Abstract
“End of AIDS” requires ambitious testing, treatment, and adherence benchmarks, like UNAIDS’ “90?90?90 by 2020.” Mozambique’s efforts to improve essential maternal/infant antiretroviral treatment (ART) exposes how austerity?related health system short?falls impede public HIV/AIDS service?delivery and hinder effective maternal ART and adherence. In therapeutic borderlands—where household impoverishment intersects with health?system impoverishment—HIV+ women and over?worked care?providers circumnavigate scarcity and stigma. Worrisome patterns of precarious use emerge—perinatal ART under?utilization, delayed initiation, intermittent adherence, and low retention. Ending HIV/AIDS requires ending austerity and reinvesting in a public sector health workforce to ensure universal health coverage as household and community safety nets.