The first AIDS case in Mozambique was diagnosed in 1986. It was a foreign citizen who was already infected when he entered the Country.
Already in 1985, a World Health Organisation (WHO) Expert Committee meeting in Bangui, had made a definition of a clinical case of AIDS in Africa. From then on, WHO recommended that member countries set up National AIDS Committees. It is within this framework that, in August of 1986, the first body to spearhead the fight against AIDS was established in Mozambique, called National AIDS Commission (CNCS). This Commission was headquartered at the National Health Institute (INS).
The Southern Africa Development Community (SADC) region is the worst affected by HIV and AIDS in the world. The combined population of the SADC states amounts to only 3.5 per cent of the world's population, but accounts for more than 37 per cent of people living with HIV and AIDS HIV transmission in the region is predominantly heterosexual (92%). Consequently, the most affected are the sexually active adults in the 20 to 49-year age group, the so-called producers and providers. Vertical transmission from mother to child accounts for 7 per cent of total infections and childhood HIV infection is now the underlying factor in the majority of childhood illnesses in the highly affected Member States. in the world.
The aim is to ensure as broad a participation in HIV/AIDS combat activities as possible because it is only through concerted effort of all population segments that we will be able to contain the rapid progression of the disease and significantly reduce the rates of incidence.
The National HIV/AIDS Strategic Framework expired at the end of October 2004, necessitating the development of a new National HIV/AIDS Action Framework to guide the national response. This National HIV/AIDS Action Framework (NAF) 2005 - 2009 is a culmination of the End of Term Review of the National Strategic Framework (NSF). While the review acknowledged the achievements during the past five years, it also recognised the challenges and the gaps in the response. These gaps exist in service coverage for HIV/AIDS prevention, treatment, care and support.
The biggest challenge is to translate universal awareness of HIV/AIDS into behaviour change. Despite awareness of the modes of HIV transmission, during the past five years prevalence rates have stabilised but remained high. Moreover, mitigation interventions have largely remained undeveloped, and treatment is an emerging, critical issue that needs to be addressed.