In September 2002, the Mailman School of Public Health at Columbia University (CU) entered into a Cooperative Agreement with the Centers for Disease Control (CDC) for the University Technical Assistance Projects (UTAP) in Support of the Global HIV/AIDS Program. Situated within ICAP, UTAP was originally envisioned as a single-country program for the provision of technical assistance but rapidly grew to include long-term and short-term technical and administrative assistance to the national responses to HIV/AIDS in five countries: Mozambique, Rwanda, South Africa, Tanzania, and Zambia.
As the original UTAP project drew to a close and PEPFAR moved into its second phase—focused on sustainability—ICAP entered into several, follow-on Cooperative Agreements, called UTAP-2. Four were country-focused (in Côte d’Ivoire, Democratic Republic of Congo, Swaziland, and Tanzania ) and the fifth—UTAP-2 Atlanta—became a flexible mechanism for providing a wide range of technical assistance and other support to PEPFAR countries. After beginning in 2009 as a means to help CDC conduct surveillance training more efficiently through distance education, UTAP-2 Atlanta grew over the next six and a half years to comprise 11 distinct projects addressing needs and gaps in the HIV response and answering important research questions to inform the response going forward.
In Tanzania, the project supported the scale-up of HIV prevention, care, and treatment programs in resource-limited settings. ICAP provided long-term and short-term technical and administrative assistance to the national responses to HIV/AIDS between 2003 and 2011. Initially focusing on PMTCT-Plus services in Tanzania during Years 1 and 2, ICAP UTAP-supported activities expanded in Years 3 and 4 to include comprehensive family-focused care and treatment and the launch of a national pilot on early infant HIV diagnosis. UTAP support also allowed the initiation of PMTCT services in Zanzibar and family-focused HIV care and treatment programming. Year 5 marked two new national initiatives: the enhancement of palliative care services, with a focus on managing HIV-related malignancies, and the establishment of a national program for early infant HIV diagnosis services. In Year 6, ICAP helped the MOH to conduct a public health evaluation on male circumcision