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Health Systems Strengthening and HIV/AIDS Prevention, Care and Treatment under the President's Emergency Plan for AIDS Relief

Program Information

Popular name

Office of Global Health

Program Number

93.266

Program objective

Fund human resources for health, quality improvement and other health system strengthening activities in countries supported through the President’s Emergency Plan for AIDS Relief (PEPFAR). Objectives include: (1) Training and technical assistance to build and strengthen care programs and health systems, so that affected countries can maintain programs over time and deliver quality HIV/AIDS care; build infrastructure such as clinic and community-led monitoring, health information systems, and medical and nursing education. (2) Enhance models of medical, nursing and midwifery education. (3) Develop partnerships between experts in the U.S. and people and institutions overseas to build skills and prepare host countries so that they may better manage their own programs over the long term, (4) Support PEPFAR’s sustainability goals including by transferring HRSA expertise and best practices.     Health Systems Strengthening Programs funded through cooperative agreements: (1) Leveraging health service equity approaches for sustainable HIV epidemic control; (2) Global Reach II; (3) Quality Improvement Solutions for Sustained Epidemic Control; (4) Capacity Building for Sustainable HIV Services.   Non-Competing Continuations planned for FY25/26 Leveraging health service equity approaches for sustainable HIV epidemic control (HSEA): $8,000,000  Develop and implement strategies to address social determinants and health inequalities found within the healthcare system to improve the delivery of quality HIV/AIDS services in Malawi Zambia and potentially in other identified PEPFAR-supported countries, prioritizing the HBCU Global Health Consortium Initiative   Global Reach II (GRII): $3,750,948 HIV epidemic control through a focus on treatment in regional and national programs including health workforce development and mental health services.  Quality Improvement Solutions for Sustained Epidemic Control Project (QISSEC): $2,684,125  Quality improvements across the HIV care continuum   Capacity Building for Sustainable HIV Services – Global (CBP): $11,563,395  Enhances overall capacity strengthening and advances program sustainability in a PEPFAR countries through HIV/AIDS training centers to highlight new and initial and innovative interventions to improve patient outcomes, including integrated services.  Competing planned for FY25. Network of local institutions and partners to accompany PEPFAR countries in reaching and maintaining HIV epidemic control and creating a sustainable national HIV response ($TBD) Supporting PEPFAR’s strategic goals including to end HIV as a public health threat by 2030 and to have most of the HIV programming administered by governments and local partners, with effective community involvement, and accountability.

Program expenditures, by FY (2023 - 2025)

This chart shows obligations for the program by fiscal year. All data for this chart was provided by the administering agency and sourced from SAM.gov, USASpending.gov, and Treasury.gov.

For more information on each of these data sources, please see the About the data page.

Additional program information

  1. 2020

    Recent program accomplishments include the following: • Helped establish Project ECHO in Zambia, Uganda, Jamaica, Trinidad & Tobago & Democratic Republic of Congo (DRC). • Developed Standard Operating Procedures (SOPs) and training materials for 39 PEPFAR-supported facilities for index testing in Ukraine. • Supported the transition of the Quality Improvement Collaborative to sustainable QI Learning network in the Caribbean Region. • Introduced Family Medicine Training Program in a rural community in Liberia. • Strengthened the Liberia Board of Nursing and Midwifery into an organization now able to lead curriculum development, accreditation, licensure and continuing professional development.

  2. 2021

    • Helped establish Project ECHO in Zambia, Uganda, Jamaica, Trinidad & Tobago & Democratic Republic of Congo (DRC). • Developed Standard Operating Procedures (SOPs) and training materials for 39 PEPFAR-supported facilities for index testing in Ukraine. • Supported the transition of the Quality Improvement Collaborative to sustainable QI Learning network in the Caribbean Region. • Introduced Family Medicine Training Program in a rural community in Liberia. • Strengthened the Liberia Board of Nursing and Midwifery into an organization now able to lead curriculum development, accreditation, licensure and continuing professional development.

  3. 2022

    Recent program accomplishments include the following:

    Helped establish Project ECHO in Zambia, Uganda, Jamaica, Trinidad & Tobago & Democratic Republic of Congo (DRC).

    Developed Standard Operating Procedures (SOPs) and training materials for 39 PEPFAR-supported facilities for index testing in Ukraine.

    Supported the transition of the Quality Improvement Collaborative to sustainable QI Learning network in the Caribbean Region.

    Introduced Family Medicine Training Program in a rural community in Liberia.

    Strengthened the Liberia Board of Nursing and Midwifery into an organization now able to lead curriculum development, accreditation, licensure and continuing professional development.

    FY 2022: First harm reduction program implemented in Mozambique; new integrated mental health screenings for people living with HIV in Uganda, Zambia and Jamaica; first cohort of adolescent girls and young women as community health workers placed in 3 rural districts in Malawi; new HRSA-funded program in Philippines for national policies on healthcare workforce and quality improvement of HIV services.

  4. 2024

    Recent program accomplishments include the following: 

    Helped establish Project ECHO in Zambia, Uganda, Jamaica, Trinidad & Tobago & Democratic Republic of Congo (DRC). 

    Increased pre-exposure prophylaxis (PrEP) uptake nationally across Liberia and even in Ukraine despite the extreme challenges due to the ongoing war. 

    Supported the transition of the Quality Improvement Collaborative to sustainable QI Learning network in the Caribbean Region.  

    Implemented community-based combination HIV prevention programs in Sierra Leone and Liberia.

Single Audit Applies (2 CFR Part 200 Subpart F):

For additional information on single audit requirements for this program, review the current Compliance Supplement.

OMB is working with the U.S. Government Accountability Office (GAO) and agency offices of inspectors general to include links to relevant oversight reports. This section will be updated once this information is made available.

All HRSA awards are subject to the Uniform Administrative Requirements, Cost Principles, and Audit Requirements at 2 CFR 200. HRSA awards are subject to the requirements of the HHS Grants Policy Statement (HHS GPS) that are applicable based on recipient type and purpose of award. The HHS GPS is available at http://www.hrsa.gov/grants.

  1. Tom Lantos and Henry J. Hyde United States Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act of 2008 U.S.C. § 22 USC 7601, et seq.

Program details

Program types

Eligible beneficiaries

  • Individual/Family
  • Other public institution/organization
  • Public nonprofit institution/organization
  • Specialized group (e.g. health professionals, students, veterans)

Additional resources