Integrating HIV Service Delivery
From 2007 to 2021, HAI implemented programs that expanded, improved, and integrated HIV testing, care, and treatment services into Côte d’Ivoire’s national health system.

With over a decade of experience as a clinical implementing partner of the US President’s Emergency Plan for AIDS Relief (PEPFAR) in Côte d’Ivoire, HAI has witnessed the quality and effectiveness of systems-level intervention to integrate and streamline HIV services into primary health care delivery. Following an initial pilot of this approach at 10 clinics in the northern town of Bouaké, HAI’s presence expanded to providing coaching and support to clinicians and management at more than 300 health facilities across 6 northern regions under CDC/PEPFAR-funded Project LINKS.
Working closely with the Côte d’Ivoire health system’s regional and district health management teams, HAI’s approach to integrating and strengthening HIV services was based on building clinical, laboratory, health information, and management skills among the Ivoirian health workforce while improving patient flow, inter-service linkages, and supply chain issues from the facility to the national level.
Beyond the clinic, HAI supported local Ivoirian community-based organizations whose staff work in the communities they serve, providing psycho-social support services to people living with HIV and information and clinic referrals to those who are at-risk of infection.

HAI-LIGHTS
Nearly three million Ivoirians were screened for HIV at HAI-supported health facilities across multiple entry points, helping to refer over 75,000 newly identified HIV-positive Ivoirians to care and support services.
HAI supported Côte d’Ivoire’s Ministry of Health to implement the universal Test and Start strategy, which emphasizes direct and immediate referral from HIV test to antiretroviral treatment (ART).
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Funding
[2015-2021] Project LINKS: Implementation of Programs for the Prevention Care and Treatment of HIV/AIDS in Côte d’Ivoire under PEPFAR.
This project received funding support from the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), through the U.S. Centers for Disease Control and Prevention (CDC) of the US Department of Health and Human Services (HHS).
[2009-2015] Rapid Scale up for HIV Care and Treatment Services in Northeastern Côte d’Ivoire.
This project received funding support from the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), through the U.S. Centers for Disease Control and Prevention (CDC) of the US Department of Health and Human Services (HHS).
[2008-2009] Rapid Expansion of Integrated HIV Care and Treatment in the Vallée du Bandama.
This project received funding support from the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), through the U.S. Centers for Disease Control and Prevention (CDC) of the US Department of Health and Human Services (HHS), via a subagreement from the Elizabeth Glaser Pediatric AIDS Foundation.
[2007-2009] Acceleration and Integration of Pediatric Treatment and PMTCT Project.
This project received funding support from UNICEF the United Nations Children’s Fund.
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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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