cases were excluded. A total of 466 manuscripts were initially identified and 98 were finally included after the revision following PRISMA guidelines. Eleven NTDs were reported in Mozambique during the study span. Northern provinces (Nampula, Cabo Delgado, Niassa, Tete and Zambezia) and Maputo province had the higher number of NTDs detected. Every disease had their own report profile: while schistosomiasis have been continuously reported since 1952 until nowadays, onchocerciasis and cysticercosis last available data is from 2007 and Echinococcosis have never been evaluated in the country. Thus, both space and time gaps on NTDs epidemiology have been identified.ConclusionsThis review assembles NTDs burden and distribution in Mozambique. Thus, contributes to the understanding of NTDs epidemiology in Mozambique and highlights knowledge gaps. Hence, the study provides key elements to progress towards the control and interruption of transmission of these diseases in the country.

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Section: Discussionmentioning

confidence: 99%

Frequency and distribution of neglected tropical diseases in Mozambique: a systematic review

et al. 2019

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“…In 2010 national estimates of HIV–prevalence among 15–49 year–olds were 13.8% and among pregnant women 15.8% [ 11 ]. However, UNAIDS–adjusted estimates for adults, taking into account the population structure, were somewhat lower (11% in 2011) [ 12 ].…”

Section: Contextmentioning

confidence: 99%

“…At the time of the iron study, pregnant women in Maputo were eligible for and utilized prenatal care (unpublished data from local experts), and HIV testing was routinely offered the whole country [ 15 ]. In Mozambique, the guideline on the organization of HIV–treatment was revised during the years of the study [ 12 , 16 ]. To our knowledge, HIV–positive women were given antiretroviral drugs in some Maputo prenatal centers, but not in other prenatal centers (unpublished data from local experts).…”

Section: Contextmentioning

confidence: 99%

Causes of death among women aged 17–49 years between 2007 and 2010 in Maputo, Mozambique

Parkkali

Nwaru

Augusto

et al. 2017

Journal of Global Health

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ObjectivesTo describe causes of death among young women and estimate the role of HIV/AIDS as a cause in Maputo City, based on the civil death register.MethodsDeath data of 17–49 year–old women were abstracted from January 2007–March 2010 from the civil death register in Maputo City, registering overall about 15 000 deaths per–year. Causes of death in the register were either based on physicians’ diagnoses on death certificates or determined by asking questions to deceased relatives. Causes of death were written in Portuguese; we translated them into English and classified them into 106 codes using ICD–9; these codes were then categorized into 10 groups. Estimated populations from the 2007 census were used to calculate annual mortality rates. An earlier study was used to compare deaths in 2001.FindingsA total of 9640 deaths (6510 for residents of Maputo City) were registered and 77% had a specified cause of death reported. HIV–deaths represented 36% of all deaths and 40% among 25–39 year–olds. The death rate did not increase linearly by age, as there was a peak among women aged 30–34 years. The overall annual death rate was 6.7 deaths per 1000 population, with a notable decline by year. Death rates for HIV slightly declined by year. HIV–deaths explained most of the peak in death rate among 30–34–year–olds. The share of HIV–deaths among all deaths increased from 18% in 2001 to 35% in 2007–2010. Sixty–eight percent of all and 92% of HIV–related deaths occurred in hospital, with no increase over time.ConclusionsRoutine death register was useful to study death rates, distribution of deaths, and change over time in the urban setting of Maputo during late 2000s. Over time, the death rate among 17–49 years old women seemed to have declined, but the relative contribution of HIV increased.

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“…The reality of life-saving and health-restoring treatment for HIV infection is now common in many regions. However, rollout of antiretroviral treatment (ART) has been uneven, disproportionate, and frequently troubled (David 2014;Høg 2014;Kenworthy and Parker 2014). For those on medication, the process of taking treatment is embedded in social processes and concerns, and thus becomes part of the so-called new normal of living with HIV over a long period of time (Hardon and Moyer 2014a;McGrath et al 2014;Moyer and Hardon 2014;Russell, Seeley, and Whiteside 2010).…”

Section: Introductionmentioning

confidence: 99%

Routines, Hope, and Antiretroviral Treatment among Men and Women in Uganda

et al. 2016

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Antiretroviral treatment programs, despite biomedical emphases, require social understanding and transformations to be successful. In this paper, we draw from a qualitative study of HIV treatment seeking to examine the drug taking routines and health-related subjectivities of men and women on antiretroviral treatment (ART) at two sites in Uganda. We show that while not all participants in ART programs understand clinical protocols in biomedical terms, they adopt treatment taking strategies to integrate medication into daily practices and social spaces. In turn, these embedded practices and understandings, shape long term hopes and fears for living with HIV, including the possibility of a cure. More significant than new forms of citizenship or sociality, the authors suggest that quotidian dimensions of treatment normalization shape the long term experience of medication and outlook for the future.

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HIV scale-up in Mozambique: Exceptionalism, normalisation and global health

Cited by 18 publications

References 30 publications

Frequency and distribution of neglected tropical diseases in Mozambique: a systematic review

Frequency and distribution of neglected tropical diseases in Mozambique: a systematic review

Causes of death among women aged 17–49 years between 2007 and 2010 in Maputo, Mozambique

Routines, Hope, and Antiretroviral Treatment among Men and Women in Uganda

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