Many health workers stated that their task is to provide services available in their own facilities but not services provided by other departments or facilities. Lack of medications was another reason given for not being able to provide services for HIV-infected women. In many health care facilities, the ARV was not consistently available. Often even single-dose Nevirapine (NVP) was lacking, for women who were tested only at the time of labour. Even in the two PMTCT sites in the city, shortage of ARV for adults was observed to happen every few weeks. One problem with the NVP for children was that it is provided as a large bottle (200 ml) of syrup. Once it has been opened, it cannot be kept for long, but very few HIVexposed children were identified each day. That means that each bottle was not fully used, and that later, drugs were lacking when supplies ran out.