In the delivery room the Committee observed that there were CTG machines and baby receivers for each bed. The delivery room was integrated with the Prevention of Mother to Child Transmission (PMTCT) programme. The Committee learnt that all pregnant women were given the option to have an HIV test. If the test proved positive they were given treatment and follow- ups were made. The sister responsible for the PMTCT programme highlighted that they were dealing with problems of referrals of patients who were never tested early in their pregnancy so that relevant treatment could be prescribed if they tested positive. The Committee expressed concern that referrals that were not tested early in their pregnancy was a sign that primary healthcare was not working well.