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'''OVERVIEW'''  
'''OVERVIEW'''  


Generally speaking, Mozambique is a country in transition. The majority of the country is poor, with a high fertility rate and infant mortality rate. Women tend to marry young, including child marriage and teen marriage, with low rates of contraceptive use. The country struggles with issues related to gender inequality and HIV transmission rates as well. However, Mozambique is a young country, with over 60% of the population younger than 25 years old, and there are initiatives to improve sexual and reproductive health care. The populace is a mix of many religions, including Roman Catholic, Muslim, Protestant, and other religions.<ref name="ciaworldfactbook_mozambique">[https://www.cia.gov/library/publications/the-world-factbook/geos/mz.html CIA World Factbook - Mozambique]</ref> <ref name="empowergirls_mozambique">[https://www.unfpa.org/news/mozambique-programme-empowers-girls-fight-gender-inequality-child-marriage UNFPA - Mozambique programme empowers girls to fight gender inequality, child marriage]</ref>
Generally speaking, Mozambique is a country in transition. The majority of the country is poor, with a high fertility rate and infant mortality rate. Women tend to marry young, and child marriage and teen marriage is common. There are low rates of contraceptive use. The country struggles with issues related to gender inequality and a high rate of HIV infection. However, Mozambique is a young country, with over 60% of the population younger than 25 years old, and there are initiatives to improve sexual and reproductive health care. The rates of HIV infection and HIV-related deaths have gone down in recent years. Furthermore, the country has made significant strides to improve primary health care and reduce the infant mortality rate.<ref>[https://www.odi.org/sites/odi.org.uk/files/odi-assets/publications-opinion-files/8981.pdf AGAINST THE
ODDS - Mozambique’s gains in primary health care]</ref> <ref name="ciaworldfactbook_mozambique">[https://www.cia.gov/library/publications/the-world-factbook/geos/mz.html CIA World Factbook - Mozambique]</ref> <ref name="empowergirls_mozambique">[https://www.unfpa.org/news/mozambique-programme-empowers-girls-fight-gender-inequality-child-marriage UNFPA - Mozambique programme empowers girls to fight gender inequality, child marriage]</ref> For these reasons, it is perhaps most accurate to say that Mozambique faces significant challenges, as related to health care, but it has also seen growth since the 1990s. On a cultural and religious level, the country is also very diverse. The populace is a mix of many religions, including Roman Catholic, Muslim, Protestant, and other religions.<ref name="ciaworldfactbook_mozambique" />


==Contraception (Birth Control)==
==Contraception (Birth Control)==
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It is important to understand that many women in the country are poor, and they may not have the economic means to visit a pharmacy for contraception. It may be more common to visit a public facility or an NGO, such as [https://healthmarketinnovations.org/program/dkt-mozambique DKT International], if they wish to obtain contraceptives.
It is important to understand that many women in the country are poor, and they may not have the economic means to visit a pharmacy for contraception. It may be more common to visit a public facility or an NGO, such as [https://healthmarketinnovations.org/program/dkt-mozambique DKT International], if they wish to obtain contraceptives.


Women in Mozambique tend to be marry young and have many children. Among 20 to 24 years old, 48% of women (between the ages of 20 to 24) were married before reaching 18 years old.<ref name="empowergirls_mozambique" /> In addition, contraceptives are not commonly used, and women have a high fertility rate (5.02 children born/woman in 2018), making Mozambique the country with the 12th highest fertility rate in the world.<ref name="ciaworldfactbook_mozambique" /> According to a 2015 UN report, it was estimated that about 18% of women (who were married/in unions and between ages 15 to 49) were using any form of contraception in Mozambique. This is lower than the Eastern African average, where about 40% of women use any form of contraception, including traditional methods. Furthermore, about 28% of women have unmet family planning needs, which was a bit lower than the Eastern African average (about 24% of women had unmet family planning needs). The most common forms of contraception were contraceptive injectables (about 7% of women) and birth control pills (about 6%) of women. There were very low rates of usage for other forms of contraception, including condoms (about 2%), female sterilization (0.3%), the rhythm method (0.3%), withdrawal (0.3%), and IUDs (0.1%). There were practically no users of contraceptive implants or vaginal barrier methods.<ref>[http://www.un.org/en/development/desa/population/publications/pdf/family/trendsContraceptiveUse2015Report.pdf Trends in Contraceptive Use Worldwide 2015]</ref>
Women in Mozambique tend to marry young and have many children. Among 20 to 24 years old, 48% of women (between the ages of 20 to 24) were married before reaching 18 years old.<ref name="empowergirls_mozambique" /> In addition, contraceptives are not commonly used, and women have a high fertility rate (5.02 children born/woman in 2018), making Mozambique the country with the 12th highest fertility rate in the world.<ref name="ciaworldfactbook_mozambique" /> According to a 2015 UN report, it was estimated that about 18% of women (who were married/in unions and between ages 15 to 49) were using any form of contraception in Mozambique. This is lower than the Eastern African average, where about 40% of women use any form of contraception, including traditional methods. Furthermore, about 28% of women have unmet family planning needs, which was a bit lower than the Eastern African average (about 24% of women had unmet family planning needs). The most common forms of contraception were contraceptive injectables (about 7% of women) and birth control pills (about 6%) of women. There were very low rates of usage for other forms of contraception, including condoms (about 2%), female sterilization (0.3%), the rhythm method (0.3%), withdrawal (0.3%), and IUDs (0.1%). There were practically no users of contraceptive implants or vaginal barrier methods.<ref>[http://www.un.org/en/development/desa/population/publications/pdf/family/trendsContraceptiveUse2015Report.pdf Trends in Contraceptive Use Worldwide 2015]</ref>


