{"id":12244,"date":"2011-07-07T00:00:00","date_gmt":"2011-07-07T04:00:00","guid":{"rendered":"http:\/\/www.healthynewbornnetwork.org\/resource\/in-mozambique-a-fight-to-keep-babies-hiv-free\/"},"modified":"2017-08-21T18:40:25","modified_gmt":"2017-08-21T22:40:25","slug":"in-mozambique-a-fight-to-keep-babies-hiv-free","status":"publish","type":"resource","link":"https:\/\/www.healthynewbornnetwork.org\/resource\/in-mozambique-a-fight-to-keep-babies-hiv-free\/","title":{"rendered":"In Mozambique, A Fight To Keep Babies HIV-Free"},"content":{"rendered":"<!--[if lt IE 9]><script>document.createElement('audio');<\/script><![endif]-->\n<audio class=\"wp-audio-shortcode\" id=\"audio-12244-1\" preload=\"none\" style=\"width: 100%;\" controls=\"controls\"><source type=\"audio\/mpeg\" src=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/20110706_atc_06.mp3?_=1\" \/><a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/20110706_atc_06.mp3\">\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/20110706_atc_06.mp3<\/a><\/audio>\n<p><em>By Melissa Block for <\/em><a href=\"http:\/\/www.npr.org\/2011\/07\/06\/137536170\/in-mozambique-a-fight-to-keep-babies-hiv-free\"><em>NPR<\/em><\/a><\/p>\n<p>As part of &#8220;<a href=\"http:\/\/www.npr.org\/series\/137371039\/beginnings-pregnancy-childbirth-and-beyond\">Beginnings<\/a>,&#8221; a summerlong series on All Things Considered, Melissa Block traveled to\u00a0<a href=\"https:\/\/www.healthynewbornnetwork.org\/node\/219\">Mozambique\u00a0<\/a>to explore maternal health. This is the third of three reports.<\/p>\n<p><img decoding=\"async\" src=\"http:\/\/media.npr.org\/assets\/img\/2011\/07\/01\/hiv04.jpg?t=1309978570&amp;s=2\" alt=\"\" align=\"right\" \/><\/p>\n<p>The southeastern African nation of Mozambique has some of the highest HIV rates in the world. Within Mozambique, Gaza province in the south of the country is a hot zone for HIV infection. There, 25 percent of people ages 15 to 49 are HIV-positive. Among women in Gaza, the number is even higher: Thirty percent are infected with HIV.<\/p>\n<p>At a health clinic in the town of Macia, 24-year-old Adelia is about to get an HIV test. She&#8217;s wearing a stylish gray suit and carrying a shiny alligator-print handbag. Adelia is about five months pregnant. And if someone comes here for prenatal care, as she has, that person will be tested for HIV.<\/p>\n<p>Nurse Celestina Matavel rips open the test kit, making sure the young woman notices it&#8217;s a new kit just for her, so there&#8217;s no danger of contamination.<\/p>\n<p>She pricks Adelia&#8217;s finger and transfers a drop of blood onto the narrow test strip. Then, a brief, anxious wait. The nurse and patient bow their heads closer to the strip as two faint red stripes emerge.<\/p>\n<p>&#8220;Positive,&#8221; Adelia murmurs. A second test confirms the result. She is HIV-positive, with a baby due in the fall. She presses her lips together and gets a faraway look as the nurse urges, &#8220;Don&#8217;t be scared.&#8221;<\/p>\n<p>&#8220;Relax. HIV doesn&#8217;t mean you&#8217;re dead!&#8221; Matavel says. &#8220;Don&#8217;t dare lose strength! You&#8217;ll live your life the same way. When you get malaria, don&#8217;t you come to the hospital, don&#8217;t you take medication, don&#8217;t you live? It&#8217;s the same as this. Don&#8217;t think that your life is going to change.&#8221;<\/p>\n<p>An American doctor, Nancy Fitch, tells Adelia in Portuguese: &#8220;If you take your medication, your baby will be OK.<\/p>\n<p>&#8220;I have a lot of hope for you and your child,&#8221; Fitch says. &#8220;You can have a normal life, and your child can too.&#8221;<\/p>\n<p>Fitch is country director in Mozambique for the Elizabeth Glaser Pediatric AIDS Foundation, which supports the work here through funding from the Centers for Disease Control and Prevention. The CDC in turn is funded by PEPFAR, the U.S. President&#8217;s Emergency Plan for AIDS Relief.<\/p>\n<p>Adelia will be put on anti-retroviral drugs through the last months of her pregnancy and while she&#8217;s breast-feeding, so she doesn&#8217;t pass HIV on to her baby. The newborn will be also be given drugs to fight HIV infection. Adelia will be advised to breast-feed exclusively for six months, something that&#8217;s not part of the protocol in the West. But in developing countries, it&#8217;s believed that the benefits outweigh the risks.<\/p>\n<p>If Adelia can stay with the regimen, her baby&#8217;s chance of being infected can be reduced to about 5 percent, down from 30 to 40 percent if Adelia were to do nothing.