"When there are not a lot of patients, I think it's appropriate to divide tasks among different hospitals. But we also need to link all hospitals. In practice, the linkage is loose: that makes difficulties for patient access to services. It is due to lack of information about services provided by other places, lack of active coordination to link between different services, people are too busy to think about other services besides the treatment that we can provide. Some health workers are not aware of the need to refer patients, or if they do, patients don't want to go and disclose their positive status in other hospitals, or may not go even because of lack of referral forms." Manager, ARV district hospital Some health workers also proposed that all services should be offered at one point for better coordination.