In addition to the Option B+ approach, MJAP works with partners to address the challenges that exist in the eMTCT cascade including: unmet family planning needs, late presentation of pregnant mothers, poor retention after ART initiation, low coverage of infant HIV testing and follow-up at mother-baby care points (MBCP), poor male partner/community involvement; ineffective linkages for ongoing care; specific challenges for AGYW and a lack of eMTCT at private facilities. A lack of timely, quality data continues to undermine client care, programmatic monitoring and evidence-informed action.