{"id":6090,"date":"2026-11-06T18:56:36","date_gmt":"2026-11-06T16:56:36","guid":{"rendered":"https:\/\/csaude.org.mz\/?p=6090"},"modified":"2026-11-06T19:08:36","modified_gmt":"2026-11-06T17:08:36","slug":"strengthening-misau-district-leadership-in-the-hiv-response-in-zambezia-province","status":"publish","type":"post","link":"https:\/\/csaude.org.mz\/pt\/2026\/11\/06\/strengthening-misau-district-leadership-in-the-hiv-response-in-zambezia-province\/","title":{"rendered":"Refor\u00e7ar a lideran\u00e7a distrital do MISAU na resposta ao HIV na prov\u00edncia da Zamb\u00e9zia"},"content":{"rendered":"\n

\u201cOur greatest legacy is to ensure the sustainability of interventions and results, even in C-Sa\u00fade\u2019s absence.\u201d<\/em> \u2014 Helder Boavida, C-Sa\u00fade Graduation Focal Point in Zamb\u00e9zia Province<\/strong><\/p>\n\n\n\n

For more than 20 years, USG-supported institutions have provided support to the Government of Mozambique (GoM) health authorities in Zamb\u00e9zia through direct service delivery and technical support. In 2023, C-Sa\u00fade, in cooperation with the GoM and the Centers for Disease Control (CDC), began a gradual process of transferring these responsibilities to government authorities, known as graduation<\/em>. This process aims to strengthen government ownership of interventions while preserving the systems and practices that ensure the continuity of HIV services.<\/p>\n\n\n\n

The first dimension of graduation is financial. By September 2026, 10 of the 19 districts in Zamb\u00e9zia supported by C-Sa\u00fade had completed this stage, covering more than 350 health workers. Training, joint supervision, and mentorship prepared district officials to manage these activities with greater autonomy.<\/p>\n\n\n\n

The second dimension is technical. District teams progressively take on activities previously carried out by C-Sa\u00fade staff, leading visits to health facilities, reviewing performance, and identifying and addressing service delivery gaps. Throughout this process, C-Sa\u00fade continues to support provincial data reviews. By September 2026, 18 health facilities had completed this transition.<\/p>\n\n\n\n

\"\"
\u201cPreviously, supervision depended more on the supporting institution […]. Today, it is easier to carry out this work, and we feel much more empowered to take on this responsibility,\u201d<\/em> explains Anafade Em\u00edlio, Nicoadala District Medical Chief.<\/figcaption><\/figure>\n\n\n\n

According to Boavida, strengthening joint supervision has been one of the most important changes. Under this approach, provincial and district officials identify gaps, guide health facility teams, and monitor their performance.<\/p>\n\n\n\n

C-Sa\u00fade has also supported the systematic use of standard operating procedures (SOPs), clinical workflows, and monitoring tools, including those related to viral load testing. The aim of this support is to ensure that consistent service delivery practices continue beyond the period of C-Sa\u00fade’s support. As Em\u00edlio acknowledges: \u201cWe have learned so much from our C-Sa\u00fade colleagues!\u201d<\/em><\/p>\n\n\n\n

The experience in Nicoadala served as a reference for subsequent graduation processes, including in Mocuba, where five health facilities took part in this transition. District authorities now lead technical supervision, the regular review of HIV indicators, and the planning of measures to address identified gaps.<\/p>\n\n\n\n

\n

\u201cDiscussions of data at each health facility, the development and follow-up of action plans, the availability of activity documentation, and ownership of the process of improving indicators have all been sustained,\u201d<\/em> says Dion\u00edsio Maitor Jo\u00e3o, Mocuba District Director of Health.<\/p>\n<\/div>

\"\"<\/figure><\/div>\n\n\n\n

Ultimately, graduation represents an investment in people, systems, and management practices that ensure the continuity of HIV services. This process enables district teams to become increasingly prepared to maintain service quality and the results achieved, with progressively less support from external institutions.<\/p>\n\n\n\n

<\/p>\n\n\n\n

<\/p>\n\n\n\n

This success story is made possible by the generous support of the United States Government.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

