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HIV/AIDS

IMPACT Project

The IMPACT (Implementing AIDS Prevention and Care) Project was the U.S. Agency for International Development's flagship effort for addressing the global HIV/AIDS pandemic from 1998 through 2007. Managed by FHI, the project was designed to help USAID missions and bureaus support HIV/AIDS programs by increasing the capacity of local organizations—public and private (including community- and faith-based organizations)—to implement effective HIV/AIDS strategies. Read about the IMPACT closeout event on June 28, 2007, which highlights the achievements of the project, and view final reports from each IMPACT country below.  

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Where we worked

IMPACT managed HIV/AIDS programs and projects in more than 70 countries. The project also guided regional programs in the Baltics, Asia, the Caribbean, and East, West, and Southern Africa. IMPACT used its worldwide network of experts and access to offer the entire range of cutting-edge skills in prevention, care, and mitigation.  IMPACT also worked closely with other USAID-funded HIV/AIDS efforts.

Creating comprehensive strategies

Building upon the lessons we learned in our 15 years of HIV/AIDS experience in the field, IMPACT worked in partnership with governments and NGOs to develop, implement, assess, and refine programming for:

  • Behavior change communication to reduce HIV transmission through sex and drug use
  • Voluntary counseling and testing (VCT) for HIV
  • Preventing, diagnosing, and treating sexually transmitted infections (STIs)
  • Clinical management of HIV--including antiretroviral therapy (ART)--and TB (through DOTS)
  • Care and support of people living with HIV/AIDS and their families
  • Preventing mother-to-child transmission of HIV
  • Supporting orphans and vulnerable children
  • Blood safety
  • NGO support and development
  • Participatory planning and community mobilization at the district, province, and national levels
  • Planning an expanded and comprehensive response
  • Reducing transmission from drug use

Project staff

To develop interventions quickly and ensure results, our team of professionals brought expertise in:

  • Behavioral and biologic surveillance
  • Capacity building
  • Clinical management of HIV
  • Communication
  • Drug policy and distribution
  • Infectious disease control
  • Monitoring and evaluation
  • Operations research
  • Outreach to subpopulations
  • Policy development
  • Program design and management
  • Public health
  • Social marketing
  • Strategic planning
  • Training
  • USAID programming

Expanding the response

Many intervention models recognized globally as "best practices" have emerged from IMPACT and our earlier projects, AIDSCAP (1991-1997) and AIDSTECH (1987-1992).  These three USAID-funded projects have generated most of what is known about HIV/AIDS prevention in the developing world.

Drawing upon this background, FHI and our five cooperating partners devised a comprehensive, multidisciplinary, multisectoral approach to reducing the spread of HIV by facilitating behavioral and social change at four levels:

  • Individual beliefs and motivations
  • Societal attitudes and norms
  • Health services infrastructure
  • Policy, legal, and human rights environments

IMPACT's Partners

Family Health International/Arlington, VA
Overall program management; technical and programmatic leadership; and coordination of implementing partners.

Institute for Tropical Medicine/Antwerp, Belgium
STI clinical management and laboratory diagnosis; care and treatment, including introducing antiretroviral therapy (ART) into care programs; and laboratory support.

Management Sciences for Health/Boston, MA
Drug policy and distribution; commodity management; management training; and institutional development.

Population Services International/Washington, DC
Mass media interventions.

Program for Appropriate Technology in Health/Seattle, WA
Behavior change communication.

University of North Carolina/Chapel Hill, NC
STI clinical management and HIV/AIDS care and support.

IMPACT Project Final Reports

The U.S. Agency for International Development's flagship effort, the Implementing AIDS Prevention and Care (IMPACT) Project, closed in September 2007. Final reports for each country program are posted below. The reports summarize the overall design, strategy, activities and output of the FHI-managed IMPACT Project's work. The reports also describe individual subprojects and key regional activities over the duration of IMPACT Project's work. View the final report for the IMPACT Project and reports on IMPACT Project work in the following country and regional programs:

Albania
Asia Regional Program
Baltic Sea Region
Baltic Sea Regional Case Study
Bangladesh
Benin
Bolivia
Brazil
Central American Regional Program (G-CAP)
Central Asia Republics 
China
Dominican Republic
Egypt
Ethiopia 
East Timor
El Salvador
Georgia
Ghana
Guatemala
Guyana 
Honduras
India
Jamaica 
Kenya
Kosovo
Laos 
Middle East and Northern Africa
Mexico 
Namibia
Nepal
Nicaragua 
Papua New Guinea
Pakistan
Philippines
Russia
Sudan (2 reports)
Ukraine
Vietnam 
Zambia


IMPACT is funded by the U.S. Agency for International Development through Cooperative Agreement HRN-A-00-97-00017-00.

Read more about the IMPACT Project in the Archive.