MSF provides sexual and reproductive services, including safe abortion care and HIV testing and treatment in Beira, Mozambique. The project has two main strategies. First, staff provide decentralized care in under-resourced communities to key population groups such as sex workers, transgender women, men who have sex with men, and vulnerable adolescents through mobile clinics and by training peer workers to provide some services directly to their communities. Second, MSF supports the Ministry of Health in 11 health centers in Beira that provide safe abortion care, HIV and advanced HIV care. Support includes a mentorship program for MoH staff with a focus on medical guidelines and sensitized attitudes towards marginalized groups to help remove barriers to their accessing health services.
Mozambique changed its legal framework for abortion in 2014, making it legal and free to access safe abortion care in health care facilities up to 12 weeks of pregnancy, and up to 24 weeks in certain circumstances. Barriers to safe care still exist and sensitization of communities and health workers on family planning and safe abortion care is a big part of MSF's project in Beira.