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.
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 – some of whom find a place for a swim. It is the wet season and flooding has been widespread in coastal Mozambique.
Matimani is a collection of scattered family homesteads – each comprising several buildings – about 23km from the district town of Marracuene. We are here to meet with Namati Moçambique’s local health advocate Hortência Alange, who emerges from a tiny house in a deep red headscarf.
Hortência 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.
Angelina was born in the village, but this homestead, with its three hectares of arable land, belongs to her husband’s 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. “We now have to cut trees to make charcoal and sell the charcoal at market to buy food,” says Angelina. “Things are not growing well because of the rain.”
Angelina first met Hortência at the health clinic.
“I had taken my son there in September 2014 because he wasn’t eating, he was weak, had lost weight and had stopped speaking. I was waiting in line when I heard Hortência giving a talk about health policies and health rights.”
Angelina’s 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 – with a population of only 25 million.
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’s medical system is painfully stretched.
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 – as Hortência 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.
But Hortência 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.
Hortência went with Angelina to see the HIV counselor at the clinic. The counselor had no idea that the national protocol had changed. Hortência then called the medical director of the district hospital – 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.
Bento started his treatment in October. “He’s getting better,” says Angelina, as he sleeps in her arms. “His weight has come back, he eats well now and is speaking again.”
Hortência 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’s 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.
Hortência has also continued her outreach, talking on community radio about the children’s 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 – sleeping on the floor behind the old grocery counter – Hortência is enthused by being a health advocate: “I love my work in the community,” she says as she beams a 1,000-watt smile. “This work inspires me.”
As for Angelina, the fact that she spoke to Hortência 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. “I was really worried,” she says. “But I didn’t 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 Hortência. I have spoken about it in the community.”
Last updated January 30, 2013.
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Last updated: July 25, 2022
Welcome to the namati.org website (the “Site”) and the Legal Empowerment Network Forum (the “Forum”) operated by Namati, Inc., a Delaware corporation (“Namati”, “we”, “us” or “our”). We share your concern about the protection of your personal information online.
This Policy describes our privacy practices and sets out your obligations and ours with respect to your use of the Site and the Forum. This Policy applies only to the Site and the Forum and does not necessarily apply to our offline collection of information.
Namati may collect and retain two types of information about Site and Forum visitors: (i) personal information that individual visitors voluntarily provide when interacting on the Site or Forum or on certain other occasions (such as via forms or in emails); and (ii) tracking data, which is data that is automatically collected from every Site and Forum visitor as they use and browse the site.
We may, from time to time, store and archive the information you submit to or through the Site and Forum. The information that we gather may include your name, title, and address, telephone number, email address, credit card number or other elements of personal information. In addition, if you contact us, we may keep a record of your correspondence, including any information contained therein.
You may decline to provide any personal information, but please realize that you thereby may be unable to register or to participate in activities or services offered on the Site and/or Forum.
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Our use of your Information involves various forms of communication with you, including:
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Used widely by Microsoft as a unique user ID. The cookie enables user tracking by synchronizing the ID across many Microsoft domains.
Privacy notice: https://privacy.microsoft.com/en-us/privacystatement
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Privacy notice: https://www.godaddy.com/en-in/legal/agreements/privacy-policy
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Privacy notice: https://www.npr.org/about-npr/179878450/privacy-policy
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Privacy notice: https://www.scorecardresearch.com/privacy.aspx?newlanguage=1
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Privacy notice: https://www.ted.com/about/our-organization/our-policies-terms/privacy-policy
Personal information you submit via your member account, other than information provided or content posted by you to public areas of the Site as described below, is deleted from Namati’s records following the deletion of your account. However, such information may continue to be retained by third-party service providers to which it has been disclosed for one of the reasons listed above. Any financial records will be kept in accordance with Namati’s data retention policy.
Your Information is stored on Digital Ocean servers in New York, USA, and WPengine servers located in Texas, USA. When you provide personal information to us, we request your consent to transfer that personal information to the USA. The USA does not have an adequacy decision from the European Commission, which means that the Commission has not determined that the laws of the USA provide adequate protection for personal information. Although the laws of the USA do not provide legal protection that is equivalent to the EU GDPR, we safeguard your personal information by treating it in accordance with this Policy. We take appropriate steps to protect your privacy and implement reasonable security measures to protect your personal information in storage. We use secure transmission methods to collect personal data through our website. We also enter into contracts with our data processors that require them to treat personal information in a manner that is consistent with this Policy.
We have put in place appropriate security measures to prevent your personal data from being accidentally lost, used or accessed in an unauthorized way, altered or disclosed. In addition, we limit access to your personal data to those employees, agents, contractors and other third parties who have a business need to know. They will only process your personal data on our instructions and they are subject to a duty of confidentiality.
