IntraHealth led the USAID HIV/AIDS Clinical Services Program (HCSP), which supported 60 health facilities in the districts of Gasabo, Gicumbi, Nyagatare, and Rulindo, to deliver comprehensive HIV/AIDS clinical and prevention services. HCSP provided care directly and built health workers’ capacity, while also strengthening the health system and enhancing the work environment.

The project supported a full range of integrated core clinical HIV/AIDS services including prevention of mother-to-child transmission (PMTCT), voluntary counseling and testing, antiretroviral therapy (ART), TB/HIV, and palliative care. Key achievements included:

• Reaching more than 114,000 pregnant women over five years with prevention of mother-to-child transmission of HIV services
• Providing ART to over 7,450 clients, including 541 children
• Creating an innovative strategy to invite male partners of women in antenatal care to be tested for HIV, achieving high rates of participation (>90%)
• Introducing integrated client registries to ensure recording of HIV/AIDS and family planning service provision at each facility entry point
• Effectively integrating family planning and safe motherhood counseling into the PMTCT service package to address primary prevention of HIV infection and prevent unintended pregnancies among women infected with HIV.
• Assisting the government to develop its national palliative care policy, one of the first such policies among low- and middle-income countries.

Partners on this IntraHealth-led program included the Ministry of Health; the Rwandan districts of Gasabo, Gicumbi, Nyagatare, and Rulindo; University of North Carolina Institute for Global Health and Infectious Diseases; and Mildmay International.