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Joshua Volle

global health director

Kizazi Kipya: New Generation

Country: Tanzania
Funder: USAID

The Kizazi Kipya project, or New Generation, is working to transform the lives of vulnerable Tanzanian children and young people, particularly those affected by HIV. This five-year project builds on years of collaboration between Pact and USAID in Tanzania that already has made a significant, measurable difference for the country’s youth. Kizazi Kipya's planned outcomes include better financial resources for parents and caregivers of orphans and vulnerable children (OVC), as well as improved access to health and HIV services for children and adolescents, including those who are hard to reach. The project is working across all regions of Tanzania. Partners include the Elizabeth Glaser Pediatric AIDS Foundation, the Aga Khan Foundation, Restless Development, Railway Children Africa and the Ifakara Health Institute.



Country: Tanzania
Funder: USAID

This project is helping to build a sustained reduction in HIV infections in Tanzania. It is launching new services as well as strengthening existing programs for HIV testing, counseling and prevention and family planning. With partners including Jhpiego, EngenderHealth and the National Institute for Medical Research Mwanza, Pact is focusing on key and vulnerable populations, aiming to engage them in a core package of high-quality, client- and community-centered combination (biomedical, behavioral and structural) services. Sauti has launched nine community-based HIV testing and counseling teams in Dar Es Salaam, Iringa, Mbeya, Shinyanga and Njombe that have reached more than 10,000 people. The project is expanding to six additional regions this year.

Community HIV Prevention Program

Country: Zambia
Funder: USAID

This project is working to reduce new HIV infections in Zambia. Focusing on high-risk groups, Pact is using radio, television and other kinds of outreach and education to boost HIV awareness, change risky behavior and increase the use of HIV services. The project works closely with local Zambian organizations and institutions, building their capacity to plan, implement and monitor their own quality programs to stop the spread of HIV.


Country: Lesotho
Funder: Global Fund

This project is identifying people with HIV/AIDS to promote treatment. It is also raising awareness and providing education about the disease.

Voluntary Medical Male Circumcision

Country: Swaziland
Funder: USAID

The project is increasing circumcision rates among men and boys in Swaziland. Male circumcision is currently uncommon in the country and reduces the risk of HIV infection and certain reproductive cancers in both sexes. The program educates communities about the advantages of circumcision, allaying fears that are based on misconceptions. In schools, Pact educates teachers, boys and parents and refers those who are interested to a clinical partner that performs the procedure. Pact also hosts educational public events with games and entertainment to spread the word about circumcision’s benefits, and it trains volunteer community recruiters who go door to door to follow up with consent forms for families who’ve attended information sessions.


Country: Swaziland
Funder: USAID

Reach III continues Pact's HIV prevention and response efforts in Swaziland. Besides providing capacity building services, technical support and funding to local organizations to improve their anti-HIV efforts, the project is strengthening HIV prevention and services for vulnerable adolescents, targeting three main groups: adolescent girls between 10 and 19, orphaned and vulnerable girls and boys between 10 and 17, and adolescent girls and boys with HIV. HIV/AIDS has had an especially devastating impact on Swaziland’s young people, nearly half of whom are orphans or considered vulnerable.


Country: Nigeria
Funder: Chevron

Pact's PROMOT program works to decrease mother-to-child HIV transmission in Nigeria's Bayelsa state. The program trains community health workers who make home visits and encourage pregnant women to get tested for HIV. Women who test positive are provided antiretroviral medicine and antenatal education to drastically reduce the odds of transmitting the virus to their babies. Babies are also tested after birth. The program is also building the capacity of local organizations to carry on transmission-prevention efforts beyond the life of PROMOT.

Coordinating Comprehensive Care for Children (4Children)

Country: Nigeria, Swaziland
Funder: USAID

Coordinating Comprehensive Care for Children (4Children) is a five-year project designed to improve health and wellbeing outcomes for orphans and vulnerable children affected by HIV/AIDS and other adversities. 4Children builds technical and organizational capacity, strengthens essential components of social service systems, and improves links between health and other sectors. The project engages with national and regional bodies to promote evidence-based interventions to protect at-risk children, interrupt cycles of vulnerability, and build pathways to resilience – leading to an AIDS-free generation. As a partner in a consortium, Pact works to improve the quality of service delivery through local stakeholder capacity development, network strengthening, and systems strengthening.

Linkages Across the Continuum of HIV Services for Key Populations Affected by HIV (LINKAGES)

Country: Democratic Republic of Congo, Lesotho, Malawi, Kenya, Swaziland, Indonesia, Haiti, The Bahamas, Barbados, Suriname, Trinidad and Tobago, Sri Lanka
Funder: The United States President’s Emergency Plan for AIDS Relief/ USAID

LINKAGES is PEPFAR and USAID’s first global HIV/AIDS project dedicated to key populations (sex workers, men who have sex with men, people who inject drugs and transgender people) and their sexual partners. LINKAGES accelerates the ability of partner governments, civil society organizations and private-sector providers to plan and deliver HIV prevention services, as well as services to improve enrollment and retention care for those who are HIV-positive. As a core partner in a consortium of international organizations, Pact works to develop the capacity of community-based organizations and civil society organizations and networks serving key populations in several countries.

Yekokeb Berhan Program for Highly Vulnerable Children

Country: Ethiopia
Funder: USAID

Yekokeb Berhan – “light from the stars” in Amharic – has transformed the lives of hundreds of thousands of people in Ethiopia. A comprehensive, integrated program, Yekokeb Berhan helps vulnerable children in areas most affected by HIV and AIDS by supporting their families. More than 20,000 trained volunteers identify and assess the needs of highly vulnerable children and their parents or guardians in accordance with Ethiopian government standards. They then work with local community committees and civil society organizations to develop and implement care plans that emphasize economic strengthening, better parenting skills and linking families to locally available services to build resiliency.