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COMMUNITY CASE STUDY article

Front. Public Health

Sec. Infectious Diseases: Epidemiology and Prevention

This article is part of the Research TopicDefeating HIV in Africa: An Achievable GoalView all 4 articles

The DREAM Programme, lessons learnt from 20 years of experience

Provisionally accepted
Anna Maria Doro AltanAnna Maria Doro Altan1*Paola GermanoPaola Germano2Julien Neze SebakunziJulien Neze Sebakunzi3Cristina CannelliCristina Cannelli2Flavio IsmaelFlavio Ismael4Fausto CiccacciFausto Ciccacci5Fatoumata SyllaFatoumata Sylla6Gabriella BortolotGabriella Bortolot7Maria Cristina MarazziMaria Cristina Marazzi2
  • 1Link Campus University, Rome, Italy
  • 2DREAM Programme, Community of Sant'Egidio, Rome, Italy
  • 3DREAM Programme, Community of Sant'Egidio, Kinshasa, Democratic Republic of Congo
  • 4DREAM Programme, Community of Sant'Egidio, Maputo, Mozambique
  • 5Universita degli Studi di Roma Tor Vergata, Rome, Italy
  • 6DREAM Programme, Community of Sant'Egidio, Conakry, Guinea
  • 7DREAM Programme, Community of Sant'Egidio, Genova, Italy

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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.

Keywords: HIV, Africa, Adherence - Compliance - Persistance, Universal Acces to Health Care Services, Non communicable chronic diseases

Received: 27 Jul 2025; Accepted: 24 Oct 2025.

Copyright: © 2025 Doro Altan, Germano, Neze Sebakunzi, Cannelli, Ismael, Ciccacci, Sylla, Bortolot and Marazzi. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Anna Maria Doro Altan, doro.altan@gmail.com

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

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