The Nurse Initiated Management of Patients on Antiretroviral Treatment (NIMART) is a strategic management intervention that is intended to increase the number of HIV patients having access to treatment by task-shifting the administration of anti-retroviral drugs (ARV) from doctors to nurses. This study evaluated the efficiency of the implementation of the NIMART strategy, conducted at a primary health care clinic. The data was captured through an administered questionnaire for the patients and semi-structured interviews for the staff. The implementation of the NIMART strategy appeared to be affected by fragile leadership, lack of effective communication in the team, and poor service delivery at key points in the clinic. The common perception amongst the service providers was that the NIMART strategy was poorly formulated, marketed, managed, and evaluated. To improve the delivery of NIMART there must be a reorientation of the current ART service delivery at the primary health care clinic.

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