Background: A policy of service about prevention HIV infection from mother to child integrated with reproduction health care, especially health of mother and baby service at every level of health care. All women who came to reproductive health services at every level of health care information transmission of STIs and HIV prevention during pregnancy and lactation. Policy of prevention of HIV transmission from mother to child through 4 prong. Over 6.5 million women in Indonesia is vulnerable population contracting and transmitting HIV/AIDS, more than 9,000 pregnant women with HIV each year in and more than 30% of them gave birth to babies who are infected when there is no prevention of HIV+ from mother to child/ Prevention Mother To Child Transmission (PMTCT). Methods: The study is a qualitative study, conducted in the month of December 2009 in Surabaya. Data was collected through structured interviews to policy holders, non-governmental organizations (NGOs) and providing PMTCT services in health centers on the support and the need for reproductive health services to pregnant women at risk for HIV/AIDS. Result: This analysis showed East Java Provincial Health Office team up PMTCT in the clinic, which consisted of midwives, health center doctors, nurses, and gynecologists, although not all centers have a team of PMTCT. This leads to the possibility of pregnant women with HIV who have not been reached. Dupak health center whose jurisdiction covers the area of localization has a PMTCT program, also conducted Voluntary Counselling Test (VCT), but this time in collaboration with NGOs (Hotline) for the implementation of VCT, PMTCT as a team in doubles as an officer pukesmas BP and KIA. PMTCT in the clinic target: pregnant women who perform Antenatal Care (ANC), secondary data obtained from review of documents in Dinkesprov East Java, Surabaya DKK and health centers. Surabaya City Government has sought to implement policies set by the Ministry of Health in preventing transmission of HIV/AIDS from mother to child. PMTCT but the lack of well-trained team in the clinic led to a lack of information about PMTCT to pregnant women and their families as a result, cases of babies with HIV/AIDS will continue to rise.