\u201cOur greatest legacy is to ensure the sustainability of interventions and results, even in C-Sa\u00fade\u2019s absence.\u201d \u2014 Helder Boavida, C-Sa\u00fade Graduation Focal Point in Zamb\u00e9zia Province For more than 20 years, USG-supported institutions have provided support to the Government of Mozambique (GoM) health authorities in Zamb\u00e9zia through direct service delivery and technical support. In 2023, C-Sa\u00fade, in cooperation with the GoM and the Centers for Disease Control (CDC), began a gradual process of transferring these responsibilities to government authorities, known as graduation. This process aims to strengthen government ownership of interventions while preserving the systems and practices that ensure the continuity of HIV services. The first dimension of graduation is financial. By September 2026, 10 of the 19 districts in Zamb\u00e9zia supported by C-Sa\u00fade had completed this stage, covering more than 350 health workers. Training, joint supervision, and mentorship prepared district officials to manage these activities with greater autonomy. The second dimension is technical. District teams progressively take on activities previously carried out by C-Sa\u00fade staff, leading visits to health facilities, reviewing performance, and identifying and addressing service delivery gaps. Throughout this process, C-Sa\u00fade continues to support provincial data reviews. By September 2026, 18 health facilities had completed this transition. According to Boavida, strengthening joint supervision has been one of the most important changes. Under this approach, provincial and district officials identify gaps, guide health facility teams, and monitor their performance. C-Sa\u00fade has also supported the systematic use of standard operating procedures (SOPs), clinical workflows, and monitoring tools, including those related to viral load testing. The aim of this support is to ensure that consistent service delivery practices continue beyond the period of C-Sa\u00fade’s support. As Em\u00edlio acknowledges: \u201cWe have learned so much from our C-Sa\u00fade colleagues!\u201d The experience in Nicoadala served as a reference for subsequent graduation processes, including in Mocuba, where five health facilities took part in this transition. District authorities now lead technical supervision, the regular review of HIV indicators, and the planning of measures to address identified gaps. \u201cDiscussions of data at each health facility, the development and follow-up of action plans, the availability of activity documentation, and ownership of the process of improving indicators have all been sustained,\u201d says Dion\u00edsio Maitor Jo\u00e3o, Mocuba District Director of Health. Ultimately, graduation represents an investment in people, systems, and management practices that ensure the continuity of HIV services. This process enables district teams to become increasingly prepared to maintain service quality and the results achieved, with progressively less support from external institutions. This success story is made possible by the generous support of the United States Government.<\/p>","protected":false},"author":2,"featured_media":6093,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[5],"tags":[],"class_list":["post-6090","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-historias-de-sucesso"],"yoast_head":"\nStrengthening MISAU District Leadership in the HIV Response in Zamb\u00e9zia Province - C-Sa\u00fade<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/csaude.org.mz\/pt\/2026\/11\/06\/strengthening-misau-district-leadership-in-the-hiv-response-in-zambezia-province\/\" \/>\n<meta property=\"og:locale\" content=\"pt_PT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Strengthening MISAU District Leadership in the HIV Response in Zamb\u00e9zia Province - C-Sa\u00fade\" \/>\n<meta property=\"og:description\" content=\"\u201cOur greatest legacy is to ensure the sustainability of interventions and results, even in C-Sa\u00fade\u2019s absence.\u201d \u2014 Helder Boavida, C-Sa\u00fade Graduation Focal Point in Zamb\u00e9zia Province For more than 20 years, USG-supported institutions have provided support to the Government of Mozambique (GoM) health authorities in Zamb\u00e9zia through direct service delivery and technical support. In 2023, C-Sa\u00fade, in cooperation with the GoM and the Centers for Disease Control (CDC), began a gradual process of transferring these responsibilities to government authorities, known as graduation. This process aims to strengthen government ownership of interventions while preserving the systems and practices that ensure the continuity of HIV services. The first dimension of graduation is financial. By September 2026, 10 of the 19 districts in Zamb\u00e9zia supported by C-Sa\u00fade had completed this stage, covering more than 350 health workers. Training, joint supervision, and mentorship prepared district officials to manage these activities with greater autonomy. The second dimension is technical. District teams progressively take on activities previously carried out by C-Sa\u00fade staff, leading visits to health facilities, reviewing performance, and identifying and addressing service delivery