In 2011, the Malawian Ministry of Health developed a pragmatic public health approach to improve the low antiretroviral coverage among pregnant women in Malawi and implemented the “Option B+” protocol. Option B+ provides universal lifelong antiretroviral therapy (ART) for all HIV-infected pregnant and breastfeeding women, regardless of CD4 cell count and/or WHO clinical stage. Following the national implementation of Option B+ the antiretroviral coverage among pregnant women in Malawi increased from 49% in 2011 to 85% in 2014 and numerous countries have adopted the Option B+ policy. After completing a Master’s degree in Sociology at Goldsmiths, University of London Andreas joined the ISPM in 2012, where he completed a PhD in Epidemiology. His PhD project evaluated the effectiveness of Malawi’s “Option B+” and specifically the project identified challenges to program success, and incorporated plans to carry out appropriate interventions.