Our History


Health Alliance International began in 1987 as the Mozambique Health Committee (MHC), formed by Dr. Steve Gloyd with a group of North American doctors and nurses who had worked in Mozambique‘s health system as cooperantes following independence from Portugal. MHC was established as a solidarity organization that shared the newly-formed Mozambican government’s value of public sector provision of health care for all. 

MHC’s early work focused on supporting the new national government to develop its Primary Health Care system. MHC’s first grant, the Mozambique District Adoption Program, funded the organization to provide technical assistance, training, material support, and evaluation of essential primary health care programs to the Manica provincial health system. The project also supported the construction of health posts, water projects, and hospital rehabilitation. At the time, the insurgent group RENAMO—funded by the apartheid government of South Africa and the United States—was conducting repeated attacks on roads, schools and health clinics that eventually led to a 15-year long civil conflict. Back in Seattle, HAI advocated in the United States to help shift U.S. policy away from support of RENAMO and South African Apartheid.

Immediately after the Mozambique peace accords in 1992, MHC expanded its efforts to support the entire Province of Manica to rebuild its health system. MHC provided technical support, transport, and materials to all 10 districts and supported the expansion of government health outreach into the community.

The District Adoption Program was almost a mirror image of the cooperante experience. That original United Support of Artists for Africa grant gave us the freedom to be in the system, and develop our activities entirely in collaboration with the Ministry of Health. And we did that for five years in Manica. The real challenge, and the real shift for MHC, came in 1992 when we were awarded our first USAID grant. With this grant came donor-driven objectives and targeted funding. As an organization, we had to figure out how we could continue to strengthen primary health care, but from a new perspective where the MOH wasn’t our only collaborator. So in 1992, we  began supporting Ministry of Health programs from the outside, but still very much informed by and guided by our values of collaboration and solidarity with the MOH.

Steve Gloyd, Founder & Senior Advisor, Health Alliance International

In 1994, MHC became Health Alliance International, a name that underscored our dedication to expanding our model and approach beyond Mozambique, and to forging new relationships with the shared vision of health for all. By the end of the decade, HAI had taken on a truly international presence with experience on four continents.

In 1999, HAI received funding to support basic maternity services to women in the newly independent Democratic Republic of Timor-Leste and to conduct an assessment of maternal and child health care needs in the country. As the country began the huge task of building a national health system from scratch, HAI worked alongside local health providers and the Minister of Health,, Dr. Rui Maria de Araújo, to provide coordinated, complimentary support. In 2002, following Dr. Rui’s request to the development community to coordinate with the National Health System or leave Timor-Leste, many international NGO’s responded by pulling their resources out of the country.  HAI, on the other had, was pleased to follow local priorities, and provide an example of public sector partnership that has led to two decades of success in improving maternal, newborn, and child health outcomes in Timor-Leste.

In the first decade of the 2000s, HAI’s experience improving and integrating primary health care delivery combined with our dedication to health equity and advocacy as we joined the global fight against HIV/AIDS.  After launching some of the first voluntary HIV counseling and testing centers in Mozambique, HAI worked with the Clinton Foundation HIV/AIDS Initiative and the Mozambican government to secure affordable HIV/AIDS treatment and write the plan for roll-out and scale up through Mozambique’s National Health System. In Côte d’Ivoire, HAI built on its reputation as an effective and collaborative PEFPAR implementing partner, with back-to-back multi-year grants to integrate, expand, and improve HIV testing, care and treatment through the National Health System.

Between 2004 and 2010, HAI worked with Mozambique’s Ministry of Health to expand the number of facilities offering ART from 2 to 94, training over 1,100 providers in ART delivery for the first time, and enrolling 63,444 patients in ART.

Meanwhile, HAI’s relationship with the University of Washington continued to develop with the creation of the UW Department of Global Health in 2007.  As an original Center of the Department, HAI technical advisors contributed to curriculum development, teaching, and mentorship for master’s and doctoral level public health students. An increasing focus on operations research and implementation science meant that the 2010s at HAI were characterized by a diverse portfolio of research, training, advocacy and program implementation across a wide range of health topics. 

The future of HAI’s values, model, and commitment to global health equity, solidarity, and action is the future of CSM and HAMNASA.

What began as a small organization staffed by a handful of Americans working in Mozambique and Seattle, by 2020 had grown into a global organization. Over 90% of our staff were locally-hired public health and nonprofit management professionals leading the highly successful implementation of HAI’s global program portfolio, averaging ~$10 million/year.

