A number of activities scheduled to strengthen the supported sites were carried out in the month of April, 2016. The Health System Strengthening (HSS) unit collaborated with other units to ensure that all known reactives in the EFMC/IHVN supported site had complete referral and were started on drugs. Ad-hoc staff were used for to enhance enrolment into treatment at point of care. EFMC participated in IHVN partner review meeting at Makurdi and weekly regional progress review meetings. To find ways to overcome bottlenecks to the 90-90-90 cascade, EFMC held a number of meetings with staff and service delivery points focal persons. With the exit of another clinical associate, Dr Paul Iheaka, EFMC interviewed several doctors, and following due process recruited Dr. Oriaku Ofem serve as Clinical Associate.