{"id":61334,"date":"2015-06-22T13:40:14","date_gmt":"2015-06-22T17:40:14","guid":{"rendered":"https:\/\/namati.org\/?post_type=namati_stories&p=61334"},"modified":"2023-01-11T12:09:01","modified_gmt":"2023-01-11T16:09:01","slug":"mother-empowered","status":"publish","type":"post","link":"https:\/\/namati.org\/news-stories\/mother-empowered\/","title":{"rendered":"A Mother Empowered","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"

The quickest way to get to the village of Matimani, a few hours north of Maputo, is through the giant Marragra sugar cane plantation. You drive past the four-story white buildings of the processing plant and down onto a 100km-square plain of green rectangles. The grid-order of the South African-owned estate is in some contrast to the haphazard beauty of the rest of rural Mozambique.<\/p>\n

\"Opens<\/a>
Marragra Sugar Processing Plant<\/div><\/div><\/div>
\"Opens<\/a>
Over the Nkomati River.<\/div><\/div><\/div><\/div><\/div>\n

 <\/p>\n

Once over a gray girder bridge that crosses the meandering Nkomati river, you pass yet more sugar and when you leave the plantation, come to a low line of sandy hills. Following a track at the base of the hills, you glimpse traditional round houses and out-buildings between the trees, while on the flatlands to your left cattle are grazed by small boys \u2013 some of whom find a place for a swim. It is the wet season and flooding has been widespread in coastal Mozambique.<\/p>\n

\"\"<\/a>

Sugar cane fields of the Marragra plantation.<\/p><\/div>\n

Matimani is a collection of scattered family homesteads \u2013 each comprising several buildings \u2013 about 23km from the district town of Marracuene. We are here to meet with Namati Mo\u00e7ambique\u2019s local health advocate Hort\u00eancia Alange, who emerges from a tiny house in a deep red headscarf.<\/p>\n

Hort\u00eancia takes us a short distance to meet Angelina and her young son Bento. Angelina lives in a shady clearing within a smallholding of tall corn. Amid low fruit trees, there are three traditional conical-roofed cane buildings and a partially-built concrete block home-to-be. One of the reed buildings, where Angelina sleeps with her husband, has a heart painted on it. The corn rustles in the breeze and birds call. It is a quiet, peaceful place to live.<\/p>\n

\"Opens<\/a>
Traditional storage in rural Mozambique.<\/div><\/div><\/div>
\"Opens<\/a>
A traditional homestead.<\/div><\/div><\/div><\/div>
\"Opens<\/a>
A cooling dip while tending cattle.<\/div><\/div><\/div><\/div><\/div>\n

 <\/p>\n

Angelina was born in the village, but this homestead, with its three hectares of arable land, belongs to her husband\u2019s family. At 27, Angelina has three children, aged eight, six and two-year-old Bento. The older children go to a local primary school, but there is no secondary school within walking distance. Angelina herself had to live away during the week when she went to high school in Marracuene. They are subsistence farmers, but yields are down because of persistent flooding. \u201cWe now have to cut trees to make charcoal and sell the charcoal at market to buy food,\u201d says Angelina. \u201cThings are not growing well because of the rain.\u201d<\/p>\n

Angelina first met Hort\u00eancia at the health clinic.<\/p>\n

“I had taken my son there in September 2014 because he wasn\u2019t eating, he was weak, had lost weight and had stopped speaking. I was waiting in line when I heard Hort\u00eancia giving a talk about health policies and health rights.”<\/p><\/blockquote>\n

Angelina\u2019s nearest clinic is a two-hour walk away. A long way for a slight woman like Angelina to carry a sick 17-month old child. We are only 80km north of Maputo, but the scattered nature of life in rural Mozambique is already apparent. This giant country stretches another 2,300km north \u2013 with a population of only 25 million.<\/p>\n

