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significantly lower level of self-management behavior. These results could help healthcare professionals to quickly recognize PLWH who are at a high risk of low-level self-management, using individual characteristics and could provide a scientific basis for the development of effective and targeted programs to improve self-management level in PLWH. Even though referral is a major public health issue in the sub-Saharan countries including Ethiopia, there is limited data particularly in the study area. So, this study was aimed to assess cli