Background The USAID Local Health System Sustainability Project (LHSS) project helps low- and middle-income countries transition to sustainable, self-financed health systems as a means to support universal health coverage. Led by Abt Associates, the five-year project works with partner countries and local stakeholders to reduce financial barriers to care and treatment, ensure equitable access to essential health services for all people, and improve the quality of health services. USAID’s Office of HIV/AIDS (OHA), with other USAID partners, is spearheading an initiative to elevate people-centered outcomes in HIV programming. The partnership has developed six indicators to track these outcomes, which are ready to be tested in an existing HIV program setting. With funding from OHA, LHSS will design and implement an intervention and a study to introduce, test, refine, and validate the people-centered outcome metrics in selected facilities in Mozambique that are supported by the USAID-fun