Phasing in of the Fixed Dose Combination (FDC) have been smooth and no challenges experienced thus far. Challenges have been with supply of other medicines and drugs from the hospital either due to the non cooperation of the hospital pharmacy manager or stock outs. Joint management meetings (Hospital and sub-district) were held to resolve the matter. Operational managers also assist in reporting al stock out items to their respective cluster managers who in turn inform the office of the CEO and the SD pharmacists.