Project Summary Mozambique has made progress towards their 95-95-95 goals, yet only 65% of people newly initiated in HIV treatment remain in care at 12 months. HIV treatment adherence has been undermined by a lack of compassionate health care service delivery. People living with HIV in our study region of Zambezia province report being treated disrespectfully by health care workers as one of the leading causes of treatment abandonment. Common complaints include insulting patients’ intellectual capacity, ignoring concerns with side effects or co-occurring infections, and refusing to treat patients seen as “unworthy”. While health care worker behavior is appalling, it is likely a reflection of high rates of burnout, job dissatisfaction, and frustration with patients they perceive to be uncooperative. The implementation of Estamos Juntos (We are Together) will allow us to test a multiprong intervention designed to address provider-barriers to delivering compassionate care via two synergistic components: (1) Resilience and well-being training for health care providers who have expressed low job satisfaction, frustration with delivering care in an extremely resource-limited setting, and burnout; and (2) Anti-stigma training for health care providers who see those with low socioeconomic status, low levels of education, and those living with HIV as “lesser-than” themselves. We propose to pilot test the implementation and impact of each psychosocial intervention individually, and in combination, using a randomized controlled trial design at four health facilities. We hypothesize that the facility where health care workers receive both resilience and anti-stigma training will see the greatest change in health care worker outcomes, including decreased stigmatizing attitudes, emotional exhaustion, and depersonalize of their patients, as well as increased resilience and job satisfaction. Patients receiving care and treatment from intervention providers will show increased retention and medication adherence, as well as improvements in health care services satisfaction, medical mistrust, and perceived stigma from health care providers. The Specific Aims of this study are to: (1) Evaluate the impact of resilience training only, anti-stigma training only, and resilience and anti-stigma training (vs. standard of care) on hypothesized mechanisms of behavior change among health care providers employing the RE-AIM framework through a cluster randomized controlled trial; and (2) Investigate the impact of provider training to reduce stigma and increase wellness and resilience on patient adherence to HIV treatment. Our study team has more than a decade experience developing and testing HIV and associated mental health interventions in Mozambique. If successful, our intervention can be tested through the R01 mechanism in a fully powered trial designed to improve both provider and patient health outcomes.