HIV and AIDS remain a major challenge in Kenya as well as in Kwale County. The epidemic continues to adversely impact on all spheres of the County; economic, social and health sectors. With an estimated HIV prevalence of 5.7% (National HIV Estimates 2014) Kwale County is ranked as a medium-epidemic county. With 21,159 People Living with HIV (PLHIV) in the county, it is of concern that two thirds of this population are women and over 2,600 of them are children. These facts prompt us to audit our efforts towards elimination of mother-to-child HIV transmission (eMTCT) and other related programmes.