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Hiv and the Church

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A purpose‐driven response: Building united action on HIV/AIDS for the church in Mozambique Geoff Foster (Family AIDS Caring Trust, Mutare, Zimbabwe) and Carina Winberg, Earnest Maswera, Cynthia Mwase‐Kasanda (all from Tearfund, Mozambique) This is a summary of a presentation made at the ARHAP Conference ‘When Religion and Health Align: Mobilizing Religious Health Assets for Transformation’ 13 ‐ 16 July 2009 in Cape Town. The full paper with the same title is forthcoming in 2010. Background Churches represent potentially powerful allies in Mozambique’s HIV/AIDS strategy. Government and international partners increasingly recognize that faith leaders and institutions are key actors. Faith‐ based organisations (FBOs) reach the poorest who fail to access formal health infrastructure. Over one half of the population are affiliated to churches, many providing care and prevention and shaping popular attitudes. Capacity is limited. Few churches receive external support or participate in local networks. Lack of coordination, collaboration and harmonization characterise church and FBO interventions. Mozambique’s size combined with its lack of transport and communication infrastructure is an impediment to effective networking. Networks could assist churches in HIV service provision and help them to develop and strengthen their activities. Networks can increase advocacy by FBOs and the profile of the faith sector at provincial and national levels. The study was conducted to facilitate national network development of FBOs involved in HIV activities. Methods Data was collected in March 2009. Tools included questionnaires for churches leaders (41 people), intermediaries (20) and policy organisations (5) and discussion guide (6 groups). Most questionnaires were completed during discussion meetings. Analysis of data was fed back to stakeholders in May 2009. Results 40 churches had on average 186 members; 65% were affiliated to denominations. Of 13 HIV activities, the commonest were home visits, youth, women and general teaching, marriage advice and counselling (each by over 80% churches); 53% of the churches had established activities in 2005‐ 08. HIV activities started after observing orphans and illness in church members. Leaders noted their judgmental attitudes had contributed to marginalisation of PLWHA. Pastors had embraced HIV/AIDS as their own issue. Though now able to discuss condoms, many expressed concerns about their inappropriate promotion. Pastors were critical of resource use of externally‐funded initiatives that could lead to undermining humanitarian motivations. Few churches received external support or were part of networks. Most relied on member contributions alone. Important needs to strengthen activities were training in administration and HIV/AIDS, financial support and networking. Engagement by FBOs in advocacy concerned HIV prevention strategy, orphan support and resource use. Conclusion Churches in Mozambique are increasingly engaging in appropriate responses to HIV/AIDS. They largely function in isolation in their HIV/AIDS activities and have had little influence on national HIV strategies and policies. In order to strengthen the impact of church based responses to HIV/AIDS, strategies are needed to strengthen capacity building, networking, resource allocation and advocacy. The study led to the establishment of a national church HIV/AIDS forum with the aim of working

with existing church and FBO HIV networks to strengthen coordination of faith‐based HIV initiatives and develop policy recommendations for incorporation into national policy formulations.

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