Mozambique
An unsustainable burdern Chapter 4 home

One of the specificities of the HIV/AIDS epidemic is that it not only robs the country of many of its most productive individuals, but it also imposes many burdens on society. One of these heavy bur dens is the sharp increase in the number of orphans. In the year 2000, there were about 500,000 orphans in Mozambique; in two-thirds of these cases their parents had died of AIDS. This means that in a scenario without AIDS only 162,000 children would be orphans.

Projections from the National Statistics Institute and from the Health Ministry (2000) show that the worst is still to come. By the year 2010 there will be about 1.4 million orphans, and in 80% of cases their parents will have died of AIDS. In other words, in addition to a figure of some 280,000 orphans in a scenario without HIV/AIDS, the country will have to establish the conditions to deal with the special needs of a further 1.1 million AIDS orphans - that is four times more.

The country will face difficulties in mobilising the resources needed to face this new emergency, particularly when one bears in mind that 69% of the population, or about 11.7 million Mozambicans, survive on a consumption of less than 5,473 meticais (40 US cents in 1997) a day, and are therefore classed as "absolutely poor".

Table 4. 3: Number of orphans by region, 2000-2010
Year South Centre North National
  AIDS Other Causes AIDS Other Causes AIDS Other Causes AIDS Other Causes
2000 33,034 37,022 229,794 66,855 78,603 58,532 341,431 162,408
2001 47,197 36,934 282,180 71,824 104,298 60,121 433,675 168,878
2002 63,707 36,956 333,417 76,732 131,339 68,048 528,463 181,736
2003 82,153 37,353 382,665 83,314 158,781 75,124 623,599 195,791
2004 101,916 37,935 429,153 89,628 185,774 81,503 716,843 209,066
2005 122,062 38,422 470,402 99,941 210,827 86,640 803,291 225,003
2006 141,944 38,991 506,947 109,267 233,683 91,281 882,574 239,539
2007 161,086 39,445 539,447 116,784 254,421 95,042 954,954 251,271
2008 179,146 41,564 568,003 132,543 272,963 105,292 1,020,112 279,400
2009 196,006 41,988 593,870 139,552 289,819 109,057 1,079,695 290,598
2010 211,580 41,479 617,403 141,250 305,186 109,368 1,134,169 292,097
Source: INE/ Ministry of Health, 2000

The gravity of the situation is mobilising social forces, and one notes a movement aimed at publicising messages on the dangers of the epidemic and how to pr event it. This brings together a wide range of forces from politicians at the highest level and of all sensitivities to spiritual and religious leaders, in an authentic crusade in what some sectors are now calling a battle for life. President Joaquim Chissano described the situation of the epidemic in the following terms in his State of the Nation address in 2000: "The death brought by HIV/AIDS is advancing with giant strides..... The youth, the lifeblood of the nation, is being profoundly affected. From the tests undertaken in some schools, we know that more than 20% of our future is doomed" (Chissano: 2000, 4).

The great unknown lies in assessing to what extent the messages will have an impact on the target groups. It is in these messages that hope lies, because the experience of other countries shows us that, despite its rapid spread in southern Africa, HIV is not propagated easily. Abstinence, or the correct and consistent use of condoms during "high risk" sexual relations, or sexual encounters with occasional partners - which are the main contents of preventive messages - together with the speedy treatment of other sexually transmitted diseases (STDs), and abstinence during the period of treatment, can reduce the spread of the virus.


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