Unfortunately, the HIV epidemic continues to have a devastating impact, with 630,000 (480,000–880,000) PLHIV dying from AIDS-related illness in 2022. To tackle high mortality, WHO released the comprehensive Advanced HIV Disease (AHD) guidelines; however, implementation lagged due to capacity and unavailability of appropriate diagnostic tools and treatment packages. EGPAF worked closely with key stakeholders and Ministries of Health to develop an enhanced package with targeted interventions to reduce mortality and morbidity. EGPAF's approaches are rooted in core QI concepts that lead to rapid improvements in programme performance and continuously strengthen the quality of care offered to patients. The satellite will highlight the implementation model of improved AHD service delivery, its outcomes in routine care, analyze demand during implementation and describe service delivery in three project countries: Malawi, Cote d'Ivoire and Lesotho. The discussion will be informed by study results.