Background: Early identification of patients at risk of viral load unsuppression enables preventative measures to be taken, leading to improved treatment outcomes for PLHIV. This study aimed to unveil factors associated with viral load unsuppression among PLHIV on HAART in Gombe state, Nigeria.Method: A retrospective study of routinely collected clientlevel service data was carried out. The data was extracted from an output file generated from National Medical Record System (NMRS).Results: Out of the 11518 total results analyzed, 11247 and 271 are suppressed and unsuppressed respectively, resulting in a suppression rate of 97.6% and an unsuppression Check for updates