Shampande Clinic situated in Choma district of the Southern Province of Zambia has three Clinical Officers with 1,767 clients active on ART. Performance assessment visits were conducted at the clinic in 2011, identifying weaknesses in treatment and management of clients on ART. These included lack of appropriate clinical and CD4 testing follow up. To address identified gaps in follow up care, the USAID funded Zambia Integrated Systems Strengthening Program (ZISSP) supported formation of Clinical Care Teams (CCTs) at provincial and district levels. These are multi-disciplinary teams comprising competencies necessary for effective quality patient care