An estimated 200 000 South Africans living with HIV and AIDS are in urgent need of anti-AIDS drugs, but supply is not keeping up with demand. And, despite good nutrition being an essential pre-requisite for starting anti-retroviral (ARV) treatment, only a fraction of HIV and AIDS patients are receiving the supplements and food parcels. This is the finding of a monitoring report compiled by the Treatment Action Campaign (TAC) and Aids Law Project, 18 months after the government approved the national HIV and AIDS treatment plan.