A total of 1767 clients were enrolled between 2015–2022. The mean age was 37 years SD±12.7, Majority were male at 88.1%(1557/1767). Only 29%(513/1767) were married at enrolment, 69.4%(1227/1767) were unemployed, 56%(989/1767) had primary level of education and 33.1%(585/1767) were people who inject drugs. The period of drug use before MAT ranged from 3–26 years (median 7), and 2.7%(48/1767) were enrolled while in prison. HIV prevalence at baseline was at 10.9%(193/1767), Hepatitis B at 3.7%(66/1767), Hepatitis C at 6.8%(118/1767). Almost half of the HIV-positive clients were injectors at 48.7%(94/193), and 1.6%(3/193) had defaulted to methadone and ART. On treatment outcomes, 3%(53/1767) were successfully weaned off and 3.7%(66/1767) had died. 