Poverty & Gender-based Violence: Upstream HIV Interventions

HAI’s OVC-plus project took aim at two social determinants of HIV infection in Côte d’Ivoire: poverty and gender-based violence.

Economic and social vulnerabilities are both by-products and facilitators of HIV-infection. In Côte d’Ivoire, a single HIV-diagnosis has been shown to increase household expenses by 44%, on average. 1 in 3 children in Côte d’Ivoire have experience gender-based violence, which has been extensively linked to both economic dependence and the spread of HIV.

To combat these social determinants of disease, HAI partnered with a coalition of government ministries and programs to enact a two-pronged project supporting orphans and vulnerable children (OVC) and their families.  The OVC-plus Project aimed to empower economic independence among vulnerable families affected by HIV while simultaneously establishing a national multi-sector, gender-based violence awareness and prevention network.

At the community level, HAI organized job-skills and apprenticeship trainings for HIV-affected youth while building financial management skills among guardians (of which 92% were women). At the institutional level, HAI provided multiple stakeholder trainings and elaborated and activated a gender-based violence reporting network integrated into health system and social system structures.


396 public sector health workers, social workers, and community agents trained in gender-based violence detection and support and post-rape care nationwide.

85% of participants in OVC-plus financial management trainings found the curriculum to be “un facteur d’autonomisation des familles” or a way to empower families.

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[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).

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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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