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Geneva, Switzerland 2016. <ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/www.unaids.org\/sites\/default\/files\/media-asset\/JC2869-Be%20Free%Booklet-A4.pdf\" xlink:type=\"simple\">www.unaids.org\/sites\/default\/files\/media-asset\/JC2869-Be%20Free%Booklet-A4.pdf<\/ext-link>."},{"key":"ref6","unstructured":"Lesotho. Demographic and health survey, 2014. <ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/dhsprogram.com\/pubs\/pdf\/FR309\/FR309.pdf\" xlink:type=\"simple\">https:\/\/dhsprogram.com\/pubs\/pdf\/FR309\/FR309.pdf<\/ext-link>"},{"key":"ref7","unstructured":"UNAIDS, Lesotho Gap report 2015. <ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/www.unaids.org\/sites\/default\/files\/country\/documents\/LSO_narrative_report_2015.pdf\" xlink:type=\"simple\">http:\/\/www.unaids.org\/sites\/default\/files\/country\/documents\/LSO_narrative_report_2015.pdf<\/ext-link>"},{"key":"ref8","unstructured":"Government of Lesotho, Ministry of Health. National Guidelines for HIV AIDS Care and Treatment 5th Ed. 2016. <ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/hivpolicywatch.org\/duremaps\/data\/guidelines\/LesothoARTGuidelinesAllChaptersandAnnex2016.pdf\" xlink:type=\"simple\">http:\/\/hivpolicywatch.org\/duremaps\/data\/guidelines\/LesothoARTGuidelinesAllChaptersandAnnex2016.pdf<\/ext-link>"},{"key":"ref9","unstructured":"Government of Lesotho, Ministry of health. National Guidelines for the Prevention of Mother to Child Transmission of HIV, 2013. <ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/www.emtct-iatt.org\/wp-content\/uploads\/2015\/03\/Lesotho-PMTCT-Revised-Guidelines-2013.pdf\" xlink:type=\"simple\">http:\/\/www.emtct-iatt.org\/wp-content\/uploads\/2015\/03\/Lesotho-PMTCT-Revised-Guidelines-2013.pdf<\/ext-link>"},{"key":"ref10","unstructured":"PEPFAR, Lesotho Country Operational Plan (COP) Strategic Direction Summary 2016. <ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/www.pepfar.gov\/documents\/organization\/257640.pdf\" xlink:type=\"simple\">http:\/\/www.pepfar.gov\/documents\/organization\/257640.pdf<\/ext-link>"},{"issue":"12","key":"ref11","doi-asserted-by":"crossref","first-page":"e115171","DOI":"10.1371\/journal.pone.0115171","article-title":"Intra-Facility Linkage of HIV-Positive Mothers and HIV-Exposed Babies into HIV Chronic Care: Rural and Urban Experience in a Resource Limited Setting","volume":"9","author":"C Mugasha","year":"2014","journal-title":"PLoS ONE"},{"issue":"3","key":"ref12","doi-asserted-by":"crossref","first-page":"e26","DOI":"10.1097\/QAI.0000000000000460","article-title":"Missed opportunities for early infant HIV diagnosis: results of a national study in South Africa","volume":"68","author":"SA Woldesenbet","year":"2015","journal-title":"J Acquir Immune Defic Syndr"},{"issue":"11","key":"ref13","doi-asserted-by":"crossref","first-page":"e78891","DOI":"10.1371\/journal.pone.0078891","article-title":"Do Diagnosis Delays Impact Receipt of Test Results? 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