Our Projects

HRSA is committed to sustainable control of the HIV/AIDS epidemic. Building on HRSA’s experience to improve HIV and health services in the United States, HRSA seeks to provide leadership and resources to assure access to and retention in high quality integrated care and treatment services for vulnerable people living with HIV/AIDS globally.

Key components and strategies of the Global Program include:

  • Supporting training activities and partnerships to develop human and organizational capacity
  • Designing innovative care and support models to remove barriers to care
  • Assessing the effectiveness of specific models of care to promote adaptation of best practices
  • Enhancing the capacity of program partners to collect, monitor, and evaluate data for quality of care

Current Projects

International AIDS Education and Training Centers

The International AIDS Education and Training Centers (IAETC) work with in-country partners to provide support in health systems strengthening to countries in their efforts to control the HIV/AIDS epidemic. The diverse capacity building done by the IAETC is much broader than the name suggests, and has included direct treatment including antiretroviral therapy and voluntary medical male circumcision. They have done substantial capacity building in Ministries of Health including via secondment with eventual hiring by host governments. Training and education is only one aspect of the IAETC’s work, and these activities are increasingly shifting to the site level consistent with the direction of PEPFAR.

IAETC's activities focus on improving human resources for health, health information systems and data to care, testing, care, treatment, and support. The IAETC program promotes sustainable health systems strengthening through the engagement with partners in-country, including local organizations and Ministries of Health and Education.

Implementing Partner(s)

  • International Training & Education Center for Health (I-TECH) at the University of Washington

Geographic Scope
Asia Regional, Botswana, Caribbean Region, India, Kenya, Mozambique, South Africa and Ukraine

Global Nursing Capacity Building Project

The Global Nursing Capacity Building Project (GNCBP) works to strengthen the knowledge, skills and abilities of nurses that deliver care to people affected and infected by HIV/AIDS and co-morbidities, as well as the capacity of in-country nurse leaders, organizations and institutions in African countries. It consists of two subprojects, General Nursing and the Nursing Education Partnership Initiative.

GNCBP seeks to optimize care and treatment service delivery models and support staffing for Care and Treatment Scale Up in line with 90-90-90 targets through Option B+ and pediatric e- learning and campus to clinic education and mentorship programs to ensure HIV nurse competencies for work in high HIV burden clinics.

Implementing Partner(s)

  • International Center for AIDS Care and Treatment Programs (ICAP) at Columbia University

Geographic Scope
Cameroon, Cote D’Ivoire, Ethiopia, Kenya, South Africa and Zambia

International Twinning Center

The International Twinning Center facilitates, manages, and provides technical support for peer-to-peer institutional partnerships (north-south and, increasingly, south-south) between organizations with shared characteristics to achieve a common goal—to strengthen health systems and human resources for the provision of quality, sustainable HIV/AIDS services, by empowering PEPFAR countries to meet internal and regional needs for these services.

The International Twinning Center strengthens health systems and supports care and treatment in a number of essential areas, including:

  • Increasing the capacity of healthcare workers
  • Introducing new healthcare cadres; Accrediting pre- and in-service curricula
  • Strengthening country/regional health and allied workforce
  • Tracking the deployment of trained professionals in high-burden areas
  • Building the capacity of professional associations
  • Creating new models of care

Implementing Partner(s)

  • American International Health Alliance (AIHA)

Geographic Scope
Ethiopia, Cambodia, Kenya, Kyrgyzstan, Mozambique, South Africa, Tanzania, Uganda, Ukraine, and Zambia

Quality Improvement Capacity for Impact Project

The Quality Improvement Capacity for Impact Project (QICIP) represents a broadening of the former project to include a variety of approaches supported by evidence of effectiveness, with field-based support and a platform for sharing knowledge between and among facilities and countries.

