The document discusses the work of Health Alliance International (HAI) in strengthening Mozambique's health system and improving HIV care through its partnership with PEPFAR. It outlines how HAI worked within the public health system, expanding services like voluntary counseling and testing, PMTCT, HIV treatment and care, and home-based care. Through this integrated approach and decentralization of services, over 100,000 people have received HIV care and 25,000 have been placed on antiretroviral therapy. The document also discusses challenges and ways PEPFAR II can further improve support for treatment scale-up, integration, health systems strengthening, and addressing social determinants of health.