Table 3.

Key bottlenecks and related causes

Area of intervention	Domain of intervention	Key bottlenecks	Causes
Enabling environment	Policy	HIV testing services are still fragmented	Collection of blood samples are done by only laboratory staff
		Inconsistence of policy on gratuity of health services for pregnant women and children	Payment of services in one region and gratuity in another one
	Service delivery system	Task shifting is not well articulated in the policy	Unclear messages
		Initiation of ART is done in all health facilities	Not all clinicians are trained on pediatric HIV treatment
		Human resource not trained on collection of dried blood spots for early infant diagnosis	No available data on trainings conducted and current coverage of trained staff across health facilities