Deep Engagement Mozambique

© Corrie Wingate for Frontline AIDS

This programme exists because no-one should be denied healthcare because of their sexual orientation or gender identity.

This programme will improve access to HIV and sexually transmitted infection (STI) prevention, care and treatment services for 8,500 lesbian, gay, bisexual and transgender (LGBT) people in Mozambique.

It will also:

  • Build the capacity of health facilities to provide effective, stigma free services.
  • Advocate for government accountability in delivering quality health services.
  • Scale up access to interventions for LGBT people.

Mozambique has the eighth highest HIV prevalence globally (11.5%). But very little information is available about how LGBT people in the country are affected. The penal code was successfully amended to remove colonial era dispositions against homosexuality in 2007, but there are no laws protecting LGBT people from discrimination.

One survey found HIV prevalence rates among men who have sex with men (MSM) of 8.2% in Maputo, 9.1% in Beira and 3.1% in Nampula. When they just studied MSM under 25 years the prevalence rates increased to 33.8 %, 32.1 and 10.3%.

We know that LGBT communities have been left behind by the national AIDS response. Stigma and discrimination permeate the wider society and traditional norms and laws, marginalising LGBT who hide their sexuality to avoid facing discrimination and often violence. This hostile environment discourages LGBT people from getting tested for HIV and STIs, and accessing healthcare services.

This programme runs from 2017–2019 and is funded by EJAF, and comprised of consortium members including Frontline AIDS (Consortium Lead), AMODEFA (Associação Moçambicana Para o Desenvolvimento da Familia), LAMBDA (Mozambican Association for Sexual Minorities), and Health GAP.

OUR RESULTS

Since the start of the programme, we have supported:

  • 9,863 LGBT people access tailored packages of HIV & STI preventive and treatment services.
  • 7,386 LGBT people in Mozambique test for HIV and received their results.
  • 24 LGBT representatives engage in or attend decision making spaces.

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