Background: The World Health Organization defines palliative care as an approach thatrnimproves the quality of life of patients and their families facing the problems associated withrnthreatening illnesses. Assessing the palliative care needs of people living with HIV and AIDSrn(PLHIV) and providing them with adequate care and support has a special significance inrncombating the AIDS epidemic. rnObjective: The main objective of this study is to assess unmet palliative care needs ofrn people living with HIV and AIDS in Hawassa town. rnMethods: A descriptive cross-sectional study design was conducted to assess palliative care rnneeds of PLHIV and qualitative method was applied to triangulate the findings. Adult PLHIV onrnART for at least 6 months were randomly selected for quantitative data. The reason for this isrnthat, palliative care team visit and gives support for PLHIV every 3 months. So PLHIV who have rnbeen on ART at least for 6 months have more knowledge about palliative care and have a chancernto be visited by palliative care team. For qualitative data health care providers and the PLHIVrnwere purposely selected and a total of 6 in-depth individual interviews and four focus group rndiscussions were conducted. Quantitative data was entered in to SPSS for analysis and rnqualitative data is analyzed using thematic analysis. Findings of the quantitative data supplementrned with qualitative results using the process of triangulation. rnResult: A total of 390 (121 males and 269 females) PLHIV and 17 (7 males and 10 females)rnhealth workers included in this study. The mean age of study participants was 32.9 Â± 9.6 years.rnAs the result of this study the most common unmet palliative care needs are financial assistance rn(59%), pain relief (48.7%), free treatment for OI (47.9%), nutritional support (38.7%), shelter rn(28.7%) and home based care (21.3%). Multiple regression analysis showed that all the identifiedrnunmet needs for palliative care were more among unemployed PLHIV than employed (p