As PEPFAR continues to confront the challenges of assuring retention on life-long ART in patients, collaboration with communities, local independent civil society organizations and patients is urgent and critical. This collaboration helps PEPFAR programs and health institutions diagnose and pinpoint persistent problems, and identify both barriers and enablers of effective service and client outcomes at the facility level. Dr. Angeli Achrekar will discuss PEPFAR’s community-led monitoring approach, and community organizations will present on emerging best practices to gather routine quantitative and qualitative data about the quality of HIV services at health facilities, with a focus on getting input directly from recipients of HIV services to then improve the quality of services.