• In Tanzania the rate of HIV infection is high with adult transmission rate of 7% (THIS, 2004). The epidemic continues to have a devastating effect. The main mode of transmission is heterosexual (90%) and Mother to Child Transmission (MTCT) which contributes 5%. MTCT in Tanzania is set to have a dramatic and deleterious impact on child survival. The dimension of the epidemic and rising demand by persons living with HIV/AIDS for quality medical care and treatment makes the health care system respond to these demands.