===What to Get & Where to Get It===
===What to Get & Where to Get It===
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* You can find emergency contraceptive pills (morning after pills) available at many venues, including pharmacies, clinics and hospitals, social marketing programs, sexual violence programs, family planning programs, and SRH youth-friendly services. They are sold over-the-counter (no prescription required). Some brands you may find are Escinor 1.5, Postinor-2, Pregnon, and SEKURE.<ref name ="ecstatus_mozambique" />
* You can find emergency contraceptive pills (morning after pills) available at many venues, including pharmacies, clinics and hospitals, social marketing programs, sexual violence programs, family planning programs, and SRH youth-friendly services. They are sold over-the-counter (no prescription required). Some brands you may find are Escinor 1.5, Postinor-2, Pregnon, and SEKURE.<ref name ="ecstatus_mozambique" />
* [http://www.dktmozambique.org/en/homepage/ DKT International - Mozambique]: This NGO offers emergency contraceptive options, including morning after pills and IUDs. They have 30 clinics and 4 mobile clinics in the Maputo, Sofala, Gaza and Inhambane provinces. Headquarters Phone (Maputo): +258 21 415 47; +258 84 305 27 85; Email: info@dktmozambique.org; Beira – +258 84 393 9925; Nampula – +258 84 393 9933
* [http://www.dktmozambique.org/en/homepage/ DKT International - Mozambique]: This NGO offers emergency contraceptive options, including morning after pills and IUDs. They have 30 clinics and 4 mobile clinics in the Maputo, Sofala, Gaza and Inhambane provinces. Headquarters Phone (Maputo): +258 21 415 47; +258 84 305 27 85; Email: info@dktmozambique.org; Beira – +258 84 393 9925; Nampula – +258 84 393 9933
* Not: The longest-lasting EC is currently [http://www.ellaone.com/ ellaOne]. It lasts up to 5 days (120 hours) after unprotected sex. Check to see if your country carries ellaOne. If your country doesn't carry ellaOne, copper IUDs may also prevent pregnancy up to 5 days after unprotected sex. If none of these options are available, and it's been over 3 days since you had unprotected sex, you can still take EC, which may work up to 5 days. Note that EC pills are not 100% effective and should be taken as soon as possible.
* Note: The longest-lasting EC is currently [http://www.ellaone.com/ ellaOne]. It lasts up to 5 days (120 hours) after unprotected sex. Check to see if your country carries ellaOne. If your country doesn't carry ellaOne, copper IUDs may also prevent pregnancy up to 5 days after unprotected sex. If none of these options are available, and it's been over 3 days since you had unprotected sex, you can still take EC, which may work up to 5 days. Note that EC pills are not 100% effective and should be taken as soon as possible.


===Costs===
===Costs===
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In Mozambique, there are no known travel or residency restrictions for people with HIV/AIDS. This means that you can enter the country, regardless of your HIV status, and you should not be deported if you test positive for HIV while you are in the country.<ref name="hivtravel_mozambique">[http://www.hivtravel.org/Default.aspx?PageId=143&CountryId=127 MOZAMBIQUE - REGULATIONS ON ENTRY, STAY AND RESIDENCE FOR PLHIV]</ref>
In Mozambique, there are no known travel or residency restrictions for people with HIV/AIDS. This means that you can enter the country, regardless of your HIV status, and you should not be deported if you test positive for HIV while you are in the country.<ref name="hivtravel_mozambique">[http://www.hivtravel.org/Default.aspx?PageId=143&CountryId=127 MOZAMBIQUE - REGULATIONS ON ENTRY, STAY AND RESIDENCE FOR PLHIV]</ref>
It is important to understand that Mozambique struggles with an HIV epidemic. As of 2018, about 13% of the population is infected with HIV, and women tend to have higher infection rates than men. In particular, adolescent girls experience higher infection rates than adolescent boys. Many HIV-positive people do not maintain their ART treatment, and Mozambique has a fragile health care system that suffers from insufficient funding, infrastructure, and resources.<ref>[https://www.usaid.gov/sites/default/files/documents/1869/HIV-AIDS-PEPFAR_-_Sector_Briefer.pdf CONTROLLING THE HIV/AIDS EPIDEMIC]</ref> However, there is hopeful news related to HIV as well. The overall HIV infection rate decreased between 2000 and 2016, and the HIV-related death rate deceased between 2013 and 2016.<ref>[https://www.who.int/hiv/data/Country_profile_Mozambique.pdf WHO - Mozambique Country Profile, 2016]</ref>


===Testing Facilities===
===Testing Facilities===
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===What to Get & Where to Get It===
===What to Get & Where to Get It===
* One blogger in 2016 noted that it was hard to find tampons in Mozambique.<ref>[https://norainmozambique.wordpress.com/peace-corps/packing-list/ PACKING LIST MOZAMBIQUE 2016]</ref>


===Costs===
===Costs===
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===Laws & Social Stigmas===
===Laws & Social Stigmas===
Mozambique has a maternal mortality rate of 489 deaths per 100,000 live births, as of 2015, making it the country with the 21st highest maternal mortality rate in the world. This rate is roughly similar to the maternal mortality rate of [[Lesotho]], as of 2015.<ref name="ciaworldfactbook_mozambique"  />


===What to Get & Where to Get It===
===What to Get & Where to Get It===

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