The report examines the care processes for children with HIV and TB in Senegal and the Democratic Republic of the Congo (DRC), highlighting significant obstacles despite global progress. The report uses healthcare professional interviews to assess pediatric HIV and TB care, identify barriers, and evaluate improvement efforts. It highlights the roles of organizations like UNICEF, UNAIDS, WHO, the Global Fund, PEPFAR, and USAID in addressing these challenges. By showcasing these issues and stakeholder initiatives, the report urges policymakers to take action.