USAID Health Care Improvement Project (HCI) | South Africa


With PEPFAR funding through USAID/South Africa, URC assisted the National Department of Health and provincial health departments to expand and improve the quality of HIV counseling and testing, prevention of mother-to-child transmission of HIV/AIDS (PMTCT), palliative care and antiretroviral therapy services, and community-based treatment support. The project also worked with home-based care organizations that assist care support groups and families of people living with HIV/AIDS.

Read more about the HCI project or visit the USAID ASSIST Project website.

Key Activities

  • Provided technical assistance to increase the quality of HIV prevention, care, and treatment services through integration of quality improvement tools in the routine activities of assisted facilities
  • Assisted facility-level staff and health care workers to operationalize national guidelines and standards, monitor the quality of care, and conduct local improvement activities
  • Improved the continuum of care by expanding service delivery at the community level through home-based care groups and by strengthening links between facilities and home-based care organizations
  • Provided technical support to the National Department of Health for the development of quality guidelines and policies and help document quality improvement efforts


  • Antenatal clients who received pre- and pro-test counseling increased, raising the rate of women tested which demonstrated compliance with counseling and testing procedures to help increase PMTCT (see graph).


2007 to 2013
US Agency for International Development (USAID)
Regions/ Countries 
Geographic Scope 
National level and five provinces: KwaZulu-Natal, Mpumalanga, Limpopo, Eastern Cape, and North West