We are funding work delivered by Netherlands Leprosy Relief (NLR) in the Zambezia province of Mozambique.

An NLR team visited Zambezia in September 2014. Their impression was that the Mozambique government is facing numerous challenges implementing the national health policy on neglected tropical diseases (NTDs), including leprosy and lymphatic filariasis (LF).

Current activities focus on the organisation of campaigns and the distribution of medicines but there is no follow-up or referral of people for further care.

Self-care groups which had been facilitated by Lepra until 2010 have not continued without external support and provincial healthcare staff are not aware of their previous existence. Access to basic services for people with a disability is problematic. Most people are completely dependent on their families.

Activities will focus on building the capacity of staff as well as strengthening the control programmes. Our integrated approach for leprosy and LF will be piloted in the first year and an expert from our India team will share his or her knowledge and expertise.

This is an exciting development, as no other non-governmental organisation supports the Leprosy Control Programme at district level. Materials will be developed to support refresher training.

Support to self-care groups will be a key component of our work; NLR’s experience in Nampula and Niassa will be combined with our own learning from Bangladesh and India. People affected by leprosy and LF will be trained to be educators and community mobilisers.