Since 2010, the Ghana Health Service has been integrating nutrition assessment, counseling, and support (NACS) into routine HIV services. In December 2011, a rapid review of 11 NACS pilot sites in Ghana was conducted to assess the sites’ strengths, challenges, and opportunities to inform the scale-up of NACS. One of the review’s key recommendations was to integrate nutrition indicators into the routine HIV monitoring and evaluation (M&E) system. This report summarizes the steps FANTA and the Ghana Health Service took to strengthen efforts to integrate nutrition indicators into HIV and tuberculosis M&E systems for effective tracking of progress and decision making at the different levels of service delivery.