HIV programs struggle to provide care to children and adolescents living with HIV (CALHIV). Differentiated service delivery models (DSDM) aim to make HIV care more client-centered and improve diagnosis, retention, and viral load suppression. DSDM in Uganda comprise two community-based models [community-client-led ART distribution (CCLAD) and community drug distribution points(CDDP)] and three facility-based models [facility-based individual management (FBIM), facility-based group management (FBGM), and fast-track drug refill (FTDR)]. They are also classified by level of follow-up as ‘intensive’ (FBGM and FBIM) or ‘less intensive’ (community-based models and FTDR). All CALHIV in Uganda were initially assigned to intensive DSDM. Recently, less intensive DSDM have been expanded to include CALHIV. We assessed DSDM utilization by CALHIV in Uganda from January 2020 to December 2022.