<\/p>\n<p>In Gaza, AIDS Is &#8216;In Your Face&#8217;<\/p>\n<p>Outside, Fitch looks around at the hundreds of women waiting patiently \u2014 many of them HIV-positive, with HIV-positive children.<\/p>\n<p>&#8220;Here, you&#8217;re probably in one of the places one is most inclined to feel overwhelmed,&#8221; she says.<\/p>\n<p>She says the AIDS epidemic has reversed the steady progress Mozambique had made in reducing child mortality.<\/p>\n<p>&#8220;In the last 10 years in Gaza, the impact of this epidemic has just been terrible,&#8221; she says. &#8220;So here in Gaza, you&#8217;re where you feel it&#8217;s in your face.&#8221;<\/p>\n<p>And Fitch knows the women here are confronting harsh realities.<\/p>\n<p>&#8220;Babies in the past, if you had an HIV-positive baby, they would just \u2014 it&#8217;s easier to let the baby die, rather than take on a commitment to feed an extra mouth and make all these trips to the doctors, and stand in line one day a month waiting for medication,&#8221; she says. &#8220;It&#8217;s a burden that a family on the edge could probably not afford.&#8221;<\/p>\n<p>Asked whether that&#8217;s still the case, Fitch says, &#8220;Absolutely. Not everywhere \u2014 and there&#8217;s definitely progress being made. But on a day-to-day level, when you come here and see the effort that needs to be made, it seems really hard sometimes.&#8221;<\/p>\n<p>Nearly all of the money for HIV\/AIDS prevention and treatment in Mozambique comes from international donors. The drugs and test kits come from the Global Fund to Fight AIDS, Tuberculosis and Malaria, and from PEPFAR. In fiscal year 2010, PEPFAR&#8217;s budget for Mozambique totaled $269 million. That&#8217;s more than what Mozambique contributes to its entire health care system.<\/p>\n<p>Even with all of this outside aid, about a third of pregnant women in Mozambique known to have HIV aren&#8217;t getting the drugs to prevent transmission.<\/p>\n<p>Lucrecia Silva has brought her 15-month-old daughter, Helena, to the clinic. Helena wears a tiny soccer sweatshirt over her turquoise tulle dress. Both mother and daughter are HIV-positive.<\/p>\n<p>Silva is picking up a month&#8217;s supply of free anti-retroviral drugs for her baby. The drugs will slow the progression of the disease. Without treatment, half of all infants infected with HIV will die by their second birthday.<\/p>\n<p>If Silva can&#8217;t find a ride to the clinic, she&#8217;ll walk, two hours each way. She says she wants her daughter to lead a good life, to be healthy \u2014 and she wants to live a long life.<\/p>\n<p>Silva&#8217;s story illustrates just how the virus spreads. Many men in Gaza province, like Silva&#8217;s husband, go to South Africa to work in the mines. They&#8217;re away for long stretches. Prostitution is rampant \u2014 and so is HIV. They bring the virus home to their wives.<\/p>\n<p>&#8216;I&#8217;m Scared Of Dying&#8217;<\/p>\n<p>At a Sunday morning service at a Presbyterian church in the village of Malehice, women and children sway as they sing.<\/p>\n<p>Except for the pastor, there are no men here. They&#8217;re either working in South Africa or just don&#8217;t come.<\/p>\n<p>One of the pastor&#8217;s daughters, Acacia Navete Mukambe, is slim and delicate with a radiant smile. Her 16-month-old daughter, Virginia, dozes through the service in a sling on her mom&#8217;s back. Mukambe also has an 8-year-old son, Muianga, who&#8217;s so tiny, he looks about half that age.<\/p>\n<p>Mukambe&#8217;s husband works in the mines in South Africa. She says he got very sick and tested positive for HIV in 2007.<\/p>\n<p>&#8220;I don&#8217;t know where he got it,&#8221; she says. &#8220;Now, so many people have that disease. So I didn&#8217;t give him a hard time about it, because it&#8217;s possible that he got it from me. But he went to get tested first. So that&#8217;s why I didn&#8217;t give him a hard time about him giving me HIV.&#8221;<\/p>\n<p>Mukambe&#8217;s husband urged her to get tested. But she waited. She was scared, and worried she&#8217;d be shunned. She got very sick and terribly thin. It wasn&#8217;t until she was pregnant with Virginia that she finally had the HIV test. It was positive.<\/p>\n<p>Now, with drugs that fight HIV, her health has improved. She&#8217;s gained some weight. And baby Virginia has tested negative. But Mukambe faces a problem that&#8217;s common in Mozambique.