Multi-month dispensing (MMD) is the prescribing and dispensing of three to six months of antiretrovirals (ARV) and other medicines required for treatment of people living with HIV (PLHIV). This approach is in contrast to the current standard of care approach where drug dispensing requires monthly clinical visits. While many programs have moved to providing MMD for adults, implementation in children has been particularly challenging. MMD takes a client-centered approach and has the promise of improving and sustaining continuity of treatment and rates of viral suppression (VS), as well as reducing the provider the provider workload and other burdens on the health system.