Introduction:: Bottlenecks still exist during human immunodeficiency virus care that may delay the achievement of better outcomes.
Methods:: We established a monitoring system to trace patients throughout the human immunodeficiency virus/acquired immunodeficiency syndrome care process in Juiz de Fora, Brazil, to identify potential bottlenecks.
Results:: Among 250 patients, 17.6% abandoned follow-up. Our monitoring system tracked 86.4% of patients through the medication logistics control system and 2.3% through the mortality information system. Two percent of patients were not located by our monitoring system.
Conclusions:: A pathway care process contributes to a better understanding of the barriers to the treatment cascade.