<p>&nbsp;</p><p>The methodology we used for this analysis is cross-sectional design using secondary data obtained from the Ethiopian public health institute(EPHI) HIV case-based surveillance (CBS) system. The data covers the period from July 2019 to July 2024 and includes information from 45 health facilities across Tigray. Data management and cleaning were performed using Excel, ensuring data completeness by excluding variables with ≥10% of missing value. We used descriptive statistics to analyze this secondary data analysis. Ethical approval was obtained from the CBS Publication Advisory Committee, and data confidentiality was strictly maintained.&nbsp;</p>