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adherence and support patients along HIV continuum of care to prevent virologic failure and drug resistance, especially among patients initiating ART at low CD4+ count and tuberculosis co-infection. Our study revealed factors favoring virologic failure included being female, younger age, CD4+ count less then 200 cells/µL, tuberculosis and initiation of ART at CD4+ count less then 350 cell/µL. Multidisciplinary HIV comprehensive care teams should encourage patient adherence and support patients along HIV continuum of care to prevent v