291. It should be stressed that the country has been recording some satisfactory results in terms of
reduction of vertical transmission from mother to child. For example, in the context of “DREAM”
program, of the 30% cases of mother to child transmission in 2002, it was possible to reduce to
less than 2%. However, the challenge is to reduce the number of new infant infection by HIV,
increase access to effective treatments to pregnant HIV infected women and the reduction of
maternal deaths due to HIV.
292. With reference to the involvement of other social stakeholders, like youth and traditional
authorities in the front line action of combat against HIV/AIDS, the Government and civil
society organizations have been carrying mobilization and specific programmes like "Andar
fora é maningue arriscado" (something like, infidelity is very dangerous), initiative, training of
community leaders in aspects of HIV/AIDS, promotion of male circumcision, popularization of a
new tool for behaviour change called “Tchova-tchova” (push-push), in the provinces called
national emergency, the holding of Health and Children’s fairs and the production of a film on
good practices. In the same context, EcoSIDA – Entrepreneurs against Aids – in the context of
HIV/AIDS, TB and Malaria programme at working place has been mobilizing the private sector
in rising responsibility and awareness in the struggle against HIV/AIDS, TB and Malaria
293. Despite these joint efforts between the Government and civil society organizations and the
private sector, there are some challenges that must be dealt with which include: the need to
improve response on diseases (or public health problems) namely the need to strengthen
coordination by the CNSC and support to other ministries in order to facilitate the integration of
HIV/AIDS programmes in their policies, intensify the integration of TB programmes with those
of HIV and mobilize and build capacities of rural communities in the development of localized
and appropriate responses in the context of HIV/AIDS.
294. On the other hand, it is important to note that in the last decade the portion allocated by the
Government with the support of its international cooperating partners for combating of
HIV/AIDS was increased up to 2006 but since them it started to reduce up till 2010. The same
trend was recorded between 2011 and 2012. Thus, the country will have to face, at short and
medium terms, the challenge of ensuring financing in this field. It should be noted that in 2011,
there were frequent information on rupture of medicine stocks and a growing number of
persons abandoning treatment in district hospitals in particular in rural areas that are more
affected by the HIV/AIDS.
Objective 4: To ensure access to water, sanitation, electricity, finance,
information and communication technologies, housing and land to all
citizens in particular the poor population
The APR Panel recommended to the country: (i) to ensure access to water; (ii) Improve
sanitation; (iii) to promote use of renewable energy; (iv) to ensure transport infrastructures; (v)
to promote shelter and access to land to poor rural citizens; (vi) increase access to financing
and microfinance; (vii) improve access to Information and Communication Technologies (TICs).
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