<p>We conducted a cross sectional study between October and November 2020, among adult men living with HIV and enrolled on ART at a large volume HIV-care facility in Eastern Uganda. We used systematic sampling to recruit 394 participants who were interviewed using structured questionnaires to assess patient characteristics at initial ART enrolment and each patient’s medical record abstracted to record initial CD4 cell count. Participants with a CD4 cell count less than 350, at ART initiation were categorised as late presenters. Descriptive statistics and modified Poisson regression analysis were conducted to determine the prevalence and factors associated with late presentation for HIV care.</p>