Integrated HBHC services will be provided to 186,121 PLHIV in Lukhanji, Intsika Yethu, Emalahleni, Engcobo, Inxuba Yethemba and Sakhisizwe, Makana and Nkonkobe sub districts of the EC Province. Services will include; screening, diagnosis and treatment for active TB, STIs, and other OIs; CTX; IPT; NACS, pain assessment and management and linkage to the HBHC community component. Referral networks between the community and the 200 facilities will be established to enhance pre-ART follow-up and timely ART initiation. The “I ACT” support groups will be established in all the 200 facilities to empower the PLHIV and minimize the LTFU of pre-ART/ART clients as well as to serve as a link between facilities and the community. At home/community level comprehensive, family-centered holistic services will be implemented including integrated prevention services, clinical/physical, psychological, spiritual and social care. Community systems will be strengthened to enable self-sufficiency and self-sustenance among the 48 CBOs. A total of 480 CHWs from the CBOs and 1000 from facilities will be trained and mentored. A minimum package of services will be adapted and implemented for pre-ART and ART patients. Caregiver support programs will be adapted to each community structure to address burn out, retreat and respite issues. Capacity of other local entities will also be built: youth; religious institutions; and traditional leaders and healers - to promote behavior change; increase the demand/uptake of HIV services; address culturally sensitive issues; reduce risky behavior and facilitate social change. For sustainability, the sub district, district and provincial health management teams and leadership will be engaged to advocate for HBHC services and policy issues.