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BRIEFJune 7, 2023

Mozambique: Can an appointment system in health clinics and pharmacies increase HIV treatment adherence?

ResearchersMargaret McConnellSandra SequeiraMaria StreenlandAmanda de Albuquerque

Evaluation:  Mozambique is among the countries with the highest HIV prevalence in the world. While most individuals living with HIV have initiated antiretroviral therapy, a third of patients do not remain on active treatment after 12 months. Patients often wait more than four hours to be seen at a public health clinic, where they go to get prescriptions renewed, and these long waiting periods may be contributing to poor treatment adherence. Building on a successful pilot in an antenatal care setting, this evaluation will use both administrative and survey data to test the impact of introducing scheduled appointment times on waiting times in clinics and pharmacies and on delays in return visits by HIV patients.