<p>A comparative cross-sectional study was conducted in 2021 among 630 ART patients from four consecutive years (2018-2021) at Awi Zonal Health Facilities. A systematic random sampling technique was employed, and data were collected using a structured questionnaire. The data were analyzed with SPSS version 23, using bivariate and multivariable logistic regression to determine factors associated with TB risk among participants.&nbsp;</p>