Background:
Schistosomiasis infection has been associated with increased risk of HIV infection in African women. The co-infection between schistosomiasis and HIV /AIDS infection can be mediated through social behavioral factors. Cases show that over 200 million people are infected worldwide with a disproportionate burden in Africa, about 90% cases found alongside co-infection with HIV/AIDS.

Objecive:
To determine the prevalence and risk factors associated with schistosomiasis among womenliving with HIV/AIDS in lower Mosh- Kilimanjaro

Methodology:
This study was a cross sectional hospital based analytical study, which was conducted in lower Moshi (Pasua, TPC, Arusha chini, Mabogini) from April to June 2021.The study population was HIV/AIDS infected women aged (15-49)years. A minimum of 260 women was enrolled in this study with a simple random sampling technique. A questionnaire was a tool for data collection. Data was entered and analyzed using SPSS version 20.Microscopic examination was performed to test for schistosome infection where urine sample was used for detection of Schistosoma haematobium by membrane filtration method.

Results:
A total of 260 participants were enrolled. The prevalence of schistosomiasis among HIV/AIDS positive women is 5% (13/260). There was an association between the outcome (schistosomiasis) and the previous infection of HIV/AIDS with a p-value <0.01.

Conclusion:
The low prevalence of Schistosomiasis among HIV/AIDS women is 5% Only previous infection were associated with schistosomiasis. So strategic plans such as provision of Praziquantel drugs in the CTC and health seminars should be provided to residents in lower Moshi Kilimanjaro.