Focus on high Quality HIV services at existing sites by reducing retention gap through identification of problems and identify strategies that will lead to increased retention of patients on ART.Continue capacity building and provision of technical assistance to the identified local partner as a way towards transitioning of ART service delivery in the regions.Focus more on clinical mentorship,supportive supervision and adhere to consolidation of in-service ART trainings in the zonal training centers. Partner works in 23 districts of Kigoma,Kagera,Pwani and Zanzibar and currently covers 19053 patients.