"Although ARV is sufficient for all HIV-infected women in Hanoi, in the provincial hospital, there are some periods when they lack medicines. The provincial hospital should make a plan on how much medicine they need. The procurement facility should make administrative procedure short and easy for hospitals to get the medicines." Manager, ANC national hospital "We have implemented PMTCT programme for more than five years without a PMTCT guideline to instruct us. I think a PMTCT guideline should be developed with involvement of all planners and implementers." Manager, ANC provincial hospital Improvement of the referral system is seen as an important task that needs to be addressed in the near future.