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Mozambique - HIV/AIDS Response Project (English)

Ratings for the HIV/AIDS Response Project for Mozambique were as follows: outcomes were moderately satisfactory, the risk to development outcome was substantial, the Bank performance was moderately satisfactory, and the Borrower performance was also moderately satisfactory. Some lessons learned included: while a strictly technical public health approach would direct resources from the start towards targeting interventions to geographic areas and population groups with the highest HIV prevalence, that direction may from a longer term perspective not always be the right one. Money came to the Mozambican communities because of AIDS. As a result, communities organized themselves. They were empowered to begin to take control of their lives. The income generating activities assisted vulnerable groups to better cope with their vulnerability, and demonstrated that a small amount of money could go a long way. They focused on the enormous and immediate needs of orphans and vulnerable children. These impact mitigation efforts opened the door for an open dialogue in the communities on the risks for HIV infection and laid the foundation for a community-based approach to prevention. Active involvement of civil society means that one must be prepared to finance its priorities, even if these are not immediately and evidently perceived as the most cost-effective to curb the epidemic. The Bank responded swiftly and appropriately to addressing the HIV/AIDS situation in Mozambique when there were few development partners on the ground and limited financing. The fact that the basic design of the project could be maintained through five amendments to the Development Grant Agreement (DGA) proves that the Multi-country AIDS Program (MAP) instrument was used in a flexible way and could respond to the country's evolving needs as the national strategy developed and new partners came on board.

Details

  • Document Date

    2011/12/28

  • Document Type

    Implementation Completion and Results Report

  • Report Number

    ICR2023

  • Volume No

    1

  • Total Volume(s)

    1

  • Country

    Mozambique,

  • Region

    Africa,

  • Disclosure Date

    2012/01/25

  • Disclosure Status

    Disclosed

  • Doc Name

    Mozambique - HIV/AIDS Response Project

  • Keywords

    adolescents, Adult prevalence, aged, AIDS Control, AIDS epidemic, AIDS epidemics, AIDS Program, AIDS Relief, AIDS treatment, alleviation of poverty, ante-natal care, architecture, awareness raising, Behavior Change, behavioral change, behavioral changes, blood safety, blood transfusion, blood transfusion equipment, Capacity Building, case of AIDS, chronic disease, circumcision, civil society groups, civil society organizations, civil war, clinics, commercial sex, commercial sex workers, Commodity Security, condom, condoms, dangers, development assistance, Development Objectives, diagnosis, diagnosis of AIDS, drugs, Emergency Plan, environmental requirements, families, family members, Female, females, Gender, Gross National Product, health care, health care facilities, Health centers, health facilities, health ministries, Health Sector, health sector reform, health services, Health systems, health workers, high risk groups, HIV, HIV infection, HIV positive, HIV Prevention, HIV testing, HIV transmission, HIV/AIDS, hospital, hospitals, Human Development, infection rate, institutional capacity, international trends, intervention, journalists, large population, local authorities, male circumcision, management of health, Medical supplies, medicines, migrant, Ministry of Health, Multi-country AIDS, multilateral organizations, National AIDS, National AIDS Control, National Council, national government, national leaders, national level, national plan, national strategy, national surveillance, needles, neighborhood, nurses, opportunistic infections, orphans, palliative care, patients, Pharmaceuticals, population groups, population movements, post -exposure prophylaxis, Post-exposure prophylaxis, pregnant women, pretesting, prevalence rate, prevalence rates, prevention activities, prevention efforts, prevention interventions, preventive therapy, progress, prostitute, public health, public health problem, Public Service, quality control, radio, rate of condom use, refugees, religious leaders, reproductive health, risk groups, risk of transmission, rural communities, rural development, safety nets, service delivery, sex with men, sex workers, sexual behavior, sexual encounters, sexual partners, sexual practices, sexual relation, sexual relations, sexually transmitted infections, Social Development, social services, STDs, STIs, surveillance data, Syndrome, syringes, TB, technical assistance, trade unions, Transmission, Treatment Acceleration Project, Tuberculosis, TV, UNAIDS, UNFPA, United Nations Population Fund, unsafe sex, Virus, Voluntary Counseling, vulnerability, vulnerable children, vulnerable groups, waste, young girls, young men, young people, young women, youth

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Citation

Mozambique - HIV/AIDS Response Project (English). Washington, D.C. : World Bank Group. http://documents.worldbank.org/curated/en/452951468058525139/Mozambique-HIV-AIDS-Response-Project