<p>The incidence of HIV in the zone remains low despite high cases burden in town especially in Kulito town hence conducting data analysis at district or town level and take action accordingly may important to avert concentrated epidemic. Recent infection in general population and risk of HIV infection among family/sexual contacts of the index cases were high so intervene mainly on high risk sub-populations, and hotspot area through contact tracing have remains essential. Patient network services were low below the half so need to be work to improve the services. Also key population such as daily laborer, female sex worker, drug users and contacts of the key population were the main route of transmission so comprehensive HIV prevention, care and treatment services need be promoted and implemented</p>