For more than three decades HAI successfully built collaborative, productive partnerships with our implementing and funding partners.  At the same time, we invested resources in our country office staff, building their experience and expertise successfully managing and implementing large, complex grants. In 2020, a new decade and a global pandemic presented HAI leadership with an opportunity to reflect on how the organization adapts to change.

With our Côte d’Ivoire program approaching the end of its active funding in 2021, HAI’s board and leadership took the opportunity to consider the future of HAI’s remaining programs. As a result of much thoughtful consideration and planning, in October 2021, HAI once again evolved in service of our mission and values.  At that time, with the support of our funders, HAI-Mozambique programs and staff transferred to Comité para a Saúde de Moçambique (CSM) and HAI-Timor-Leste programs and staff transferred to Asosiansaun Hamutuk Nasaun Saudavel (HAMNASA).

Both CSM and HAMNASA are independent, locally-registered NGOs with a board, leadership, and staff that reflect the communities they serve.  Both organizations—with years of support from HAI—have the systems and structures required to take on a wide range of funding opportunities.  And, importantly, both organizations embrace HAI’s public sector collaboration model and health system strengthening approach.

CSM is an independent, locally-registered Mozambican nonprofit led by a board and staff with experience executing hundreds of health systems strengthening and research projects in collaboration with Mozambique's Ministry of Health. Based in Maputo, with active programs throughout Mozambique,  CSM expertise spans from community-based health promotion, to health information and care delivery systems improvement, to training Mozambique's future public health leaders in a collaboration with the University of Washington.


HAMNASA’s founders envisioned a local organization run by Timorese with high capacity and integrity to bring together the priorities of Timor-Leste’s local communities and public health sector. HAMNASA leadership and staff have decades of combined experience supporting clinical and community-based health training, quality improvement, and innovative intervention. HAMNASA's vision of a health and happy Timorese people is underscored by its commitment to equity, shared vision, and collaboration.