gaps. Throughout this process, C-Sa\u00fade continues to support provincial data reviews. By September 2026, 18 health facilities had completed this transition. According to Boavida, strengthening joint supervision has been one of the most important changes. Under this approach, provincial and district officials identify gaps, guide health facility teams, and monitor their performance. C-Sa\u00fade has also supported the systematic use of standard operating procedures (SOPs), clinical workflows, and monitoring tools, including those related to viral load testing. The aim of this support is to ensure that consistent service delivery practices continue beyond the period of C-Sa\u00fade’s support. As Em\u00edlio acknowledges: \u201cWe have learned so much from our C-Sa\u00fade colleagues!\u201d The experience in Nicoadala served as a reference for subsequent graduation processes, including in Mocuba, where five health facilities took part in this transition. District authorities now lead technical supervision, the regular review of HIV indicators, and the planning of measures to address identified gaps. \u201cDiscussions of data at each health facility, the development and follow-up of action plans, the availability of activity documentation, and ownership of the process of improving indicators have all been sustained,\u201d says Dion\u00edsio Maitor Jo\u00e3o, Mocuba District Director of Health. Ultimately, graduation represents an investment in people, systems, and management practices that ensure the continuity of HIV services. This process enables district teams to become increasingly prepared to maintain service quality and the results achieved, with progressively less support from external institutions. This success story is made possible by the generous support of the United States Government.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/csaude.org.mz\/pt\/2026\/11\/06\/strengthening-misau-district-leadership-in-the-hiv-response-in-zambezia-province\/\" \/>\n<meta property=\"og:site_name\" content=\"C-Sa\u00fade\" \/>\n<meta property=\"article:published_time\" content=\"2026-11-06T16:56:36+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-11-06T17:08:36+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/csaude.org.mz\/wp-content\/uploads\/2026\/11\/MCD_-Nicoadala-1-1-scaled.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"2560\" \/>\n\t<meta property=\"og:image:height\" content=\"1707\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"CSAUDE Mozambique\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"CSAUDE Mozambique\" \/>\n\t<meta name=\"twitter:label2\" content=\"Tempo estimado de leitura\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/csaude.org.mz\\\/2026\\\/11\\\/06\\\/strengthening-misau-district-leadership-in-the-hiv-response-in-zambezia-province\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/csaude.org.mz\\\/2026\\\/11\\\/06\\\/strengthening-misau-district-leadership-in-the-hiv-response-in-zambezia-province\\\/\"},\"author\":{\"name\":\"CSAUDE Mozambique\",\"@id\":\"https:\\\/\\\/csaude.org.mz\\\/#\\\/schema\\\/person\\\/21f8c5706602baf376339aa34c5d4efa\"},\"headline\":\"Strengthening MISAU District Leadership in the HIV Response in Zamb\u00e9zia Province\",\"datePublished\":\"2026-11-06T16:56:36+00:00\",\"dateModified\":\"2026-11-06T17:08:36+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/csaude.org.mz\\\/2026\\\/11\\\/06\\\/strengthening-misau-district-leadership-in-the-hiv-response-in-zambezia-province\\\/\"},\"wordCount\":485,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/csaude.org.mz\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/csaude.org.mz\\\/2026\\\/11\\\/06\\\/strengthening-misau-district-leadership-in-the-hiv-response-in-zambezia-province\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/csaude.org.mz\\\/wp-content\\\/uploads\\\/2026\\\/11\\\/MCD_-Nicoadala-1-1-scaled.jpg\",\"articleSection\":[\"Success Stories\"],\"inLanguage\":\"pt-PT\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/csaude.org.mz\\\/2026\\\/11\\\/06\\\/strengthening-misau-district-leadership-in-the-hiv-response-in-zambezia-province\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/csaude.org.mz\\\/2026\\\/11\\\/06\\\/strengthening-misau-district-leadership-in-the-hiv-response-in-zambezia-province\\\/\",\"url\":\"https:\\\/\\\/csaude.org.mz\\\/2026\\\/11\\\/06\\\/strengthening-misau-district-leadership-in-the-hiv-response-in-zambezia-province\\\/\",\"name\":\"Strengthening MISAU District Leadership in the HIV Response in Zamb\u00e9zia Province - 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C-Sa\u00fade","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/csaude.org.mz\/pt\/2026\/11\/06\/strengthening-misau-district-leadership-in-the-hiv-response-in-zambezia-province\/","og_locale":"pt_PT","og_type":"article","og_title":"Strengthening MISAU District Leadership in the HIV Response in Zamb\u00e9zia Province - C-Sa\u00fade","og_description":"\u201cOur greatest legacy is to ensure the sustainability of interventions and results, even in C-Sa\u00fade\u2019s absence.