It is important to examine the unique geographical context for the provision of a spectrum of vital services (from physical to mental health) to those living with HIV/AIDS in rural areas. The purpose of this policy brief is to understand the overall experiences of the first grantee cohort (2020-21) of the Rural HIV/AIDS Planning Program. We pay particular attention to any barriers to or facilitators of successful grant implementation, and the sustainability of programs and acquisition of future funding. Understanding these may be key in planning for future grants, and may also inform future policies and programs aimed at addressing rural HIV/AIDS service delivery.