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This research evaluated the impact of AIDS Prevention Initiative in Nigeria (APIN) on beneficiaries in Makurdi Metropolis, Nigeria. Specifically, the study evaluated the awareness of beneficiaries in Makurdi metropolis about APIN services, examined their impact on HIV/AIDS prevalence and health outcomes and identified the challenges they face in accessing and utilising these services.The study was anchored on the Health Belief Model (HBM) and Diffusion of Innovations Theory. The study adopted a descriptive survey research method using a questionnaire as data gathering instrument. A total of 393 beneficiaries participated across the selected health care centers in Makurdi using the stratified, systematic and simple random sampling techniques. The data was analysed using the simple frequency and percentage. According to the findings, Makurdi Metropolis beneficiaries are familiar with APIN services, primarily through social media and are positive about their effectiveness in reducing HIV prevalence and improving reproductive health access. Despite challenges like transportation issues and unfriendly staff, most users find treatment satisfactory.