<\/p>\n<p>Because of drug shortages \u2014 or &#8220;stockouts&#8221; \u2014 sometimes she can only get one week&#8217;s supply of pills, not the whole month&#8217;s worth. This is a big problem in rural areas like this one, where just getting to a clinic to pick up the drugs can take hours \u2014 by foot, or bike.<\/p>\n<p>If people have to come back more often to get their drugs, chances are they&#8217;ll fall off the regimen. And they&#8217;ll get sick.<\/p>\n<p>As Muianga and Virginia play nearby, Mukambe talks about her fears for their future.<\/p>\n<p>&#8220;Since I have HIV, I&#8217;m scared of dying and leaving my children while they&#8217;re still very young,&#8221; she says. &#8220;But if the medication really works, I&#8217;m not going to die of HIV; I&#8217;m going to die of everyday illnesses.&#8221;<\/p>\n<p>After church, Mukambe and the other parishioners gather in a circle outside, and her face lights up as she sings these words: &#8220;Praying is what gives you hope. I will not go back. I must go forward.&#8221;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>By Melissa Block for NPR As part of &#8220;Beginnings,&#8221; a summerlong series on All Things Considered, Melissa Block traveled to\u00a0Mozambique\u00a0to explore maternal health. This is the third of three reports. The southeastern African nation of Mozambique has some of the highest HIV rates in the world. Within Mozambique, Gaza province in the south of the &hellip; <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/in-mozambique-a-fight-to-keep-babies-hiv-free\/\">Continued<\/a><\/p>\n","protected":false},"author":3762,"featured_media":4402,"comment_status":"open","ping_status":"open","template":"","toolkit":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Healthy Newborn Network<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/in-mozambique-a-fight-to-keep-babies-hiv-free\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"In Mozambique, A Fight To Keep Babies HIV-Free - Healthy Newborn Network\" \/>\n<meta property=\"og:description\" content=\"By Melissa Block for NPR As part of &#8220;Beginnings,&#8221; a summerlong series on All Things Considered, Melissa Block traveled to\u00a0Mozambique\u00a0to explore maternal health. 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Vertical transmission, or mother-to-child transmission, of HIV is the leading cause of infection among children under 15. Globally, nearly\u00a0<a href=\"https:\/\/data.unicef.org\/topic\/hivaids\/emtct\/\">1.5 million deaths and 2.9 million<\/a> new HIV infections have been averted since 2000 as a result of the scale-up of programs to prevent mother-to-child-transmission of HIV. In 2021, <a href=\"https:\/\/www.unaids.org\/en\/resources\/fact-sheet\">81 percent of pregnant women<\/a> living with HIV had access to antiretroviral medication. While mother-to-child transmission of HIV has been nearly eliminated from high-income countries, progress has been slower in low- and middle-income countries. In sub-Saharan Africa, women and girls accounted for 63 percent of all new HIV infections in 2021, increasing the risk of transmission to their newborns. More work needs to be done to prevent HIV among women, girls, and children and close the gaps to achieve the global targets of <a href=\"https:\/\/www.unaids.org\/sites\/default\/files\/media_asset\/201506_JC2743_Understanding_FastTrack_en.pdf\">95-95-95 by 2025;<\/a> 95 percent of people living with HIV know their HIV status, 95 percent of people who know their status are on antiretroviral treatment, and 95 percent of people on HIV treatment have a suppressed viral load, reducing the risk of transmission.[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\" el_class=\"issue-stats\"][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-red\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">54<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1666047176103{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percent of children in need <a href=\"https:\/\/www.theglobalfund.org\/media\/11304\/corporate_2021resultsreport_report_en.pdf\" target=\"_blank\" rel=\"noopener\">who receive life-saving treatment<\/a> for HIV<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-yellow\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><b><span class=\"ticker\">63<\/span><\/b><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1652993131651{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percent of infants exposed to HIV <a href=\"https:\/\/www.childrenandaids.org\/sites\/default\/files\/2022-01\/2021%20WAD%20Report-sm.pdf\" target=\"_blank\" rel=\"noopener\">tested within<\/a> two months of birth<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-blue\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><b><span class=\"ticker\">2<\/span><\/b><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1652992737559{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percentage point increase in ART coverage for pregnant women living with HIV from 2016 to 2020; this <a href=\"https:\/\/www.childrenandaids.org\/sites\/default\/files\/2022-01\/2021%20WAD%20Report-sm.pdf\" target=\"_blank\" rel=\"noopener\">rate has stalled<\/a> compared to the 38-percentage point increase in coverage from 2010-2015.