<p>Human immune deficiency virus (HIV) continues to be a major public health condition in developing nations. Unsuppressed and detectable HIV viral load among clients on ART increases the risk of HIV transmission. Kagera is the fourth region with the highest HIV prevalence in Tanzania 6.5% vs 4.5% national average. We determined prevalence of detectable viral load and predictors among HIV clients on Highly Active Anti-retroviral therapy (ART) for at least 6 months in Kagera Region. Tanzania.</p>