On her first day at the clinic, Angelina and Bento were tested for HIV, and the results were positive. HIV is an epidemic in Mozambique, with 11 percent of the adult population infected. An estimated 150,000 children under the age of 14 live with the disease. Despite significant advances in addressing under-five mortality in recent years and expanding treatment for people living with HIV, Mozambique\u2019s medical system is painfully stretched.<\/p>\n

\"\"<\/a>

Hort\u00eancia Alange, one of Namati’s rural health advocates.<\/p><\/div>\n

CD4 is a type of white blood cell that plays a major role in protecting your body from infection. HIV attacks and destroys CD4 cells. In the past only young children with a CD4 count of under 350 were given ARV treatment in Mozambique, so Bento seemingly did not qualify. He received no treatment \u2013 as Hort\u00eancia discovered on a home visit in October 2014. Research shows that in developing country settings, 50 percent of HIV-positive children under-two die if they do not receive treatment.<\/p>\n

But Hort\u00eancia knew that government policy and the treatment protocol for young HIV-positive children had changed. Bento should have been given medicine immediately because he was under five.<\/p>\n

Hort\u00eancia went with Angelina to see the HIV counselor at the clinic. The counselor had no idea that the national protocol had changed. Hort\u00eancia then called the medical director of the district hospital \u2013 and within two days an HIV clinician visited the clinic, briefed all staff on the new policy and put up a poster informing patients of the changes.<\/p>\n

Bento started his treatment in October. \u201cHe\u2019s getting better,\u201d says Angelina, as he sleeps in her arms. \u201cHis weight has come back, he eats well now and is speaking again.\u201d<\/p>\n

\"Three

Angelina and Bento, roughly one year after being diagnosed as HIV positive.\u00a0<\/p><\/div>\n

\n
\n
\n
\n
\n

Hort\u00eancia knew that if Bento had been refused treatment, it was possible that other children who visited the health facility had too. She went back to the clinic\u2019s records and with the head nurse found eight more children under the age of five who should be getting the life-saving medicine. She then worked with the local village health committee to track down the families and get them into the clinic for treatment. All of them are now receiving ARVs.<\/p>\n

Hort\u00eancia has also continued her outreach, talking on community radio about the children\u2019s protocol and other health rights, and combining house visits with outreach at the clinic. Despite living some of her week in a former village store \u2013 sleeping on the floor behind the old grocery counter \u2013 Hort\u00eancia is enthused by being a health advocate: \u201cI love my work in the community,\u201d she says as she beams a 1,000-watt smile. \u201cThis work inspires me.\u201d<\/p>\n

As for Angelina, the fact that she spoke to Hort\u00eancia at all is a big win. A culture of silence still pervades HIV status in rural Mozambique, and before befriending the health advocate Angelina says she would never have demanded tests for herself and her children. \u201cI was really worried,\u201d she says. \u201cBut I didn\u2019t know what to do. I thought it was normal to just wait. But now I have told my family and friends about the story and about Hort\u00eancia. I have spoken about it in the community.\u201d<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

PHOTOGRAPHS BY GabRIEL DIAMOND AND PAUL MCCANN \u00a92015 NAMATI<\/em><\/h4>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"excerpt":{"rendered":"

The quickest way to get to the village of Matimani, a few hours north of Maputo, is through the giant Marragra sugar cane plantation. You drive past the four-story white buildings of the processing plant and down onto a 100km-square plain of green rectangles. The grid-order of the South African-owned estate is in some contrast…<\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"author":18912,"featured_media":46602,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"content-type":"","footnotes":""},"categories":[1],"tags":[],"class_list":["post-61334","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","namati_post_type-story"],"acf":[],"yoast_head":"\nA Mother Empowered - Namati<\/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:\/\/namati.org\/news-stories\/mother-empowered\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"A Mother Empowered - Namati\" \/>\n<meta property=\"og:description\" content=\"The quickest way to get to the village of Matimani, a few hours north of Maputo, is through the giant Marragra sugar cane plantation. 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