AGHA’s participated in the 19th ICASA in Abidjan, Ivory Coast. More than 10,000 health experts, academia, activists, people living with HIV and politicians participated and discussed the global HIV response and Africa’s commitment to ending AIDS by 2030. The conference was organised under the theme “Africa: Ending AIDS-delivering differently” AGHA presented an abstract entitled ‘Improving access to post exposure prophylaxis for MSM and SWs through patient centred accountability approaches in Uganda ’which attracted more than 100 delegates. Context In Uganda, the HIV epidemic continues to be generalized with the prevalence standing at an average of 7.3% in the general population while among Sex Workers at 35-37% and MSM at 13.7% between the ages of 18-24. The burden of HIV in Uganda represented by the number of persons in the country living with HIV has increased in the last five years from 1.2 million to 1.6 million. Strategy The project conducted a community scorecard in six model government health facilities(Mukono Health center IV (H/C), Kojja H/C IV, Kisenyi H/C IV, Kawaala H/C III, Kira H/C III and Kajjansi H/C 111) to establish the level to which the government of Uganda has met its commitment towards increasing access to PEP among MSMs and SWs as stipulated in the National MARPs Priority Action Plan (2014-2016).A Community Score Card (CSC) was adopted because it is a social accountability monitoring tool that brings together duty bearers, service users and service providers to holistically assess service delivery bottlenecks and generate consensus to improve the gaps. Lessons learned: A 24 hour service to extend PEP at night and over the weekends most especially for the sex workers was adopted, the number of MSM and SWs accessing PEP increased from 129 in 2016 to 258 by May 2017.Over 100 health workers were trained on gender and sexual diversity to address the poor attitude towards MSM and sex workers, 260 sex workers and MSM tested for HIV were enrolled on ART between 2016-2017 at Kisenyi and Kawaala health centers. Next steps: Comprehensive multilevel interventions targeting individual, societal and policy level barriers are required to increase access to PEP services.