In late 2006 Pact was awarded a cooperative agreement from the US Agency for International Development (USAID) in Malawi with funding through the President's Emergency Plan for AIDS Relief to implement a major HIV/AIDS grants management program in Malawi.

This Rapid Response Mechanism for HIV/AIDS in Malawi is part of Pact's global Community REACH program, which offers competitive grant awards to local NGOs, CBOs, and FBOs to support best practices and innovative approaches to community-based HIV/AIDS prevention, care, and support activities. Subsequently Pact opened a new office in Lilongwe, Malawi, in January 2007.