A facility-based cross-sectional study was carried out from March 24 to June 12, 2020, at all public health facilities that provide ART service in Dire Dawa administrative city. Dire Dawa is located at a distance of 515 Kilometers from Addis Ababa, the capital city of Ethiopia in east direction. The Dire Dawa administrative council consists of Dire Dawa city and the surrounding rural areas. The public health facilities contain one referral hospital (Dilchora referral hospital), one primary hospital (Sabian primary hospital), and seven health centers (Number-one, Addis-ketema, Goro, Gende-kore, Legehare, Gende-gerada, and Dechatu).

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