MEASURE Evaluation worked extensively with government institutions and international stakeholders involved in the HIV/AIDS response.

Mozambique is endowed with rich and extensive natural resources with a country annual average gross domestic product (GDP) growth among the world’s highest. However, the country ranks among the lowest in GDP per capita, human development indicators, measures of inequality, and average life expectancy (53.3 years).

To learn how this work is continuing after the MEASURE Evaluation project, please visit TB DIAH.

With an adult HIV prevalence rate of 12.3 percent, Mozambique faces one of the world’s most severe HIV infection rates. The median age in Mozambique is 17.1 years old and 66.4 percent of the population is under the age of 24.

MEASURE Evaluation  worked with government institutions and international stakeholders involved in the HIV/AIDS response to strengthen information systems and build capacity in monitoring and evaluation (M&E) of programs. In addition, we conducted operations research and evaluations to inform policy design and health program implementation.

Starting in 2016, MEASURE Evaluation supported the DREAMS Initiative (which helps girls develop into Determined, Resilient, Empowered, AIDS-free, Mentored, and Safe women) and work with orphans and vulnerable children. MEASURE Evaluation's work also included:

  • Conducting a male characterization study aimed at better understanding the partners of adolescent girls and young women (AGYW) in order to improve the delivery of prevention services and thus contribute to the reduction of infection rates among AGYW in Mozambique.
  • Gathering information from the literature and projects in Mozambique implementing girls’ clubs and savings clubs for AGYW on the correct dosage for girls’ and savings clubs (e.g., length of participation, number of sessions) to achieve their intended outcomes; and approaches to measuring and ensuring consistent participation (or “retention”) in these groups. We will summarize findings and provide guidance on data collection (e.g., interview topics and suggested methods) for programs to use to improve retention in girls’ clubs and savings groups for AGYW.

Prior MEASURE Evaluation activities to improve data gathering and health management information systems (HMIS) included:

  • Developing and testing a patient registration database and electronic patient tracking systems as part of HMIS registers for the Ministry of Defense health facilities, including tracking of patients for routine health information services with manuals to guide in-country providers to sustain the system.
  • Microsoft Excel reporting system improvements to streamline reporting and data aggregation for PEPFAR partners in Mozambique, plus training for partners in data quality assessment.
  • Developing an M&E plan for the Ministry of Women and Social Action (now the Ministry of Gender and Children), and providing technical support to the Ministry of Foreign Affairs in developing a database to manage information about what types of work international, health-related nongovernmental organizations are doing in the country.

Other work included:

  • Evaluation of a large community-based HIV program
  • Operations research of a mHealth pilot to improve patient retention
  • Translation into Portuguese (the official local language) of many M&E tools – such as the Data Quality Methodology and RDQA Tools and online M&E Fundamentals course; these translations have been disseminated widely in Mozambique and in other countries where Portuguese is spoken.

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Filed under: HIV/AIDS , Mozambique , Health Information Systems
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