Table 2.

Examples of gaps in guideline implementation identified in facities in the study area

	HIV Testing and counseling
1.	Not all patients eligible for PITC were tested for HIV
2.	Post-test counseling after HIV testing was not always done
3.	Some patients who tested HIV positive were not registered for care and treatment
	Prevention of mother to child transmission
4.	Not all eligible mothers attending antenatal clinics were tested for HIV
5.	Repeat testing of those who had initially tested negative was not routinely done
6.	Dried blood spots from HIV-exposed infants were not collected as required
7.	Testing of partners of mothers attending ANC was not always done
	HIV care and treatment
8.	Not all recommended pre-ART services were offered e.g. screening for cancer of the cervix
9.	Some providers were not using the pre-ART register as required by guideline
10.	Not all patients attending CTC had tuberculosis screening questions asked
11.	WHO staging was not commonly used even in facilities without CD4- testing facilities
12.	Pill counting was not done for adherence monitoring as proposed by the guideline