The aim of this study was to evaluate the implementation of the government policy regarding antiretroviral therapy to all qualifying HIV positive people in public health facilities at Amathole health district of the Eastern Cape Province. There has never been a detailed research study conducted in Amathole health district regarding the said subject. The constitution of the republic of South Africa in chapter two section twenty seven prescribes that the state must make access to health, food and security a reality. Hence the provision of antiretroviral therapy to HIV positive people acts as a response to constitutional imperatives of guaranteeing fundamental human rights. The literature review explored extensively on the models used in implementing antiretroviral therapy programmes globally. From those tested models elsewhere, it was evident that South Africa has one of the best models in implementing HIV&AIDS treatment programmes notwithstanding some challenges cited in chapter one of the study. This evaluation of the antiretroviral therapy implementation assisted in the establishment of the real facts about successful access of treatment to deserving communities.