This is a descriptive cross sectional study conducted at Kibuye hospital catchment area. HIV clinical files of children below 15years under follow up from January to November 2022 were reviewed in the period of October to November 2022.  Anthropometric measures including age, weight and height were used to identify the types and degree of malnutrition including stunting, wasting and obesity while the WHO classification (Growth charts and Z-scores) was used for categorization. Data were analysed using Microsoft excel to express different proportions.