There is excitement among the global health community over a public health success story. Last year Cuba became the first country to eliminate mother-to-child transmission of HIV and syphilis. In June this year, Thailand eliminated mother-to-child transmission of HIV, becoming the first country in Asia and the Pacific region. Cuba and Thailand's success has shown that elimination of mother to child transmission is doable. The key is universal access and a strong healthcare programme. The question is, can India ensure that no child starts his or her life with HIV.