About COMPASS 3.0 (2023 - 2025)

The project brought together civil society organizations, community networks, and global partners to influence policies, improve health financing, and ensure that the needs of communities most affected by HIV remained central to decision-making. At its core, COMPASS 3.0 aimed to shift HIV responses from donor dependency toward sustainable, domestically driven systems. This included advancing domestic resource mobilization, strengthening accountability mechanisms, and promoting the integration of community-led approaches into national health policies and service delivery models.

The project placed strong emphasis on evidence-based advocacy, using community-led monitoring data, rapid assessments, and budget analysis to inform policy dialogue and influence government and global health stakeholders. It worked to ensure that health systems remained responsive and equitable, particularly for key populations, adolescent girls and young women, and people living with HIV. Implemented during a period of significant global health funding uncertainty, COMPASS 3.0 also supported civil society to adapt to emerging challenges, including funding cuts and shifting donor priorities. Through coordinated advocacy, technical support, and coalition-building, the project strengthened the role of civil society in shaping resilient, inclusive, and sustainable HIV and health systems.

Outcomes

  1. Sufficient HIV financial resources are secured, allocated, and managed efficiently to optimize the near-term response, while supporting the transition to an effective country-managed response for long-term sustained epidemic control.
  2. Maintain global HIV delivery funding, and support increased domestic and alternate sources of financing.
  3. Support the strengthening and capacity building of civil society to influence evidence-based allocation of resources (GFATM, PEPFAR and domestic) and investment in effective HIV response strategies.

Results & Impact

  • Tanzania (Sikika): Sikika’s advocacy contributed significantly to Government increasing the health sector funding by 8.7%, raising the budget from TZS 2.44 trillion (USD 970 million) in 2023/24 to TZS 2.64 trillion (USD 1.05 billion) in 2024/25. Notably, HIV services saw a 3.4% funding increase, from TZS 120 billion (USD 47.7 million) to TZS 124.1 billion (USD 49.4 million), with a projected rise to TZS 130 billion (USD 51.8 million) in 2025 (+4.7%). Additionally, Tanzania Commission for AIDS (TACAIDS) budget grew by 10.7%, from TZS 20.4 billion (USD 8.1 million) to TZS 22.6 billion (USD 9 million).
  • Tanzania (BMF): BMF played a critical role in calling for innovations in addressing the Human Resources for Health gap. Tanzania reduced the HRH gap for Primary Health Care by 4.5% through 9,758 full-time and 354 volunteer permits, reinforced by government HRH investment priorities.
  • Tanzania (NACOPHA): NACOPHA secured Government commitment to develop a comprehensive social contracting framework aligned with the National HIV Prevention Roadmap by June 2025.
  • Zimbabwe (ACT): Per capita health spending doubled from $40 to $80 with national allocation increasing to 13%. Government committed funding toward HRH COMPACT and initiated National Health Insurance Bill process.
  • Zimbabwe (ZiCHIRe): Social contracting strengthened with 40% USD and 60% local currency disbursement improving sustainability of HIV interventions.
  • Malawi (CEDEP and MANET+): Government increased the national health budget from 9% to 12% following sustained advocacy and strategic engagement on financing reforms.
  • Tanzania (DARE): CAB-LA approved for PrEP, oral PrEP framework reviewed, and youth leadership expanded through a $20M PEPFAR initiative and increased AYAS representation.
  • Tanzania (GABINET): Strategic Action Plans improved inclusivity for key populations, particularly GBMSM and transgender individuals, and are being expanded nationally.
  • Tanzania (NNW+): HIV Prevention Roadmap amended using community scorecard insights to improve services for AGYW and WLHIV, alongside adoption of gender-responsive programming.
  • Tanzania (TANPUD): Government upgraded MAT facilities and expanded Needle and Syringe Program coverage from 9 to 11 districts.
  • Zimbabwe (ACT): HIV Prevention Roadmap Action Plan developed and implementation tracking strengthened through national partnerships.
  • Zimbabwe (UAN): TB prevention expanded with adoption of recommendations to scale TPT coverage for children.
  • Zimbabwe (BHASO): Community DSD guidance developed enabling scalable community-led HIV service delivery models.
  • Malawi (COWLHA): Government committed to integrate Community ART Refill Groups into the national DSD framework in 2025.
  • Malawi (JONEHA): Essential medicine availability improved from 60% to 64%, with CMST recapitalized.
  • Tanzania (KVP Forum): Violence Prevention Response mechanism endorsed and implemented to address structural barriers affecting key populations.
  • Tanzania (2FG): SOPs expanded to include adolescents, young people, and street-connected populations to improve HIV and SRH access.
  • Zimbabwe (My Age Zimbabwe): Youth seat established in Country Coordination Mechanism strengthening participation in governance.
  • Zimbabwe (ACT): Advocacy blocked harmful HIV criminalization provisions and advanced rights-based legal reforms.
  • Zimbabwe (Youth Gate Zimbabwe): KP SOPs under final review to institutionalize stigma-free service delivery.
  • Zimbabwe (ZNNP+): National Advanced HIV Disease scale-up plan developed and under review.
  • Malawi (Diversity Forum-FISWA): Validation of KP SOPs revived to align with global standards.