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Access to PMTCT services in Rwanda has reached near universal coverage; and the rate of mother to child transmission of HIV (MTCT) has been maintained at 1.5% over the last three years. Imbuto Foundation and Rwanda Network of people living with HIV (RRP+) implemented an innovative peer-based education project to identify acceptable options for psychosocial care, ART adherence and retention. A strategic partnership between Imbuto Foundation and RRP+ was established to strengthen coordination and involvement of People Living with HIV, as peer educators for clients receiving Prevention of Mother To Child HIV Transmission (PMTCT) services from 32 health centers in Bugesera, Musanze, Rubavu, Gatsibo and Huye districts. As a result 64 PMTCT service providers and 320 peer educators were trained to improve their knowledge and skills in HIV counselling and psychosocial support.