 Universal Access to ART: Since 2003 there has been a concerted international effort to increase access to ART for HIV-infected individuals living in low and middle income countries.1-6 Despite the substantial increase in the number of people receiving ART in SSA, by the end of 2010 only 49 of the 10,400,000 persons in need of ART were receiving treatment.7-8 This is far short of the universal ART access goal of 80 of those in need of treatment.2 Given that SSA commands only 3 of the worlds health care providers and contributes to only 1 of the global health care expenditures, a significant barrier to meeting this goal is the profound shortage of infrastructure resources, most specifically, trained medical personnel.9-10 With regard to Kenya, WHO estimates that the country will only be able to provide 25 of the 240,000 physicians needed to serve the countrys population by 2015.11 New initiatives under consideration such as Test and Treat, Option B ART for all pregnant women with lifelong maintenance and treatment of index partners within HIV-discordant relationships will further tax the already strained health care work force.12-22 As such, unless new care models can be developed that require fewer health care provider resources while maintaining optimal patient outcomes, the goal of universal access is unachievable. 