<p>A facility-based mixed study design was conducted from January to March 2024. The source population for the quantitative study consisted of all people living with HIV (PLHIV) who engaged in HIV treatment in six zones, except the western zone, which is insecure. A sample unit for a qualitative study was purposefully selected from the six zones, consisting of 34 PLHIV clients working as case managers. Stata version 15 was used for the quantitative data analysis, while, Atlas Ti.7.6. was employed for the qualitative study.</p>