<p>Globally, about 37 million people are living with HIV(PLHIV). Kenya has an estimated 1.3 million PLHIV, with 96% of those who know their status on antiretroviral therapy (ART). HIV viral load test is an important tool for monitoring PLHIV on ART. Viral load testing is a cost-effective and sustainable approach for monitoring ART treatment success. The Kenya viral load monitoring system has not been evaluated before. We sort to evaluate the viral load monitoring system as a surveillance system, as this has not been done before.</p>