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Tuberculosis: Situation and Trends

Tuberculosis is a serious public health problem in Mozambique. The target for this disease by 2015 is to lower its prevalence from 298 to 149 cases per 100,000 inhabitants and to reduce mortality from 36 to 18 deaths per 100,000 inhabitants. More than half (66%) of the patients with TB are HIV positive.

  • In 2009, 53% of the expected cases in Mozambique were diagnosed and 82% of these cases were cured.
  • The prevalence of TB has decreased from 636 cases per 100,000 inhabitants in 2006 to 624 cases per 100,000 inhabitants in 2008.
  • The TB mortality rate has decreased from 129 deaths per 100,000 inhabitants in 2006 to 117 deaths per 100,000 inhabitants in 2008.
  •  In 2006 counselling and testing of all TB patients was introduced and 84% of the TB patients are currently counselled and tested for HIV.

Constraints on the achievement of the targets for 2015

  • The low case detection rate, due to poor access to the health services and the poor laboratory network.
  • The high rate of HIV sero-prevalence and the low coverage of anti-retroviral treatment of TB/HIV co-infected patients contribute a lot to the high death rate.

Recommendations for the achievement of the targets for 2015

  • Continuous expansion of the Direct Observation Treatment Strategy (DOTS) to the community.
  • The improvement of the diagnostic capacity through the increase and strengthening of the laboratory network.
  • The improvement of the implementation of interventions to deal with TB/HIV co-infection at all levels.

Positive factors of progress in the indicators

  • In June 2007, the national TB control programme concluded the new National Strategic Tuberculosis Control Plan, designed for the period 2008-2012. It takes into account the size of the TB problem, its linkage with the HIV/AIDS and the need to increase and strengthen the laboratory network.
  • Progress was achieved in the last few years, with the expansion of the DOTS strategy, the current coverage of which at health unit level is 100%.

Source: Report on the Millennium Development Goals - Mozambique 2010


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