The project phase is on scaling up VCTQUAL model implementation for VCT quality improvement at new government hospitals; and engaging more voluntary hospitals by supporting staff capacity building. Strengthening country monitoring system of the HIV counseling services and facilitating HIV counseling data utilization for quality improvement in hospital base are still a challenge. VCTQUAL program and tools can reflect the HIV counseling services system, health care staff’s satisfaction, and client’s need. The program report can represent number of population access to HIV testing and percentage of HIV-infected cases’ access to treatment and care at the facility level.