<p>A descriptive cross-sectional study was carried out. This study included all HIV testing service clients who were enrolled in HIV care and treatment and had viral load records or tests. The five-years HIV data from July 2020 to June 2024 were extracted from East Hararghe zone of District Health Information Software 2 (DHIS-2). The collected data were checked for completeness and consistency. Data confidentiality was secured through data anonymity. The data were analyzed and then presented using frequency tables, line graphs and maps.&nbsp;</p>