See our History of Past Projects

HAI Projects 1987 - 2000
  • [1987-1992] District Adoption Program (Mozambique – USA for Africa)
  • [1992-1996] Manica Province Maternal-Child Health Project (Mozambique – USAID)
  • [1996-2000] Central Mozambique Health Care Quality Improvement Project (Mozambique – USAID)
  • [1998-2005] Child Survival and Maternal Care Project (Mozambique – USAID CS)
  • [1998-1998] Ghana Injury Control Project (Ghana)
  • [1998-1998] Gagnoa Hospital Support Project (Côte d’Ivoire)
  • [1998-2003] Basic Surgical Skills Workshops for Rural Health Practitioners (Nepal)
  • [1999-2004] East Timor Maternal Health Project (Timor-Leste)
  • [2000-2002] Injury Prevention study (Mexico)
  • [2000-2000] Flood Relief Project (Mozambique)
  • [2000-2001] Development of an assessment tool for participatory disaster planning (Indonesia, Azerbaijan – Mercy Corps/Andrew W Mellon Foundation)
HAI Projects 2001-2010
  • [2001-2003] Youth Friendly Health Center & Voluntary Counseling & Testing Project (Mozambique – UNICEF)
  • [2001-2003] HIV/AIDS Voluntary Counseling & Testing, Community Mobilization, and Follow-up Support Project (Mozambique – Italy Initiative Against HIV-AIDS/WHO)
  • [2002-2004] PMTCT Project in Sofala and Manica Phase I (Mozambique – UNICEF)
  • [2002-2005] Introduction and Assessment of a Rapid Diagnostic Test for Syphilis in Prenatal Care Clinics of Rural Mozambique (Mozambique – BMGF)
  • [2003-2004] Health Service Delivery Support Project (Mozambique – MSH/USAID)
  • [2003-2004] Health Workers Training and Community Based Support and Mobilization for Service Utilization in 7 Locations (Mozambique – WHO)
  • [2003-2005] Mozambique Global Malaria Project (Mozambique – ASPH/CDC)
  • [2004-2006] Making AIDS Treatment Work: Technical Assistance to Mozambique Ministry of Health by Health Alliance International (Mozambique – CHAI)
  • [2004-2008] Mozambique: Regional HIV/AIDS Treatment Acceleration Project (Mozambique – World Bank)
  • [2004-2007] PMTCT Project in Sofala and Manica Phase II (Mozambique – UNICEF)
  • [2004-2010] Clinical & Community HIV/AIDS Services Strengthening (Mozambique – USAID/PEPFAR)
  • [2004-2009] Improving Maternal and Newborn Health in East Timor (Timor-Leste – USAID CS)
  • [2005-2009] Reservoirs of Drug-resistant HIV-1 Study (Mozambique – UW/NIH)
  • [2005-2008] Mozambique Fostering Optimization of Resources and Technical Excellence (FORTE) for National Health (Mozambique – Chemonics)
  • [2005-2008] Support to Manica Province to carry out Care, treatment and support for persons with HIV/AIDS (Mozambique – MISAU/GFATM)
  • [2005-2008] Support to Sofala Province to carry out Care, treatment and support for persons with HIV/AIDS (Mozambique – MISAU/GFATM)
  • [2005-2011] Promoting Community Demand for Child Spacing in Timor-Leste (Timor-Leste – USAID WL)
    [2006-2007] HAART Delivery Models: A Quasi-Experimental Study (Mozambique – DDCF)
  • [2007-2009] Acceleration and Integration of Pediatric Treatment and PMTCT Project (Côte d’Ivoire – UNICEF)
  • [2007-2009] Pentecostalism & Utilization of HIV/AIDS Treatment Services in Central Mozambique Study (Mozambique – UW/NIH)
  • [2007-2009] Making AIDS Treatment Work – Enhancing Central and Provincial MOH Capacity (Mozambique – CHAI)
  • [2007-2010] Extension and expansion of pediatric treatment and integrated management of antenatal care (IMAC) project (Mozambique – UNICEF)
  • [2007-2008] Support the Finalization and Implementation of the Communication Strategy on PMTCT (Mozambique – UNDP/UNAIDS)
  • [2007-2008] Birth-Friendly Health Facility Project (Timor-Leste – AusAID)
  • [2008-2009] Rapid Expansion of Integrated HIV Care and Treatment in the Vallée du Bandama (Côte d’Ivoire – EGPAF/CDC)
  • [2008-2010] Implementation of WFP Assistance in Sofala, Mozambique (Mozambique – WFP)
  • [2008-2009] Expansion of Pediatric HIV Treatment and Integrated Management of Antenatal Care (Mozambique – UNICEF)
  • [2008-2010] Implementation of WFP Assistance in Manica, Mozambique (Mozambique – WFP)
  • [2008-2009] PMTCT Staff Training & On-job Technical Support (Sudan – Sudan National AIDS Control Programme)
  • [2008-2009] HIV Treatment Uptake and Quality HIV Services Project (Sudan – WHO)
  • [2008-2009] PMTCT On-job Training of implementation of the opt-out policy (Sudan – UNICEF)
  • [2009-2009] Support in National Review of HIV Counseling, Testing, Care and Treatment Services in Sudan (Sudan – WHO TSC)
  • [2009-2015] Rapid Scale up for HIV Care and Treatment Services in Northeastern Côte d’Ivoire (Côte d’Ivoire – CDC/PEPFAR)
