<p>Facility based retrospective analysis was employed on HIV case surveillance dataset(December 1/2019 to August 30/2024) from Ari zone CBS implementing facilities. Data extracted from national REDCap database was cleaned and missing values excluded before analysis. Frequencies and percentages were used to assess trends of newly identified and recent infections. Logistic regression model was used to screen for factors independently associated with the risk of recent infections. Variables with <em>p</em>-value &lt;0.05 and an adjusted odds ratio with 95% confidence interval in final multivariable logistic regression model was used to confirm significant association.</p>