A total of 158 opioid-dependent clients were HIV positive during enrolment; the mean age was 36 years SD±7.5, 34/158, 34/74 had used heroin for ≤5 years, and Males were the majority at 63.9%(101/158). Half 51.9%(82/158) of the HIV-positive clients had a history of injecting drugs. HIV/HCV coinfection was 21.5%(34/158), and HIV/Hept B at 1.5%(23/158). Of those who died, 42.9%(9/21) were HIV-related deaths, 28.8%(5/21) were an overdose, and 14.2%(3/21) were killed by mob justice. History of incarceration before MAT was a predictor of mortality Odds Ratio 3.7( CI 1.5,9.9) P-Value 0.003.