We have put in place procedures to deal with any suspected personal data breach and will notify you and any applicable regulator of a breach where we are legally required to do so.
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The Forum uses data about your posts and other activity to make automated decisions about whether your posts are spam.
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Namati is concerned about the privacy protection of children who access the Internet and this website is not intended for children and we do not knowingly collect data relating to children. Accordingly, the Site and Forum are not intended for use by anyone under the age of 16, and we do not knowingly collect information from anyone under 16 years of age without the consent of a parent or guardian.
We reserve the right to disclose any information to comply with any law, regulation, decree, judgment, order, subpoena or any other governmental order (“Order”) without any obligation to contest or verify the accuracy of such Order.
This Policy will be governed by and construed in accordance with the laws of the State of New York, without regard to any principles of conflicts of law. You agree that any action at law or in equity that arises out of or relates to any use of the Site may be filed:
The section titles in this Policy are for convenience only and have no legal or contractual effect. The Site, the Learning Site, the Forum, and any third-party services they use, may be subject to additional terms and conditions regarding privacy and use of information. Your use of the Site and the Forum is subject to those terms and conditions, which are incorporated into this Policy by reference. In the event of an inconsistency between this Policy and any additional posted conditions, the provisions of the additional conditions shall control.
We may need to change the Policy from time to time in order to address new issues and to reflect changes on the Site or in the law. We reserve the right to revise or make any changes to the Policy, and your continued use of the Site subsequent to any changes to this Policy will mean that you agree to and accept such changes. You can tell if the Policy has been updated by checking the last revised date posted on the top of this page. Historic versions can be obtained by contacting us at firstname.lastname@example.org.
You can also access, remove, update or correct your information, and raise any questions or concerns regarding the Site or the Policy, by emailing email@example.com, or mailing:
Namati Data Protection Officer
1616 P Street NW, Suite 101
Washington, DC 20036, USA
It is important that the personal data we hold about you is accurate and current. Please keep us informed if your personal data changes during your relationship with us.
You have the right to:
Request access to your personal data (commonly known as a “data subject access request”). This enables you to receive a copy of the personal data we hold about you and to check that we are lawfully processing it.
Request correction of the personal data that we hold about you. This enables you to have any incomplete or inaccurate data we hold about you corrected, though we may need to verify the accuracy of the new data you provide to us.
Request erasure of your personal data. This enables you to ask us to delete or remove personal data where there is no good reason for us continuing to process it. You also have the right to ask us to delete or remove your personal data where you have successfully exercised your right to object to processing (see below), where we may have processed your information unlawfully or where we are required to erase your personal data to comply with local law. Note, however, that we may not always be able to comply with your request of erasure for specific legal reasons which will be notified to you, if applicable, at the time of your request.
Object to processing of your personal data where we are relying on a legitimate interest (or those of a third party) and there is something about your particular situation which makes you want to object to processing on this ground as you feel it has an impact on your fundamental rights and freedoms. You also have the right to object where we are processing your personal data for direct marketing purposes. In some cases, we may demonstrate that we have compelling legitimate grounds to process your information which override your rights and freedoms.
Request restriction of processing of your personal data. This enables you to ask us to suspend the processing of your personal data in the following scenarios:
Request the transfer of your personal data to you or to a third party. We will provide to you, or a third party you have chosen, your personal data in a structured, commonly used, machine-readable format. Note that this right only applies to automated information which you initially provided consent for us to use or where we used the information to perform a contract with you.
Withdraw consent at any time where we are relying on consent to process your personal data. However, this will not affect the lawfulness of any processing carried out before you withdraw your consent. If you withdraw your consent, we may not be able to provide certain products or services to you. We will advise you if this is the case at the time you withdraw your consent.
You will not have to pay a fee to access your personal data (or to exercise any of the other rights). However, we may charge a reasonable fee if your request is clearly unfounded, repetitive or excessive. Alternatively, we could refuse to comply with your request in these circumstances.
We may need to request specific information from you to help us confirm your identity and ensure your right to access your personal data (or to exercise any of your other rights). This is a security measure to ensure that personal data is not disclosed to any person who has no right to receive it. We may also contact you to ask you for further information in relation to your request to speed up our response.
We try to respond to all legitimate requests within one month. Occasionally it could take us longer than a month if your request is particularly complex or you have made a number of requests. In this case, we will notify you and keep you updated.
If you live in an EEA Member State, all of which have adopted the EU GDPR and national , you have a right to lodge a complaint with your relevant supervisory authority about this policy and its application. The European Commission has a list of EU national data protection authorities here:
If you live in the United Kingdom, you have a right to lodge a complaint with your relevant supervisory authority, the ICO, about this policy and its application:
The Policy was updated in July 2022 to comply with the General Data Protection Regulations.