We included 554 HIV clients on ART, the overall incidence rate of malnutrition at 95%confidence was 42.7 CI (38.3-47.6) per 100 person years of observation. The incidence rate of under-nutrition was 12.5 CI (10.2-15.3), overweight 24.1 CI (20.9-27.9) and that of obesity was 46 (8.3%) per 100 person-years of follow-up. Under-nutrition was significantly associated with :Positive TB screening at enrollment [Adjusted hazard ratio-AHR 4.83 CI (2.6-8.9)], age &amp;gt;60 years [AHR 1.7 CI (1.2-4.7)], being widowed/widower [AHR 1.83 CI (1.6-3.3)], WHO clinical stage 4 at enrollment [AHR 1.59 CI (1.2-3.14)], CD4&amp;lt;200 [AHR 1.84 CI (1.1-3.1)] and prior exposure to ART [AHR 1.32 CI (1.11-1.84)].Overweight and obesity were significantly associated with WHO clinical stage 1 [AHR 3.1 CI (3-3.3.8)] and age between 35-45 [AHR 1.2 CI (1.02-2.19)]. 


