The vertical transmission of HIV, which occurs from mother to child during pregnancy, childbirth, or breastfeeding, remains a significant challenge in the fight against the HIV epidemic. In countries such as Mozambique, where the prevalence of the disease is high, prevention during this critical phase is a public health priority. In the Zambézia Province, various initiatives are underway to ensure that mothers and children have a healthy start to life, HIV-free.
Estima-se que uma significativa percentagem de mulheres grávidas seja portadora do HIV. A prevenção vertical é uma estratégia essencial que envolve várias acções, desde o diagnóstico precoce até o tratamento antirretroviral, proporcionando às gestantes a oportunidade de ter filhos saudáveis. Compreender a magnitude do problema e os esforços direccionados à sua mitigação é fundamental para a efectividade das políticas de saúde.
With the support of C-Saúde, healthcare professionals in Zambézia have mobilized programs that aim not only to treat but also to educate. In interviews with Maternal and Child Health Nurses (MCHN) working at the Nicoadala health unit, the impact of prenatal sessions that include HIV testing and guidance on the use of antiretroviral treatment was highlighted. “It is vital for women to understand that, with proper treatment, they can have healthy, HIV-free babies,” stated Lizete Manuel, an ESMI nurse.
Additionally, community information campaigns have been organized to bring information to remote areas. Community health agents have conducted lectures and distributed informational materials about HIV prevention, addressing myths and realities that still surround the topic.
Madalena Jamal, uma jovem mãe de três filhos, partilha sua experiência: "Quando soube que era HIV positivo, pensei que não teria esperança. Mas com o apoio do hospital e do tratamento, consegui ter meu último filho sem o vírus. Ele é saudável e feliz." Essa narrativa destaca não apenas a importância da prevenção vertical, mas também o impacto transformador que pode ter na saúde das mães e dos recém-nascidos
Despite progress, significant challenges remain. Negative social perceptions associated with HIV still prevent many women from seeking healthcare services. Additionally, the lack of resources in some areas and limited access to maternity care and other quality health services hinder the effective implementation of prevention programs.
To address these barriers, C-Saúde is finding solutions by training community and religious leaders, midwives, and traditional birth attendants, who support health promotion and mobilize pregnant and lactating women to access healthcare services.
Lizete Manuel, provedora de saúde, realiza o aconselhamento sobre o PTV (Prevenção da Transmissão Vertical) utilizando um guião para incentivar a desão das mulheres grávidas
