Belay Gurja (PhD)Tsegaye Kibebe2018-07-232023-11-092018-07-232023-11-092015-03http://etd.aau.edu.et/handle/123456789/9696The aim of this study was to assess the HIV prevalence rate of the selected hospitals and health centers in Arsi zone, Oromiya region, Ethiopia. Out of the 25 woredas found in the zone, 14 of them (56%) were selected by purposive or convenience sampling method.17 Health institutions, three Hospitals (out of the five Hospitals found in the zone) and fourteen Health centers were used for sampling. All the data was collected by tally method from the “Voluntary Counseling and Testing Registration Log Book” and from the “monthly reporting format” of the health institutions taken as a sample and analyzed using SPSS version 20. A total number of 269,398 individuals were tested for HIV in 14 woredas of the zone (Asella, Tiyo, Digelu and Tijo, Lemu and Bilbilo, Robe, Lode Hetosa, Dodota, Diksis, Jeju, Shirka, Ziway Dugda, Munesa, Hetosa and Sire). A 10 (ten) years annual clinical data record from Asella Hospital, 3 years annual clinical data record from Rehoboth hospital, 8 years annual clinical data record from the Family Guidance Association of Ethiopia (FGAE) - Asella branch clinic and a one to nine years data from each of the other 13 woredas was collected to show the average annual HIV prevalence rate in the areas. The assessment of the retrospective clinical data record showed HIV/AIDS to be about 1.74% average annual prevalence. The data record also showed that HIV prevalence decreased from 11.14% in 2006 to 1.74% as compared to that of 2015. Furthermore, HIV prevalence among sexes showed 2.75% of the HIV positive individuals were females and 1.79% was males. According to the study, 38.94% of the HIV positive individuals were males and 61.06% were females. The data also showed that the disease is more prevalent in the age groups of 15-49 years of age. Furthermore, the recent decrease in the prevalence of the disease seems to be promising but there is still a need to further enhance disclosure and condom use and using different mechanisms like mass health education and face to face counseling and the need to take the control of the disease more seriously in the community. Keywords: - AIDS, Arsi zone, HIV, prevalence, woredaenAIDSArsi ZoneHIVPrevalenceWoredaAIDS Arsi zone HIV Prevalence woredaThesis