This Empowerment Evaluation stimulated measurements of Indicators and or associated factors related to Accessibility and Utilization of HIV and AIDS Services for People Living with HIV/AIDS in Sierra Leone. The research investigated a broad spectrum of Care, Treatment and Support Services and programs for PLWHAs using structured questionnaires by category; results disaggregated by demographic characteristics, using the Census and Surveys Program software and Statistical Package for Social Scientists for data entry and analysis. Data was also extracted from the organization records. In this thesis, I explored cross-tabulation and matching techniques using the demographic data of respondents to that of a range of services for PLWHAs, spanning from causes and incidence of Infection, on ART treatment, distance and time covered to service delivery points or clinics, means of transportation, satisfaction of medical and socio-economic services received by PLWHAs, such as VCCT, PMTCT, ART, STI, Condom, OVC, TB, FP, HBC, food and nutrition, vocational training, legal services, housing, clothing support, sponsorship, and recreational services, all weighted by levels of satisfaction.