Maintain high quality HIV services at existing sites by reducing retention gap through identification of problems and strategies that will lead to increased retention of patients on ART. Continue capacity building and provision of technical assistance to the identified local partner in an effort to transition ART service delivery in the regions. Focus more on clinical mentorship, supportive supervision and adherence to consolidation of in-service ART trainings in the zonal training centers. Partner works in 28 districts of Mwanza, Manyara, Mara and Tanga and currently covers 31910 patients.