This document provides background information on a proposed systematic review and meta-analysis being conducted by Dr. Yusuf Abdu Misau on factors associated with delayed testing and presentation among antiretroviral naive HIV patients. It outlines the objectives to assess causes and effects of late presentation, describes the study design as a systematic review and meta-analysis of observational studies, and discusses the public health significance of identifying factors leading to late presentation to improve HIV patient prognosis and prevention.