Toxoplasma gondii is an intracellular Apicomplexan protozoan parasite that infects humans who ingest raw or undercooked meat or congenitally by trans-placental transmission. Immunocompromised patients are at risk of contracting T. gondii which can be fatal if not promptly treated. This study determined the seroprevalence of T. gondii and its associated risk factors among HIV infected pregnant women. We enrolled pregnant, HIV positive women aged 18 years and above from the antenatal clinics of Academic Model Providing Access to Healthcare Program (AMPATH) centers within Uasin Gishu County, Kenya. Blood samples from the women were collected aseptically, transported to the immunology laboratory and screened for anti-T. gondii IgG antibodies using the enzyme linked immunosorbent assay (ELISA) technique. Participant sociodemographic, clinical and risk factor data were collected using a structured questionnaire. Descriptive and inferential data analysis was conducted using Stata Version 11.2. Chi-square test was used to determine the association between seropositivity and various risk factors with a p-value ≤ 0.05 considered statistically significant. Logistic regression analysis was conducted for significant variables at the bivariate level. Of the 102 women enrolled, ___(46%) had T. gondii IgG antibodies. __ (27%) were aware of T. gondii transmission mechanisms and boiled water prior to consumption, 98% washed their hands during food preparation and after visiting the toilet, while 39.2% kept cats in their homesteads. __ (41.2%) were in their second trimester of pregnancy and ___(19%) had a history of abortion. Women aged 25–30 years had nearly five-fold significant risk (RR = 4.840 [95% CI; 0.699–23.297, p = 0.017) of having a T. gondii infection compared to their counterparts. Additional infection risks were seen among women who did not treat water were (RR = 2.801 [95% CI; 1.00-7.851]) and practiced farming (RR = 9.950 [95% CI; 0.691–8.197]). In conclusion, T. gondii is a highly prevalent pathogen among HIV infected pregnant women receiving antenatal care at AMPATH clinics in Uasin Gishu county. This study also highlights age, lack of water treatment and farming practices as significant risk factors for infection. There is need to institute risk reduction measures of factors associated with T. gondii infection. These include encouraging adequate cooking food to safe temperatures, avoiding direct contact with potentially infected soil or cat litter and treating water before use.