  • [2009-2016] Strengthening Integrated Primary Health Care in Sofala Province, Mozambique (Mozambique – DDCF)
  • [2009-2010] Malaria Control and Evaluation Partnership in Africa – Mozambique Phase I (Mozambique – PATH)
  • [2009-2010] Improving Pediatric Treatment and Integrated Managmenet of Antenatal Care (Mozambique – UNICEF)
  • [2010-2011] Youth Access to Sexual & Reproductive Health Services Study (Colombia – UNFPA)
  • [2010-2010] National PMTCT Case Finding and Quality Assessment Project (Colombia – UNICEF)
  • [2010-2011] Scaling up PMTCT Services in North Sudan (Sudan – UNICEF)
  • [2010-2015] Support for Improved Maternal and Newborn Care in Timor-Leste in Partnership with the Timor-Leste Ministry of Health (Timor-Leste – AusAID/DFAT)
HAI Projects 2011 - 2021
  • [2011-2013] Malaria Control and Evaluation Partnership in Africa – Mozambique Phase II (Mozambique – PATH)
  • [2011-2012] Assessment of adverse outcomes of syphilis in pregnancy and impat of timing of maternal treatment in Mozambique Study (Mozambique – WHO)
  • [2011-2014] Increasing access to sensitive and rapid TB diagnostics (GeneXpert) to improve TB diagnosis in Sofala and Manica Provinces, Mozambique (Mozambique – Stop TB/UNOPS)
  • [2011-2011] HIV & Sexual Reproductive Health Assessment and Capacity Building Project (Sudan – UNFPA)
  • [2011-2011] Child Spacing Film Production (Timor-Leste – UNFPA)
  • [2011-2016] Mobile Moms: Improving Quality and Access to Maternal Care in Timor-Leste (Timor-Leste – USAID)
  • [2012-2014] National Level PMTCT Cascade Analysis in Côte d’Ivoire – Phase One of an Operations Research and Intervention Project (Côte d’Ivoire – Population Council/USAID)
  • [2012-2016] Full Country Evaluation of GAVI Immunization Program in Mozambique (Mozambique – UW/GAVI)
  • [2012-2015] Early ART Initiation among HIV-positive Pregnant Women in Central Mozambique Study (Mozambique – UW/NIH)
  • [2012-2015] Systems Analysis and Improvement to Optimize pMTCT: A Cluster Randomized Trial (Mozambique, Côte d’Ivoire, Kenya – UW/NIH)
  • [2013-2016] Mozambique HTC Linkages Study (Mozambique – Population Council/USAID)
  • [2013-2014] Impact Evaluation of Malaria Control Interventions in Mozambique (Mozambique – ICF Macro/USAID)
  • [2014-2016] Assessment of the national level PMTCT Option B rollout in Côte d’Ivoire: Phase II of an operations research and intervention project for PMTCT activities (Côte d’Ivoire – Population Council/USAID)
  • [2014-2018] Strengthening Data Systems to Improve Delivery of Health Services in Mozambique (Mozambique – USAID)
  • [2014-2017] Assessing a tablet-based clinical training approach for nurses providing Option B+ services (Mozambique – UW/NIH)
  • [2014-2016] Strengthening the Tuberculsis Care Cascade in Central and Southern Mozambique (Mozambique – Stop TB/UNOPS)
  • [2014-2017] Development and training on DQA and routine data mapping and use for the National Evaluation Platform Project (Mozambique, Malawi, Mali, Côte d’Ivoire – JHU/DFATD)
  • [2014-2015] Prevalence, risk and protective factors, care seeking, and sociocultural context for Common Mental Disorders in Sofala Province Mozambique Study (Mozambique – UW RRF)
  • [2014-2015] Cost and Effectivenss of Systems Analysis & Improvement for pMTCT in Mozambique (Mozambique – UW/NIH)
  • [2014-2019] Treat TB: Technology, Research, Education and Technical Assistance for TB Project (Mozambique – Vital Strategies/IUATLD)
  • [2015-2021] Project LINKS: Implementation of Programs for the Prevention Care and Treatment of HIV/AIDS in Côte d’Ivoire under PEPFAR (Côte d’Ivoire – CDC/PEPFAR)
  • [2015-2018] Strengthening the HIV/MDR-TB Diagnostic and Care Cascade in Mozambique (Mozambique – UW/NIH)
  • [2015-2017] Strengthening Mozambican Capacity in Strategci Information Systems in Mozambique under PEPFAR (Mozambique – UCSF/CDC)
  • [2015-2016] Access, Bottlenecks, Costs, and Equity Project – Mozambique Arm (Mozambique – UW/BMGF)
  • [2015-2017] Support of Integrated Maternal and Newborn Care and Liga Inan Scale-Up in Partnership with the Timor-leste Ministry of Health (Timor-Leste – DFAT)
  • [2016-2017] Health Alliance International and Partners in health collaboration for Implementation Science in Liberia (Liberia – PIH)
  • [2016-2017] Mapping Mozambican Miners with GIS for TECHS: A technology-enabled community health system for Tuberculosis in Mozambique (Mozambique – ThinkWell/CDC)
  • [2016-2019] Usability and Feasibility of a Phone-based Decision Support Tool for Option B+ (Mozambique – UW/NIH)
