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Since the year 2015, PZ contributed to the reduction of new HIV infections through expediting and sustaining access to antiretroviral-based HIV prevention strategies through the Optimizing Prevention Technology on Schedule (OPTIONS) and Preparing for Ring Opportunities through Market Introduction Support and Knowledge Exchange (PROMISE) projects. Building on the foundation laid through OPTIONS and PROMISE/CHOICE, PZ transitioned to the Maximizing Options to Advance Informed Choice for HIV Prevention (MOSAIC) project to accelerate the introduction and scale-up of new and emerging biomedical prevention products to help women prevent HIV infection. 
Maximizing Options to Advance Informed Choice for HIV Prevention (MOSAIC) was a five-year (2021-2026) global project funded by the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) through the U.S. Agency for International Development (USAID) to help women prevent HIV by accelerating introduction and scale-up of new and emerging biomedical prevention products. Product introduction research was conducted through the Catalyzing access to new prevention products to stop HIV (CATALYST) study which primarily focuses on generating evidence to facilitate the introduction of new PrEP products (PrEP Ring and CAB-PrEP). The project leveraged on synergies with other projects that PZ was undertaking such as MATRIX, CASPR and ZIM-TTECH projects to ensure stakeholder involvement including end-users in the product pipeline from research and development to introduction and rollout.
MOSAIC worked across multiple countries including Zimbabwe to implement user-centered research and research translation efforts to identify, understand, and remove barriers to new product introduction, access, and use; coordinate and provide technical assistance to global, national, and subnational stakeholders to expedite product launch and scale-up; and strengthen the capacity of a wide range of local partners to perform essential functions that support the introduction of HIV prevention products. The MOSAIC consortium was led by FHI 360 along with core partners Wits Reproductive Health and HIV Institute (Wits RHI), Pangaea Zimbabwe (PZ), LVCT Health, Jhpiego, and AVAC. Local partner leadership and engagement, particularly in sub-Saharan Africa, is intrinsic to the project's approach to expediting women's access to new HIV prevention products. The work will also be supported by technical partners from Afton Bloom, Avenir Health, Columbia University, Mann Global Health, RTI International, the University of Pittsburgh, and the University of Washington.
Sites: Harare, Cowdray Park, Beitbridge, Ngundu, Masvingo, and Plumtree
Participants enrolled into the CATALYST Study
Healthcare providers trained on Quality Improvement across the 6 sites
Healthcare providers trained on PrEP administration
MOSAIC Resources can be found here: MOSAIC Resources
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