CD4 and tuberculosis: TB-coinfected participants had a 39.5% lower hazard [HR: 0.605, 95% CI: 0.489-0.748], whereas those with viral suppression had a 49% higher hazard of recovery [HR: 1.489, 95% CI: 1.213-1.826].<h4>Conclusion</h4>Delayed CD4 recovery among males, urban residents, TB-coinfected participants, and those with unsuppressed viral load (>400 copies/mL) underscores the need for targeted, differentiated HIV care strategies to accelerate immunological recovery and reduce HIV-related morbidity.