People at risk for or living with HIV have an elevated risk of mental health morbidities. Poor mental health among these key populations can reduce quality of life and impact care seeking, adherence to and continuation of antiretroviral therapy (ART) and pre-exposure prophylaxis (PrEP)—two critical interventions for treating and preventing HIV. Seeing this gap in successful HIV care, the USAID/PATH Healthy Markets project sought to make mental health care more accessible for people at risk for or living with HIV.