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Results 1 – 12 Brazilian photo personals. Profile ID: Ana, 63 y. Members are offered free access to the Internet via the IRCs computers; prior registration for minute time slots is requested. We also serve out-of-town queries sent by fax, e-mail or letter. Membership is open to all residents of Mozambique who are 18 years of age or older. Applicants will be asked to complete a form, agree to comply with library regulations and present official identification registration card, passport, or school registration card.
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Access to antiretroviral treatment ART has expanded dramatically in resource-limited settings. Routine data was analyzed for adults receiving services in two public HIV care systems in central Mozambique. During the month study period — , an estimated 23, adults were tested for HIV, and 7, Only 3, CD4 testing was obtained in Of 1, eligible for ART, Substantial drop-offs were observed for each step between HIV testing and treatment, but were highest for referral from HIV testing to treatment sites and for starting ART.
Interventions are needed to improve follow-up and ensure that people benefit from available HIV services. Over the last several years, access to antiretroviral ARV medications has expanded dramatically in resource-limited countries, where the majority of people with HIV live. From December through December , the number of people on antiretroviral treatment ART in low- and middle-income countries increased from , to almost 3 million people, with a concurrent fold increase in Sub-Saharan Africa alone.
While prior studies have identified problems in utilization and follow-up in components of HIV care, such as HIV testing or follow-up after starting ART, 4 — 7 few have systematically described HIV care utilization and follow-up at the population level through all steps in HIV care. The aim of this paper is to systematically examine the flow of people from HIV testing to treatment in two urban HIV Care Networks in central Mozambique, to identify bottlenecks that contribute to low service utilization and loss to follow-up.
This approach could lead to interventions to improve program effectiveness, and may also be applied to similar resource-limited settings where rapid and equitable expansion of ARV treatment is a priority.
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Communication on sexuality within the family has been considered a determinant factor for the sexual behaviour of young women, contributing to delaying sexual initiation. Taking into account that young women are increasingly exposed to sexualized messages, they need clear, trustful and open communication on sexuality more than ever. However, in Mozambique, communication about sexuality is hampered by strict social norms. This paper evaluates the case of an intervention aimed at reducing the generational barrier for talking about sexuality and to contribute to better communication within the family context.
The intervention consisted of three weekly one-hour coached sessions in which female adults and young interacted about sexuality. Realist evaluation was used as a framework to assess context, mechanisms, and outcomes of the intervention. Interviews were conducted among 13 participants of the sessions. The interaction sessions were positively appreciated by the participants and contributed to change norms and attitudes towards communication on sexuality within families.
Recognition of similarities and awareness of differences were key in the mechanisms leading to these outcomes. This was reinforced by the use of visual materials and the atmosphere of respect and freedom of speech that characterized the interactions. Limiting factors were related to the long-standing taboo on sexuality and existing misconceptions on sexuality education and talks about sex.
By elucidating mechanisms and contextual factors our study adds knowledge on strategies to improve transgenerational communication about sexuality.
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