<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner][vc_column_text]\r\n<h6 style=\"text-align: center;\"><span style=\"font-style: italic;\">All data on this page represents the most recent data available, unless otherwise noted. Please visit our\u00a0<\/span><a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\"><span style=\"font-style: italic;\">Newborn Numbers<\/span><\/a><span style=\"font-style: italic;\">\u00a0page and download the Excel spreadsheet to explore the data further.<\/span><\/h6>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" css=\".vc_custom_1452696349804{margin-top: 30px !important;margin-bottom: 30px !important;background-color: #f6f6f4 !important;}\"][vc_column][vc_text_separator title=\"HIV Transmission\" color=\"custom\" accent_color=\"#cccccc\"][vc_row_inner equal_height=\"yes\"][vc_column_inner][vc_column_text]Newborns can be infected with HIV by their mothers in a few ways, requiring a comprehensive, multi-level preventative approach. An HIV-positive mother can transmit HIV to her child during pregnancy, childbirth, or breastfeeding. Between 15 and 45 percent of infants born to HIV-positive women will become infected, if no preventative action is taken. Antiretroviral therapy (ART) can significantly reduce the risk of vertical transmission, as it decreases viral levels and makes it less transmittable. All pregnant women should be tested for HIV at their first antenatal visit, especially those in HIV-endemic regions, and all pregnant women living with HIV should be supported to initiate or continue ART during pregnancy. All children born to HIV-positive mothers should receive preventative antiretroviral drugs, with regular testing at two months and after the cessation of breastfeeding.\r\n\r\nMajor strides have been made to reduce the risk of mother-to-child transmission of HIV through global prioritization and commitments. A global multi-partner effort has decreased the rate of transmission in children by\u00a0<a href=\"https:\/\/www.unaids.org\/en\/resources\/fact-sheet\">53 percent since 2010<\/a>.\u00a0However, the COVID-19 pandemic led to noticeable declines in ART coverage among pregnant and breastfeeding women. Approximately <a href=\"https:\/\/www.unaids.org\/sites\/default\/files\/media_asset\/global-alliance-end-AIDS-in-children_en.pdf\">800,000 children under 15 years<\/a> of age are not on treatment, and the majority of global childhood infections, 4 out of 5, occurred in sub-Saharan Africa in 2021. With the launch of the new <a href=\"https:\/\/www.unaids.org\/en\/resources\/documents\/2021\/2021-2026-global-AIDS-strategy\" target=\"_blank\" rel=\"noopener\">Global AIDS Strategy<\/a> in 2021 came an increased commitment to achieving the 2025 target of 95 percent coverage of services for eliminating mother-to-child transmission. The <a href=\"https:\/\/www.unaids.org\/en\/resources\/documents\/2021\/2021-2026-global-AIDS-strategy\">Global Alliance to End AIDS in Children<\/a>, launched in 2022, will support these efforts through four pillars:\r\n<ul>\r\n \t<li>Early testing and optimized comprehensive, high-quality treatment and care for infants, children, and adolescents living with and exposed to HIV<\/li>\r\n \t<li>Closing the treatment gap for pregnant women living with HIV and optimizing continuity of treatment towards the goal of elimination of mother-to-child transmission<\/li>\r\n \t<li>Preventing and detecting new HIV infections among pregnant and breastfeeding adolescents and women<\/li>\r\n \t<li>Addressing rights, gender equality, and the social and structural barriers that hinder access to services<\/li>\r\n<\/ul>\r\n[\/vc_column_text][vc_text_separator title=\"Key resources\"][vc_column_text]\r\n<ul>\r\n \t<li><a href=\"https:\/\/www.childrenandaids.org\/vertical_transmission\" target=\"_blank\" rel=\"noopener\">Prevention of Vertical Transmission<\/a>, Children and AIDS Unicef (2022)<\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/updated-recommendations-on-hiv-prevention-infant-diagnosis-antiretroviral-initiation-and-monitoring\/\" target=\"_blank\" rel=\"noopener\">WHO updated clinical and service delivery recommendations for HIV prevention, treatment and care<\/a> (2021)<\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/global-aids-strategy-2021-2026\/\" target=\"_blank\" rel=\"noopener\">Global AIDS Strategy 2021\u20132026: End Inequalities, End AIDS<\/a> (2021)<\/li>\r\n \t<li><a href=\"https:\/\/www.theglobalfund.org\/en\/blog\/2021-11-03-20-years-of-progress-to-protect-mothers-and-babies-from-hiv\/\" target=\"_blank\" rel=\"noopener\">20 Years of Progress to Protect Mothers and Babies From HIV<\/a> (2021)<\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/start-free-stay-free-aids-free\/\" target=\"_blank\" rel=\"noopener\">Final report from the Start Free, Stay Free, AIDS Free initiative<\/a> (2021)<\/li>\r\n \t<li><a href=\"https:\/\/www.unaids.org\/en\/resources\/documents\/2020\/2020_women-adolescent-girls-and-hiv\" target=\"_blank\" rel=\"noopener\">We\u2019ve got the power \u2014 Women, adolescent girls and the HIV response<\/a> (2020)<\/li>\r\n \t<li><a href=\"https:\/\/www.unaids.org\/en\/resources\/documents\/2020\/prevailing-against-pandemics\" target=\"_blank\" rel=\"noopener\">Prevailing against pandemics by putting people at the centre \u2014 World AIDS Day report<\/a> (2020)<\/li>\r\n \t<li><a href=\"https:\/\/www.childrenandaids.org\/sites\/default\/files\/2017-04\/IATT_Part-1-PMTCT-in-Humanitarian-Settings_2015.pdf\" target=\"_blank\" rel=\"noopener\">PMTCT in Humanitarian Settings Part I: Lessons Learned and Recommendations<\/a> (2015)<\/li>\r\n \t<li><a href=\"https:\/\/www.childrenandaids.org\/sites\/default\/files\/2017-04\/IATT_Part-2-PMTCT-in-Humanitarian-Settings_2015_0.pdf\" target=\"_blank\" rel=\"noopener\">PMTCT in Humanitarian Settings: Part II Implementation Guide<\/a> (2015)<\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row]","post_title":"Prevention of mother-to-child transmission of HIV (PMTCT)","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"hiv-aids-prevention-mother-child-transmission","to_ping":"","pinged":"","post_modified":"2022-12-01 11:02:13","post_modified_gmt":"2022-12-01 16:02:13","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&#038;p=123","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"}],"additional_authors":"","authors":false,"other_organizations":"","language":[],"type":"","external_links":[{"link":""}],"files":[{"file":false}],"regions":[],"countries":[{"ID":202,"post_author":"7211","post_date":"2015-10-21 22:01:11","post_date_gmt":"2015-10-21 22:01:11","post_content":"[vc_row][vc_column css=\".vc_custom_1453305596740{padding-top: 30px !important;padding-bottom: 30px !important;}\"][vc_text_separator title=\"Leading causes of neonatal deaths in Mozambique (2020)\" el_class=\"transform:upperclass\"][vc_row_inner][vc_column_inner][vc_round_chart type=\"doughnut\" stroke_width=\"1\" stroke_color=\"custom\" values=\"%5B%7B%22title%22%3A%221%25%20Diarrhoea%22%2C%22value%22%3A%221%25%22%2C%22color%22%3A%22vista-blue%22%7D%2C%7B%22title%22%3A%220%25%20Tetanus%22%2C%22value%22%3A%220%25%22%2C%22color%22%3A%22mulled-wine%22%2C%22custom_color%22%3A%22%236ab165%22%7D%2C%7B%22title%22%3A%224%25%20Pneumonia%22%2C%22value%22%3A%224%25%22%2C%22color%22%3A%22peacoc%22%7D%2C%7B%22title%22%3A%2248%25%20Preterm%20birth%20complications%22%2C%22value%22%3A%2248%25%22%2C%22color%22%3A%22blue%22%7D%2C%7B%22title%22%3A%2222%25%20Intrapartum%20related%20events%22%2C%22value%22%3A%2222%25%22%2C%22color%22%3A%22turquoise%22%7D%2C%7B%22title%22%3A%227%25%20Sepsis%20and%20other%20infectious%20conditions%20of%20the%20newborn%22%2C%22value%22%3A%227%25%22%2C%22color%22%3A%22pink%22%7D%2C%7B%22title%22%3A%226%25%20Congenital%20abnormalities%5Ct%22%2C%22value%22%3A%226%25%22%2C%22color%22%3A%22violet%22%7D%2C%7B%22title%22%3A%2211%25%20Other%20conditions%22%2C%22value%22%3A%2211%25%22%2C%22color%22%3A%22chino%22%7D%5D\" custom_stroke_color=\"#f6f6f4\" css=\".vc_custom_1686243398873{padding-right: 30px !important;padding-left: 30px !important;background-position: center !important;background-repeat: no-repeat !important;background-size: contain !important;}\"][\/vc_column_inner][\/vc_row_inner][vc_column_text]\r\n<h6 style=\"text-align: left;\">Source: Estimates for causes of death 2000-2020 generated by the WHO and Maternal and Child Epidemiology Estimation Group (MCEE) 2023 and downloaded