Introduction: Despite improvements in antiretroviral therapy (ART) and cervical cancer screening, the incidence of cervical cancer remains disproportionately high among sexually active women in Nigeria. This study determined the prevalence and associated risk factors of cervical cancer among sexually active women receiving antiretroviral therapy at First Referral Hospital, Mutum Biyu, Nigeria. Material and Method: This is a survey study design that is evaluative in nature. Data were derived from respondents through interview and laboratory diagnosis and analyzed with Statistical Package for Social Sciences (SPSS) version 22 statistical software. The choice of this study design is informed by the fact that it enables a researcher to obtain data that may not be found in extant literature which can be utilized in testing hypotheses. Result: Majority 63% of the study population were not victims of cervical cancer while 37% of the study population were cervical cancer patients. The majority of respondents (58%) had never heard of cervical cancer, and an even larger proportion (89%) were unaware of cervical cancer screening. Awareness of cervical cancer among this population is thus notably low. Conclusion: There is low level of awareness about cervical cancer and it associated risk factors among sexually active women receiving antiretroviral therapy in the study area. Hence, the need for health education programs.