The DREAM Programme, lessons learnt from 20 years of experience
We describe characteristics and results from the DREAM Program, a public health program initiated in Mozambique in 2002 to fight AIDS and other chronic diseases in Sub Saharan Africa. The DREAM Program is currently implemented in 10 countries providing free-of-charges services to over 110,000 patients. DREAM achieved remarkable success in the prevention of mother to child transmission of HIV, in adherence and retention support, in viral load monitoring. Among the challenges: the limited therapeutic options for people living with HIV experiencing virological failure and limited access to resistance tests.
Authors
- Fausto Ciccacci (ORCID: https://orcid.org/0000-0003-0262-707X)
- Maria Cristina Marazzi (ORCID: https://orcid.org/0000-0003-2031-5213)
- Flavio Ismael
- Paola Germano
- Anna Maria Doro Altan
- Cristina Cannelli
- Gabriella Bortolot
- Julien Neze-Sebakunzi
- Fatoumata Sylla
Institutions
- University of Rome Tor Vergata (IT)
- Leonardo (Italy) (IT)
- University of Kinshasa (CD)
- Grupo João Ferreira dos Santos (Mozambique) (MZ)
- Université Général Lansana Conté (GN)
- Link Campus University (IT)
Publication Details
- Journal
- Frontiers in Public Health
- Published
- 2025-11-20
- DOI
- https://doi.org/10.3389/fpubh.2025.1674241
- Primary Topic
- HIV/AIDS Research and Interventions
- Type
- article
- Field-Weighted Citation Impact
- 0.00