You are here


Pact is giving people better access to vital health and social services by strengthening local systems and building the capacity of local institutions to improve services long beyond our presence.



people with improved access to health and social services in 2020

Health is central to people’s ability to own their future.

In partnership with communities, governments, local nonprofits and care providers and the private sector, we improve health and social systems around the world, especially those that serve people who are challenged by poverty and marginalization, expanding families’ access to quality health care and essential social services.

We use systems practice methodology to pioneer sustainable health programming that places local communities at the heart of our work. Our programming builds on platforms of HIV/AIDS services, family and child health and social services for orphans and vulnerable children.

Our integrated approach links health with livelihoods, governancecapacity development, and monitoring and evaluation. We support community-based organizations through grants and technical, organizational and institutional capacity building, enabling them to develop and sustain quality health and social services, products and information. At the same time, we engage with stakeholders to create a policy environment supportive of solutions to a range of public health needs.

Our Health Work in Action

With online mobilization, a Pact partner in Lesotho reaches critical groups with HIV services

September 27, 2021
Because of discrimination and stigma, in Lesotho, men who have sex with men often are afraid to seek out HIV and other health services. Yet...

In remote Lesotho, a transgender woman overcomes discrimination, finds purpose as an HIV peer educator

September 27, 2021
At age 25, Nthabie has experienced more than her share of difficulty in life. As a transgender woman from the remote outskirts of Butha-...
An ACHIEVE community volunteer promotes Covid-19 prevention measures in a community in Santo Domingo. Credit: USAID

In the Dominican Republic, adapting critical HIV services for vulnerable families amid Covid-19

September 13, 2021
In March 2020, the first case of coronavirus was detected in the Dominican Republic (DR). From the onset of the pandemic, the Dominican...
The Health Alert App is now being promoted across Eswatini to combat misinformation about Covid-19 and vaccines.

In Eswatini, Pact launches app to fight Covid misinformation, vaccine hesitancy

August 30, 2021
Pact has a long history of helping communities in Eswatini overcome health challenges. For years, we’ve worked to reduce HIV infections,...

Research article: Balancing HIV testing efficiency with HIV case-identification among children and adolescents (2–19 years) using an HIV risk screening approach in Tanzania

May 20, 2021
To optimize HIV testing resources, programs are moving away from universal testing strategies toward a risk-based screening approach to...
A Covid-19 hand-washing station in Ethiopia. (Credit: Pact)

This World Health Day, key insights from Covid-19 to build a fairer, healthier world

April 7, 2021
Everyone has a right to be healthy. This is at the heart of the global push for universal health care. The ongoing Covid-19 pandemic has...

Research article: Accelerating caregivers’ HIV status disclosure to community-based lay social welfare volunteers in Tanzania

April 1, 2021
HIV status disclosure facilitates access to HIV-related prevention and treatment services and increases opportunities for social support,...
Female instructors demonstrate the "No!" action from the No Means No girls curriculum. (Credit: ProHealth International)

Pact-led ACHIEVE project adapts violence-prevention training for Covid-19

March 29, 2021
Nigeria has long faced a gender-based violence crisis, with 30 percent of women and girls aged 15-49 having experienced sexual abuse. The...

Research article: HIV risk screening and HIV testing among orphans and vulnerable children in community settings in Tanzania: Acceptability and fidelity to lay-cadre administration of the screening tool

March 25, 2021
Published in PLOS ONE, the aim of this study was to assess the fidelity to which an HIV risk screening tool was administered by lay workers...

Leaving no family behind: Community HIV testing in Zambia

March 24, 2021
In Zambia, Pact's Community HIV Prevention Program (Z-CHPP) is working to reduce new HIV infections, especially among high-risk groups....