AUTHOR=Doro Altan Anna Maria , Germano Paola , Neze-Sebakunzi Julien , Cannelli Cristina , Ismael Flavio , Ciccacci Fausto , Sylla Fatoumata , Bortolot Gabriella , Marazzi Maria Cristina 

TITLE=The DREAM Programme, lessons learnt from 20 years of experience

JOURNAL=Frontiers in Public Health

VOLUME=Volume 13 - 2025

YEAR=2025

URL=https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2025.1674241

DOI=10.3389/fpubh.2025.1674241

ISSN=2296-2565

ABSTRACT=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.