PMID- 25378759
OWN - NLM
STAT- MEDLINE
DCOM- 20160922
LR  - 20181113
IS  - 1564-0604 (Electronic)
IS  - 0042-9686 (Print)
IS  - 0042-9686 (Linking)
VI  - 92
IP  - 9
DP  - 2014 Sep 1
TI  - Mobile clinics for antiretroviral therapy in rural Mozambique.
PG  - 680-4
LID - 10.2471/BLT.13.129478 [doi]
AB  - PROBLEM: Despite seven years of investment from the President's Emergency Plan 
      For AIDS Relief (PEPFAR), the expansion of human immunodeficiency virus 
      (HIV)-related services continues to challenge Mozambique's health-care 
      infrastructure, especially in the country's rural regions. APPROACH: In 2012, as 
      part of a national acceleration plan for HIV care and treatment, Namacurra 
      district employed a mobile clinic strategy to provide temporary manpower and 
      physical space to expand services at four rural peripheral clinics. This paper 
      describes the strategy deployed, the uptake of services and the key lessons 
      learnt in the first 18 months of implementation. LOCAL SETTING: In 2012, 
      Namacurra s adult population was estimated to be 125,425, and of those 15,803 
      were estimated to be HIV infected. Although there is consistent government 
      support of antiretroviral therapy (ART) programmes, national coverage remains 
      low, with less than 15% of those eligible having received ART by December 2012. 
      RELEVANT CHANGES: Between April 2012 and September 2013, Namacurra district 
      enrolled 4832 new patients into HIV care and treatment. By using the mobile 
      clinic strategy for ART expansion, the district was able to expand provision of 
      ART from two to six (of a desired seven) clinics by September 2013. LESSONS 
      LEARNT: Mobile clinic strategies could rapidly expand HIV care and treatment in 
      under-funded settings in ways that both build local capacity and are sustainable 
      for local health systems. The clinics best serve as a transition to improved 
      capacity at fixed-site services.
FAU - Moon, Troy D
AU  - Moon TD
AD  - Vanderbilt Institute for Global Health, 2525 West End Avenue, Suite 750, 
      Nashville, Tennessee 37203, United States of America (USA).
FAU - Jequicene, Tito
AU  - Jequicene T
AD  - Friends in Global Health, Limited Liability Corporation, Quelimane, Mozambique .
FAU - Blevins, Meridith
AU  - Blevins M
AD  - Vanderbilt Institute for Global Health, 2525 West End Avenue, Suite 750, 
      Nashville, Tennessee 37203, United States of America (USA).
FAU - Jose, Eurico
AU  - Jose E
AD  - Friends in Global Health, Limited Liability Corporation, Quelimane, Mozambique .
FAU - Lankford, Julie R
AU  - Lankford JR
AD  - Friends in Global Health, Limited Liability Corporation, Quelimane, Mozambique .
FAU - Wester, C William
AU  - Wester CW
AD  - Vanderbilt Institute for Global Health, 2525 West End Avenue, Suite 750, 
      Nashville, Tennessee 37203, United States of America (USA).
FAU - Fuchs, Martina C
AU  - Fuchs MC
AD  - Real Medicine Foundation, Los Angeles, California, USA .
FAU - Vermund, Sten H
AU  - Vermund SH
AD  - Vanderbilt Institute for Global Health, 2525 West End Avenue, Suite 750, 
      Nashville, Tennessee 37203, United States of America (USA).
LA  - eng
GR  - U2G PS000631/PS/NCHHSTP CDC HHS/United States
GR  - U2GPS000631/PHS HHS/United States
GR  - PEPFAR/United States
PT  - Journal Article
PT  - Research Support, U.S. Gov't, P.H.S.
DEP - 20140619
PL  - Switzerland
TA  - Bull World Health Organ
JT  - Bulletin of the World Health Organization
JID - 7507052
RN  - 0 (Anti-HIV Agents)
SB  - IM
MH  - Anti-HIV Agents/*supply & distribution
MH  - Government Programs
MH  - HIV Infections/*drug therapy/epidemiology
MH  - Health Services Accessibility
MH  - Humans
MH  - *Mobile Health Units
MH  - Mozambique/epidemiology
MH  - Rural Population
PMC - PMC4208568
EDAT- 2014/11/08 06:00
MHDA- 2016/09/23 06:00
PMCR- 2014/09/01
CRDT- 2014/11/08 06:00
PHST- 2013/08/27 00:00 [received]
PHST- 2014/03/12 00:00 [revised]
PHST- 2014/03/17 00:00 [accepted]
PHST- 2014/11/08 06:00 [entrez]
PHST- 2014/11/08 06:00 [pubmed]
PHST- 2016/09/23 06:00 [medline]
PHST- 2014/09/01 00:00 [pmc-release]
AID - BLT.13.129478 [pii]
AID - 10.2471/BLT.13.129478 [doi]
PST - ppublish
SO  - Bull World Health Organ. 2014 Sep 1;92(9):680-4. doi: 10.2471/BLT.13.129478. Epub 
      2014 Jun 19.