\u201d \u2014 Helder Boavida, C-Sa\u00fade Graduation Focal Point in Zamb\u00e9zia Province For more than 20 years, USG-supported institutions have provided support to the Government of Mozambique (GoM) health authorities in Zamb\u00e9zia through direct service delivery and technical support. In 2023, C-Sa\u00fade, in cooperation with the GoM and the Centers for Disease Control (CDC), began a gradual process of transferring these responsibilities to government authorities, known as graduation. This process aims to strengthen government ownership of interventions while preserving the systems and practices that ensure the continuity of HIV services. The first dimension of graduation is financial. By September 2026, 10 of the 19 districts in Zamb\u00e9zia supported by C-Sa\u00fade had completed this stage, covering more than 350 health workers. Training, joint supervision, and mentorship prepared district officials to manage these activities with greater autonomy. The second dimension is technical. District teams progressively take on activities previously carried out by C-Sa\u00fade staff, leading visits to health facilities, reviewing performance, and identifying and addressing service delivery gaps. Throughout this process, C-Sa\u00fade continues to support provincial data reviews. By September 2026, 18 health facilities had completed this transition. According to Boavida, strengthening joint supervision has been one of the most important changes. Under this approach, provincial and district officials identify gaps, guide health facility teams, and monitor their performance. C-Sa\u00fade has also supported the systematic use of standard operating procedures (SOPs), clinical workflows, and monitoring tools, including those related to viral load testing. The aim of this support is to ensure that consistent service delivery practices continue beyond the period of C-Sa\u00fade’s support. As Em\u00edlio acknowledges: \u201cWe have learned so much from our C-Sa\u00fade colleagues!\u201d The experience in Nicoadala served as a reference for subsequent graduation processes, including in Mocuba, where five health facilities took part in this transition. District authorities now lead technical supervision, the regular review of HIV indicators, and the planning of measures to address identified gaps. \u201cDiscussions of data at each health facility, the development and follow-up of action plans, the availability of activity documentation, and ownership of the process of improving indicators have all been sustained,\u201d says Dion\u00edsio Maitor Jo\u00e3o, Mocuba District Director of Health. Ultimately, graduation represents an investment in people, systems, and management practices that ensure the continuity of HIV services. This process enables district teams to become increasingly prepared to maintain service quality and the results achieved, with progressively less support from external institutions. This success story is made possible by the generous support of the United States Government.","og_url":"https:\/\/csaude.org.mz\/pt\/2026\/11\/06\/strengthening-misau-district-leadership-in-the-hiv-response-in-zambezia-province\/","og_site_name":"C-Sa\u00fade","article_published_time":"2026-11-06T16:56:36+00:00","article_modified_time":"2026-11-06T17:08:36+00:00","og_image":[{"width":2560,"height":1707,"url":"https:\/\/csaude.org.mz\/wp-content\/uploads\/2026\/11\/MCD_-Nicoadala-1-1-scaled.jpg","type":"image\/jpeg"}],"author":"CSAUDE Mozambique","twitter_card":"summary_large_image","twitter_misc":{"Escrito por":"CSAUDE Mozambique","Tempo estimado de leitura":"3 minutos"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/csaude.org.mz\/2026\/11\/06\/strengthening-misau-district-leadership-in-the-hiv-response-in-zambezia-province\/#article","isPartOf":{"@id":"https:\/\/csaude.org.mz\/2026\/11\/06\/strengthening-misau-district-leadership-in-the-hiv-response-in-zambezia-province\/"},"author":{"name":"CSAUDE Mozambique","@id":"https:\/\/csaude.org.mz\/#\/schema\/person\/21f8c5706602baf376339aa34c5d4efa"},"headline":"Strengthening MISAU District Leadership in the HIV Response in Zamb\u00e9zia Province","datePublished":"2026-11-06T16:56:36+00:00","dateModified":"2026-11-06T17:08:36+00:00","mainEntityOfPage":{"@id":"https:\/\/csaude.org.mz\/2026\/11\/06\/strengthening-misau-district-leadership-in-the-hiv-response-in-zambezia-province\/"},"wordCount":485,"commentCount":0,"publisher":{"@id":"https:\/\/csaude.org.mz\/#organization"},"image":{"@id":"https:\/\/csaude.org.mz\/2026\/11\/06\/strengthening-misau-district-leadership-in-the-hiv-response-in-zambezia-province\/#primaryimage"},"thumbnailUrl":"https:\/\/csaude.org.mz\/wp-content\/uploads\/2026\/11\/MCD_-Nicoadala-1-1-scaled.jpg","articleSection":["Success Stories"],"inLanguage":"pt-PT","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/csaude.org.mz\/2026\/11\/06\/strengthening-misau-district-leadership-in-the-hiv-response-in-zambezia-province\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/csaude.org.mz\/2026\/11\/06\/strengthening-misau-district-leadership-in-the-hiv-response-in-zambezia-province\/","url":"https:\/\/csaude.org.mz\/2026\/11\/06\/strengthening-misau-district-leadership-in-the-hiv-response-in-zambezia-province\/","name":"Strengthening MISAU District Leadership in the HIV Response in Zamb\u00e9zia Province - 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