A total of 1167 New HIV infections were reported from 11 CBS facilities. About 761 (65.2%) and 406 (34.8%) of new HIV infections were female and male, respectively. The majority, 279 (23.9%), of new HIV infections, were among people in the 25-29 age group with a mean age of 28 years ± 9.7 standard deviations. Out of 1,113 eligible cases, 775 (69.6%) recency tests had been performed. The proportion of recent infections was 89(11.4%, 95% CI:11.2,11.5%) and high in females 61(68.5%). A high proportion of new HIV infections was reported from Bench sheko zone 743(63.7%). About 1057(90.6%) of new HIV infections started ART. The annual number of new HIV infections was 369, 511, and 287 in 2019/2020, 2021, and 2022, respectively. The incidence of recent HIV infections increased from approximately 62 infections per 1000 in 2019/20 to 108 per 1000 people in 2022.