Access to HIV testing and viral load monitoring are critical in achieving the UNAIDS targets. Centralised testing models contribute to delays receiving test results due to logistics, machine failures and testing backlogs. Point-of-care or near patient technologies have been successful in expanding HIV services and reducing some of the barriers to scale up, by providing results on the same visit and immediate linkage to care, that speeds up clinical decisions. Universal coverage is essential to ending the AIDS epidemic in early infant diagnosis testing for all new-borns, mothers and people living with HIV. HIV continues to be a major public health concern for men who have sex with men, and the emergence of pre-exposure prophylaxis is considered a highly effective tool in preventing transmission. Rates of co-infection with TB, HIV, Hep are constantly rising and the current diagnostic services are separate vertical structures that add more complexity and low integration.