 The clinic intervention consists of the following 5 components: 1 the implementation of clinical care forms and accompanying job aids, 2 resources, to includes equipment, supplies, staffing and infrastructure, 3 clinic implementation, which involves a quality improvement team working at the clinic to introduce the new patient flow system and to improve the skills of clinic staff, 4 the use of electronic information for performance assessment, which involves implementing an electronic data entry system within the clinics and 5 supportive mentoring, which will involve the Quality Improvement QI team reviewing patient charts for appropriate screening, diagnostics, treatment or follow-up, attending patient visits, identifying equipment or infrastructure issues, and reviewing clinic performance reports and updating the clinics quality improvement strategy. 