Intra patient in QoL scores will be compared using Paired T-tests and overall change will be investigated. The effect of calendar time on QoL life scores will be accounted for during analysis. Furthermore, the changes and or effect of the intervention on different sub-groups of HIV positives patients will be carried. For example, subgroups group analysis by type and duration of ART exposure, time from ART initiation, gender differences and other categories. All analysis will use robust standard errors to account for individual patient level variances/correlations, as well as cluster (facility) correlation. The effect of the intervention will also be compared between IDI and Kasangati sites. All analysis will be conducted using STATA, USA.Analysis of Secondary Endpoints.