In recent years Kenya has experienced notable successes in reducing mother-to-child transmission of HIV and initiating children living with HIV on antiretroviral treatment, but progress in scaling up newer point of care testing approaches and maintaining children on treatment regimens has been slower. Since March of 2020, when the first Covid-19 cases in Kenya were reported, quarantine measures, the diversion of health resources to outbreak response, and supply chain disruptions have exacerbated existing challenges but also provide opportunities for innovations and improved service delivery for children. In this episode of AIDS 2021, Katherine E. Bliss speaks with Dr. Catherine Ngugi, Head of the National AIDS and STI Control Program in Kenya, on how health care providers are finding ways to continue community engagement and ensure the rollout of new technologies, despite a constrained emergency environment.