from <a href=\"http:\/\/data.unicef.org\/\" target=\"_blank\" rel=\"noopener noreferrer\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=http:\/\/data.unicef.org&amp;source=gmail&amp;ust=1551964625737000&amp;usg=AFQjCNFsFTtu9FzS8H64YC88NPOzQVbPwQ\">http:\/\/data.unicef.org<\/a><\/h6>\r\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" gap=\"5\" css=\".vc_custom_1453306441839{background-image: url(\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/country-stat-bkgr.jpg?id=389) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}\"][vc_column css=\".vc_custom_1453306493120{margin-top: 30px !important;margin-bottom: 30px !important;}\"][vc_text_separator title=\"key indicators\" el_class=\"transform:uppercase text-white\"][vc_row_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1686243457170{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #e05533;\"><strong><span class=\"ticker\">27.5<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Newborn mortality rate (deaths per 1,000 live births)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1686243471669{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #d9a23b;\"><strong><span class=\"ticker\">2.6<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Annual reduction in newborn mortality rate 2000-2021 (%)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1650897152502{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #41aaab;\"><strong><span class=\"ticker\">41<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Proportion of under-5 child deaths that are newborn (%)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1686243488010{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #e05533;\"><strong><span class=\"ticker\">17.3<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Stillbirth rate (deaths per 1,000 births)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1650897176037{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #d9a23b;\"><strong><span class=\"ticker\">73<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Skilled birth attendance (%)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1484577823379{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #41aaab;\"><strong><span class=\"ticker\">69\r\n<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Early initiation of breastfeeding (%)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1698696584851{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #e05533;\"><strong><span class=\"ticker\">7<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Preterm birth rate (births &lt;37 weeks per 100 live births)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1686243419026{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #d9a23b;\"><strong><span class=\"ticker\">127<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Maternal mortality ratio (deaths per 100,000 live births)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_column_text css=\".vc_custom_1456603031736{margin-top: 20px !important;}\"]\r\n<h5 style=\"text-align: center;\"><span style=\"color: #ffffff;\">Visit our<\/span> <a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\">Newborn numbers<\/a> <span style=\"color: #ffffff;\">page to explore the most recent data further<\/span><\/h5>\r\n[\/vc_column_text][\/vc_column][\/vc_row]","post_title":"Mozambique","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"mozambique","to_ping":"","pinged":"","post_modified":"2023-10-30 16:08:21","post_modified_gmt":"2023-10-30 20:08:21","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=country&#038;p=202","menu_order":0,"post_type":"country","post_mime_type":"","comment_count":"0","filter":"raw"}],"partners":[]},"_links":{"self":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/resource\/12244"}],"collection":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/resource"}],"about":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/types\/resource"}],"author":[{"embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/users\/3762"}],"replies":[{"embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/comments?post=12244"}],"version-history":[{"count":0,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/resource\/12244\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/media\/4402"}],"wp:attachment":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/media?parent=12244"}],"wp:term":[{"taxonomy":"toolkit","embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/toolkit?post=12244"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}