QICIP works to build the capacity of host country health systems to improve the effectiveness, efficiency, patient-centeredness, safety, accessibility, and equity of the services that they provide. The QICIP is available to provide assistance to country teams seeking to address deficiencies arising from Site Improvement through Monitoring System (SIMS) assessments and gaps along the clinical care cascade, particularly those that represent barriers to achieving epidemic control. Using a knowledge sharing platform will help catalyze and spread successful interventions to other countries and sites.

Implementing Partner(s)

  • International Center for AIDS Care and Treatment Programs (ICAP) at Columbia University
  • HEALTHQual International at University of California San Francisco (UCSF)

Geographic Scope
Asia Regional (Laos & Thailand), Angola, Cambodia, Cameroon, Kenya, Malawi, Mozambique, Namibia, Nigeria, Papua New Guinea, South Africa, Tanzania, Vietnam, Zambia, Zimbabwe

Resilient and Responsive Health Systems Initiative

The Resilient and Responsive Health Systems (RRHS) Initiative supports the enhancement of the capacity in the primary health care system, with a focus on health worker training, supply and quality. The purpose of the RRHS Initiative is to rebuild/strengthen the health workforce, strengthen national governance and coordination frameworks, and create platforms for cross-regional and/or initiative-wide collaborations to promote inter-professional sharing and the adoption of evidence-based practices, innovative models and educational standards. Some of this work will be accomplished through enhancing skills of health workers at all levels from community health workers to physicians, strengthening training institutions through multi-level capacity building activities and strengthening professional boards and organizations.

Implementing Partner(s)

  • International Center for AIDS Care and Treatment Programs (ICAP) at Columbia University
  • Brigham & Women’s Hospital

Geographic Scope
Democratic Republic of Congo, Liberia and Sierra Leone

Resilient and Responsive Health Organizations Initiative

The Resilient and Responsive Health Organizations (RRHO) Initiative will support the creation of capacity building plans and the provision of technical assistance focused on the building or enhancing of organizational capacity in a variety of priority areas including program and financial management, grants management, leadership and governance, personnel management, and evaluation and monitoring. The purpose of the RRHO Initiative is to strengthen the capacity of impact partners supported under the HRSA Resilient and Responsive Health Systems Initiative, a five-year program to strengthen Human Resources for Health (HRH). By strengthening the organizational capacity of impact partners in each country, HRSA seeks to maintain the ability of each institution to continue playing a positive role in addressing the HRH needs and to benefit health care providers and the populations they serve.

Implementing Partner(s)

  • John Snow Institute (JSI)

Geographic Scope
Democratic Republic of Congo, Liberia, Sierra Leone and South Sudan

Health Workforce 21st Century

The Health Workforce 21st Century (HW21) Initiative seeks to develop and implement innovative approaches to increasing adequacy, capacity, employment, coordination, complementarity, deployment and retention of physicians, nurses, midwives, pharmacists, CHWs, social service workers, lay health workers, laboratory technicians and other related health cadres that provide primary care and community health services to people living with HIV (PLWH), Tuberculosis (TB), and other infectious diseases in sub-Saharan Africa, Central Asia, Eastern Europe, the Caribbean and/or Latin America.

Implementing Partner(s)

  • Johns Hopkins Program for International Education in Gynecology and Obstetrics (Jhpiego) at Johns Hopkins University

Geographic Scope
Cote d’Ivoire and Zambia

Optimizing Momentum Toward Sustainable Epidemic Control

The Optimizing Momentum Toward Sustainable Epidemic Control (OPCON) Project provides support for transition and integration of HIV testing, care, and prevention interventions currently or previously supported by PEPFAR into host country health systems through evaluation and technical assistance to ensure continued gains toward sustainable HIV epidemic control. Identifying best practices gleaned from these transitions, including factors contributing to maintaining gains in HIV epidemic control and quality of HIV care and treatment services, will be instrumental in ensuring the sustainability of epidemic control.

Implementing Partner(s)

  • International Center for AIDS Care and Treatment Programs (ICAP) at Columbia University

Geographic Scope
Cote d’Ivoire, South Africa, Mozambique, Zambia and Zimbabwe

Past Projects


Date Last Reviewed:  January 2018