In April 2005 Pact signed a cooperative agreement with USAID South Africa's Regional HIV/AIDS Program for Southern Africa (RHAP). The purpose of this agreement is to fund HIV/AIDS grants to local and international Non-Governmental Organizations (NGOs), Faith-Based Organizations (FBOs) and community-based organizations (CBOs) in Lesotho, Swaziland and Botswana.

The five-year program is designed to facilitate the efficient flow of grant funds and to provide capacity building services to organizations playing valuable roles in the fight against HIV/AIDS. In partnership with these organizations, Pact's program contributes to the achievement of RHAP's five-year strategy (2004-2008); the President's Emergency Plan for AIDS Relief (Emergency Plan) goals for Lesotho; and, the Lesotho National Strategic Framework for HIV/AIDS (2003-2009).