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HIV (Human Immunodeficiency Virus) is a virus that attacks the immune system so that it becomes weak in fighting infection, the final stage of HIV infection will develop into Acquired Immunodeficiency Syndrome (AIDS). This study aims to determine the relationship between work and the severity of HIV AIDS in PLWHA in the Aru Islands Regency in 2020. An analytic observational study with the Cross Section Study method. Interviews were conducted on 137 respondents out of a total of 165 who visited and carried out HIV tests at the Mutiara Dobo VCT clinic. To see the relationship between work and the severity of HIV AIDS. Data analysis using chi-quare, univariate analysis, bivariate and multivariate analysis. The results showed that the factors related to the effect of work on the severity of HIV AIDS were employment (p value 0.000) which was a protective variable (prevention) with LL and UL values below the value 1, length of work (p value 0.000). The results of the multivariate analysis showed that the dominant factor affecting the severity of HIV was the length of work variable with the largest odd ratio value, which was 19.873. After knowing that there is a relationship between work and the severity of HIV AIDS, it is necessary to have a program that is able to financially prosper people living with HIV AIDS so that patients are able to maintain their condition.