HIV/AIDS and Tuberculosis Global Program

Strengthening local capacity for service delivery and research

PATH supports communities and health systems to create effective, sustainable change

PATH recognizes that locally led solutions are the foundation of sustainable change. Drawing on longstanding collaborations with public- and private-sector partners, we support governments, individuals, and communities to combat stigma and discrimination, design and implement innovative tuberculosis (TB) and HIV/AIDS interventions, and measure results.

PATH’s user-driven approach leverages local and national resources and

Man paddling boat

Photo: PATH

builds on the knowledge and commitment of individuals and communities. This approach allows us to create programs and solutions that are effective, cost-efficient, and sustainable.

PATH provides resources, training, and tools to build the capacity of our partners as agents of change, and to strengthen the health systems that support their work. This includes preparing health care providers to use state-of-the-art technologies and services. In the Democratic Republic of Congo (DRC), Ethiopia, and other settings, we’ve supported communities to design and implement interventions that improve prevention, care, and treatment for TB and HIV/AIDS. In Tanzania, PATH trainings have led to improved and expanded TB and HIV testing, pediatric care, infection control, and management of multiple-drug resistant TB (MDR TB).

To ensure that these efforts are based on—and generate—sound evidence, PATH also provides training on research, data collection, and monitoring and evaluation. In Senegal, for example, our evaluation of Tostan’s Community Empowerment Program is helping local researchers collect and use data on gender-based violence to improve HIV prevention. PATH also helps our government partners coordinate health programs and create standard, evidence-based national care and treatment guidelines to maximize their investments and strengthen health systems. In all of these efforts, we strive to design programs that can be adopted and scaled up by our local partners so that they become an enduring part of the national response.

In the DRC, communities champion HIV services

In the DRC, only a small fraction of the population has been tested for HIV, and most who test positive don’t have access to care and treatment. Through the Integrated HIV/AIDS project in the DRC (ProVIC), PATH has helped innovatively adapt and launch the “Champion Community” approach to support Congolese communities in designing, planning, and implementing their own responses. Working in five high-prevalence regions, this includes a PATH-led consortium of international partners and more than 100 local partners. A big part of these efforts is working to reduce high rates of mother-to-child transmission of HIV toward the goal of an HIV-free generation: to date, for example, ProVIC has reached more than 100,000 pregnant women with comprehensive PMTCT services according to the latest World Health Organization guidelines. We also use innovative peer-peer learning approaches, training, supportive supervision, and data quality assurance to help build communities’ capacity in monitoring and evaluation.