1. Implimentation of new national PMTCT guidelines
  2. Preparation for new project experienced delays
  3. Low EID coverage
  4. Weak intergration systems for MCH/PMTCT
  5. District financial systems leading to a lag in absorptions
  6. Shortage of stocks of ARVs and testing kits
  7. Difficult topography like accessing the highlands of Buvuma and Kalangala

Priorities for the next 12 months

  1. Qualitative research to to identify barriers to linkage into care and treatment especially for early infant diagnosis and CD4
  2. Support ,MOH implementation plan for the (PMTCT aspect) revised HMIS tools and DHIS2
  3. Develop and implement a quality management plan for PREFA
  4. Develop plan for integration of PMTCT into existing maternal, newborn and child health service