LPHS-Karamoja in dynamic collaboration with USAID UHA, Moroto Regional Referral Hospital G2G and district-based mentors, demonstrated unwavering commitment by delivering robust technical assistance and mentorship to elevate the operational capabilities of the 53 target ART health facilities across the nine districts. This collaborative initiative strategically harnessed the national Accelerating Progress in PMTCT and Pediatrics (AP3) framework, embodying a holistic and synergistic approach. The activities implemented in the quarter included, Regional PMTCT performance review meeting with 9 District PMTCT FPs and 1 ADHO-MCH, District based PMTCT performance review meeting across the 9 districts where 52 midwives, 40 health information assistants, 2 laboratory technicians, 4 Biostatisticians, 5 district HMIS Focal persons, 1 CAO, 2 DHOs, 6 ADHOs-MCH, and 9 District PMTCT FPs were in attendance. The focus was to identify the root cause for the poor EID coverage across the region, during the meeting, we reviewed the MCH registers to rule out documentation gaps, reviewed the HMIS105 reports, validated the data reported in the different systems and built the capacity of the teams in different indicator definitions. The collaborative approach employed by LPHS-Karamoja, in conjunction with USAID UHA and district-based mentors, underscored the commitment to achieving accelerated progress in PMTCT and pediatrics (AP3). By harmonizing strategies and leveraging on the collaborative framework, this initiative aimed not only to enhance the quality of healthcare services but also to contribute significantly to the overarching goal of preventing mother-to-child transmission of HIV and promoting comprehensive health outcomes for both mothers and children in the Karamoja region.