The Government of Mozambique’s Acceleration plan decentralizes ART services to increase coverage to at least 80% by 2015. As ART is expanded to PHC Facilities (HF), District Health Directorates (SDSMAS) have a critical role. Significant challenges need to be overcome to ensure SDSMAS are capable of effectively managing HIV service delivery. USAID’s Clinical HIV/AIDS Services Strengthening Project in Sofala, Manica, and Tete (CHASS-SMT) developed an innovative “graduation path” strategy to strengthen district health systems by developing, implementing, and evaluating improvement action plans, and tracking results against MoH standards. 

The presentation looks to answer: what is the relationship between health system strengthening interventions and HIV service delivery outcomes?