Current Projects

Initiatives provides expert technical and managerial support to USAID and the governments and communities it supports. To date, Initiatives has worked in more than 30 countries in Africa, Asia, and the Middle East.

P indicates a project with Initiatives Inc. as prime awardee

HIV Service Delivery Support Activity, Cluster 1



Kenya, 2017 – 2022

in partnership with prime contractor PATH


While Kenya has made significant progress in expanding access to HIV service delivery, the burden of HIV remains high in the country. USAID’s HIV Service Delivery Support Activity, Cluster 1 (HSDSA) project is designed to support the expansion of HIV/AIDS service delivery in the western counties of Kisumu, Homabay, Migori, Kisii and Nyamira, where HIV prevalence is among the highest in the country. The project supports these counties to achieve the United Nations Program on HIV/AIDS (UNAIDS) 90-90-90 HIV targets. Covering 59 high- and medium-volume facilities as well as 150 low-volume, HSDSA will build facilities’ capacity to provide quality HIV/AIDS services; expand the availability of community-based services for priority populations; and build the capacity of County and Sub-County Health Management Teams to sustain HIV/AIDS services beyond the project period.


IInitiatives is responsible for three critical elements of HSDSA: strengthening human resources for health management systems; improving staff competencies through training and mentorship and enhancing the quality of HIV care and treatment by supporting counties and facilities to operationalize quality improvement systems and processes.


Initiatives’ local staff will lead efforts to ensure counties are able to sustain skilled human resources where they are most needed and continuously enhance the quality of HIV care to meet the needs of western Kenya’s diverse population.


Eradicate TB

Zambia, 2017-2022

In partnership with prime contractor PATH

Eradicate TB – Zambia aims to improve TB screening and treatment in Zambia, where the TB burden is close to 560 cases per 100,000. In partnership with PATH, Initiatives Inc. will support the Eradicate TB project and the United States Agency for International Development’s objectives in Zambia to (1) increase the number of individuals screened for TB by 50 percent and (2) increase the TB treatment success rate by 85 percent in target provinces.

As subcontractor to PATH, Initiatives will devote much of its efforts to supporting the National TB and Leprosy Control Program (NTP), the African Society for Laboratory Medicine and other civil society groups dedicated to TB control. Through assessments of NTP’s governance structure, Initiatives’ Boston-based team and in-country staff will identify critical human resource gaps at both the national and provincial levels. This information will go on to inform the development of a human resource management plan in consultation with the Government of Zambia. Ideally, this activity will increase the productivity and efficiency of NTP in achieving its objectives for TB control. Civil society organizations focused on TB treatment and control will also benefit from Initiatives’ support in building and strengthening their resource mobilization and management capacities.

In addition to organizational capacity support, Initiatives will lead the development of an innovative mentorship program for staff members of the African Society of Laboratory Medicine.

Systems for Better Health

Zambia, 2015 – 2020
in partnership with prime contractor Abt Associates

Systems for Better Health – Zambia is designed to increase the quality, availability, and use of priority health services in Zambia by supporting health system improvements across 20 districts in five Zambian provinces. Subgrants to community based organizations (CBOs) and non-governmental organizations (NGOs) will support activities to improve access and quality of services in the key areas of HIV/AIDS, maternal and child health, family planning, and nutrition.

Initiatives is providing technical and programmatic support to design, implement and monitor national-level interventions to strengthen health stewardship of the Ministry of Health. The Initiatives team is also improving capacity to deliver quality health services at the community level by developing systems for NGO capacity building and leading capacity strengthening activities for community structures.

For example, our staff have developed a granting manual and worked with counterparts to establish criteria for application review and award. We have also developed the organizational capacity assessment process and are providing technical assistance and capacity building support to grantees supported by the project.

Advocacy for Better Health

Uganda, 2014 – 2019
in partnership with prime awardee PATH



The goal of Advocacy for Better Health – Uganda (ABH) is to improve the quality, accessibility, and availability of health and social services by (1) increasing citizen participation in planning and monitoring of health and social services; (2) strengthening the capacity of civil society organizations (CSOs) to conduct advocacy in target districts; and (3) strengthening the institutional capacity of CSOs. Armed with tools, citizens in 35 districts will be able to more effectively advocate for accessible, high-quality health and social services.

Initiatives’ in-country staff is working with more than 20 Ugandan CSOs to strengthen capacity in organizational management, human resources, advocacy technical skills, credibility and ability to influence, and organizational sustainability.

Following a progressive cycle of capacity assessment, capacity development support, benchmarking, and granting, ABH is strengthening the development of high-performing CSO partners that can lead advocacy efforts in Uganda and manage United States Government (USG) and other donor funds. Our innovative approaches include the use of a combined advocacy and organizational capacity assessment; the creation of an advocacy and grants management collaborative to share challenges and promising practices; and the design and launch of a fellowship program to strengthen the technical and management capacity of selected CSO members.


Small Business Contract Award

Initiatives currently holds a USAID TASC4-Africa small business indefinite delivery indefinite quantity (IDIQ) contract with partners PATH, RTI and Save the Children. TASC4-Africa has a broad technical scope and is designed to help USAID achieve its strategic objectives related to the expansion of basic health services, family planning, health system strengthening, HIV and AIDS, and other infectious diseases.

The small business TASC4-Africa mechanism allows for rapid response to task orders and places Initiatives and its partners in a limited pool of organizations that are eligible to bid on opportunities. Small business IDIQ task orders give USAID Missions flexibility to rapidly address their needs for a range of program support including targeted technical assistance, strategy papers, situation analyses, research, evaluations, and project bridging.

Challenge TB

Democratic Republic of Congo, 2015 – 2017
in partnership with prime awardee The Union



The Challenge TB Project in the Democratic Republic of the Congo assists the National TB Program (PNLT) to expand high-quality tuberculosis (TB) prevention, diagnosis, and treatment services, including TB-HIV and multi-drug-resistant (MDR)-TB services.

Building on work initiated under the preceding TB TO 2015 Project, Initiatives provides organizational capacity development support to local NGOs partnering with the Challenge TB Project. Our technical services are tailored to the organizations’ needs for capacity building in a variety of organizational management and project implementation areas.

Initiatives’ work with local organizations through Organizational Capacity Assessments (OCAs) has already strengthened governance, financial management, and administration capabilities. Participating NGOs have established boards, developed strategic plans and finance and administrative policies, revised their organizational structure(s), and documented human resources management systems and monitoring and evaluation plans.

Under Challenge TB, Initiatives will build on its earlier work with la Ligue Nationale Antituberculeuse et Antilépreuse du Congo (LNAC) and Club des Amis Damien (CAD) and expand to support La Fondation Femme Plus. Efforts will focus on sustainability and effectiveness through policy implementation and adherence, resource mobilization, community engagement, and enhancing board effectiveness.