  • [2016-2021] Spreading the Integrated District Evidence-to-Action Program to Improve Maternal, Newborn and Child Health (Mozambique – DDCF)
  • [2017-2018] Improving Diagnostic, Linkage to Care, and Routing Reporting for TB, MDR/RR-TB and XDR-TB Patients in Mozambique (Mozambique – Stop TB/UNOPS)
  • [2017-2020] Support of Integrated Maternal and Newborn Care and Liga Inan Scale-Up in Partnership with the Timor-leste Ministry of Health (Timor-Leste – PHD)
  • [2017-2017] Establishing and mentoring Mother Support Groups to promote Key Home and Family practices for Nutrition, Maternal, Newborn and Child Health and Primary Health Care in Sucos of Aileu and Viqueque Municipality (Timor-Leste – UNICEF)
  • [2017-2021] Scaling up the systems analysis and improvement approach for prevention of mother-t0-child transmission in Mozambique (SAIA-SCALE) (Mozambique – UW/NIH)
  • [2017-2022] Spreading the Systems Analysis and Improvement Approach for eMTCT (Mozambique – UW/NIH)
  • [2017-2022] Southern African Research Consortium for Mental Health INTegration (Mozambique, South Africa, Tanzania – University of KwaZulu-Natal/NIH )
  • [2017-2021] Strengthening the identification and treatment of depression in primary care in Mozambique (Mozambique – UW/NIH)
  • [2017-2019] Supporting the mentoring program at the MCH services in primary health care facilities in Zambézia to improve quality of services (Mozambique – UNICEF)
  • [2017-2020] Systems analysis and improvement approach to optimize task-shifted mental health diagnosis and treatment cascades (SAIA-MH) (Mozambique – UW/NIH)
  • [2018-2019] Development and implementation of a demonstration project of integrated mental healthcare for HIV+ individuals with common mental disorders (Mozambique – UW/HRSA)
  • [2018-2020] Prontu: Improving health provider skills, competency and confidence to address obstetric emergencies in Timor-Leste (Timor-Leste – DFAT)
  • [2018-2020] Optimizing the safety of drug resistant-TB treatment with mobile audiometry and ECG testing to prevent complications (Mozambique – Stop TB/UNOPS)
  • [2018-2023] Spreading the Integrated District Evidence-to-Action Program for Neonatal Mortality Reduction (IDEAs) in Mozambique (Mozambique – UW/NIH)
  • [2019-2020] Strengthening Provincial Epidemiological Expertise for Disaster Relief (Project SPEED) (Mozambique – CDP)
  • [2019-2020] Global Health Partnerships in Nepal to Build Capacity in Implementation Science (Nepal – UW GIF)
  • [2019-2024] Systems Analysis and Improvement to Optimize the Hypertension Diagnosis and Care Cascade for HIV-infected Individuals (SAIA-HTN) (Mozambique – UW/NIH)
  • [2019-2019] Policy Paper Preparation – Peace and Health in Eastern Mediterranean Region (Global – WHO)
  • [2019-2020] Development of a conceptual approach and evidence collection related to conflict and migration as social determinants of health in the Easter Mediterranean Region (Global – WHO)
  • [2019-2019] Liga Inan 1000 Days Nutrition Project (Timor-Leste – Child Fund/DFAT)
  • [2019-2019] Health facility rehabilitation and resiliency initiative (Mozambique – Direct Relief)
  • [2019-2020] Scale-up of a trans-diagnostic integrated mental healthcare model for HIV+ individuals with common mental disorders in Mozambique (Mozambique – UW-ITECH/HRSA)
  • [2020-2020] Empowering Local Organizations for a Strengthened COVID-19 response in Mozambique (Mozambique – Vital Strategies/Bloomberg Philanthropies)
  • [2020-2023] Harmonia Activity: Communities Stopping Gender-based Violence (Timor-Leste – USAID)
  • [2021-2021] Operational Support for Cyclone Eloise Response (Mozambique – Direct Relief)

Explore Our Recent Program Portfolio

Stand with HAI

Stand with HAI

Our Mission

Our mission is to promote policies and support programs that strengthen government primary health care and foster social, economic, and health equity for all. Our vision is a just world that promotes health and well-being, including universal access to quality health care.

Our History

Health Alliance International began in 1987 as a US-based international solidarity organization committed to supporting the public sector provision of health care for all.  Over 35 years, HAI conducted programs in 17 countries, with flagship programs in Mozambique, Côte d'Ivoire, and Timor-Leste.

Our Evolution

In line with HAI’s commitment to support and strengthen local public health leadership, as of October 2021, HAI fully transitioned global operations and active programs to locally-based, locally-led NGOs. Learn more about this shift toward local autonomy and equity in global health.

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